Ayurveda doctors in every field must read and appraise this ppt.

1. Evidence Based Medicine in
Ayurveda – A paradigm shift
Dr. Remya Krishnan MD PhD

2. Evidence Based Medicine –
Ayurveda
• The “evidence” of Evidence Based Medicine in
Ayurveda is primarily science based and not data
based.
• Science Based Evidence Based Medicine must be
at the core of every Ayurveda Medical colleges’
role in raising the standard of patient care .
• It is possible to investigate the standardised
Cause- Mechanism- Effect in every diagnosis and
intervention for every clinical situation by
applying SBEBA

3. HEIGHT OF ABSURDITY
• Irrelevant and baseless incorporation and
discussions about modern research methodology
and biostatistics in Ayurveda should be diverted
to Basic science led Applied Medicine and
research methodologies and standards.
• When basic science of Ayurveda readily provides
the solid evidence base for attaining pin pointed
diagnosis and on the target treatment guidelines ,
it is true insult to science and pure absurdity to
blindly test“ blindly advocated” treatments ,
collecting data and pushing treatment forward.

4. Theorems vs theories
• Exploration, all kinds of decisions and research
in Ayurveda should be primarily led by
science , never misled by statistics.
• It is to be noted that Ayurvedic science
incorporates settled theorems and not
empiricism based unsettled theories as in
Modern Medicine as substratum for decision
making

5. Science Based Evidence
• So we can make our patients to have full
confidence that the treatment which they
receive is based on solid science based
evidence and not the fragile data based
temporary evidence .

6. Tradition is not science and vice versa
• The currently followed procedure of treatment in Ayurveda
is based on tradition and not science.
• Doctors teach and treat based on “ their knowledge”
passed over through generations in contrary to solid
“Science based knowledge” which explain the standardised
decision making guidelines and procedures in diagnosis,
differential diagnosis, prognosis and treatment .
• Doctors infact do not know that what they practice every
day is not science. For this reason they dangerously
misinterpret the great science as tradition ( practices
blindly continued for generations )!!

7. Thinking outside the box
• After teaching the difference between
tradition based practice and the very intended
science based practice in Ayurveda, it requires
young physicians to question the currently
ongoing convention ( copying what others do)
based or tradition (what forefathers did)
based treatments and to think outside the box
and based on science.

8. No reason to compare
• EBM studies in Ayurveda cannot be blinded
(neither the researcher nor the patient knows
what is given) because the science of Ayurveda
strictly advocates to practice “jnana poorva
karma “ .
• There is no reason for competition between
different treatments or medicines of Modern
Medicine and Ayurveda because the objective of
the former is benefits outweighing risks while
that of latter is the intended effect of health.

9. No reason to compare
• Also, there is no reason for competition
between different treatments and medicines
in Ayurveda because the science determines
the standardied treatment in every situation
and not the treatment determines the
science.
• Each and every treatment is unique and
clearly intended for its own indications .

10. Crucial Necessity
• Science Based Evidence Based Medicine is an
inevitable component in curriculum of
Ayurveda, in BAMS, MD , PhD in all Ayurvedic
hospitals , teaching institutes and research
centres as it is an area that Ayurveda medical
students and doctors must pay close and
constant attention to through out their life for
the optimum patient care and professional
satisfaction

11. SBEBA
• The scientific infrastructure, tools and methodologies
to practice SBEBA are developed by Dr. Rajkumar MD
PhD and Dr . Remya Krishnan MD PhD and published
in the book authored and published by Dr. Remya
Krishnan, Evidence Based Ayurveda & Rational
Prescribing (2012).
• A training programme for doctors called SBEBA
Wisdom series in the form of CMEs and Workshops are
also being conducted ( A programme of first kind in
Ayurveda) to initiate the culture of evidence based
medical practice in Ayurveda and attain the mission of
“Scientific prescribing by all” by 2020 .

12. Government attention required
• This project requires attention from central
and state Governments . Training is to be
initiated
a. In a university setting (all Ayurveda
institutes) .
b. Private practice associated with a residency
programme.
c. Research institutes of Ayurveda

13. All queries to drremyaraj@gmail.com
THANK YOU