COVID-19 ; Scope of Ayurveda to make swastha Bharat

Introduction:

As, we all know that ayurveda is a science of healthy and long life. The word ayurveda is comprises of two word Ayur+Veda, where the ayu means long life and veda means science or knowledge. As we all know that Ayurveda has 2 aim, first one is “swasthasya swastha rakshanam” and second is “ aaturasya vikar prashaman” hence the meaning of first aim is that to keep health of a healthy person and the second one is to make healthy which are diseased. The maximum ayurveda topics are depends on these two topics. So to make health of a healthy person there are some concepts such as dincharya,ritucharya,swasthavritta, rasayana etc. Where as to make health of a diseased person there are many concept like as sodhana, shaman etc.


What is COVID-19:

On 7th jan.2020 the china CDC, discovered the virus called novel corona virus2012 (2019 – Ncov), which was named by WHO as SARS-COV-2, related to the disease symptamology. It is from the beta corona virus family, single stranded RNA, envelope virus. WHO on 11.03.2020 has characterized COVID-19 as pandemic.
Symptoms of COVID-19: COVID-19 affects different people in different ways. Most infected people will develop mild to moderate symptoms.

Common symptoms :

1. Fever 2.Tiredness 3. Dry cough
Some people may experience; aches, pains, nasal congestion, runny nose, sore throat, and diarrhea.
The incubation period has to be said that within 1 to 14 days and the symptoms may develop on an average 5th day. Globally many research has been done or undergoing regarding the treatment but no evidence has been generated in combating COVID-19.

COVID-19 “An hypothesis”According to Ayurveda:

In Charak samhita (poorvardh) in Viman sthana there is a chapter “ Janapada Dvamsaneeyan vimanam” which means or may me correlated with worldwide epidemics. In this particular chapter Acharya charak has told the 4 causes of janapad dvamsa i.e. Vikrati vayu, Vikrat jala, Vikrat desha, Vikrat kala. As we all know that COVID-19 is spreaded through Wuhan to all over the world so, here we can say that according to Acharya Charak the cause of COVID-19 is Vikrat desha
According to Acharya Sushruta we can say that it is a Aaupsargik vyadhi (infectious disease) In Nidan sthana chapter no.6 verse no. 32-33 he mentioned that these type of vyadhi are spreaded through touch ( sareerik sparsh ) and eat food with infectious patient, sleep with infectious patient, take infected breath, touch objects which has been touch by infectious patient.Through these type of things Aaupsargik vyadhi is spreaded. As we all know that these are also the cause of spreading COVID-19. Apart from this epidemic concept in ayurveda jwara has also been discussed specifically vata kaphaja jwara has symptoms which replicate COVID-19 symptoms also the clinical course of sannipatik jwara mentioned
by Sushruta can be made in to consideration. In this way we can say that in ayurveda COVID-19 types of diseases are mentioned very beautifully.

Reference of lockdown in ayurveda:

As we all know that in India and in many countries lockdown is done. And this lockdown work very effectively this can be proved by the no. of cases of COVID-19 has been decreased during lockdown. Hence we can say that lockdown is very effective to break the chain of COVID-19. The refrence of lockdown is also mentioned in Charak samhita Viman sthan chapter no.3 “Janapad dvamsa”. In this chapter Acharya Charak has mentioned that if janapad dvamsa occur due to Desha vikrati then we can control it by “GUPTI” means by pack himself or herself at home means lockdown or by “HITA JANAPADANAM” means by moving towards hita desha. In this way we can say that in ayurveda texts preventive measures are also explained very beautifully. So we can say that lockdown is a very good approach to prevent the spreading of COVID-19.

COVID-19 and immunity:

The corona virus pandemic has turned the world’s attention to the immune system, the body’s defense force against disease causing bacteria, virus, and other organisms that we touch, ingest, and inhale every day. It is a body’s personal army working from the cellular to macro level each cell, molecule tissue and organ in this army plays a vital role in warding of invading pathogens, and also helps guard against internal threats like cancer.
The system has two type of response, innate and adaptive.
INNATE IMMUNITY: Skin, mucous membrane, hair in nose, acid in our stomach.
ADAPTIVE IMMUNITY: Develops over a life time of contact with pathogens and vaccines, preparations which help our immune system to distinguish friend from foe.
Vaccination safely teaches our adaptive immune system to repel a wide range of disease, and thus protect ourselves and others.
There is currently no vaccine for corona virus. So for now, our immune system must adapt unaided to this potentially deadly threat.

Immunity as per ayurveda ( vyadhikshamatva ) :

Vyadhikshamatva is made of two words, vyadhi (disease) and kshamatva (suupressor overcome). Therefore, vyadhikshamatva means the factor which limits the pathogenesis and opposes the strength of disease. According to Acharya Chakrapani vyadhikshamatva can be explained in term of two divisions :

Vyadhi balavirodhitvam: It is the capacity to withstand the strength of the disease i.e. strength to resist the progress of disease.

Vyadhi utpadaka pratibandhakatva : The resting power of body competent to prevent the occurrence and re-occurrence of dis.
In ayurveda 3 types of bala are described:

Sahaj bala

Kalaja bala

Yukti krutaja bala
In these type of bala Yuktikrutaja bala may be correlated with acquired strength which is achieved by combination of diet and physical activities. It can be increase by habitual performance of exercise, excellence of satmya etc.

Relation between Agni and Vyadhikshamatva:

Acharya Charak in the context of function of agni narrated that, jathar agni is responsible for life, colour, health,enthusiasm,ojas,tejas,etc. Extinction of this jatharagni leads to death. Its proper maintenance helps a person to live a long life and its impairment gives rise to disease.
In this way immunity is influenced by the power of Agni, digestive fire and ability to digestive fire and ability to digest, assimilate and absorb nutrients in the human bodies. If Agni is impaired by an imbalance with in, the Tridosha then metabolism will get affected, immune response and natural resistance will also be lowered.
Hence, we all know that in COVID-19 the immunity gets lowered and disease is being manifested. Hence to increase vyadhikshamatva we need to take Agni vardhak drugs and we should do physical exercise daily to increase vyadhikshamatva and we should add things in our daily life or in our dincharya which will increase our yukti krutaja bala.

Preventive measures to stop the spreading of COVID-19:

Clean your hands often. Use soap and water, or an alcohol based hand rub.

Maintain a safe distance from anyone who is coughing or sneezing.

Do not touch your eyes, nose or mouth.

Cover your nose and mouth with your bent elbow or a tissue when you cough or sneeze.

Stay home if you feel unwell.

If you have a fever, coughs, and difficulty breathing, seek medical attention. Call in advance.

Avoiding unneeded visits to medical facilities allows healthcare system to operate more effectively, therefore protecting you and others.

Recommended measures to make swastha Bharat according to ayurveda:

We all know that prevention is better than cure. And we know that viral, bacterial, fungal, and other diseases are more

prone towards the persons which are having less immunity power ( less vyadhikshamatva ). So to boost our immunity there are many things in ayurveda which will increase our immunity.

General measures:
A. Drink warm water throughout the day.
B. Daily practice of Yogasana, Pranayama, Medication for at least 30 minutes.
C. Haldi (turmeric), Jeera (cumin), Dhaniya (coriander) and Lahsun (garlic) is recommended during cooking.

Ayurvedic immunity promoting measures:
A. Take Chyawanprash 10gm (1tsf) in the morning. Diabetics should take sugar free Chywanprash.
B. Drink herbal tea\ decoction( kadha ) made from Tulsi (Basil), Dalchini ( cinnamon ), Kali mirch ( Black pepper ), Shunthi ( Dry ginger ), and Munakka ( raisin ) – once or twice a day.
C. Golden milk – Half tea spoon haldi (turmeric) powder in 150ml hot milk once or twice a day.
D. 1-2 gms of Ashwagandha (Withania somnifera) churna twice daily, Ashwagandharishtha 30ml twice after food
E. 500 to 1000 mg of aqueous extract of Guduchi ( Tinospora cordifolia ) or samshamani vati 500 mg, or Guduchi satwa 500 mg with honey or Mahasudarshana Ghan vati 500 mg twice after food, Amruthotharam kasayam 15ml + 45ml warm water thrice before food.
F. Yashtimadhu ( Glycyrrihiza glabra L. ): 1-2 gms twice daily with milk.

Simple ayurvedic procedures:
A. Pratimarsha nasya by sesame oil/ coconut oil or by ghee.
B. Oil pulling therapy: Take 1 table spoon sesame oil or coconut oil in mouth. Do not drink. Swish in the mouth for 2 to 3 minute and spit it off followed by warm water rinsing. This can be done once or twice a day.

Sr. no.Dravya Measures to prevent from COVID-19Effect of these dravya (Pharmacological view)
1.Haldi ( Curucuma longa )Hot in potency, kapha vata shamak, Anti oxidant
2.Jeera ( Cuminum cyminum )Hot in potency, kapha vata shamak, Increases T-cells, increases the weight of thymus and spleen, boost immunity
3.Dhaniya ( Coriandrum sativum )Hot in potency,kapha vata shamak, anti oxidant, helps in digestion,immunomodulator
4.Lahasun (Alium sativum)Hot in potency, katu vipaka, contain alliin which boost immunity.
5.ChyawanprashRich in vitamin C, aids the production of hemoglobin,WBC. Give strength,immunity. Rich in anti oxidant.
6.Tulsi ( Ocimum tenuiflorum )Anti oxidant, Anti microbial, good for respiratory diseases.
7.Dalchini ( Cinnamoum verum )Hot in potency, katu vipak, increases jathar agni, increases
8.Shunthi ( zingiber officinale ) Hot in potency,katu rasa, anti microbial gingerols compound shor anti oxidant property.  
9.Munnaka ( Vitis vinifera )Boost Vitamin C and vitamin K.,anti oxidant in nature.

Non pharmacological view :

  1. Vyayam ( Exercise ) : Physical activity may help flush bacteria and other microbes out of lungs and airways. This may reduce the chance of getting cold, flue or other illness.
    Exercises causes changes in antibodies and WBCs. WBCs are body’s immune system cells that fight against diseases.
    According to ayurveda yuktikrutaja bala can also be increase by vyayam.
    View of ayurveda on warm water : In chapter “ JANAPAD DHVAMSHA” Acharya Charak mentioned the work of worm water (ushna jala) in verse no. 40. Here he is clearly mentioned that “AGNI CHODARYA MUDEER YATI” means it increases the digestive fire (jatharagni) and we know that through this vyadhikshamatva (immunity) can we increased. Here he mentioned many benefits of drinking warm water.

2. Nasya: When we do nasya it may prevent inhalation of those unwanted particle which enters through nasal passage with polluted air.
Hence, in this way we can boost our immunity and make swastha Bharat. These all are the advisory which is given by AYUSH Ministry.

We can perform more things to maintain our health. . Brahamari pranayam : In this growing era of scientific advances on yoga where scientific evidences about pranayama are increasing, Bhramari pranayama (Bhr.P) is one among the pranayama that could be practiced by everyone which lack in evidence on various physiological effects. Bhramari is derived from the Sanskrit word ‘Bhramar’ meaning Wasp. It is because of the humming sound that is produced during the expiration mimicking the flying wasp, it is named as Bhramari pranayama. Effect: Immediately after 5 min of practice of Bhr.P, the heart rate and blood pressure is influenced in healthy subjects because of the parasympathetic dominance. High frequency paroxysmal gamma wave pattern is observed in the participants immediately after practicing the Bhr.P. These gamma brain waves are related with the performance of high mental activities and perceptual task. Means it will help to maintain mental health and physical health also. And according to ayurveda and according to WHO mental is also necessary to complete the def. of health.

Effect of Surya Namaskar : Surya Namaskara has a deep effect in detoxifying the organ through copius oxygenation and has a deeper relaxing effect. Suryanamaskar energizes the entire neuroglandular and neuromusular system of the body and its regular practice ensures a balanced supply of oxygenated blood. In morning sunlight we feel fresh and become healthy due to ultra violet rays, actinic rays and other beneficial
properties of the sun light. Production of vitamin D in our body is the most important effect amongst them. It also acts as detoxifying agent, by getting rid of enormous quantity of carbon dioxide and other toxic gases.

Chantiing of OM: A. Chanting of the Om Mantra purifies the environment around you and creates positive vibrations. B.Om chanting gives you better immunity and self-healing power C. Om stimulates the lungs, heart and digestive system. D. The Om not only benefits the person who is chanting it but also to the people around them, wherever its vibrations flow.

Kunjal : Kunjal is one of the most effective yogic techniques. It is dramatic and instantaneous in its action. It can give immediate relief to asthmatics and to those suffering from acidity, indigestion, headache, etc. Process of kunjal : Kunjal is performed by drinking tepid, salty water up to the point where you feel like vomiting. The water should be lukewarm, and contain about one or two teaspoons of salt for half a litre of water. At least six glasses of water should be drunk, but if you can, drink more -up to the point where you cannot take even one more sip. At this point you may vomit automatically, if not then put two fingers down your throat and massage the back of your tongue as far down as possible. By pressing it you will feel the urge to vomit, which is called the ‘gag reflex’ in medical terminology. Water will come out of your mouth in a quick series of gushes. Continue pressing until your stomach is empty. After completion of the practice it is best to wait twenty minutes or half an hour before eating. The stomach lining should have a chance to reform before the process of digestion starts pouring acids onto its sensitive surface. Effect of kunjal : At the physical level kunjal can aid the maintenance of good health as well as help in the cure of the following diseases: acidity and gas in the stomach; biliousness, nausea, food poisoning and auto-poisoning; indigestion; inflamed oesophageal mucosa, coughs, asthma, bronchitis and respiratory ailments; headaches, (both tension and migraine) and diseases of the nervous system. At the pranic level, kunjal gives the whole body a flushing, untying knots and unblocking nadis (psychic nerves which conduct prana) so that the whole body feels revived and alive.
On the mental level, kunjal can help with many types of mental diseases and problems, acting as a kind of shock therapy to recharge the brain and mind. It especially helps with depression, lethargy, apathy, tensions, anxiety, neuroses and phobias.

Neem ( Azadirachta indica ): In the case of a virus, neem has a potent one-two punch. First, and perhaps most importantly neem boosts your body’s immune system, kicking both the lymphocytic and cell-mediated immune systems into overdrive. Killer-T cells destroy microbes, viruses and cancer cells by injecting toxic chemicals into the invaders. Neem also boosts the body’s macrophage response, which stimulates the lymphocytic system and boosts production of white blood cells.
While researchers still have not pinpointed how neem works as an antiviral agent, it appears to make it difficult for the virus to reproduce, thus minimizing the impact of an infection. (7)

Agastya Haritaki Avaleha : Agasthya Rasayanam (Agastya Rasayana) is a good tonic for the lungs. Its main action appears in diseases of upper respiratory tract. It is helpful in common cold, allergic rhinitis, chronic sinus infection (sinusitis), cough due all underlying causes. (8)

Kushmanda Rasayana : Kushmanda Rasayana (also called Kushmanda Avaleha) is an ayurvedic supplement that provides nourishment and strength to the body. It is an aphrodisiac, strengthening, nervine tonic, and hemostatic medicine. It provides relief from hemorrhages, phthisis, fever, dry mouth (xerostomia), excessive thirst (polydipsia), vomiting, bronchitis, asthma, and physical weakness or debility in old age. (9)

Fumigation – Dhupana (fumigation) of the house every evening with antimicrobials such as Neem leaf, Sarshapa (Brassica campestris L), Loban (gum bezamin/benzoin – Styrax bezoin Dryand), Guggulu (Commiphora mukul (Stocks) Hook), Karpura (Cinnamomum camphora (L) J.Presl.) etc. (Kashyapa Samhita).

Usage of immunity boosters: It is important to note that the human body responds to viruses in several ways in order to curb their proliferation. Some of these are:-
Dendritic cells in the tissues detect the nucleic-acid content of viruses by receptors called “Toll-like receptors”, and release interleukin-12. These Dendritic cells move to the lymph node and activate the Th-0 subtype of T-cells to differentiate into Th-1 subtype. These Th-1 cells release cytokines such as TNF-alpha and Interferon-gamma. These cytokines result in increased NK-cell activity and hyper-activation of tissue macrophages. These macrophages in-turn increase NK-cell proliferation by releasing Interleukin-12. NK cells are also activated by Interferons – alpha and beta.
Several viruses evade the immune response by down-regulating the transport of MHC-1 molecules to the cell surface. Thus, these virus-infected cells cannot be detected by the immune system. Interferons are released from virus-infected cells, and act on the surrounding cells to upregulate the transport of MHC-1 molecules on the cell surfaces, thus helping the immune system to detect these cells.
Interferon-gamma released by T-cells also helps in Affinity maturation in B-cells, and results in differentiation of IgM antibodies into IgG3 antibodies.
Both Guduchi (Tinospora cordifolia) &Ashwagandha (Withania somnifera) are reported with TNF-α activity and also with several other immune mechanisms. Similarly, Chyawanprashavaleha also shown such activity and various published studies as well as traditional use stand as the proof for its immunity benefits. By adding these things to our daily life we can get more benefits and as above mentioned process there are some process which gives mental health, some gives spiritual as well as mental and physical also. And we all know that if there is any interruption in any one of the health then person cannot be healthy. So to make a healthy life we need all types of health.
Usage of herbal-antivirals:
In this context it is very important to note that after 2003, SARS outbreak to the recent COVID-19 outbreak, China did a lot of work on herbal immunomodulators and antivirals mentioned in the TCM. Their observations provide encouraging results. There are several studies on Yashti (Glycyrrhiza glabra) on antiviral activity as well as anti-Co V activity. Therefore, it should be an automatic choice. Similarly, Tulsi (Ocimum sanctum) is reported with anti-viral activity in the published scientific literature and is also used in traditional medicine in India for the management of several viral infections. Therefore, it should also be an automatic choice.

Conclusion:

Now, here I am concluding my views over COVID-19 according to ayurveda. By boosting our immunity be can protect us from this virus. Because till now there is no vaccine confirmed by WHO hence by following these measures we can get rid from COVID-19 and by following ayurveda we can prevent and cure many diseases. And at last I want to say that if we follow the ayurveda then whole world will follow us. Take one step forward to ayurveda in return ayurveda gives healthy and happy life.
“HITA AHITAM SUKHAM DUKHAM AAYUSH TASYA HITA AHITAM
MANAM CHA TACHYA YANTROKTAAM AYURVEDA SA UCHAYATE”
( CH.SU.1/41 )

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