Showing posts with label A. V. Balasubramanian. Show all posts
Showing posts with label A. V. Balasubramanian. Show all posts

CONFERENCE NOTES


INTERNATIONAL CONFERENCE ON MUD ARCHITECTURE

Much has been said lately about the ugliness of mass-housing schemes in India. Critics have also pointed out that die schemes for mass-housing have ignored local and traditional wisdom1 not only in design and aesthetics but more importantly in the area of techniques and materials of construction.

The materials used in modern construction, particularly cement, involve very high energy consumption for their manufacture. It has often been pointed out that these materials are economically incompatible with the' needs of the large majority of the Indian people, particularly the urban and rural poor, for whom most of the governmental mass-housing schemes are designed. Further, the' manufacture of modern materials such as cement are undesirable from the point of view of their negative impact on ecology. It is for these reasons that mud, which has been a building material for has again become the focus of attention of many governmental and non-governmental agencies in India.

Mud architecture is perceived as fan appropriate and sustainable solution to the housing problem as:

(1) it is of low cost and makes use of local materials and techniques (2) it has many desirable features such as excellent heat insulation and good compressive strength (3) it is environmentally sound and energy efficient and (4) it is lab our intensive and therefore capable of generating opportunities for employment, higher income and self-help in housing.

An International Conference on Mud Architecture (ICMA) was organized in Trivandrum on 25th - 28th November, 1987. The conference was jointly organized by the following: Ministry of Urban Development of the Government of India, Government of Kerala, Housing and Urban Development Corporation: All India Housing Development Association and Economic at Humanism, Lyon, France:

We shall here present an outline of the various technical papers presented at the ICMA (about seventeen papers have been compiled in the volume entitled "Technical Papers"). In the foreword to the technical papers, the subject of the Conference has been stated as "Redefining and restating the relevance of mud as a building construction medium in all its forms and the upgrading of technologies and institutional support work". The papers have been grouped under four different heads:

1. Policy: The social, economic, environmental and energy implications of building in mud.
2. Technology: Mud technology and its up gradation.
3. Institutional Support: Institutional support for propagating mud as a relevant building medium for urban and rural housing.
4. Documentation: Identification of international experience and case studies suitable for documentation.

Policy:

The first paper titled "Back to mud - a step forward", by S.K.Sharma, (HUDCO, New Delhi) reviews the housing situation in India and examines the role of mud. This paper also serves as a preamble to all the following papers.

Between one fourth to half of the urban population in most large cities of India lives in make-shift shelters, squatter settlements or slums. The situation in rural areas seems to be far worse, with about 75% of the houses being classified as semi - or non-permanent construction. Total housing shortage in India will be more than 40 million units by the turn of the century. Of these, some 30 million will be in rural areas and nearly 10 million in urban areas.

Currently, in India, approximately 80% to 90% of the rural and 30% to 40% of the urban population lives in mud houses. Over 65 million of the nearly 118 million houses in India are of mud construction. Most of these mud houses are constructed according to the principles of traditional architecture, which ' has evolved in response to local environment, climate and way of life. It is integrated into the social system.

Government housing programmers, though prominent in Governmental plans, are hampered by a number of limitations. Lack of adequate finance for keeping pace with the growing demand for shelter is a chief limitation. Most formal construction programmers are with brick, cement and concrete - based on technologies which not only raise the cost of housing but also involve high consumption of energy, which is a scarce item.

With this in view, the paper cautions that it would be wrong to reject mud on the ground that it is an outmoded building material and suggests that mud be fully integrated into the process of planning and development. However, the author points out that "mud architecture" is not to be identified with "substandard" mud houses - "ill prepared, ill-applied mud with a poor roofing system" which a large number of poor live in. A mud house "can be an inviting home with various modern facilities in a pleasant environment". The author adds, "so long as it relates to the needs, life style and affordability of the occupier, it would be better than what more durable technologies can offer".

Explaining the revival of interest in mud "which has been around for a long time and which has been abandoned in favor of new cement-based materials", the author calls for a reassessment of the relevance of traditional building materials like mud in the context of modern technology and construction methods. He adds, however, "It is not being suggested that house design should return to principles that were utilized prior to 20th century. Indeed they cannot, as the present social, cultural and economic conditions are not the same" (emphasis added). In other words, the importance of mud is in its appropriateness only as a building material. But the author immediately goes on to say "The unfortunate shift to so-called modern values has found little use for traditional knowledge and building systems that are well-adapted to an environment. We must substantiate the relationship between climate and many of these time - tested principles so that their usefulness is not lost".

After high-lighting the important advantages of mud housing the author goes on to state some of its so-called shortcomings: (1) since mud is eroded easily by water, it may not be suitable for use in areas with high rainfall or possibilities of flooding (2) it has low tensile strength which, means mud roofs are difficult to make (3) it is susceptible to damage by rodents etc(4) Mud does not grip wood properly, so that gaps develop around wooden doors and windows in mud walls. Hence mud houses have few openings and are often poorly ventilated. Where walls are made of reinforced mud, wattle plastered with mud, or made of sun-dried bricks, this problem is not severe. (5) Mud soaks up water and becomes heavy. Consequently wooden beams supporting roofs tend to sag, leading to cracks in the roof and leaking.

These disadvantages may be overcome by improvements in design and technology such as: (1) Stabilization of mud - other materials is added to improve its strength and water-resistance. (2) Architecture - narrow streets, closely packed houses, overhanging roofs etc. (3) Structural techniques - walls of mud are sometimes made up by ramming successive layers of earth between shuttering, which makes the wall bear weights better.

Next a variety of constraints which hinder the use of mud for construction, are enumerated. There are often governmental regulations which prevent the use of mud, and the provision 'of institutional loans and grants. Rejection of mud as a construction material is also made on so-called objective and technical grounds apparently based on the poor durability of mud over time, which may lead to increased maintenance and repairs. Another reason is simply the lack of adequate knowledge of handling mud for building construction. There is some subjective factors as well which result in the rejection of mud for construction.’ One such is the "desire to conform to notions of what is modern in construction, which leads to an imitation of western models and the use of materials which are considered modern". Finally, traditions in building arc no longer passed down from generation to generation.

The different areas of application of mud,!in building construction - such as walls, mortar and plaster and roofs, are also outlined. There are several well-known methods of application of mud for walls - direct shaping; compacted or rammed earth; adobe or sun dried bricks; wattle and daub; compacted soil block; puddle clay and cob; extruded earth etc.

The remaining sections of the paper deal, though briefly, with new technology inputs in mud architecture; the need for skill up gradation, the need for institutional support and encouragement from the political - administrative leadership, the need for more research work and other intervention from modern scientists and technologists etc. The concluding section of the paper introduces the work of HUDCO, which is the principle techno-financing institution in low cost housing in India.

While the above paper sets the background and makes a strong case for the need for a "mud architecture" for housing, it also reflects a somewhat ambivalent attitude towards the role of traditional knowledge in mud architecture. It is not clear how mud architecture would meet the housing needs of Indian or any people without also satisfying some more fundamental needs of the people such as their psychological and cultural needs. What perhaps leads to this confusion is the perceived need to sound "modern*1 and "rational" and not "sentimental" or "romantic". There is also an underlying concern that "mud architecture" must seem compatible with a "modern" life style so that the economically better-off may also consider it as relevant to their housing needs.

The second paper under policy, "Mud Architecture: An environmental need" is by Prof. K.Ravi. This paper begins with a brief historical introduction, and highlights the fact that even today, there are many traditional "Nalu-Kattu" houses in Kerala, which are more than two - hundred years old. This should dispel the common notion that mud as building material is not durable. The following sections deal with the environmental appropriateness of mud architecture and the environmental implications of using modern building materials, in particular, bricks, in place of mud.

Modern building materials are not only energy - wasteful but also heavily air-and water-polluting. Substitution of mud for bricks and cement can bring down the level of air pollution significantly. Tree felling and deforestation for fire-wood to be used in brick kilns can also be avoided by the use of mud instead of bricks. Cement industry consumes enormous quantities of water and this water resource can be saved by avoiding the use of cement. There are other benefits of using mud such as the suitability of mud housing with regard to the Indian climate.
The last section of this paper argues for the development of an "integrated institutional and technological approach" towards improving the image of mud, overcoming some of its deficiencies and making mud architecture acceptable to the public as well as to governmental policy.

Unfortunately, no empirical data has been presented regarding energy and ecological impact of the use of bricks and cement. Perhaps a distinction could have been made between bricks and cement, since cement is far more polluting and energy - consuming.

Tree felling for brick-manufacture appears particularly Hamagmg only in the context of a general deforestation due to modernization and industrialization and a lack of planning for aforestation for kun-use. It is also necessary to work out the implications of a complete switch to mud for all housing such as the availability of mud, etc.

The third paper in this section by Sanjay Frakash and Aromar Revi describes some of the potentials, prospects and projections for building design and construction in two Western Himalayan river valleys,' the regions of Ladakh around the upper Indus river, and of Spiti around the Spiti river rain these areas of high altitude and low resource levels, energy - conscious earth building has traditionally been a part of everyday existence. This paper describes some aspects of the existing situation and explores future possibilities for these areas.

The geography, fixate, and lifestyles of the people of the, two areas are presented briefly. Following this, traditional building construction practices are described and their appropriateness to the natural resource-base, climate and lifestyle of the people is highlighted. For while adobe is, the dominant-form of walling in I.adakh, in Spiti the dominant form of walling uses lightly-rammed earth. Traditionally there have also been some simple empirical tests to determine the soil-bearing capacity of the building site. The authors suggest that the adoption of such traditional techniques is essential for current building activity. Different features of traditional building construction are described in some detail - walls, plasters, roofs, floors, doors, windows etc. This is followed by case studies of several buildings in the two areas. Traditional design and architectural features are described briefly.

The last section of the paper deals with the changing situation which is a consequence of increasing population, energy and resource shortages. This implies that construction would have to be faster, more energy effect and buildings would have to have higher spatial, thermal and structural efficiencies. Some technological solutions are offered, like for instance the use of glass and other modern materials for improved heat insulation.

The fourth paper in this section, "Salient sodo-cultural features of mud architecture in India" by Prof, Degrades Mukhopadhyaya, is a brief statement on the politics of mass housing in India and the options that are available. An example of building construction based on local materials and skills is also given.

The fifth paper in this section, "Some policy Issues in Housing", is by Vinous Kaley. This paper describes the evolution of the so-called Rural Housing crisis in India; the attitude of the Indian State and the efforts by the State to resolve this crisis; the crisis in the supply of building material, particularly wood; the forest policy of the Indian State and how this affects rural housing - with an example from Wareham district. Some recommendations are made for future pock particularly with regard to making available forest raw materials such as bamboo to die rural people.

The final paper in the policy section deals with different uses of mud and the versatility of mud as building material.

Technology:

The paper, "Mud walls: Tradition and Innovation", by Pro! K.S.Jagadish, deals with a number of ways mud walls have been used traditionally in South Kamataka region such as, cob-wall, mud-concrete, adobe wall, bamboo reinforced mud wall eta, and a number of innovations that have been tried using mud, such as, rammed earth, pressed-soil block, stabilized adobe, and makes a comparison of all these technologies. Some innovations in protection of mud walls against rain are discussed. It is argued that capital and energy intensive and centralized mass production of bricks eta, are unsuitable from the point of view of providing mass housing to the poor.

The paper, Tired Houses", by Ray Meeker, deals with a relatively new idea for stabilizing earth structures - namely firing of earth houses. The process, stated simply is as follows:

- Build a room/kiln in unbaked mud brick. The roof can be either vaulted or domed.
- Fill the room/kiln with a product: i.e. bricks, files, drain pipes, etc. and fire to between 900°C and 1000°C.
- Use a portion of the product for finishing the house - tile, roof and floor, build a small compound wall with the bricks, etc
- Sell the remainder of the product to recover as much of the building cost as possible.

In theory, with the "right" product, the building could cost nothing. The paper argues that this concept is "potentially revolutionary in its economic implications".

The paper "Mud technology for housing of common people" by A.Balakrishnan, deals with different methods of using mud for walls and improvements innovations.

Institutional Support:

The first paper corning under this group is a report on the activities of the Centre for research and application of earth construction technology (CRA Terre) a French organization. There is a fairly detailed section on the research activities of this organization. The origin of the organization is traced back to the "energy crisis" in Europe in 1983. This prompted experiments with simple and cheap building materials and energy efficient techniques suitable for low-cost housing. Research efforts were encouraged by the living tradition, in some areas of France, of loam earth construction. This research seeks to provide explanations based on modern science for some traditional practices, mainly in Africa.

Next is the report on the work of the organization Nirmithi Kendra (Building centre) in the Quilon district of Kerala. This organization was started in 1986 with the objective of

(i). A tftmimil agency to generate and propagate motive (modern) ideas in housing
(ii). A clearing house of information and data bank on housing which would bring the fruits of research from Tab to Land".
(hi). A production centres; to prefabricate standardized housing materials.
(iv). A training house ;to impart skills to local workmen in innovative (modern) housing techniques and! create a cadre of trained workers in all the blocks of the district
(v). A nodal agency to serve as a catalyst in the field of housing, ensuring coordination1 in implementation of housing programmers.

The Kendra is seen as an effective link between the elite urban researcher and the rural house builders.' During a span of about 9 months in 86-87, the Kendra had trained over 200 young trainees from as over, Kerala, in modern low-cost housing techniques such as use of Ferro-cement, rafters, joists, tanks, rubble filter blocks (stone block masonry), soil-stabilized pressed blocks, funicular shells etc The trainees are encouraged to form themselves into the Nirmithi Rural Housing Corps, with their area of operation confined to the respective community development blocks with the Block Development Officer as Chairperson. These trainees in turn disseminate this technology to recipients for undertaking construction utilizing various housing alternatives.

In order to make housing available to rural people at affordable prices, Nirmithi Kendra has launched a
program me for mass production of housing materials. At various locations in the Quilon district the Kendra mass produces several type of new low-cost housing materials. The Kendra has found some new solutions such as "Asch treatment" of rubber wood, which is generally freely available in Kerala, to compensate for the shortage of traditional timber, particularly coconut wood. It is expected that this method will be able to supply timber for door and window frames for less than l/3rd the cost of the conventional wood.

One of the recent achievements of the Kendra has been the construction of more than 300 Ferro-cement water tanks in one month engaging its own trained masons, at about l/3rd of the cost at which private rnanufacturer construct these tanks.

Initially die mtroducbon of new technology into villages encountered resistance from villagers and local masons, who questioned the effectiveness of the new' techniques which sought to ‘replace the traditional techniques. However, the Kendra claims to have become successful in getting the participation of villagers in their housing programmers.

While efforts such as Nirmithi Kendra fill a vital gap in the field of mass low-cost housing, 'there is stir a need for such organizations to do research into the traditional knowledge in the area of housing and base innovations, where necessary, on such knowledge, so that such mnovatioos become truer; appropriate.

The final paper in this section is on the role of the cooperative sector and voluntary organizations in propagating mud architecture. Several mud-related technologies for rural use are briefly described.

Documentation:

The final group of papers, on Documentation, includes two case studies presented by two French organizations on their work in mud architecture. The final paper in this section contains some information from a world-wide survey of earth construction activities presented by two technologists from France.
Recommendations:

At the end of the conference, each of the four groups put forward several recommendations. The following is a summary of the recommendations of the different groups.

(i) Policy: Recommendations of this group cover several areas. The following recommendations have been aimed at the Government:

Education: Simple, informative books must be prepared to educate children, students and others on all aspects of mud architecture and the suitability of mud as a building material in today's context.

Land: Since non-availability of land is a major bottleneck in housing, land distribution to the poor, particularly in urban areas must precede housing programmers.

Standards: Mud houses must be granted permission by authorities without unnecessary restrictions.

Government Buildings: The Government must promote mud architecture by using it wherever feasible.

Local Materials: Since tike non-availability and increasing costs of materials such, as wood, bamboo etc, are serious constraints on the use of mud architecture, paper manufacturers must be made to supply 20% of their stock of bamboo to home - owners at reasonable prices.

There are several other general recommendations, concerning building standards; information about mud architecture; data base on mud; people's participation in mud construction; women's role in mud architecture; incentives to promote mud use, etc.

(ii) Technology: The recommendations made by tins group concern the following issues: research activity in the soups for their suitability in mud architecture; communication among research groups; use of mud as an alternative to brick/concrete; research on the use of mud in foundations, roofs and floors in addition to walls; delivery systems for new technologies; research on traditional technologies; an Indian standard code pertaining to mud construction etc.

(iii) Institutional Support: The recommendations of this group deal with the relevance of building standards for mud architecture; inclusion of mud architecture in the curricula of architectural schools; national and state-level coordinating agencies for propagation and dissemination of mud architecture; data banks on mud architecture; decentralization of building centers, etc.

(iv) Documentation: This group concerned itself with communication and documentation, through various media, of information on mud architecture.

As the group on technology recommended, there is a need today for a great deal of research on traditional science and technology of mud architecture. For instance in the Tamil tradition, the Viswakarma Community, who are the traditional technologists, are said .to be the repositories of a vast body of knowledge on mud architecture. It is necessary for the modern mud architects, to interact closely with the traditional architects and overcome some of the so-called deficiencies of mud as a building material, such as lack 'of durability, low tensile strength etc. That mud structures and buildings have stood for hundreds of years has been mentioned by some of the participants of the ICMA. It is time that the Indian tradition of mud architecture is resurrected to take its rightful place in the solution of the mass-housing problem in our country.

It is also a fact that there has been a degeneration of traditional skills in general, as a result of long years of neglect and lack of patronage. However there are still several master builders of the Vishvakarma tradition in our country, who can be the nucleus of a regeneration of Indian architecture. It is essential that the India State provide the necessary resources for a major effort towards such regeneration.

It is also essential that the modern mud architects work out comprehensive plans using mud architecture as the technology for mass-housing schemes. Such plans must be fully substantiated by cost-benefit and techno-economic analyses. This will go a long way in persuading both the public who are the beneficiaries and the planners about the need to bring mud architecture back to the mainstream of modern architecture and building technology. Mud architecture is important today not only from the technological and economic but also from social considerations. Only the use of mud as building material will bring forth the initiative and participation of our people and it is only then that our housing problem will find an appropriate solution.


Author:A. V. Balasubramanian





METALLURGY AS PRACTISED IN ANCIENT INDIA

A two day seminar was organized in Madras on June 24th and 25th 1988 on the theme -"Metallurgy as practiced in Ancient Times". The seminar was organized jointly by the Madras Metallurgical Society, Madras Museum and the Department of Archeology of the Government of Tamil Nadu. The seminar was inaugurated by the industrialist Shri R.Rathnam who "wondered whether there is something in our ancient practices - the famous iron pillar at Delhi for instance - that we are missing to avail a simpler solution to the present day corrosion problem".

There was a broad range of topics covered by the speakers. Some papers were a routine survey of data available regarding ancient metallurgy from published technical literature or even literary evidence. A large number of papers dealt with corrosion, conservation and restoration of metal antiques - these hardly fall within the scope of the seminar. It would have been far more interesting if some attention had been paid to traditional methods of conservation - the way in which metal objects (like bronze icons in our temples) are preserved without damage for hundreds of years and what we can learn from them. A suggestion along these lines was indeed made by Dr.Nagasamy in his valedictory address.

The more interesting presentations were from those scholars working on archeometallurgy. Prof. K-T.M.Hegde (M.S. University of Baroda) reported the work of his group regarding Zinc Metallurgy in the Zawan area of Rajasthan. Excavations carried out in the site over the last few years have revealed that Zinc was being produced here by the distillation process in a metallic form. Till recently modern scholarship believed that metallic Zinc was first produced when William Champion introduced the "distillation per descended" process in 1746 in Bristol. The Zawan excavations have revealed that the mining and production of Zinc has been in progress in the area at least since the 1st century B.C. Hence from the very ancient times Brass was being produced in India by mixing metallic Zinc with Copper (this gives greater control over composition) while it was being produced elsewhere in the world by the cementation process (i.e. reduction of Zinc ore in the presence of Copper - this gives inferior quality Brass) till the late 18th century.

Thelma Lowe (University of California, Berkley, U.S.A) presented results of her investigation on the nature of the crucible used in producing ingots of the famous 'Woods Steel*. She has been investigating the fired crucible segments and ingots from heaps of the debris of the industry in Konasamudram Milage of the Nizamabad District of Andhra Pradesh. She described how the crucible made of rice husk and clay was an excellent material for the production of Woods. This technique of production seems to have given the ancient steel makers independent control over grain size and carbon content - which even today remain the two critical factors in determining the steel quality.

An interesting feature of the seminar was the presence and participation of Shri Devasenapathi (of Swamimalai in Tamil Nadu) who is a renowned sculptor of metal Icons. The Sthapati demonstrated the traditional method of making icons by the Madhu Ucchistha Vidhana (equivalent to the Ore Perdue - the so called 'Lost - wax* process) to the audience. In addition there was an imaginative session in which a dialogue took place between the1 Sthapati and a modern metallurgist - Shri Ranganathan (of Hyderabad) who specialises in casting metal statues. In this session the two of them outlined then-respective methods of casting 'images. The exchange was moderated by Dr.Gopal of the Madras Metallurgical Society who made the session lively and absorbing by his thought provoking and imaginative questions.

Dr.Nagasamy (Director of Archeology, Tamil Nadu) presented to the audience the case of the "The London Maharaja". This icon which was stolen from a temple in Thanjavur district was traced in London a few years ago. Subsequently the Tamil Nadu Government staked a claim to it and a judgment was given in its favors. A startling sidelight to this lecture which was a sort of an anticlimax came later. A member of the audience wanted to know if there was any truth in the rumors that a large number of our temples are even now being deprived of their icons which are finding their way abroad and that what we have left are only dummies. Far from any clarification or reassurance on this issue, the chairman of the session disallowed the question because of its "sensitive" nature -prompted by high officials of the Department of Archeology! A distinguished archeologist who was present at the seminar later on shared his misgivings on this matter with this author. He said that it has been noted for the past several years that even small museums abroad ("Second and third rate museums") seem to be continuously acquiring several high quality bronzes and icons of’ Indian origin. This is indeed a matter that needs to be looked into .very urgently and corrective measures taken.

Scattered throughout the seminar - from the inaugural address of Dr.V.SArunachalam (Scientific Advisor to the Ministry of Defence) to several presentations that came later -were statements emphasizing the need for a study of the traditional techniques of metal work and metallurgy, since they are of interest not only as history or art but also from the point of view of what we can learn from them today. Some specific suggestions were also made from the audience, such as the institution of awards and honours to distinguished traditional practitioners; creation of avenues by which the faculty and students with background in modern metallurgy can study with traditional scholars and artisans; survey, compilation and publication of the source works on Indian metallurgy (such as texts on Rasa Sastra etc) - to cite only a few of them. However, the meeting concluded without any direction or action plan in this area. In this respect it was perhaps similar to several earlier meetings. For instance, twenty five year ago in 1963, when the National Metallurgical Laboratory convened a meeting on The Delhi Iron Pillar", many similar sentiments were expressed. And we seem to have hardly progressed in our understanding of our traditional practices of metallurgy and have done nothing to assess their current day implications or potential. Still, there has perhaps been a general change in our situation, which renders this line of thinking more acceptable today. It may be hoped that we can now work towards a more concrete plan of action in this area.



Author:A. V. Balasubramanian



REPORTS ON VARIOUS SECTIONS - Health and Nutrition


An Overview of the Health Section


Four-symposia were organised during the Congress under the Health Section. Papers were presented, by eminent Vaidyas, Hakims, Botanists, Sociologists etc., on four topics namely :

1) Science and Sastra

2) Some Insights into Aushadhikaran

3) Presentation of Well Documented Case Studies

4) Role of ISM in National Health Programme

The essence of the discussion in each symposium is given here, topic wise. The names of the authors and papers are given at the end of each section.

Science and Sastra

Modern medicine is devoid of tradition and is inadequate in certain fields. The time has come for the integration of systems for the better benefit of human beings. 70% of the health needs of the country are met by the Indigenous Medical Systems. 80% of the deliveries - in some areas were 90% - are conducted by dais, or traditional birth attendants. Such is the importance and relevance of ISM. The scientific elite world is not ready to accept 'sastra' as science, though, by dictionary meaning they are for each other. While Sastra is anadi (without any specific beginning), science has got a specific beginning with a father of science. Sasfra rules all the aspects of life. Even though a person was not finally to learn it, he has to follow the direction of sasfra for sustaining himself. The science is the systemised corpus of knowledge to be augmented by subsequent followers. The terms science and sastra are only complementary and do not have the same meaning in the context of Ayurveda. There is a trend among many Ayurvedists to corelate inappropriately certain Ayurvedic terms with modern terms for eg: Vata as wind or acetyl-choline, Pitta as bile or adrenaline and Kapha as phelgm or histamine. Every civilization has its own cultural heritage on which sastra is built. Hence, it is unrealistic and- unscientific to corelate or compare sciences developed in various places. It is better to treat Ayurvedic learning as a distinct knowledge system which has grown in its own indigenous way and understood on its own terms.

The conceptual basis of our sastras is understood to be from sookshma (subtle form) to sthoola bhaava (gross form) unlike that of western science which is from sthoola bhaava to sookshma bhaava... Man is a complex being. Health is the balance of biological, physical mental and spiritual aspects. A holistic system is needed for a cent percent perfection in meeting his health needs. Ayurveda is a comprehensive ' sasfra ' developed by sages giving sensible explanations and without any limitations. Ayurveda not being merely a biological knowledge system describes the complete way of life. The settled knowledge of sastra, erected on time tested basic principles, are superior to the ever changing modem science which is often unsteady even at th'e basics. It is not just a science. It is science, philosophy and religion.

Names of the persons who spoke in this session

1) Vd. B.V.Sathaye, Bombay - Chairperson

2) Vd. V.B.Mhaiskar, Baroda - Chairperson

3) Shri.A.V.Balasubramanian, Madras - Introduction to the theme of the session

4) Vd. K.H.Krishnamurthy, Pondicherry - The Depth of Informatics from the Ancient Sanskrit Technical Works - An Illustration from the Food Plants of Sushruta

5) Dr. Kulkarni, Hyderabad,- Methodology of Indian Medicine: Towards a New Perspective

6) Dr.T.Sripathi Rao, Hyderabad - Atharva Veda: An Ulterior Modem Science

7) Dr.Jayant Y.Deopujari, Nagpur - Ayurvedic Research Methodology: A Perspective

8) Dr.D.K.Dewanga, Bhilai - Interlocking Sastra and Science.

9) Dr.R.Rangesh Pa ramesh, Bangalore - Dichotomy of Science and Ayurveda.

10) Dr.Pranabjyoti Bhaishya, Varanasi - Studies on Teratogenic Factors as described in
Ayurveda.

11) Dr.Sivarama Prasad V., Hyderabad - Is Ayurveda a Science or Sastra.

12) Dr.T.G.Vinod Kumar, Trivandrum - Sastra - A Search for Reality.

13) Dr.M.KApte, Raigad - Tarjaneenyaya to Achieve Holistic Approach.

14) Dr.T.S.Krishnakumar, Calicut - Tantra and Ayurveda.

15) Dr.S.P.Tiwari, Jaipur - Marma Sharir and its influence on the Development of Martial Arts .

16) Shri.K.K, Somani, Bombay - Is Allopathy a Science?.

Some Insights into Aushadhikaran

In the Ayurvedic system of medicine, pharmaceutics is not so far recognised as a separate branch. However, its developed form could be seen in Ayurvedic texts. Among, the four fundamentals for Ayurvedic treatment (Bhishak, Dravya, Upasthatha, Rogi), the drug is given the second place. The drug needs some kind of processing before it is used internally for therapeutic purposes. For processing of drugs, certain pharmaceutical techniques have been evolved which play an important role in altering/inducing natural/therapeutic properties of drug and in converting these into pharmaceutical suitable form/compound to convert drug for internal use.

Dravya or drug is one among the four factors in treatment

The dravya as should have suitable qualities and one should be able to process and use the dravyas in many ways. Ayurvedic classification of dravyas and the concept of Panchavidha Kashayakalpana are the basis of aushadikarana

Dravyas are classified into:

1. Doshaprasamana - those which establish equilibrium of doshas

2. Dhatupradushana -those which induce vitiation of the doshas

3. Swasta Vrittikara -those which maintain health

Sources of Dravyas

1. Jangama ie. of animal origin - these are of eight varieties like meat honey, milk etc.

2. Bhasma - metal/mineral origin - gold, iron etc. The metals were known to Indians since Vedic period - 5000 BC - the use of metals for therapeutic purpose was started from the period of Ayurvedic classical texts like Charaka and Susruta - 800 -600 BC - with a detailed knowledge of its pharmaco therapeutic properties and processing techniques.

3. Audbhida - vegetable origin - root.bark, resin, leaf etc. Basis of Ayurvedic Aushadikaran.

Panchavidha Kashyakalpana or five fold breaking down and erecting new substance.

1. Swarasa Kashaya - fresh expressed juice

2. Kalka Kashaya - paste

3. Kwatha Kashaya -decotion

4. Hima Kashaya - cold infusion

5. Phanta Kashaya - hot infusion

Bhasma Aushadhikarana

I. Shodhana - Purification

The process involves the removal of physical and chemical impurities that alters the expected pharmaceutical j action. It is of two types:

1) Samanya shodhana - heating the substance till red hot and immersing it in taila,
takra, gomutra etc.

2) Visesha shodhana - specific processes for each substance

Proper study of the effect of sodhana on morphological microscopical charecters, physical and chemical studies and pharmacological activities justify the scientific importance of sodhana process in purification and enhancement of derived pharmacological effects.

II. Marana - Incineration

Here metals and minerals are treated with herbal extracts and desired heat is applied by puta system. Puta system means metallic/minerals drugs are treated with vegetable extracts and made into a pellet and closed in sarava samputa (in between earthen lids) and then subjected to heating with specific pit. The process is repeated several times. Bhasma is obtained through this process, by repeatedly incinerating the shuddha dravya by treating it with various substances,

Bhasma pareeksha (Test for good bhasma)

Physical examination:

1) Varitaratwa - the good bhasma floats in water

2) Rekhapurnatwa - when bhasma is brushed between the thumb and index finger, it penetrates between the finger grooves

Chemical examination:

1) Apunarbhavatwa - if the bhasma is mixed with guda, gunja, tankana, madhu or ghrita
and put to fire, it will not return to its original stage.

2) Nirutha - if it is mixed with roupya and fire is applied roupya will not lose its weight.

III Jarana/Bandha - it is the process of binding to impart stability

Several books available on Ayurveda prior to 10th century AD, like Charakha Samhita , Susruta Samhita , Astanga Hrudaya, Astanga Samgraha, Chikitsa Kaiika etc., have mentioned the use of different pharmaceutical processing, alcoholic preparations like asava and arishta , fatty preparations, different infusions, special technique for powdering of drugs as well as the method of its potentiation etc. There are descriptions for the principles of these pharmaceutical processings which.are very often and frequently applied in the modern pharmacies.

Name of persons who spoke in this session

1) Vd. Brahmananda Swamigal, Coimbatore - Chairperson

2) Vd. Vilas M.Nanal, Pune - Chairperson, Introduction to the .theme of the session

3) Dr.S.A.Dahanukar, Bombay - Modern Assessment of Ayurvedic Drugs

4) Dr.A.V.Sharma, Varanasi - Pharmaceutical Processes before Tenth Century A.D.

5) Dr.Mangala B., Mysore - Pharmacodynamics in Ayurveda - How Scientific

6) Dr.Damodar Joshi, Varanasi - Metals and Their Pharmaceutical Processing techniques as Mentioned in Ayurveda

7) Shri.M.N.Pal, Calcutta - Drug Helps Harmony in Function of Bioenergy: An Insight from Ayurveda

8) Dr.S.K.Chaturvedi, Varanasi - Importance of Puta System of Heating in the Preparation of Metallic Bhasma

9) Dr.M.M.Joshi, Pune - Studies on Shodhana Process of Gunja Seeds

10) Dr.Archana Mahajan, Varanasi - Study on Different Extraction Techniques for Drugs mentioned in Ayurvedic Pharmaceutics

11) Dr.Anjana Chaube, Varanasi - Study on Different Ancient Ayurvedic Pharmaceutical Techniques

12) Dr.Ranjan M.Bhatt, Bombay - Scientific Evaluation of Ayurvedic Formulations

13) Dr.Prajapati P.K., Varanasi - Study on the Standardisation of Method of Ayurvedic
Kupipkwa Rasayana Preparations with Special Reference to Makaradhwaja

14) Dr.A.K.Tripathi, Varanasi - Dam Haridra: A drug of Multifarious Action

15) Dr.Shoba Hiremath, Varanasi - A Study on the Methods of Preparation of Kutajarishta for Enhanced Efficacy

16) Dr.H.M.Chandramouli, Mysore - Rationality of Bhasma Pareeksha

17) Vd. S.Rajasekharan, Trivandrum - Upgrading Local Herbal Remedies for Primary Health Care Programme

Presentation of Well Documented Case Studies

Ayurveda defines health as the harmony of the doshas, dhatus, mala, agni all in a state of equilibrium along with mind and sense organs in a pleasant state. The holistic approach of Ayurveda emphasies the necessity of a detailed study of the patient and disease before deciding the treatment. A detailed proforma is needed to document cases on a purely Ayurvedic basis. Some knowledge of 'pramana' is essential for good case taking. Accurate knowledge of disease is the cornerstone for the study of a patient, as Charaka stresses-Jnana purvaka pareeksha. Systematic examination of the patient by Ayurvedic way is always a difficult task due to lack of a universal proforma.

Though modem investigation cannot be carried out before, in between and after treatment according to the necessity, the diagnosis and treatment should be purely based on Ayurvedic ideology and principles.

The patient should be examined in three ways:

1) Darsan: Visual examination by which the nature of body, colour, skin, texture, gait etc. cdn be understood.

2) Sparsana: Palpation, percussion etc.

3) Prasna Interrogation. The cause of disease, patient's likes and dislikes etc are thus understood.

I. Ashtasthana pareeksha includes examination of

1) Nadi - pulse

2) Mutra - urine

3) Mala - stool

4) Jihva - tongue

5) Sabda - sound

6) Sparsa - tactile sensation

7) Drik - eyes

8) Akruti - body

II. Dasavidha pareeksha

1) Dusya - examination of dhatus, mala

2) Desam - examination of Dehadesa(body) and Bhoomidesa (place where the patient lives)

3) Balam - natural strength and resistance towards disease

4) Kalam - time

5) Anala - digestive power

6) Prakrithi - constitution

7) Vaya - age

8) Satwam - mental stake

9) Satmayam - personal likes

10) Ahara - food habits

III. Sroto pareeksha

Examination of the thirteen srotases to understand these courses, presence of any obstructions etc.

After examining the patient by ' darsana ' 'sparsana ' and ' prasna' the disease is diagnosed with the help of

1) NIDANA - Aetiology

2) POORVAROOPA - Prodromal symptoms

3) ROOPA - Main symptoms

4) UPASAYA - Prognosis

5) SAMPARPTI - Pathology

Some of the well documented cases presented in the symposia

I. A case study on clinical efficacy of Gandharvahastaadi Kwatha in Amavata

60 cases diagnosed as Amavata were selected for this study and administered the Gandharvahastaadi kwatha with saindhava guda prakshepaka dravyas for a period of 21 days. The results were interpreted in terms of cured and relieved and 46 were recorded as cured andjl4 were relieved. This kwatha consists of Tiktakaturasas, seven ushna veerya dravyas with pharmaco dynamic action of Rechana, deepana and Pachana karmas which fulfils the line of treatment of the disease.

II. Effect of Nature cure and Yoga on Diabetes Mellitus

1. Non Insulin Dependent Diabetes Mellitus (NIDDM): 60 patients in the age group of
30-90 were selected. Diet mainly consisted of vegetable juice of carrot, spinach, bottle-gourd, sprouts, boiled vegetables, butter milk, curd, skimmed milk, khakhra, green salad. Three to four days after admission most of the patients were able to stop oral hypoglycemic drugs.
Yogasanas - Suryanamaskar, Tadasana, Padahastasana, Paschimottanasana, Suptavajrasana, Bhujarigasana, Saiabhasana, Dhanurasana, Agmsarkriya, Bhastrika Pranayam and Savasana (advised according to the age, sex, physical capacity etc.)

The success of the treatment was 81%

II. Insulin Dependent Diabetes Mellitus (IDDM): 11 patients were selected. The treatment
given was the same. Four patients responded well to diet control and exercises. 3
patients could reduce insulin requirement by 60%.

III. Study of Praval Panchamrut Rasa on patients suffering from respiratory tract and intestinal infections

50 patients were selected'on the basis of their symptoms namely - cold, cough with or without fever. 250mg was administered twice a day for five days. 96% suffering from respiratory disorders recovered completely.

For intestinal disorders, 15 patients complaining of diarrhoea, presence of mucus or blood in stool, colic pain, and constipation, heavy feeling in stomach etc, were selected. 250mg was administered twice a day for 5 days. 100% recovery was seen.

IV. Role of Vaman without snehapan in ‘Tamak Swas’

The study conducted on patients (15-60), suffering from Tamak Swas for less than 5 years, showed that it is significant in effecting a cure and does not produce any untoward effect.

V. Assessment of 1190 patients at an Ayurvedic clinic,Switzerland

Out of the 1190 patients, 445 were in patients and 745 out-patients; 518-patients suffered from rheumatic complaints, 334 from neuro psychiatric complaints, 293 from psychosomatic complaints, 215 from heart and circulatory complaints, 98 from allergic complaints, 84 from skin complaints and 239 from other unspecified' complaints.

84.87% or 1010 patients when discharged felt a remarkable improvement in their condition. In 45 cases (3.8%) no treatment was possible and patients were sent to other hospitals. Side effects from physical therapies was observed in 82 cases (6.9%) and side effects from Ayurvedic medicaments was observed in 49 cases (4.1%). It was found that the side effects or medications were mostly due to the presence of guggul (Comiphora mukul).

VI. A Study of Pachan and Shodhan treatment in Pravahika - Sama avastha

117 cases diagnosed as Pravahika - sama avastha were selected from age group 15 years to above 60 years. The signs and symptoms were agnimandya, pain in the abdomen, amla pitta, belching, stomatitis, udarstambha, adman, tenderness, enlarged liver, anorexia, pandu, etc. Drugs were selected according to Vyadhibala and Aturabala. 102 cases were given Chitrak Hareetaki 10 gms each twice daily supported by 20ml each of Bhallatakasava and Panchakolasava twice daily. 58 patients were given 10gms of Gandharva Haritaki and bed time for anulomana and 500mg of Aragwadha Kapila Vati at bed time as pakwasaya. 5 patients were given basti for potent stanasamsraya in pakwashaya. Pachan shodhan treatment was followed by Shatphata / tikta ghrita as required.

84 cases responded well and 8 cases did not respond and the fall-outs were 25.

VII. Treatment of some diseases by Agnikarma

Agnikarma producing samyak dagda vrana (therapeutic burning) in the diseased part of the patient is one of the six main Upakramas mentioned by Susrutha. According to Susrutha diseases which are not curable by sastrakarma, Ksharakarma or Bheshajakarma may be treated by Agnikarma chikitsa and diseases successfully treated by Agnikarma have no recurrence:

Results of treatment: 77 out of 101 patients suffering from Kaphavatoibana Vicharchika
were completely relieved.

Sleepada (Elephantiasis) - out of 129 patients 54 were completely relieved, 66 had some relief and 9 had increase in symptoms.

Sandhigraha - out of 61 patients 31 were completely relieved; 23 had some relief.

Purushasthana Vriddhi (gynaecomastia) - only one case was treated and he was completely relieved.

Kadara (Com) - Total patients - 37, -complete relief 22, partial relief - 5.

Gmdhrasi (Sciatica) Total patients - 37, complete relief - 22, partial relief - 5.

VIII. Prevention and control of Bronchial Asthma - a clinical report

Allergic rhinitis and Bronchial asthma could be controlled by taking some precautions like avoiding direct exposure to cold, dust, smoke, etc. Clinical study showed 66% good response, 24% medium and 10% not attained results. Treatment with Ayurvedic medicine to allergic rhinitis and bronchial asthma are better compared to modem medicines. They are safe, effective and provide resistance power to body tissues.

IX. Case Studies of Diabetes and Bronchial disorders with Therapeutic reports for two herbal
formulations - Madhu harini and Kasaharini


Ninety eight cases of diabetes melitus were treated with the compound herbal formulation Madhu harini only, constituting the extracts of Tinospora. Cordifolia, Gymnema sylverstris, Momordica charantica and Eugenia jambdlana in appropriate proportions. The reduction in blood sugar levels ranged from 0-25mg in 29 patients, 20-50mg in 36 patients,1 51-75mg in 14 patients, 79-100mg in 6 patients, more than 101mg in 2 patients. 11 patients did not respond to the treatment.

One hundred and fifty five patients of Bronchial Asthma were treated with compound herbal formulation Kasaharini consisting of eighteen herbal ingredients. 51-75% relief was observed in 55 patients followed by 76-100% relief in 44 patients, 26-50% relief in 4331165 and no relief in 10 patients.

X. Treatment of fistula - in - a no by Ksharsutra

Fistula -in-ano and piles form the greatest percentage of diseases pertaining to ano-rectal region. Of them, the former is a disagreeable condition for the patient and often*creates problemslwhich become the source of ihis restlessness. The treatment of fistula-in-ano always posed a problem for the patient and the surgeon alike. The present method of surgical excision of the fistula is not only unsatisfactory owing to ' the high rate of recurrence, but is also full of certain drawbacks like extensive surgery, long hospital stays, economic burden and complications". 'Ksharasutra' is the process involving the application of a specially prepared medicated thread processed with certain- vegetable caustics. The thread is passed into the fistulous tract, tied outside the anal aperture and left in situ for seven days after which it is changed and retied. The patient is sent home after every sitting and is advised to continue his routine works as usual, in due course of time, the thread falls out spontaneously and the fistulous tract is simultaneously healed. The resultant scar formation is very minimal and the method is safe and free from complications.

XI. Case Study on Psoriasis

This is a well documented case study of a psoriasis patient treated in a Siddha hospital. A five year old boy with the complaints of scaly white patches in the head, back and in lip region, since two months, along with itching, tingling, numbness and pin point bleeding in the affected area was admitted in the hospital. A detailed examination was done according to the Siddha diagnostic measures and was diagnosed as Psoriasis. He was treated with effective medicines and advised dietary and routine restrictions. Notable improvement was seen after the treatment.

XII. Therapy of Atopics Eczema with NF-1 + NFL-3 a Unani Combination.

Forty cases of Atopic Eczema were selected after a thorough clinical examination. All cases were treated with NF-1 + NFL-3 for 3 months. After 30 days of treatment the blood investigations revealed a remarkable response to the treatment, after complete treatment, there was a major percent recovery and no relapse case was recorded.

XIII. Yogic management of stress and stress induced diseases (Yoga Therapy)

Since the psychosomatic ailments originate at the mental level, it is obvious that treatment cannot be limited to the body alone. In the integrated approach of yoga therapy, body is treated with suitable exercises, asanas, kriyas, etc. Mental tensions are diffused by yogic practices such as meditation, worship, chantings, etc. In certain conditions yoga therapy may be used as a complimentary method; eg: yogic practices have' been tried for cancer patients along with usual treatments such as chemotherapy.

XIV. Sweta Srava

The commonest complaint in most women is the sweta srava or white discharge. The paper deals with the conditions in which sivefa srava is seen, like Acharana Yonivyapat - where sweta srava is associated with itching, Kapha Yonivyapat – where sweta srava is associated with itching and other Kaphaja disorders, Tridoshaj Yonivyapat - where pain, burning sensation and discomfort at the yoni are associated, Upapulta yonivyapat - due to the indulgence of pfegnent lady in Kapha vitiating foods and activities, Mahayoni - in a displaced yoni or when the yoni tries to come out. It also occurs due to sexually transmitted diseases like phiranga, upadamsa etc. The treatments for such conditions are also dealt with separately.

XV. Case Study in Netrachikitsa

The patient was a 54 year old male having the complaints of gradual painless loss of vision of left eye since 13 years. The modern diagnosis was primary angle closure glaucoma in both eyes and retinal haemorrhage in left eye (Diabetic retinopathy). He was non insulin dependent diabetic and hypertensive. In the first course of treatment Tarpana (7 days) and Nasya were done along with specific internal medication for prameha, blood, pressure and eye disease. The treatment for the 'haemorrhage of retina' was based on raktapitta prakarana. Medicated liver of goat's kid was- also given with strict pathya. By all these, the haemorrhagic spots got absorbed and disappeared. Visual acuity, improved to a great extent

Names of persons who spoke in this session

1) Vd. G.G.Gangadharan, Coimbatore - Chairperson, Introduction to the theme of the session

2) Vd.Vilas M.Nanal, Pune - Case Studies : An Overview of Approach and Methodology

3) Vd. Katti B.S., Nanded - Role of Pachan - Shodhan Treatment in Pravahika - Sama Avastha

4) Dr.M.Srinivasalu, Hyderabad - Study of Clinical Efficacy of Gandharvahastaadi Kwatha in Amavata

5) Dr.D.S.Ijari, Hubli - Prevention and Control of Bronchial Asthma

6) Vd.Durga Pamajpe, Pune * Puberty development - in females - its Ayurvedic Aspects

7) Prof.Jayaprakash Narayan, Madras - The Treatment for AIDS: Prospects in Slddha Medicine

8) Dr.T.Sripathi Rao, Hyderabad - Ayurveda in Renal Diseases

9) Dr.Mahesh V.Sanghavi, Bombay - Kshar Sutra Treatment for Peri-Oricular Sinus
(Nadivran) , Piriodunal Sinus, Tuberculous Lumbar Spine Sinus

10) Dr.R.V.Nisal, Pune - Effect of Nature Cure and Yoga on.Diabetes Melitus.

11) Mrs.SheeJa Kamat, Bombay - Study of Praval Panchamrut Rasa on Patients having
Respiratory and Intestinal Infections

12) Dr.Varsha Deshpande, Maharashtra - Sweta Srava

13) Vd.Rajhans Renuka Sridhar Rao, Nanded - Role of Vaman without Snehapan in Tamaka Swasa

14) Dr.M.Jayatilleke, Sri Lanka - Spiritual Healing as a Challenge to Modem Scientific
' Materialism

15) Prof.Sriram Agashe, Thane - Yogic Management of sress and stress induced dieseases

16) Prof.C.E.Muralidhar, Bangalore - Diabetes and Bronchial Disorders with Therapeautic Reports for two Herbal Formulations- Madhu Hanni and Kasa Harini

17) Dr.R.Chandramani, Bangalore - Spectral Analysis as the Fingerprints of Standardisation for some Herbal Extracts, Churnas, Ghritas and other Formulations.

18) Dr.C.R.Karnick, Aurangabad - Some clinical observations on the effect of Magnetised water and Magnetism on Varied ailments.

19) Dr.R.K.Sharma, Assam - Comparative Study of Churna and Sara(total extract) of two Herbal Drugs with Special Reference to the Actions on Purisavaha Srotas

20) Dr.B.G.Gokulan , Thiruvalla - A Case Study in Netra Chikitsa

21) Dr.D.Jayashankar, Trichy -A Case Study of Psoriasis

22) Dr.K.M.Shyam Sundar,Madras - Degenerative Disease: An Ayurvedic Perspective

23) Dr.J.J.Vijeyapaul, Madras - A Basic Concept and Clinical Profile with Special Reference to Pakshavatham

24) Dr.Rangesh Paramesh , Bangalore - Assessment of 1190 patients at an Ayurvedic Clinic Switzerland

25) Dr.A.Neelakantan , Kottakkal - Treatment of Fistula in Ano by Ksharasutra

26) Dr. P. D.Gupta, Nagpur - Treatment of Some Diseases by Agnikarma

27) Vd.Manjusha Desai, Kolahpur - Case Study in Manoroga Chikitsa

28) Mohd, Ayub Khan, Burhanpur - Therapy of Atopic Eczema with NF-1 + NFL-3

29) Jyoti Gade, Ahmedabad - Empowering Women through Promotion of Beneficial Traditional Health Practices.

Role of ISM in National Health Programme

The role of ISM in the nation's health care is evident when facts reveal that 70% of the health care is carried out by ISM. But national health programmes are considered to be the baby of allopaths, giving ISM no place. This is generated by a concept that ISM has nothing to do with mother and child care, immunisation, family welfare etc. which are the main criteria of the National Health Programme. Preventive, promotive and curative aspects of health can be attained by ISM. Ayurveda classifies medicine into two. One, 'ARTASYAROGANUT ie. to cure the sipk and, two 'SWASTASYORJASKARAM' ie. to maintain the health. It is the second one which can play a vital role in the National Health Programme.

Health is defined in Ayurveda as a state of harmony at the physical level (sama dosa, sama dhatu, sama agni and sama malakriya) and mental level (pleasant mind, soul and sense organs) The World Health Organisation has also laid down that "health is a state of complete physical, mental and social well being and not merely absence of disease or infirmity." Even this definition of positive health falls short of the definition given in Ayurveda, which includes not only physical, mental and social welfare but also moral and spiritual welfare.

ISM emphasises that "prevention is better than cure" Thus 'prime importance is given to therapeutics that prevents the occurrence of diseases and promotes the health in the healthy.

This includes both pharmacological and non-pharmacological approaches. Pharmacological way includes Rasayana and Vajeekarana. These are independent branches of Ayurveda. Non-pharmacological approach includes Dinacharya - daily regimen, Rtucharya - seasonal regimen, Sadvritta - right conducts of life etc. These methods.which are described in detail in Ayurvedic treatises, are part and parcel of our culture and everyone is expected to follow these regimens. The health of a person is influenced by various factors viz. Ahara (food) and Vihara (physical and mental activities). The judicial use of these factors promotes and maintains health. Ayurvedic texts describes the regimens to be followed that favour good health.

In Dinacharya (daily regimen) methods for a better physical and mental hygiene are mentioned. When to get up from sleep, how to brush the teeth and what can be used for that, method and effect of oil massage and bath are some of them. Sadvritta (good conduct) is also described, which when followed not only develops mental qualities but also increases a healthy life span. Respecting God, elders, teachers etc, keeping bodily cleanliness, kind and polite behaviour etc. are some injunctions. The natural urges like micturition, defecation, sneezing, cough, flatus, thirst, hunger, sleep, vomitting etc should not be controlled; at the same time they should not be forced when there is no urge. Controlling natural urges and forced practice, will both cause disease? Mental thoughts, /urges like jealousy, anger, aversion etc, should be controlled. Ahara (controlled diet), Nidra (proper sleep) and Maithuna (well regulated sexual activity) are said to be the three factors supporting the body.

There is no "standard" balanced diet prescribed to all in general. It varies with time (according to the season), person (according to the bodily constitution), place (where he lives), quantity and quality (by avoiding 'viruddhahara' or incompatible food. These can be adopted to overcome malnutrition. In Rtucharya (seasonal regimens), do's and donfs according to the season are mentioned by classifying the seasons into six divisions. The practice of these regimens in daily life will promote health.

The concept of National Health Programme lies in the idea of 'Janapadodwamsa'. In Charaka Samhita (Vimana Stana 3/6) it is stated that even though the persons differ in dissimilar entities like constitution etc. there are other common factors, due to derangement of which the diseases having similar period and symptoms arise and destroys the community. These common factors are - air, water, place and time. Even today we experience that various epidemics and community health problems are due to the contamination of water, air, place and time. So it is clear that if the four entities remain in harmony, the community and nation remain healthy.

The sound background of traditional health system, which meets 70% of the health needs of thje country, can be understood by the following facts:

The small pox inoculation was a widespread practice in large parts of Northern and Southern India before the 18th century.

It may indeed come as a surprise to us to know that there have been in existence various local traditions of surgery and surgical techniques. Some of the areas in which these techniques are known to have existed historically are areas like obstetrics, opthalmology and even plastic surgery. There is considerable evidence in medical as well as the Dharmasastra texts to indicate that caesarian section has been practised in India from very ancient times down to the recent times. It is also now known that there used to be local traditions of surgical treatment for cataract. But perhaps it is in the area of plastic surgery that Indian traditions were very advanced from early times and has a profound influence on the practice of the art in various part of the world. The two early methods practised in India for surgical replacement of nose, the cheek flap method and the median forehead flap method are still used by modem surgeons. In the modem era, the Indian method of total nasal reconstruction was brought to notice by the publication of a report by the British observers in 1794 from where it aroused interest in the west.

One of the important areas in which local health traditions are very strong at least in some parts of the country is the area of bone setting and some parts of the country excel in some of these. For example, two well known bone setting centres are at Puttoor and in Coimbatore. In Puttoor, there is a family which for several generations has been specialising in setting bones. They prescribe a herbal preparation which is applied at the site of the fracture. A well known orthopaedic specialist from Madras who studied these'systems for several years states that the type of sling used [by the Puttoor bone setters'for fractures in the arm, is superior and more flexible than the classical "Guff and Collar" of Western origin which is still used by our orthopaedic specialists.

The most important period both for a child as well as the mother is "garbhini avastha". This
stage in a woman's life calls for a special attention. Ayurveda has a special type of management, which is holistic not only to the mother, but to the j child "as well. That includes the care right from the time of conception, ante natal care to post natal care. Ayurveda describes exclusively a thorough care including particular regimens with and without medicines before and after pregnancy.

Padmasree Dr.S.S.Badrinath once said that the number of cataract cases in the country can be halved by the preventive measures told in ISM. When one goes deep into the science, it will be understood that his statement' is not a hyperbole. Susmtha Samhita devotes entire nienteen chapters to deal with almost all the diseases of the eye;that are come across today and its cure. The advice in Susrutha Samhita (2/35), to the mother to follow a certain regimen right- from the conception to avoid her child being bom blind, highlights the importance given to eye care in Ayurveda The indigenous health care system in India has a rich knowledge base as well as rich resource base. Every community has responded to the challenge of diseases by developing a medical system of their own. They have developed utility of wild plants based on their experience, observations and triaiand error methods to control human sufferings. Tribal medicine is one among them. They diagnose and then treat common ailments with locally available plants. A study of the health care delivery systems of the Karjat tribal block (Raigad district, Maharashtra) reveals the existence of a well organised and functional traditional medical system based on local health traditions. This system is autonomous and community supported. There are traditional practitioners specialised in treatments like Agnikarma, Visha chikitsa, Manoroga chikitsa etc. There are 557 such tribal communities in India which rely upon traditional health care based on herbs utilising 6000 to 7000 species of plants. The method of treatment is simple, popular, inexpensive and available next door. Here are some of the facts and figures which are self explanatory. In the folk medical stream there are millions of housewives, seven lakhs traditional birth attendants, three lakhs herbal healers, 60,000 bone setters and same number of visha-vaidyas according to the available sources. Apart from these specialists in different branches like netra skin, dental, mental diseases, respiratory diseases, arthritis, liver diseases, gastro intestinal tract diseases, wounds, piles and fistula, number upto thousand in each area. A self reliant model of health care can be realised only if these bases are revitalised, strengthened and community supported.

Names of persons who spoke in this session

1) Hakim Syed Kaleefathullah, Madras - Chairperson

2) Vd. B.V.Sathaye, Bombay - Chairperson

3) Vd. G.G.Gangadharan, Coimbatore - Introduction to the Theme of the Session

4) ShriAV.Balasubramanian, Madras - How Speciality Areas in ISM can Contribute to the National Health Programme

5) Dr.Pushpangadan P., Trivandrum - Plant Resource Base of Indian Medicine

6) Shri. Darshan Shankar, Bombay - Lok Swasthya Paramparas and their Significance in the NHP

7) DrXN.Manjunath, Delhi - Role of Indian Medicine in the Promotion of Community Health -an NGO experience

8) Dr.B.S.Nataraj, Bangalore - Role of Ahara in the Maintenance of Health

9) Dr.K.S.Jayashree, Bangalore - Ante Natal Care - An Ayurvedic Approach

10) DrXRShantala Priyadarshini, Mysore - Contribution of ISM in Prevention of Eye Diseases . and Blindness

11) Dr.Mahesh V.Sanghavi, Bombay - Ano Rectal Disorders - A New Dimension

12) Dr.V.Nagaraju, Neyveli - Health Care by Ayurveda in a Public Sector Hospital

13) Ms.Janet Chawla, Delhi - A Woman Centred Revisioning of Traditional Indian Midwife - The Dai as Ritual Practitioner

14) Shri.Kali Chaterjee, Calcutta - Therapeutics and Drugs in Indigenous Medicine

15) DrAC.Kar, Varanasi - Role of SADVRFTTA in Prevention of Disease and Promotion of Primary Health Care

16) Dr.Darshan Shah, Ahmedabad - Ante natal Care

17) Mr.Raj Mani Pandey, Delhi - The Concept of Health in Ancient Indian System

18) Dr.M.Kamil, Aligarh - Unani Drugs and their Standardisation

19) Dr.R.D.Girach, Bhadrak - Folk System of Medicine - One of the Vehicles for Delivering Primary Health Care to Tribal Communities.

20) Dr.GAL.Sathya Rani, Madras - Gender in Indigenous Medicine: Maternity Health
Care System from a Historical Perspective .

21) Dr.Amminuddin, Bhadrak -, Role of Traditional Herbal Remedies in Child Health Care

22) Dr.V.C.Gupta, Hyderabad - Botanical Sources, Conservation and Cultivation of Crude
Drugs Potential of Important Unani Plants Available in Hyderabad Forest Division.

23) Dr.V.S.Ramachandran, Coimbatore - Further Ethnobotanical Study of the Irvlas and the Puiiyas of Coimbatore District I.

24) Dr.S.Seshadri, Pbondi - Traditional Herbal Cure and its Future Potential.

25) Dr.AXTripathi, Varanasi - Role of Ayurveda in National Health Programme.

26) Prof.Y.P.Kohli, Pasighat - Traditional Health Care System of Arunachal Pradesh.

27) Vd. Ramdas Palekar, Karjat - Local Health Traditions of the Karjat Block of
Maharashtra

28) Dr.K.K.Singh, Lucknow - Traditional Phytotheraphy in the Health Care of Gond Tribe
of Sonbhadra District, Uttar Pradesh.



Contact Address:
A. V. Balasubramanian
Centre for Indian Knowledge Systems,
No.2, 25th East Street Thiruvanmiyur,
MADRAS - 600 041.