Friday, March 29, 2019
What Constitutes a Healthy Person?
What Constitutes a rose-cheeked Person?This chapter focuses on the features of a wellnessy physical constitution of a person, definitions of residue, as well as key concepts associated with disease management much(prenominal) as etiopathogenesis, clinical presentation, prognosis, and management of atisthula. Some key etiological factors of atisthula embarrass dietetical lifestyle indicators (e.g., sedentary habit and high-calorie diet), and genetic and hereditary factors. This chapter overly describes the pathogenesis of atisthula in detail, involving rasa (plasma) and meda (adipose tissue) as important dushyas (affected tissues). The significance of meda (adipose tissue) as the principal dushya has been deep confirmed in modern medicine where the central obesity and dyslipidemia ar being considered as the main components of the basic matrix of this disease and its link disorders. 1,2,3 The recent concept of metabolic syndrome was already recognized in Ayurveda. biomedical science points that overweight individuals experience greatly elevated morbidity and fatality rate from various ailments including cardiovascular diseases. 4,5 fleshiness research is focused on hinderance measures and management of complications like prediabetes, diabetes, metabolic syndrome, hypertension, stroke, coronary oculus disease, congestive heart failure, cardiomyopathy, and arrhythmia/sudden death. 6 In the modern world, obesity has emerged as a serious health issue in both developed and growth nations and is recognized as one of the most serious public health problems of the 21st century. In 2008 the WHO estimated that globally, at least 500 million adults (or round 1 in 10 adults) are obese, with higher rates among women than men. Obesity is the reason for about 80% of type 2 diabetes, about 70% of cardiovascular diseases, and 42% of breast and colon cancers today. In the past devil decades, the number of overweight children and adolescents has doubled. 7 The rate of obesity also increases with age at least up to 50 or 60 years old. erstwhile considered a problem specific to only high-income countries, obesity has acquired pandemic proportions and is touch on people globally 8,9Most researchers agree that once it is established in the body, obesity mostly takes an incurable contrast and continues to develop many modernised complications a fact that was already acknowledged in Ayurveda. 10 Any course of treatment for obesity suggested by modern medical practitioners primarily includes dietary changes and physical exercise followed by anti-obesity drugs that help reduce appetite or inhibit fat absorption. In severe cases, various invasive and non-invasive running(a) procedures could be prescribed such as partial gastrectomy, gastric bypass, banding, gastric balloons, etc.11 However, Ayurvedas approach to weight management is very different in that it does non recommend pills or surgeries for inducing drastic weight-loss. Instead, Ayurv eda advocates dietary restrictions according to the Prakriti (predisposition or temperament of the patient), moderate exercise, practice of yogsanas and pranayama, besides certain ayurvedic medications and bio-purificatory measures for its management 12The etiology, pathogenesis, clinical features and consequences of extreme leanness (atikrisha), as an outcome of rasakshaya (decrease of rasa), medokshaya (decrease of meda) and mamsakshaya (decrease of mamsa) have also been draw in this chapter. The two basic approaches for management of atikrisha and atisthula are augmentation (brimhana) and depletion (karshana) of body tissues respectively. non-homogeneous drug and non-drug modalities have been suggested for the replenishment of dhatus and their nourishment to attain good health. In this regard, Rasayana drugs of Ayurveda help balance hormones, promote essential nutrition and enhance franchise to atisthula and atikrisha respectively. As mentioned earlier, this chapter also empha sizes the role of good Nidra (sleep) in maintaining a rosy life. In fact, as per Ayurveda, after Ahara (diet), Nidra is one of the three sub-pillars of life (trayopastambha) and has a significant place in preventive medicine because normal sleep helps prevent diseases and unwholesome sleep may lead to fatal diseases. In Ayurveda, Nidra is considered a brimhana (nourishing) agent that promotes physical mental health and enhances immunity.