Evidence Based Ayurveda is Science led and patient oriented while Evidence Based Western Medicine is drug led data oriented

1. Reflection of Science Based Evidence Based
Practice on Rational Prescribing
Dr. Remya Krishnan MD PhD ( Ay)

2. Definition
• Science Based Evidence Based Practice is the conscientious explicit
judicious employment of Science Based Evidences for a qualified
Ayurveda practitioner in accordance to the unique cause
circumstance sof every individual patient.

3. Consideration critical to responsible scientific clinical decision making
• Ayurveda science led literature comprises siddhanthas ( proven and
established theorems) and sutras ( decision making algorithms) for
thorough understanding of patient and his condition, HOW to choose
medicine in accordance to condition and how to evaluate the response to
appropriate therapeutic decisions.
• Evidence Based Practice of Ayurveda is not data led medicine oriented
but rather patient led inbuilt science oriented
• Science Based Evidence Based Ayurveda is the revolutionary initiative for
the most intended Evidence Based clinical practice in Ayurveda.

4. “Science” in SBEBA
• Science is not the process of sailing from uncertainity to uncertainity,
rather it is the process of recognising laws of nature and verifying the
truth in the same.
• Science is the wisdom required for a scientifically informed enterprise
and not blind testing of anything
• Science is full of sense and not non- sense.
• Science helps to differentiate sense and nonsense by its practical
accuracy and repeatability .
• Rationality of a medical system speaks about the reality about its
scientificity.

5. Evidence Based Practice- Crucial determinant
• The evidence based policy making of a medical system is to be
ultimately meant for maximising health outcomes for individual and
society based valid and reliable diagnostic and therapeutic decisions
and not data of observations in random population.
• Rationality of an innate medical system has nothing to do with
theories of probability led biostatistics and its calculations .
• Hence it is the background science and its true intentions which are
indispensable both for Ayurvedic researcher and physician ( infact
one should be the other also) and an honest Ayurveda physician
cannot refuse to know and use the shasthraarthas

6. SHAASTHRAARTHAS
• The knowledge and wisdom of shasthraarthas ( not the shasthrik
verses alone) is as necessary for being a qualified BHISHAK in
Ayurveda equally as the ability to write and read for a student .
• The crucial necessity to apply shasthraarthas in any clinical problem is
vital to practice Evidence Based Medicine in Ayurveda.
• The aim of an Ayurveda clinician is not to produce benefits and risks
but rather intended effects and health.
• The clinical judgement and pertinent reasoning for every situation
requires learning and application of shatshraarthas

7. Approach of SBEBA
• SBEBA treats the patient and not any disease .
• SBEBA practitioner therefore cannot take responsibility of one disease
alone by leaving the rest to other practitioners .
• Hence SBEBA practitioner must learn to acquire responsibility of the
patient on the whole instead of analytical reductionism of different
components of same disease or same components of different
diseases .
• SBEBA requires high knowledge potential and skills which could be
developed only by complete submission to learning and practice of
shasthraarthas

8. Standardisation of SCIENCE
• Unlike the quality of western medical practice/ research which relies upon
analysis of data and reporting of results Ayurvedic medical practice relies
upon accurate analysis of shasthraarthas and their application in the
situation.
• SBEBA for the first time in the history of Ayurveda incorporates
standardisation methodology for diagnosis, prognosis and treatment
decisions in variable health conditions for physicians .
• Hundred physicians of SBEBA speak one standardised opinion on one
condition regarding diagnosis and treatment decision and not hundred
different decisions . Hundred and first physician who learns SBEBA practice
would be able to adopt the same logics and procure the intended results in
intended time in place of his former uncertainity led empirical practice.

9. SBEBA webinars
• Attend with utmost concentration and write down the striking points
for reference and analysis for application.
• Webinars cannot cover the topic as in depth as seminars and
webinars cannot teach background science as seminars
• Webinars can be tough for beginners of SBEBA and it is absolutely
normal to feel blank in the first and second webinars but submission
to unlearning , relearning and practice of shasthraarthas will
effectively improve your knowledge and precision in decision making.
• “Shasthraartha karmaanusheelanena samskurveetha prajnaam”( AS
Su 23 )

10. Conclusion
• SBEBA is a solid science led enterprise for solving every kind of
existing dilemma and confusion in comprehension, diagnostics and
therapeutics of Ayurveda.
• SBEBA mission is meant for revolution in education, research and
clinical practice of Ayurveda and terminate all absurdity in the label of
Ayurveda .
• The SBEBA mission requires dedicated members for shasthraartha
karmaanusheelana and propagation of true science and Science led
Medicine of Ayurveda

11. QUALITY MATTERS ALONE IN PRACTICE