Ayurveda

Ayurveda (Sanskrit: IAST yurveda, lifeknowledge"; English pronunciation /a.rved/[1] ), or

Ayurveda medicine, is a system of medicine with historical roots in the Indian subcontinent.[2] Globalized and
modernized practices derived from Ayurveda traditions
are a type of complementary or alternative medicine.[3][4]
In the Western world, Ayurveda therapies and practices
(which are manifold) have been integrated in general
wellness applications and as well in some cases in medical
use.[5]

(called Vata, Pitta and Kapha), and states that a balance of the doshas results in health, while imbalance results in disease. Ayurveda has eight canonical components, which are derived from classical Sanskrit literature.
Some of the oldest known Ayurvedic texts include the
Surutha Sahit and Charaka Sahit, which are written in Sanskrit. Ayurveda practitioners had developed
various medicinal preparations and surgical procedures
by the medieval period.[20]

The main classical Ayurveda treatises begin with legendary accounts of the transmission of medical knowledge from the Gods to sages, and thence to human
physicians.[6] Thus, the Sushruta Samhita narrates how
Dhanvantari, greatest of the mighty celestial, incarnated himself as Divodsa, a mythical king of Varanasi,
who then taught medicine to a group of wise physicians,
including Sushruta himself.[7][8] Ayurveda therapies have
varied and evolved over more than two millennia.[2] Therapies are typically based on complex herbal compounds,
while treatises introduced mineral and metal substances
(perhaps under the inuence of early Indian alchemy or
rasastra). Ancient Ayurveda treatises also taught surgical techniques, including rhinoplasty, perineal lithotomy,
the suturing of wounds, and the extraction of foreign
objects.[9][10]

1 Eight components
The earliest classical Sanskrit works on Ayurveda describe medical science as being divided into eight components (Skt. aga).[21][22] This characterization of the
physicians art as the teaching found in the medicine
that has eight components (Skt. cikitsym agy
) is rst found in the Sanskrit
epic, the Mahbhrata.[23] The components are:[24], [25]
Kyacikits: general medicine, medicine of the body
Kaumra-bhtya: the treatment of children, paediatrics
alyatantra: surgical techniques and the extraction
of foreign objects

Although laboratory experiments suggest it is possible that some substances in Ayurveda might be developed into eective treatments, there is no evidence that
any are eective as currently proered.[11] Ayurveda
medicine is considered pseudoscientic.[12] Other researchers consider it a protoscience, or trans-science system instead.[13][14] Close to 21% of Ayurveda U.S. and
Indian-manufactured patent medicines sold through the
Internet were found to contain toxic levels of heavy metals, specically lead, mercury, and arsenic.[15] The public
health implications of such metallic contaminants in India are unknown.[15]

lkyatantra: treatment of ailments aecting ears,

eyes, nose, mouth, etc. (ENT)
Bhtavidy: pacication of possessing spirits, and
the people whose minds are aected by such possession
Agadatantra: toxicology
Rasyanatantra: rejuvenation and tonics for increasing lifespan, intellect and strength

Vjkaraatantra: aphrodisiacs and treatments for

Some scholars assert that Ayurveda originated in prehisincreasing the volume and viability of semen and
toric times,[16] and that some of the concepts of Ayurveda
sexual pleasure.
have existed from the time of the Indus Valley Civilization or even earlier.[17] Ayurveda developed significantly during the Vedic period and later some of the
non-Vedic systems such as Buddhism and Jainism also 2 Principles and terminology
developed medical concepts and practices that appear in
the classical Ayurveda treatises.[17][18] Humoral balance Further information: Mahbhta
is emphasized, and the suppressing of natural urges is The central theoretical ideas of Ayurveda developed in
considered unhealthy and claimed to lead to illness.[19] the mid-rst millennium BCE, and show parallels with
Ayurveda names three elemental substances, the doshas Skhya and Vaieika philosophies and with Buddhism
1

PRACTICE

Ayurveda names seven basic tissues (dhatu), which

are plasma (rasa), blood (rakta), muscles (mmsa),
fat (meda), bone (asthi), marrow (majja), and semen
(shukra). Like the medicine of classical antiquity,
Ayurveda has historically divided bodily substances into
ve classical elements (Sanskrit [maha]panchabhuta,
viz.
earth, water, re, air and ether.[31] There
are also twenty gunas (qualities or characteristics)
which are considered to be inherent in all substances. These are organized in ten pairs of antonyms:
heavy/light, cold/hot, unctuous/dry, dull/sharp, stable/mobile, soft/hard, non-slimy/slimy, smooth/coarse,
minute/gross, and viscous/liquid.[32]
Ayurveda also names three elemental substances, the
doshas (called Vata, Pitta and Kapha), and states that a
balance of the doshas results in health, while imbalance
results in disease. One Ayurvedic view is that the doshas
are balanced when they are equal to each other, while another view is that each human possesses a unique combination of the doshas which dene this persons temperaSeveral philosophers in India combined religion and tradi- ment and characteristics. In either case, it says that each
tional medicinenotable examples being that of Hinduism and person should modulate their behavior or environment to
Ayurveda. Shown in the image is the philosopher Nagarjuna increase or decrease the doshas and maintain their natural
known chiey for his doctrine of the Madhyamaka (middle state.
path)who wrote medical works The Hundred Prescriptions
and The Precious Collection, among others.[26]

movement

cold

In medieval taxonomies of the Sanskrit knowledge systems, Ayurveda is assigned a place as a subsidiary Veda
(upaveda).[33] Some medicinal plant names from the
Atharvaveda and other Vedas can be found in subsequent
Ayurveda literature.[34] The earliest recorded theoretical statements about the canonical models of disease in
Ayurveda occur in the earliest Buddhist Canon.[35]

earth

3 Practice

ether
vatha

air

kaptha
pitha
light

cohesion
fire

water

transformation

Ayurvedic doctors regard physical existence, mental existence, and personality as a unit, with each element being
able to inuence the others. This is a holistic approach
used during diagnosis and therapy, and is a fundamental
aspect of Ayurveda. Another part of Ayurvedic treatment says that there are channels (srotas) which transport uids, and that the channels can be opened up by
massage treatment using oils and Swedana (fomentation).
Unhealthy channels are thought to cause disease.[36]

The three dohas and the ve elements from which they are composed.

3.1 Diagnosis
and Jainism.[27][28] Balance is emphasized, and suppressing natural urges is considered unhealthy and claimed to
lead to illness.[19] For example, to suppress sneezing is
said to potentially give rise to shoulder pain.[29] However, people are also cautioned to stay within the limits of
reasonable balance and measure when following natures
urges.[19] For example, emphasis is placed on moderation
of food intake,[30] sleep, and sexual intercourse.[19]

Ayurveda has eight ways to diagnose illness, called Nadi

(pulse), Mootra (urine), Mala (stool), Jihva (tongue),
Shabda (speech), Sparsha (touch), Druk (vision), and
Aakruti (appearance).[37] Ayurvedic practitioners approach diagnosis by using the ve senses.[38] For example, hearing is used to observe the condition of breathing
and speech.[31] The study of the lethal points or marman
marma is of special importance.[32]

3.3

Substances used

3
Upakarma (Treatment)

Langhana (Dipleting)

Sodhana (Purication)

Brimhana (Nourishing)

Samana (Pacifying)

Vamana (Emesis)
Virechana (Purgation)
Vasti (Enema)
Nasya (Nasal medication)
Raktamoksha (Blood letting)

Pachana (Using digestives)

Deepana (Increasing digestive re)
Kshut (Hunger)
Thrit (Thirst)
Vyayama (Exercises)
Athapa (Sunlight)
Marutha (Wind)

Treatment procedures

3.3 Substances used

Plant-based treatments in Ayurveda may be derived from
roots, leaves, fruits, bark, or seeds such as cardamom
and cinnamon. In the 19th century, William Dymock
and co-authors summarized hundreds of plant-derived
medicines along with the uses, microscopic structure,
chemical composition, toxicology, prevalent myths and
stories, and relation to commerce in British India.[40] Animal products used in Ayurveda include milk, bones, and
gallstones. In addition, fats are prescribed both for consumption and for external use. Consumption of minerals,
including sulphur, arsenic, lead, copper sulfate and gold,
are also prescribed.[31] The addition of minerals to herbal
medicine is called rasa shastra.
Ayurveda uses alcoholic beverages called Madya,[41]
which are said to adjust the doshas by increasing Pitta
and reducing Vatta and Kapha.[41] Madya are classied by
the raw material and fermentation process, and the categories include: sugar-based, fruit-based, cereal-based,
cereal-based with herbs, fermentated with vinegar, and
tonic wines. The intended outcomes can include causing purgation, improving digestion or taste, creating dryness, or loosening joints. Ayurvedic texts describe Madya
as non-viscid and fast-acting, and say that it enters and
cleans minute pores in the body.[41]

An Ayurvedic practitioner applying oils using head massage.

3.2

Treatment and prevention

Puried opium[42] is used in eight Ayurvedic

preparations[43] and is said to balance the Vata and
Kapha doshas and increase the Pitta dosha.[42] It is
prescribed for diarrhea and dysentery, for increasing
the sexual and muscular ability, and for aecting the
brain. The sedative and pain-relieving properties of
opium are not considered in Ayurveda. The use of
opium is not found in the ancient Ayurvedic texts,
and is rst mentioned in the Sarngadhara Samhita
(1300-1400 CE), a book on pharmacy used in Rajasthan
in Western India, as an ingredient of an aphrodisiac to
delay male ejaculation.[44] It is possible that opium was
brought to India along with or before the Mohammedan
conquest.[43][45] The book Yoga Ratnakara (1700-1800
CE, unknown author), which is popular in Maharashtra,
uses opium in a herbal-mineral composition prescribed
for diarrhea.[44] In the Bhaisajya Ratnavali, opium and
camphor are used for acute gastroenteritis. In this
drug, the respiratory depressant action of opium is
counteracted by the respiratory stimulant property of
Camphor.[44] Later books have included the narcotic
property for use as analgesic pain reliever.[44]

Two of the eight branches of classical Ayurveda deal with

surgery (alya-cikits and lkya-tantra), but contemporary Ayurveda tends to stress attaining vitality by building a healthy metabolic system and maintaining good
digestion and excretion.[32] Ayurveda also focuses on ex- Cannabis indica is also absent from the ancient Ayurveda
ercise, yoga, and meditation.[39] One type of prescription books, and is rst mentioned in the Sarngadhara Samhita
is a Sattvic diet.
as a treatment for diarrhea.[44] In the Bhaisajya Ratnavali
[44]
Ayurveda follows the concept of Dinacharya, which says it is named as an ingredient in an aphrodisiac.
that natural cycles (waking, sleeping, working, meditation
etc.) are important for health. Hygiene, including regular
bathing, cleaning of teeth, skin care, and eye washing, is
also a central practice.[31]

Ayurveda says that both oil and tar can be used to stop
bleeding,[31] and that traumatic bleeding can be stopped
by four dierent methods: ligation of the blood vessel, cauterisation by heat, use of preparations to facilitate

4 CURRENT STATUS

clotting, and use of preparations to constrict the blood

vessels. Oils are also used in a number of ways, including
regular consumption, anointing, smearing, head massage,
application to aected areas,[46] and oil pulling. Liquids
may also be poured on the patients forehead, a technique
called shirodhara.

A typical Ayurvedic pharmacy, Rishikesh.

Cataract in human eye magnied view seen on examination

with a slit lamp. Cataract surgery is mentioned in the Sushruta
Samhita, as a procedure to be performed with a jabamukhi
salaka, a curved needle used to loosen the obstructing phlegm
and push it out of the eld of vision. The eye would later be
soaked with warm butter and then bandaged.[47]

3.4

Panchakarma

Further information: Panchakarma

Ayurveda, contributes signicantly to the health status of

many communities, and is increasingly used within certain communities in developed countries. Along that, traditional medicine has a long history of use in health maintenance and in disease prevention and treatment, particularly for chronic diseases. Suitable recognition of traditional medicine is an important element of national health
policies and has as well important basis for new products
with signicant export potential.[52] WTO, WIPO and
WHO ask for respect for both the economic value and
the social and cultural signicance of traditional knowledge and supports documentation of traditional medical
knowledge and enhanced regulation of quality, safety and
ecacy of such products. The WHO paper asks to integrate traditional and complementary medicine services,
where appropriate, into health care service delivery and
self-health care and to promote an improved universal
health coverage by doing so.[50]

According to Ayurveda, the technique of panchakarma

(Devangar: )) eliminates toxic elements from
the body.[48] Panchakarma includes Vamana, Virechana,
Basti, Nasya and Raktamokshana. It is preceded by
Poorvakarma as a preparatory step, and is followed by 4.1
Paschatkarma and Peyadikarma.

India

Current status

Based on the World Health Assembly resolution on

traditional medicine (WHA62.13, compare as well the
2008 Beijing declaration on traditional medicine[49] ),
the WHO has established a traditional medicine strategy, which involves, among other complementary health
systems, Ayurveda.[50] The rst previous global strategy
was published in 2002 and dealt especially with herbal
medicines. The current version (2014-2023) is beginning
to consider aspects of T&CM practices and practitioners
and whether and how they should be integrated into overall health service delivery.[50] It is as well part of the 2013 Kandamkulathy Ayurveda Hospital, Mala, Kerala
WHO, WIPO, WTO TRIPS study on health innovation
and access to medicines.[51]
According to some sources, up to 80 percent of people in
As well the WTO[52] mentions Ayurveda in its intellec- India use some form of traditional medicine, a category
tual property strategy. Traditional medicine, including which includes Ayurveda.[53][54]

4.3

Outside the Indian subcontinent

In 1970, the Indian Medical Central Council Act which

aimed to standardise qualications for Ayurveda practitioners and provide accredited institutions for its study
and research was passed by the Parliament of India.[55]
In 1971, the Central Council of Indian Medicine (CCIM)
was established under the Department of Ayurveda,
Yoga and Naturopathy, Unani, Siddha and Homoeopathy (AYUSH), Ministry of Health and Family Welfare,
to monitor higher education in Ayurveda in India.[56]
The Indian government supports research and teaching in
Ayurveda through many channels at both the national and
state levels, and helps institutionalise traditional medicine
so that it can be studied in major towns and cities.[57]
The state-sponsored Central Council for Research in
Ayurvedic Sciences (CCRAS) is designed to do research
on Ayurveda.[58] Many clinics in urban and rural areas are
run by professionals who qualify from these institutes.[55]
As of 2013, India has over 180 training centers oer degrees in traditional Ayurvedic medicine.[39][59]
To ght biopiracy and unethical patents, in 2001 the
government of India set up the Traditional Knowledge
Digital Library as a repository for formulations of various
systems of Indian medicine, such as Ayurveda, Unani and
Siddha.[60][61] The formulations come from over 100 traditional Ayurveda books.[62] An Indian Academy of Sciences document quoting a 2003-04 report informs that
India had 4,32,625 (equivalent to 432,625 in Western
numbering) registered medical practitioners, 13,925 dispensaries, 2,253 hospitals and a bed strength of 43,803.
209 under-graduate teaching institutions and 16 postgraduate institutions.[63] Insurance companies cover expenses for Ayurvedic treatments in case of conditions
such as spinal cord disorders, bone disorder, arthritis and
cancer. Such claims comprise 5-10 percent of the countrys health insurance claims.[64]

Tulsi-ower (holy basil), an Ayurvedic herb

the public system, there are currently 62 Ayurvedic hospitals and 208 central dispensaries, which served about 3
million people (about 11% of Sri Lankas population) in
2010. In total, there are about 20,000 registered practitioners of Ayurveda in the country.[71][72]

According to the Mahavamsa, an ancient chronicle of

Sinhalese royalty from the sixth century C.E., King
Pandukabhaya of Sri Lanka (reigned 437 BCE to
367 BCE) had lying-in-homes and Ayurvedic hospitals
Maharashtra Andhashraddha Nirmoolan Samiti, an or(Sivikasotthi-Sala) built in various parts of the country.
ganisation dedicated to ghting superstition in India, conThis is the earliest documented evidence available of in[65]
siders Ayurveda to be pseudoscience.
stitutions dedicated specically to the care of the sick
anywhere in the world.[73][74] Mihintale Hospital is the
[75]
4.2 Other countries in the Indian subcon- oldest in the world.

tinent
4.3 Outside the Indian subcontinent

About 75%80% of the population of Nepal use

Ayurveda,[66][67] and it is the most practiced form of See also: Ayurveda in America
medicine in the country.[68]
The Sri Lankan tradition of Ayurveda is similar to the Indian tradition. Practitioners of Ayurveda in Sri Lanka refer to Sanskrit texts which are common to both countries.
However, they do dier in some aspects, particularly in
the herbs used.
In 1980, the Sri Lankan government established a Ministry of Indigenous Medicine to revive and regulate
Ayurveda.[69] The Institute of Indigenous Medicine (afliated to the University of Colombo) oers undergraduate, postgraduate, and MD degrees in Ayurveda Medicine
and Surgery, and similar degrees in unani medicine.[70] In

Ayurveda is a system of traditional medicine developed

during antiquity and the medieval period, and as such is
comparable to pre-modern Chinese and European systems of medicine. However, beginning in the 1960s,
Ayurveda has been advertised as alternative medicine in
the Western world. Due to dierent laws and medical regulations in the rest of the world, the unregulated
practice and commercialisation of Ayurveda has raised
ethical and legal issues. In some instances, Ayurvedic
practices or terminology have also been adapted specifically for Western consumption, notably in the case of

6
"Maharishi Ayurveda" in the 1980s. In some cases,
this involved active fraud on the part of proponents of
Ayurveda in an attempt to falsely represent the system as equal to the standards of modern medical research.[76][77][78]
Baba Hari Dass was an early proponent who helped
bring Ayurveda to the US in the early 1970s. He
taught classes derived from the Surutha Sahit and
the Charaka Sahitha, leading to the establishment of
the Mount Madonna Institute, College of Ayurveda,
Ayurveda World, and Ayurvedic pharmacy. He invited
several notable Ayurvedic teachers, including Vasant
Lad, Sarita Shrestha, and Ram Harsh Singh. The
Ayurvedic practitioner Michael Tierra wrote that "[t]he
history of Ayurveda in North America will always owe a
debt to the seless contributions of Baba Hari Dass.[79]

5 CLASSIFICATION AND EFFICACY

Research into ayurveda has been characterized as pseudoscience. Both the lack of scientic soundness in the
theoretical foundations of ayurveda and the quality of research have been criticized.[81][85][86][87]

5.1.1 Use of toxic metals

Rasa shastra, the practice of adding metals, minerals or

gems to herbal preparations, may include toxic heavy
metals such as lead, mercury and arsenic.[15] The public health implications of metals in rasa shastra in India is
unknown.[15] Adverse reactions to herbs are described in
traditional Ayurvedic texts, but practitioners are reluctant
to admit that herbs could be toxic and that reliable information on herbal toxicity is not readily available. There
is a communication gap between practitioners of modern
In the United States, the practice of Ayurveda is not
medicine and Ayurveda.[88]
licensed or regulated by any state. Practitioners of
Ayurveda can be licensed in other healthcare elds such Some traditional Indian herbal medicinal products con[89]
as massage therapy or midwifery, and a few states have tain harmful levels of heavy metals, including lead.
[80]
A 1990 study on Ayurvedic medicines in India found
approved schools teaching Ayurveda.
that 41% of the products tested contained arsenic, and
that 64% contained lead and mercury.[53] A 2004 study
found toxic levels of heavy metals in 20% of Ayurvedic
5 Classication and ecacy
preparations made in South Asia and sold in the Boston
area, and concluded that Ayurvedic products posed seAlthough laboratory experiments suggest it is possible rious health risks and should be tested for heavy-metal
that some substances in Ayurveda might be developed contamination.[90] A 2008 study of more than 230 prodinto eective treatments, there is no evidence that any ucts found that approximately 20% of remedies (and 40%
are eective in themselves.[11] According to Cancer Re- of rasa shastra medicines) purchased over the Internet
search UK, no signicant scientic evidence has shown from U.S. and Indian suppliers contained lead, mercury
eectiveness of Ayurvedic medicine for the treatment of or arsenic.[15][91][92]
any disease, although massage and relaxation are often
by advobenecial for some cancer patients and there are indica- Heavy metals are thought of as active ingredients
[89]
cates
of
Indian
herbal
medicinal
products.
Ayurvedic
tions from animal studies that some herbal products used
proponents believe that the toxicity of these materiin Ayurveda might be explored further.[59]
als is reduced through purication processes such as
Today, ayurvedic medicine is considered pseudoscientic samskaras or shodhanas (for metals). These are simion account of its confusion between reality and meta- lar to the Chinese pao zhi, although the Ayurvedic techphysical concepts.[12] Other researchers debate whether niques are more complex and may involve prayers as
it should be considered a proto-science, an unscientic, well as physical pharmacy techniques. However, these
or trans-science system instead.[13][14][81]
products have nonetheless caused severe lead poison[91]
Between 1978 and 2008,
A review of the use of Ayurveda for cardiovascular dis- ing and other toxic eects.
ease concluded that the evidence is not convincing for the more than 80 cases of lead poisoning associated with
[93]
use of any Ayurvedic herbal treatment for heart disease Ayurvedic medicine use [were] reported worldwide.
or hypertension, but that many herbs used by Ayurvedic In 2012, the U.S. Centers for Disease Control and Prepractitioners could be appropriate for further research.[82] vention (CDC) linked Ayurvedic drugs to lead poisoning, based on cases where toxic materials were found in
the blood of pregnant women who had taken Ayurvedic
drugs.[94]
5.1 Research
In India, the government ruled that Ayurvedic products
must be labelled with their metallic content.[95] However, in Current Science, a publication of the Indian
Academy of Sciences, M. S. Valiathan said that the
absence of post-market surveillance and the paucity of
In Nepal, the National Ayurvedic Training and Re- test laboratory facilities [in India] make the quality consearch Centre (NATRC) researches medicinal herbs in trol of Ayurvedic medicines exceedingly dicult at this
the country.[84]
time.[95] In the United States, most Ayurvedic products
In India, research in Ayurveda is undertaken by the
Central Council for Research in Ayurveda and Siddha (CCRAS), through a national network of research
institutes.[83]

6.1

Main texts

are marketed without having been reviewed or approved 6.1 Main texts
by the FDA. Since 2007, the FDA has placed an import alert on some Ayurvedic products in order to prevent There are three principal early texts on Ayurveda inthem from entering the United States.[96]
clude the Charaka Samhita, the Sushruta Samhita and
the Bhela Samhita. The Sushruta Samhita is based on an
original from the 6th century BCE,[113][114] and was updated by the Buddhist scholar Nagarjuna in the 2nd century CE.[115] The Charaka Samhita, written by Charaka,
6 History
and the Bhela Samhita, attributed to Atreya Punarvasu,
are also dated to the 6th century BCE.[116][117][118] The
Charaka Samhita was also updated by Dridhabala during
The origins of Ayurveda have been traced back to around
the early centuries of the Common Era.[119]
5,000 BCE,[97][98][99] when they originated as an oral
tradition. Some of the concepts of Ayurveda have The Bower Manuscript is also of special interest to hisbeen discovered since the times of Indus Valley Civi- torians due to its inclusion of excerpts from the Bheda
lization.[99][100] The rst recorded forms of Ayurveda as Samhita[120] and its description of concepts in Central
medical texts evolved from the Vedas.[97][98] Ayurveda Asian Buddhism. In 1987, A. F. R. Hoernle identied
is a discipline of the upaveda or auxiliary knowledge the scribe of the medical portions of the manuscript to
in Vedic tradition. The origins of Ayurveda are also be a native of India using a northern variant of the Gupta
found in Atharvaveda,[101][102] which contains 114 hymns script, who had migrated and become a Buddhist monk in
and incantations described as magical cures for disease. a monastery in Kucha. The Chinese pilgrim Fa Hsien (c.
There are various legendary accounts of the origin of 337422 AD) wrote about the healthcare system of the
Ayurveda, e.g. that it was received by Dhanvantari (or Gupta empire (320550) and described the institutional
Divodasa) from Brahma.[8][31][103] Tradition also holds approach of Indian medicine. This is also visible in the
that the writings of Ayurveda were inuenced by a lost works of Charaka, who describes about hospital and how
it should be equipped.[121]
text by the sage Agnivesa.[104]
Ayurveda is one of the few systems of medicine developed in ancient times that is still widely practiced
in modern times.[3] As such, it is open to the criticism
that its conceptual basis is obsolete and that its contemporary practitioners have not taken account of the developments of Modern Establishment Medicine.[105][106]
Responses to this situation led to an impassioned debate in India during the early decades of the twentieth century, between proponents of unchanging tradition (uddha pure ayurveda) and those who thought
ayurveda should modernise and syncretize (auddha impure, tainted ayurveda).[107][108][109] The political debate about the place of ayurveda in contemporary India
has continued to the present (2015), both in the public
arena and in government.[110] Debate about the place of
Ayurvedic medicine in the contemporary internationalized world also continues today (2015).[111][112]

Other early texts are the Agnivesha Samhita, Kasyapa

Samhita and Harita Samhita. The original edition of
the Agnivesha Samhita, by Agnivesa, is dated to 1500
BCE,[122] and it was later modied by Charaka.[123]
Kasyapa Samhita includes the treatise of Jivaka Kumar
Bhaccha[124] and is dated to the 6th century BCE.[125][126]
While Harita Samhita is dated to an earlier period, it
is attributed to Harita, who was a disciple of Punarvasu Atreya.[127] Some later texts are Astanga nighantu
(8th Century) by Vagbhata, Paryaya ratnamala (9th century) by Madhava, Siddhasara nighantu (9th century) by
Ravi Gupta, Dravyavali (10th Century), and Dravyaguna sangraha (11th century) by Cakrapanidatta, among
others.[128]

6.2 Illnesses portrayed

Charaka

Underwood and Rhodes state that the early forms

of traditional Indian medicine identied fever, cough,
consumption, diarrhea, dropsy, abscesses, seizures, tumours, and leprosy,[31] and that treatments included
plastic surgery, couching (a form of cataract surgery),
puncturing to release uids in the abdomen, extraction of
foreign bodies, treatment of anal stulas, treating fractures, amputations, cesarean sections, and stitching of
wounds.[31] The use of herbs and surgical instruments became widespread.[31] During this period, treatments were
also prescribed for complex ailments, including angina
pectoris, diabetes, hypertension, and stones.[129][130]

6.3

Further development and spread

Ayurveda ourished throughout the Indian Middle Ages.

Dalhana (. 1200), Sarngadhara (. 1300) and
Bhavamisra (. 1500) compiled works on Indian
medicine.[131] The medical works of both Sushruta and
Charaka were also translated into the Chinese language
in the 5th century,[132] and during the 8th century, they
were translated into the Arabic and Persian language.[133]
The 9th-century Persian physician Muhammad ibn Zakariya al-Razi was familiar with the text.[134][135] The
Arabic works derived from the Ayurvedic texts eventually also reached Europe by the 12th century.[136][137] In
Renaissance Italy, the Branca family of Sicily and Gaspare Tagliacozzi (Bologna) were inuenced by the Arabic
reception of the Sushrutas surgical techniques.[137]
British physicians traveled to India to observe rhinoplasty
being performed using native methods, and reports on Indian rhinoplasty were published in the Gentlemans Magazine in 1794.[138] Instruments described in the Sushruta
Samhita were further modied in Europe.[139] Joseph
Constantine Carpue studied plastic surgery methods in
India for 20 years and, in 1815, was able to perform the
rst major rhinoplasty surgery in the western world, using
the Indian method of nose reconstruction.[140] In 1840
Brett published an article about this technique.[141]
During the period of colonial British rule of India, the
practice of Ayurveda was neglected by the British Indian Government, in favor of modern medicine. After
Indian independence, there was more focus on Ayurveda
and other traditional medical systems. Ayurveda became
a part of the Indian National health care system, with
state hospitals for Ayurveda established across the country. However, the treatments of traditional medicines
were not always well integrated with others, especially in
allopathic hospitals.[142]

See also
Ayurvedic Acupressure
Bachelor of Ayurveda, Medicine and Surgery
Bhaisajyaguru
Clinical trials on Ayurvedic drugs
Dhtu (Ayurveda)
Georgian folk medicine
History of alternative medicine
List of ineective cancer treatments
Siddha medicine
Siddhi
Traditional Chinese medicine

REFERENCES

Traditional Tibetan medicine

Ramuan
Homeopathy
Acupuncture

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Further reading
Drury, Heber (1873). The Useful plants of India.
William H Allen & Co., London. ISBN 1-44602372-9.
Dymock, William; et al. (1890). Pharmacographia
Indica A history of principal drugs of vegetable origin
in British India. 1. London.
Hoernle, Rudolf August Friedrich (1907). Studies
in the Medicine of Ancient India: Part I: Osteology.
Clarendon Press, Oxford.
Patwardhan, Kishore (2008). Pabitra Kumar Roy,
ed. Concepts of Human Physiology in Ayurveda
(PDF). Sowarigpa and Ayurveda. Samyak Vak
Series-14. Sarnath, Varanasi: Central Institute of
Higher Tibetan Studies. pp. 5373. ISBN 978-8187127-76-5.
Wise, Thomas T. (1845). Commentary on the Hindu
System of Medicine. Calcutta: Thacker & Co.

Wujastyk, Dominik. Indian Medicine. Oxford Bibliographies.

Oxford University Press.
doi:10.1093/obo/9780195399318-0035. Retrieved
16 October 2015.. A bibliographical survey of the
history of Indian medicine.
WHO guidelines on safety monitoring of herbal
medicines in pharmacovigilance systems
Use caution with ayurvedic products US Food and
Drug Administration.

10 External links
Ayurveda at DMOZ
Ayurveda: Benchmarks for trainings in traditional/complementary and alternative medicine
World Health Organization (WHO)
National Library of Ayurveda Medicine

14

11

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Ayurveda Source: https://en.wikipedia.org/wiki/Ayurveda?oldid=737033036 Contributors: Heron, Fred Bauder, Shyamal, Pagingmrherman, Mkweise, Ronz, Kaihsu, Jonik, Charles Matthews, Redorganica, Maximus Rex, FreeToBet, Mowgli~enwiki, Topbanana,
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File:An_Ayurvedic_Pharmacy,_Rishikesh_(1).jpg Source: https://upload.wikimedia.org/wikipedia/commons/4/42/An_Ayurvedic_

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