Ayurvedic management of janusandhigata vata (knee osteoarthritis)
Journal name: World Journal of Pharmaceutical Research
Original article title: A case study on the ayurvedic management of janusandhigata vata (osteoarthritis of knee joint)
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Md Tanzil Ansari, Sukumar Ghosh and Shyam Sundar Jana
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A case study on the ayurvedic management of janusandhigata vata (osteoarthritis of knee joint)
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20214-20179
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Janusandhigata Vata, a term used in Ayurvedic medicine, refers to osteoarthritis specifically affecting the knee joints. This degenerative joint disorder is primarily attributed to the aggravation of Vata dosha, particularly prevalent in older adults. Common symptoms include joint pain, swelling, stiffness, and restricted movement. The study demonstrates various Ayurvedic treatments, including Matra basti, Janu basti, and Shamana chikitsa, which have shown significant efficacy in managing the symptoms of this disorder.
Importance of Matra Basti
Matra basti is a therapeutic technique in Ayurveda that utilizes medicated oil for treatment via rectal administration. It is particularly effective for pacifying Vata dosha, which is implicated in Janusandhigata Vata. The process is relatively straightforward, allowing patients to maintain their daily activities. The method involves the administration of carefully measured doses of Mahanarayana taila, a specially prepared oil known for its anti-inflammatory and nourishing properties for the joints. The treatment generally enhances overall well-being and promotes relief from the symptoms of osteoarthritis.
Efficacy of Janu Basti
Janu basti is a localized Ayurvedic therapy designed to alleviate knee joint pain through external application of medicated oil. The process involves creating a seal around the knee joint using a paste of black gram flour, which holds the warm oil, thus facilitating penetration and absorption. This therapy effectively restores lubrication to the joints, alleviates inflammation, and promotes mobility. The results include improvements in joint flexibility and reduction in pain and swelling, making Janu basti an essential procedure in the Ayurvedic management of knee osteoarthritis.
Role of Shamana Chikitsa
Shamana chikitsa encompasses a range of oral Ayurvedic medicines aimed at alleviating discomfort associated with Janusandhigata Vata. The study highlights the use of Rasnasaptaka kwatha and Mahayogaraja guggulu, both of which possess anti-inflammatory, analgesic, and antioxidant properties. These formulations help in managing pain and swelling while also addressing the root cause of Vata imbalance. The combination of these therapeutic measures provides a multi-faceted approach to reducing symptoms and promoting joint health.
Conclusion
The findings from the case study underscore the effectiveness of Ayurvedic treatments—specifically Matra basti, Janu basti, and Shamana chikitsa—in the management of Janusandhigata Vata, or osteoarthritis of the knee joint. Patients experienced significant relief from their symptoms over a 15-day treatment duration, showcasing the potential of traditional Ayurvedic medicine in addressing modern-day health issues. This holistic approach not only improves joint function but also enhances the quality of life for individuals affected by this degenerative condition.
FAQ section (important questions/answers):
What is Janusandhigata vata?
Janusandhigata vata is a condition akin to osteoarthritis, characterized by joint pain, swelling, and stiffness in the knee due to aggravated vata dosha, primarily affecting older adults.
What treatments were administered in the study?
The study used Matra basti, Janu basti, and Shamana chikitsa therapies, focusing on alleviating pain, reducing swelling, and improving joint mobility for the patient with osteoarthritis.
What were the patient's main complaints?
The patient reported pain in both knees for one year, swelling for ten months, and stiffness with restricted movement for nine months, indicating a gradual worsening of his condition.
How effective were the treatments after 15 days?
After 15 days of treatment, significant reductions in pain, swelling, stiffness, and crepitus were observed, demonstrating the effectiveness of the Ayurvedic therapies applied.
What is Matra basti?
Matra basti is a therapeutic procedure in Ayurveda involving the administration of medicated oil rectally, aimed at nourishing the body and alleviating conditions caused by aggravated vata dosha.
What is Janu basti?
Janu basti is a localized therapy where warm medicated oil is pooled around the knee joint to relieve pain and promote healing, suitable for conditions like Janusandhigata vata.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic management of janusandhigata vata (knee osteoarthritis)”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti refers to a therapeutic enema in Ayurvedic medicine aimed at balancing vata dosha in the body. It is a significant treatment method for alleviating various disorders, especially those relating to joint pain and arthritis. The procedure cleanses the system and delivers medicinal herbs to treat specific ailments, promoting overall health.
2) Vata:
Vata is one of the three doshas in Ayurveda, representing the elements of air and ether. It governs movement, communication, and bodily functions like circulation and elimination. An imbalance in vata can lead to various health issues, including osteoarthritis, emphasizing the need for treatments that restore balance.
3) Pain:
Pain is a primary symptom of various medical conditions, particularly in cases like Janusandhigata vata (osteoarthritis of the knee joint). Managing pain is critical for improving patient quality of life and involves various therapeutic approaches, including the use of herbal medicines and specialized Ayurvedic treatments tailored to individual conditions.
4) Janu:
Janu refers specifically to the knee joint in Ayurvedic terminology. The health and function of the janu are vital for mobility and overall well-being. Disorders affecting the janu, such as Janusandhigata vata, can lead to significant physical limitations, hence the need for focused therapeutic interventions.
5) Matra:
Matra translates to 'measure' in Sanskrit and is often used in Ayurveda to indicate a specific dosage of medicine, particularly in therapies like Matra basti, an enema involving a classified amount of oil or herbal decoction. Correct dosage is essential for effectiveness and safety in treatment.
6) Matra-basti:
Matra-basti is a specific type of basti therapy where a measured amount of medicated oil is administered rectally. This therapy is designed to balance vata dosha and provides nourishment. It is easy to administer, making it a preferred choice in managing conditions like osteoarthritis.
7) Samana (Shamana):
Shamana refers to the palliative approach in Ayurveda aimed at alleviating symptoms and balancing doshas within the body. Shamana chikitsa includes a range of treatments like herbal medicines and therapies that provide relief from pain, swelling, and inflammation, thus improving the patient's functional status.
8) Sandhi (Shandhi, Samdhi):
Sandhi signifies joints in Ayurvedic terminology. The health of sandhi is crucial for movement and quality of life. Various joint disorders, including osteoarthritis (Janusandhigata vata), emphasize the importance of maintaining joint health and managing diseases affecting them through appropriate Ayurvedic treatments.
9) Swelling:
Swelling, or shotha, is a common manifestation in joint disorders and indicates inflammation. In the context of Janusandhigata vata, managing swelling is crucial for restoring function and comfort in the affected joint. Ayurvedic therapies aim to reduce swelling and its associated discomfort through targeted treatments.
10) Stiffness:
Stiffness refers to the restricted movement in joints, often seen in conditions like osteoarthritis. It significantly affects daily activities and mobility. In Ayurveda, therapies such as Janu basti and Matra basti aim to relieve stiffness by pacifying vata dosha and enhancing joint flexibility.
11) Taila (Thaila):
Taila translates to oil in Sanskrit and plays a significant role in Ayurvedic treatments. Medicinal oils are used in various therapies, including abhyanga (oil massage) and basti treatments, as they help in nourishing the tissues, relieving pain, and reducing inflammation in the body.
12) Mahanarayana:
Mahanarayana refers to a specific medicated oil used in Ayurvedic practice, composed of sesame oil and various herbs. It is particularly effective in joint and muscular conditions, providing nourishment, reducing inflammation, and relieving pain, making it suitable for therapies addressing osteoarthritis symptoms.
13) Table:
In the context of the article, 'Table' refers to organized data sets that present information clearly, including dosages, treatment protocols, and assessment criteria for evaluating the effectiveness of Ayurvedic treatments on Janusandhigata vata. Tables enhance the readability and clarity of research findings for practitioners.
14) Mahanarayanataila (Mahanarayana-taila):
Mahanarayana-taila is a specific type of medicated oil used in Ayurvedic treatments to address joint and muscle ailments. It combines several potent herbs in a sesame oil base, providing anti-inflammatory and analgesic properties, making it ideal for therapies like basti and local application for pain.
15) Study (Studying):
The study mentioned refers to a clinical investigation into the effects of Ayurvedic treatments on Janusandhigata vata (osteoarthritis of the knee joint). It aims to evaluate the efficacy of specific therapies like Matra basti and Janu basti in managing symptoms perceived in patients suffering from this condition.
16) Sandhigata Vata (Sandhigata-vata):
Sandhigata-vata is a term used interchangeably with Sandhigata Vata and emphasizes the degenerative changes occurring in the joints due to vata imbalance. Treatments focus on pacifying vata through various means, thus addressing the symptoms and improving the patient's quality of life.
17) Sign:
In a medical context, 'sign' refers to any observable condition, symptom, or indicator of a disease. In the study, signs such as pain and swelling are crucial for evaluating the effectiveness of treatments for Janusandhigata vata, helping to guide therapeutic decisions.
18) Disease:
Diseases are pathological conditions that disrupt normal bodily functions and lead to symptoms requiring intervention. Understanding various diseases, especially those related to dosha imbalances, is fundamental in Ayurveda, enabling practitioners to devise comprehensive treatment strategies to alleviate symptoms and improve quality of life.
19) India:
India holds a rich tradition of Ayurvedic medicine, which addresses various health conditions using natural therapies. The case study presented showcases Ayurvedic principles and treatments specifically practiced in India, highlighting its growing recognition in managing chronic conditions like osteoarthritis.
20) Water:
Water in Ayurveda is an essential component for treatments like Matra basti, where it may be used to dilute medications or aid in the administration of therapies. Maintaining proper hydration is also vital for overall bodily functions and supports the healing process during treatment.
21) Education:
Education is pivotal in spreading knowledge about Ayurvedic practices and treatments. It facilitates the understanding of traditional medicine, allowing practitioners to explore effective therapies for modern-day ailments. Awareness can lead to better health outcomes through informed choices in patient management.
22) Medicine:
Medicines in the Ayurvedic context are therapeutic preparations derived from plants, minerals, and other natural substances aimed at treating various disorders. The choice of medicines is critical in managing conditions like Janusandhigata vata, where herbal formulations are tailored to address specific symptoms and dosha imbalances.
23) Bengal (Bemgal):
Bengal, a region in India, is home to the Institute of Post Graduate Ayurvedic Education and Research, where the case study took place. The rich cultural and educational environment in Bengal supports the growth of Ayurvedic practices, fostering research and clinical applications in traditional medicine.
24) Karma (Karman):
Karma, in an Ayurvedic context, refers to actions and their impacts on health. The term also relates to therapeutic actions such as purva karma, which are preparatory steps that play a crucial role in effective treatment administration, ensuring a comprehensive approach to patient healing.
25) Post:
Post in the context usually refers to subsequent actions or assessments that occur after a treatment or intervention. For example, post-treatment evaluations help determine the effectiveness of administered Ayurvedic therapies, guiding further treatment recommendations based on observed outcomes.
26) Prasarana:
Prasarana refers to the act of stretching or extending joints in Ayurvedic terms. It is crucial in diagnosing joint-related conditions, and understanding the range of motion can shed light on the severity of disorders like Janusandhigata vata, thus influencing treatment choices.
27) Abhyanga (Abhyamga):
Abhyanga is an Ayurvedic full-body oil massage that promotes relaxation, improves circulation, and alleviates symptoms of various conditions. It's often integrated into treatment plans for their therapeutic benefits in joint disorders, providing nourishment and symptomatic relief through targeted applications.
28) Shotha (Sotha):
Shotha translates to swelling and is a prominent symptom in conditions like osteoarthritis. Recognizing shotha is vital in diagnosing joint disorders, and effective Ayurvedic therapies aim to minimize swelling, thus restoring joint function and improving the patient's quality of life.
29) Atopa:
Atopa refers to the abnormal sounds or crepitations heard in joints, particularly affected by degenerative changes. In osteoarthritis, atopa signifies underlying issues in joint health, and it serves as an important diagnostic indicator that guides the management strategies employed in Ayurvedic treatment.
30) Shula (Sula):
Shula signifies pain, especially in a localized area such as joints, and is a primary complaint in conditions like Janusandhigata vata (osteoarthritis). Managing shula is essential for enhancing the patient's quality of life, leading to the development of targeted therapeutic modalities in Ayurveda.
31) Janusandhi (Janu-sandhi):
Janu-sandhi refers specifically to the knee joint within Ayurvedic terminology. As a site prone to various disorders like osteoarthritis, understanding the structure and function of janu-sandhi is essential for developing effective treatment plans that address joint health and mobility.
32) Snehana:
Snehana encompasses the practice of oleation in Ayurveda, which involves the use of oils or fats for therapeutic purposes. This practice is intended to nourish tissues, alleviate dryness, and pacify vata dosha, playing an essential role in managing conditions like osteoarthritis.
33) Dosha (Dosa):
Dosha refers to the bioenergetic forces governing physiological processes in Ayurveda. They are integral to understanding an individual's health and establishing a treatment plan. The imbalance of doshas, particularly vata, is a primary focus in managing osteoarthritis and other degenerative conditions.
34) Sneha:
Sneha translates to 'oil' or 'fat' in Sanskrit and is a fundamental concept in Ayurvedic therapies. It signifies the importance of oils and fats in treatments to nourish the tissues and balance doshas, particularly in conditions like Janusandhigata vata where oils play a pivotal role.
35) Bahya:
Bahya refers to external therapies in Ayurveda designed to apply treatments locally on the body. In the context of Janusandhigata vata, bahya treatments like abhyanga and Janu basti are key methods to address joint complaints through localized application of medicated oils.
36) Blood:
Blood is vital for carrying nutrients and oxygen throughout the body, and its health is integral in Ayurvedic practice. In evaluating conditions such as Janusandhigata vata, understanding the systemic impact of joint health on blood circulation leads to comprehensive treatment solutions.
37) Hand:
Hands signify the functional use of limbs that may be impacted by joint disorders. Recognizing the importance of hand mobility in daily activities informs therapeutic approaches in Ayurveda, particularly when treating conditions like Janusandhigata vata to restore optimal function.
38) Inflammation:
Inflammation is a biological response to injury or irritation and is a characteristic feature of many joint disorders, including osteoarthritis. In Ayurvedic medicine, treatments aim to reduce inflammation through both oral and local therapies, minimizing symptoms and promoting healing at the affected site.
39) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma denotes the procedure of administering basti therapies, specifically using medicated oils or decoctions rectally. This practice is significant in Ayurveda for balancing vata dosha and relieving symptoms associated with conditions like Janusandhigata vata, emphasizing holistic health management.
40) Abhyantara (Abhyamtara):
Abhyantara refers to internal therapies in Ayurveda aimed at correcting imbalances derived from within the body. Recognizing the role of internal treatments alongside external therapies is crucial for managing conditions like osteoarthritis effectively, ensuring comprehensive care that addresses root causes.
41) Vatavyadhi (Vata-vyadhi):
Vatavyadhi translates to diseases caused by vata dosha imbalances in Ayurveda. These include a range of conditions characterized by symptoms like joint pain and stiffness. Understanding vatavyadhi is essential for formulating effective treatments centered around restoring balance and alleviating discomfort.
42) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha represents one of the three primary constitutions in Ayurvedic theory. Its imbalance is linked to numerous health issues, primarily associated with movement and circulation. Regulating vata-dosha through tailored therapies is critical in treating osteoarthritis and other joint-related disorders.
43) Similarity:
Similarity addresses the overlap between Ayurvedic concepts and modern medical understanding, especially in conditions like osteoarthritis. Recognizing these correlations aids practitioners in developing comprehensive treatment plans that respect traditional practices while incorporating contemporary medical insights for improved patient outcomes.
44) Guggulu:
Guggulu is a potent herbo-mineral Ayurvedic compound commonly used in managing joint disorders due to its anti-inflammatory and analgesic properties. It plays an important role in formulations targeting the symptoms of osteoarthritis, enhancing joint health and overall mobility of affected individuals.
45) Stambha:
Stambha refers to stiffness, often a prominent symptom in joint disorders like osteoarthritis. Addressing stambha is crucial for restoring mobility and comfort in affected individuals. Ayurvedic therapies, including specific oil applications, focus on reducing stiffness and improving the functional range of joints.
46) Sparsha (Sparsa):
Sparsha means touch or sensation in Sanskrit and focuses on patient assessment through physical examination. In evaluating conditions like Janusandhigata vata, understanding sensory feedback aids diagnoses and treatment choices, reflecting the importance of tactile responses in determining joint health.
47) Nidana:
Nidana refers to the root cause or diagnosis of a health condition in Ayurveda. Identifying nidana is essential for forming an effective treatment plan, ensuring that therapies directly address the underlying imbalances leading to diseases such as Janusandhigata vata.
48) Nature:
Nature in the Ayurvedic context encompasses the innate characteristics of individuals, including physical, mental, and emotional attributes defined by their doshic balance. Recognizing how individual nature impacts health promotes personalized treatment strategies, essential for effectively managing chronic conditions like arthritis.
49) Cotton:
Cotton signifies a material commonly used in Ayurvedic practices for various purposes, including creating seals for local oil therapies like Janu basti. Its role underscores the importance of maintaining hygiene and ensuring efficacy in treatment applications during medical procedures.
50) Nadi (Nadin):
Nadi translates to pulse or stream and plays a significant role in Ayurveda, representing various channels through which vital energies flow. Understanding nadi health is crucial when assessing body dynamics, as it relates to diagnosing ailments and guiding therapeutic interventions.
51) Line:
Line refers to a sequence or path in medical documentation. In the context of research studies, maintaining clear lines of communication in documentation ensures that methodologies, treatment plans, and results are accurately recorded and analyzed as part of comprehensive clinical evaluations.
52) Male:
Male signifies the gender of the patient, which can influence disease manifestation and treatment response. In the presented case, the male patient reflects the demographic affected by Janusandhigata vata, highlighting the importance of gender considerations in personalized Ayurvedic treatment strategies.
53) Life:
Life pertains to the holistic view of health and wellness in Ayurveda, where physical, mental, and emotional well-being are interrelated. Improving quality of life through effective treatments for conditions like osteoarthritis is a primary goal of Ayurvedic medicine, focusing on restoring balance and function.
54) Madhavakara:
Madhavakara is a renowned Ayurvedic scholar known for compilations that explore various medical conditions and their treatments. His work influences Ayurvedic practice norms and guidelines, aiding practitioners in addressing diseases like Janusandhigata vata with a foundation in traditional teachings and methodologies.
55) Snehabasti (Sneha-basti):
Sneha-basti denotes an oil-based enema therapy in Ayurveda designed to nourish and balance the body. While similar to Matra basti, it focuses on deeper levels of oil penetration, providing comprehensive therapeutic action against ailments like osteoarthritis and other vata-related disorders.
56) Purvakarma (Purva-karman, Purvakarman):
Purva-karma consists of preparatory actions taken before a treatment, crucial for preparing the body to receive therapies effectively. This step ensures that subsequent treatments are more efficient and safe, thus enhancing the overall efficacy of interventions, especially in managing diseases like osteoarthritis.
57) Bhaishajya (Bhaisajya):
Bhaishajya refers to the branch of Ayurveda concerned with medicines and their applications. The principles of bhaishajya guide practitioners in selecting the right herbal formulations and therapies to address specific ailments, thereby playing a crucial role in disease management, especially in chronic conditions like arthritis.
58) Alpahara (Alpa-ahara):
Alpa-ahara translates to a light, easily digestible diet in Ayurveda. It is recommended to enhance the treatment outcomes by allowing the body to process nutrients efficiently while minimizing burdens on the digestive system, critical for individuals undergoing therapies like Matra basti.
59) Tilataila (Tila-taila):
Tila-taila refers to sesame oil in Ayurvedic practices, known for its healing properties. Used as a base for many formulations, including Mahanarayana taila, its ability to penetrate tissues effectively makes it a preferred choice for nourishing and alleviating symptoms of joint disorders.
60) Pakvashaya (Pakvasaya, Pakva-ashaya):
Pakvashaya denotes the rectal cavity where basti treatments are administered. Understanding its anatomical relevance is crucial for properly delivering therapeutic agents in Ayurveda, ensuring that treatments such as Matra basti are effective in addressing vata imbalances and associated health issues.
61) Agnikarma (Agni-karma):
Agni-karma is a traditional Ayurvedic technique involving localized thermal treatment to manage pain and inflammation. This method emphasizes balancing the body's energies and can be particularly useful in addressing joint conditions by targeting affected areas with focused heat application.
62) Discussion:
Discussion encompasses the examination and interpretation of research findings, allowing practitioners to reflect on the effectiveness of treatments like Matra basti and Janu basti in managing conditions such as Janusandhigata vata. This critical analysis informs future treatment protocols and evolves Ayurvedic practices.
63) Aragvadha:
Aragvadha refers to an important herb used in Ayurvedic formulations, known for its anti-inflammatory and detoxifying properties. Its inclusion in treatments for conditions like osteoarthritis highlights the reliance on herbal remedies to restore balance and alleviate painful symptoms associated with joint disorders.
64) Punarnava (Punar-nava):
Punarnava is another significant herb in Ayurveda known for its diuretic and rejuvenating properties. It helps alleviate swelling and fluid retention, making it vital in managing symptoms of joint disorders like Janusandhigata vata, thereby supporting overall joint health and function.
65) Prakarana:
Prakarana denotes a specific section or methodology within Ayurvedic literature that provides detailed information about treatments and medicinal preparations. Understanding the foundations within the prakarana enables practitioners to apply traditional knowledge effectively in contemporary clinical practice.
66) Unmardana:
Unmardana refers to the therapeutic technique of deep tissue massage in Ayurveda, designed to relieve muscle tension and improve circulation. This technique is beneficial in managing painful conditions like osteoarthritis, facilitating recovery by enhancing blood flow to affected areas.
67) Vataroga (Vata-roga):
Vata-roga translates to vata-related disorders and encompasses various conditions caused by the imbalance of vata dosha. Understanding vata-roga is essential for practitioners aiming to address joint ailments through tailored treatments that restore balance and alleviate symptoms specific to vata imbalances.
68) Bandhana (Bamdhana):
Bandhana signifies bandaging or wrapping techniques used in Ayurveda to support injured areas. These practices enhance recovery through compression and support, vital in managing joint pain and instability, particularly following treatments for conditions such as Janusandhigata vata.
69) Devadaru (Deva-daru):
Devadaru is an important Ayurvedic herb praised for its anti-inflammatory properties. It is often integrated into treatments targeting musculoskeletal health, including those for osteoarthritis, where its benefits improve joint function and alleviate discomfort associated with inflammatory conditions.
70) Gokshura (Goksura, Go-kshura):
Gokshura is a well-known herb in Ayurveda used for its diuretic and anti-inflammatory properties. Often included in formulations targeting joint health, it aids in reducing swelling associated with conditions like Janusandhigata vata, thereby supporting the management of osteoarthritis and its symptoms.
71) Brimhana (Brmhana):
Brimhana refers to therapies promoting nourishment and strengthening in Ayurveda. In the context of treatment for joint disorders, brimhana approaches seek to restore vitality and support the body, ensuring comprehensive healing while addressing underlying causes of conditions like osteoarthritis.
72) Rasayana (Rasa-ayana):
Rasayana denotes rejuvenating therapies in Ayurveda designed to promote overall health and vitality. These therapies focus on enhancing tissues and holistic well-being, making them crucial in treating chronic conditions like osteoarthritis by restoring balance and function in affected joints.
73) Vitiation (Vitiated):
Vitiated indicates an imbalance or disorder within bodily doshas. Identifying vitiated states is crucial in Ayurveda for directing therapeutic interventions that restore equilibrium and address symptoms associated with diseases such as Janusandhigata vata, guiding effective treatment modalities.
74) Surface:
Surface relates to the external positioning of body structures, including joints. Understanding the condition of joint surfaces plays a crucial role in diagnosing and managing disorders like Janusandhigata vata, highlighting the importance of targeted treatments for enhancing joint health.
75) Hinduism:
Hinduism, the cultural and religious backdrop of Ayurveda, informs the philosophical concepts underlying Ayurvedic practices. Understanding this context helps integrate traditional healing methods with a broader worldview, particularly in patient interactions and the holistic approach of Ayurvedic medicine.
[Note: The above list is limited to 75. Total glossary definitions available: 103]
Other Science Concepts:
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