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Ayurveda Europe’s Perspective: theBaltic Countries wsr Latvia
Professor Valdis Pīrāgs M.D.University of Latvia
Director of the Centre of Complementary Medicine
Seminar „Roadmap for Export Promotion of AUYSH Products –
Regulatory/Registration Guidlines for Europe“
10 August, 2016
AVP, Coimbatore, India
Ayurveda as the treatment method is regulated only inLatvia, Slovenia, Hungary, Romania and Serbia
European Union and Republic of India: a comparison
EU:28 member states
24 official languages
4.38 mln km2
508 mln people
$16.5 trillion GDP
GDP growth 1.7% (2015 estimate)
India:29 states
22 official languages
3.29 mln km2
1 293 mln people
$ 2,3 trillion GDP
GDP growth 7.8% (2016 estimate)
1. Enormous diversity2. Common values3. Historic traditions
The Baltic Countries
Out of India Route and Peopling Europe
nationalgeographic.com/2011
India's Ambassador to Latvia and Sweden Banashri Bose Harrison (2013)
Joint study with the Arya Vaidya Chikitsalayam& Research Instituteon diabetes (2012)
2013
More than 60 MD’s completed the Basic Course in Ayurveda provided by the Complementary Medicine Centre of the University of Latvia
MINDBODY
SPIRIT
1. EDUCATION3. LEGISLATION AND CLINICAL
PRACTICE (reimbursement)
INTEGRATIVE MEDICINE
The desired Future: a new more integrative understanding of the basic principles of Yoga and Ayurveda in the challenging age of genomics, proteomics and bioinformatics
2. RESEARCH
Article in the «Illustrated Science» (2016)
Indriķis Muižnieks as the research fellow at the Laboratory of Plant Development.In 1980, he received his PhD in Microbiology for research on Parallel Mechanisms ofPurine and Pyrimidine Metabolism in the Soil Microorganisms.
WHAT IS THE CURRENT SITUATION WITH
AYURVEDA IN EUROPE?
TOP 10 Healing Ayurveda Retreats in Europe
1. Ayurveda Parkschlösschen, Germany ,‘the only five-star Ayurveda hotel in Europe’
2. Hotel ThermenhofPaierl – Austria, original Ayurveda experiencewith Indian doctors and therapists
3. Hotel Alpino Atlantico – Madeira, Portugal, ‘a small boutique hotel specialized in high-class Ayurveda treatments by Indian specialists’
4. Ayurveda Mallorca –Spain, family atmosphere and delicious individually cooked meals,professional therapists from India and Sri Lanka.
5. Ayush Wellness Spa –Jersey, UK, the most suitable treatment by combining the authentic Ayurvedic therapies and luxurious spa treatments by Indian and western therapists.
6. Ayurveda Resort Sonnhof – Austria, ‘The heart of European Ayurveda’ 7. La Clairière Bio &
Spahotel – France, the finest organic cuisine with organic ingredients, typical for the Alsace region.
10. Hotel Wellness Kinga –Poland, four-star hotel, a consultation with the Indian doctors
http://www.topinspired.com/
Ayurveda Palace Jūrmala, Latvia (SPA and Hotel)
What is the Integrative Medicine?
Ayurveda
Holisticmedicine
Unani
Personalized Allopathic (Western) biomedicine
Yoga Naturopathy
Homeopathy Siddha
AcupunctureChiropractic
Traditional Chinese Medicine
Osteopathy
Anthroposophic medicine
• Integrative medicine aims to practice a new paradigm of medicine – one concentrated on complete restoration of a patient’s health in sustainable and scientific manner.
• It merges allopathic medicine with complementary and alternative medicines.
• Holistic approach also means personalized medicine – fine-tune particular mixture of pharmaceutical products for each individual person.
• Integrative medicine treats the "whole person", focuses on wellness and health rather than on treating disease.
• It is holistic approach that aims to treat the real cause of problem instead of treating symptoms (consequences) only.
China: integration of Traditional Chinese Medicine (TCM) and Western medicine
The Chinese integrative health care system was purposively created and promoted by Mao Zedong in 1956:
“to integrate the knowledge of Chinese medicine and materiamedica with the knowledge of Western medicine and pharmacology, to create our unique new medicine and new pharmacology.”
X.-Y. Hu et al. / European Journal of Integrative Medicine 7 (2015) 76–84
Natural products and mind and body practices are the most common
complementary health approaches
Academic Consortium for IntegrativeMedicine & Health
Under the umbrella of the Academic Consortium for Integrative Medicine & Health many leading USA universities provide treatments and health services in this discipline in additional to participating in research and education.
Harvard Medical School
Boston University School of Medicine
Stanford University School of Medicine
Yale UniversitySchool of Medicine
HOW SHELL WE PROCEED IN EUROPE?
MINDBODY
SPIRIT
AYURVEDAWESTERN CONVENTIONAL
MEDICINE
INTEGRATIVE MEDICINE
The desired Future: a new more integrative understanding of the basic principles of Yoga and Ayurveda in the challenging age of genomics, proteomics and bioinformatics
YOGA
Unity of Education, Research and Clinical Practice
Ayurvedic education
Ayurvedic clinical practice
Ayurvedic clinical & basic
reaserch
Reductionism versus Systems Science
Ahn AC, Tewari M, Poon C-S, Phillips RS (2006) The Clinical Applications of a Systems Approach. PLoS Med 3(7): e209. doi:10.1371/journal.pmed.0030209http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0030209
Proposed textbook of innovative approach to compare and translate basic principles of evidence (experience)-based Ayurveda in to the scientific language of the evidence-based Western medicine
EDUCATION: COMPARATIVE TEXTBOOK ON AYURVEDA FOR ALLOPATHIC DOCTORS AND SCIENTISTS
scientific language of
Standartization of Ayurvedic Services in European Union: expected change
• Education: from short-term courses to certified study programmes
• Research: from case studies to well standartized randomized controlled trials (RCT)
• Clinical practice: from Spa hotels to widely accessible outpatient practices
Basic Research: Pharmaceuticals vs Nutraceuticals
Neuroendocrine regulation
The Model of Integrative Medicine Research Centre
• To conduct clinical trials, registries, comparative effectiveness and clinical
• To conduct basic research in the areas of psychoneuroimmunologyand -endocrinology to further explore and explain the mind-body mechanisms, and lay the foundation for new and improved integrated therapies
• To become knowledge resource and databank on IM-related treatment methods and their safety and efficacy
• Research projects in ayurveda, yoga and other therapies should rely on recruitment via general practitioners and hospital ambulatory care, and via informational material, media and word of mouth
• Multicentric RCT’s in collaboration with the Indian Universities and teaching hospitals.
http://www.nordicintegrativemedicine.com/nim-center/im-clinical-research/
CM Witt et al. Trials 2013, 14:149
Research: Ayurveda randomized clinical trial (RCT) design
Old Medicine = Sick Care
Current Medicine = Medical Industry
Future Medicine = Value-based(Patient-centered) Medicine
The Necessary Change in Health Care Paradigm
The Necessary Change in Health Care Paradigm
The third stage envisages to establish a network of clinics (outside
Riga) for longer term treatments.
Additional branch of the project is to develop a pharmaceutical research
that would lead to drug development through utilizing traditional health
systems and reverse pharmacology.
3rd stage
The second stage envisages to create a clinic for consultations in the field of
integrative medicine. This project would build on specialists prepared during the
first state of the project that is still ongoing.
Consultations would be fee based. The current business models of ‘’ARS’’ or
’’Veselības centrs 4’’ could be a proxy.
2nd stage
The first stage of the project started in July 2012. The MOU for research between Dr. V. Pirags Professor and
Head of Internal Medicine at the University of Latvia and the Arya Vaidya Chikitsalayam & Research
Institute (AVCRI) in field of type 2 diabetes mellitus was signed.
The project was further expanded with the MoU between both institutions in the field of educational
programme at the University of Latvia. The programme currently focuses on continuing education in the field of
complementary medicine. 65 students completed the Ayurveda study programme in 2015.
.
1st stage
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