Ayurvedic Clinical Practice (Set of 3 Volumes)

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Volume I

About the Author

Dr L Mahadevan is one of the foremost luminaries among the clinicians of Ayurvedic field Through his teaching he has inspired, guided and enlightened many Ayurvedic seekers He has the most talented style and vigorous exactitude of expressions

Dr L Mahadevan is a contemporary clinical teacher He writes with timeless and uncomplicated clarity of the clinical medicine and imparts a simple yet profound message

He has got amazing ability to distil ancient tridosha theory into contemporary usable practical guidelines This book brings hope and light to the people, who are confused with diagnosis

With intense and compiling clarity, Dr Mahadevan’s guidance gives the promise of leading the students to their best and highest place in clinical medicine to resonate with and reflect the energy of true tridosha theory

Students will find new discoveries on the way To read his book, is to make a journey where falsely created concepts will whither away The journey is very challenging, interesting and complete

In this book, he presents a clinical protocol for a Ayurvedic student community and a clear strategy for siddhanta based treatment This book also explains the possibilities and limitations of our science More than  students have studied in his Ayurvedic gurukulam and he has indirectly taught more than  students all over India

Preface

There was no pressure to write a text book of medicine It was a causal outburst as a result of demand from my students Today I remember the words of my teacher Dr B Vaidyanathan In  he told me not to teach anybody until I have treated  cases independently He told me to practice rigorously for  years and then start teaching I started teaching from  During my early years of clinical carrier, I got a student from Coimbatore Ayurveda College I got ample time and I was updating my knowledge and sharing that with her at that period There was a continuous urge to learn, update the knowledge in modern medicine and to refer internet about new information At the same time I was very consistent in reading Astanga sangraha regularly During my association with PG students, I developed interest to read later texts like Vangasena, Siddha yoga, Bhaisajya ratnavali etc I am reading these books regularly for the past five years and using the drugs mentioned in the texts This interest was created in me by Dr Manoj, who is a Scholar in this field During my PG studies, my knowledge was limited to Caraka Samhita and Astanga Hrdayam and Sangraham In Trivandrum Ayurveda College there was no trend to read the latter texts I found very good yogas in later texts which are handy and useful

Clinically I am influenced directly by Dr B Vaidyanathan, Dr M R Vasudevan Nampoothiri, DrPS Sreekumar and Dr G Shyamakrishnan Indirectly I was highly inspired by Dr P Rajagopalan and Dr Sankaran Sir The principle oriented treatments of Dr Sankaran has produced a great impact in my thinking, so I am much thankful to him During the last ten years of practice, lakhs of patients were successfully treated or managed with the knowledge base we have developed in our center

I have personally trained more than  students and taught them the guna based tridosha thinking and indirectly taught more than  students all over India Students from Tamilnadu, Kerala, Karnataka, Maharashtra, Nagaland, Himachal Pradesh and other places are regularly visiting and staying with me in our gurukulam and observing what I am doing I usually teach them with the case in front of me

Theory is valued only when it is applied Ayurveda is a great science But it has its own limitations A science cannot be static, especially the medical science I advise my students to be thorough with Mula Siddhanta and Astanga Samgraha Then after getting confidence in our own science, I ask them to read clinical methodologies which helps in the diagnosis These clinical methodologies are mostly adravya Now it has become difficult for me to practice without a Knee hammer Many doctors do not do this Because they are not trained or exposed or did not get an opportunity to test the glory of these methodologies I really feel sorry for those people who hesitate to use these technology in medicine Diagnosis is an art I feel very few Ayurvedic doctors' diagnose properly

To diagnose a hidden pathology, you need a special skill During my early years I have seen many vaidyas missing cases of Intestinal Tuberculosis, pancreatitis, pulmonary hypertension, fallopian tube blocks, endometrial TB etc Then there was an urge in me to develop the diagnostic skill Nowadays I do not treat a patient until the diagnosis is perfect Some days the diagnosis will be over with in a few minutes or it will take three, four days

We have found luekemias, space occupying lesions, hidden metabolic conditions, mitochondrial cytopathties with our skills and we were able to interpret everything as guna dusti and treat We can tell the truth about the incurable nature of certain diseases correctly, so that the patient need not waste their money here and there So far in my life, I have never hidden anything from students Students with me see what I am doing There is no secret at all They are allowed to observe what I am doing They are allowed to question me regarding my diagnosis Most of the time diagnosis and treatment will be spontaneous So what I write is from my experience which vary from person to person You can read it and you can always change your medicine, based on your own yukti and availability of the drugs Based on avasta you have to change the medicines Recently I have done a survey with  Ayurvedic students None of them have seen an acute MI or a pulmonary embolism in their life They have got  to  years of practical experience also Probably they would have seen that, and they would have missed it out We have also seen the same cases seen by many higher institutions We are also using the same medicines There is no difference between us and higher centres

Only thing is we diagnose better

Of course I understand that everyone may not respond favorably to my writing Many people who are influenced by nonclinical teaching are still deeply entrenched Anybody who is still totally identified with text book consciousness will inevitably fail to see what my work is all about Some of my enthusiastic students discuss about these concepts to their ayurvedic colleges and they are surprised and disappointed when the recipient found it difficult and could not get beyond few ideas Many have reacted with ego, resistance and strong criticisms Despite all these, the response what I personally receive from all over the country is overwhelmingly positive

Without diagnosis you can not plan a good therapy This book is a source reference for practitioners, UGs, and PGs who have hospital and private clinical settings I am planning to update it annually and more outputs will be given on diagnosing and management In this book, you can get an over view of diagnosis, therapeutic modalities, and everyday usefulness in inpatients care No book can replace the expertise of an experienced teacher or practitioner, but it is a supplement This is a ready reference and refresher text I am planning to update topics regularly as my experience grows The treatment recommendations are given based on my own understanding of the science I have to write more about geriatrics, dermatology, opthalmology, pulmonary disorders, nervous system, nutritional disorders, infectious disorders, in the future volumes We have to write about cancer, HIV because we have treated those cases We are planning to give cost information’s also in later editions I wish to thank all my students for making this possible I am grateful to Mr Saju and Miss Usha for their services I am grateful to my patients, and students We continue to welcome comments and recommendation, in the future editions I am always reachable through email for my students who follow our tradition

The following persons may have difficulty in using this book

 People who have complete aversion towards BP apparatus, blood tests, clinical methodologies etc

 People who talk but do not treat much

 People who feel they can diagnose everything through "Nadi Pafiksa"

 People who feel their prescriptions are superior to any other prescription in the world

Whenever we talk about a great physician, we always talk about what cases he has treated successfully We should also talk about the diagnosis he has missed and the results because of the wrong diagnosis This is also very much needed in our science

I realize that there is a community who believe in us, our work and our views and we have to write for them I feel confident that in the years to come, thousand & thousands will be drawn to the "Guna" based thinking, impregnated with modern views and this will continue to make vital contribution to the rising of new ayurvedic community with a clear enlightenment oftridoshic and clinical awareness

Contents

Volume II

Preface

There are not much valuable literature available in clinical medical practice in Ayurveda. Those available, are written by physicians who know theory and having good clinical practice. To my dismay, I find that communication and patient interaction is not still taught in Ayurvedic colleges. Even now, there is no organized help in the area of ayurvedic education and training. There is a deficiency in Ayurvedic curriculum and in my view this is the cause for clinical Ayurvedic stress. There is a definite deficiency, which the population suffers in seeking the medical help. This is also a cause for poor clinical image. There are more than 300 Ayurvedic colleges in the country today. Every year more than thousand Ayurvedic graduates add to the already existing Ayurvedic community. What a student expects from the hospital is not taught nowadays.

Clinical neurology is an art. I can tell, clinical neurology is equal to basic anatomy plus Mula siddanta plus Yukti. It is like mathematics. Reading a sloka of Pakshagata may not help you to treat it. We know that you have to do sneha, sveda, sodhana, virecana in pakshagata. Everybody can chant this sloka. But in management so many things we have to learn. How can you learn? You should be able to see cases (at least a few) acute and chronic cases, and you should sit with a master, who can teach all these things. Even in brain there is vata area, pitta area and kapha area. Frontal cortex is a vata area. Occipital cortex is a pitta area. Temporoparietal is the area of kapha. This is not textual, but experience. You cannot randomly do the same treatment for everybody. You cannot start with udvartanam and finish with lasuna rasayanam in all the cases. This work is an anastamoses between professionals and students. You have to conduct more research in some cases as I have done a few. In some areas we have done a lot. It is very difficult to use modern research methodology in Ayurvedic practice, because we are going on changing the medicines based on avasta. I accept that there are a few lapses which produce sleepless nights in clinical practice also. What I have not seen in my clinical career during curriculum I will miss. I have to work a lot to correct this mistake and grow clinically. Many people think, using knee hammer is modern medicine. I tried my level best to convey that knee hammer is an instrument. They don't believe it. Even in the reflexes you are able to see vata pitta kapha. To see vata pitta kapha in natural and in ill health is a vision. It is a beautiful clinical vision.

Contents

Volume III

Preface

I am really very happy and bring out the handbook of medicines 3rd volume of clinical practice series. When we started writing we never expected that the demand from student community and practitioners will be so overwhelming. We used to receive calls everyday asking for copies from all over India, even some of the parts I don't know where it is?

When I realize that there is a big cap in clinical diagnosis and management especially in teaching which I am fulfilling.

It is a great pleasure to write the 3rd volume of my Clinical Practice series. When I started writing I did not expect such a response from my fellow colleagues, students, doctors, lecturers, and colleges in India and abroad. I realised at one point that I am a teacher and it is my duty to teach and share what I know to others without expecting anything. Many students used to come and stay with me in Derisanamcope or in Chennai. Many from Rajasthan, Gujarat and Kashmir often tell that they were unable to be with me and they call all the time when difficult cases visit them. So I have promised them long back that whatever I do I will give it in writing in the form of a book. So it is the students who motivate me to write further and further. In spite of all difficulties, heavy practice, busy schedule and travel I could do this because I am interested in the subject matter and because of the team work. Many students have contributed for this work. Dr. Vaishali H. Sugavanam my clinical assistant who has done honest work in taking notes from my classes and observing me in my clinics has helped me in writing this book. I asked her to be my eo author for this book and I bless her for all prosperity. I wish the doctors to read this book and I hope this will be a beneficial guide for their practices. This in no way a substitute to our traditional texts. This is for an additional reading which will boost their medical practice. My pranams to all of you.

Contents