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Adravyabhuta Chikitsa Non-pharmacological Therapies In Ayurveda


By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Adravyabhuta Chikitsa contains all these therapies whereby no drug or pharmacological method is concerned. A = no, Dravyabhuta = drug / pharmacological dependent, Chikitsa = therapy. So, adravyabhuta chikitsa means ‘non-drug or non-pharmacological therapies / remedy’. These therapies could also be in several kinds –

  • Bodily actions
  • Psychological / psychological actions
  • Non secular actions
  • Spiritual actions and so forth

Adravyabhuta Chikitsa is complementing remedy in some ailments however will also be a mainstay method or part of it in some situations. Instance – Other than medicines and dietetic regimens, historic treatises have advocated and likewise emphasised fixed indulgence in bodily actions and workout routines, as in santarpanottha rogas i.e. ailments precipitated because of over-nutrition like in prameha (diabetes), sthaulya (weight problems) and so forth.
Learn – Chikitsa: Remedy Sorts, Ayurvedic classification

Can we deal with the ailments with out medicines?

Completely sure. It’s stated that something – a cloth or non-material is skillfully chosen, can be utilized to deal with the ailments and something which might achieve this would fall underneath the purview of an efficient remedy / therapy.

It’s not that each one that’s ‘non pharmacological’ can deal with ‘all ailments’. It’s selective and contains talent and expertise to implement the identical in remedy. Some ‘non-drugs’ can treatment some ailments for which they’re designed they usually is probably not appropriate to deal with the opposite ailments or to deal with the identical illness in another particular person. So, adravyabhuta chikitsa can be a ‘customized drugs’, like ‘what fits you doesn’t swimsuit me!’.

How does it work?

How does one thing which is a non-drug could be thought of as a remedy?

As per the definition of medication, something which brings concerning the steadiness (samyavastha) of the dhatus needs to be thought of as chikitsa i.e. therapy or remedy. If one thing which isn’t a medication can obtain this goal, we will undoubtedly name it a medication.

Substances of complete therapy – In every illness, when the therapy procedures are defined, Ayurveda has at all times comprehensively targeted on proper kind of aushadha i.e. medicines, ahara (food plan) and viharas (way of life/conduct). Viharas are non-pharmacological interventions. Amongst synonyms of medication – Pathya (that which is healthful for the channels of transportation within the physique), Prayaschitta (atonement) and Hita (helpful) are the synonyms of bheshaja (drugs). All these are non-drug kinds which outline therapy. These synonyms spotlight the significance of non-pharmacological remedy. Pathya additionally contains food plan rules that are within the type of substance, however these that are formless and serve the aim of pathya shall be included on this dialogue.
Learn – Significance Of Weight loss program (Pathya) For Particular Illnesses

The physicians ought to discover this technique of therapy since additionally it is cost-effective and really important many occasions. Adravyabhoota and Dravyabhuta Chikitsa shall be skillfully mixed in order to acquire most advantages in healing and preventive elements of the therapy. It may be used alone or together in therapy of each bodily and psychological issues and thus would cowl a broad spectrum. Meditation, Yoga and Marma therapies additionally fall underneath the umbrella of adravyabhuta chikitsa.
Learn – Well being Advantages Of Yoga: Thoughts And Physique

Likewise the energies derived from Solar, Water and Air and different parts of nature had been used for therapeutic functions within the historic days. The forces of nature had been additionally thought of as Gods and had been worshipped. Rituals like fireplace sacrifices, oblations and so forth had been additionally achieved for creating therapeutic impression. They’re adopted even immediately. They will also be included in daivavyapashraya chikitsa i.e. divine therapies however being non-medicinal are included in adravyabhuta chikitsa. Adravyabhuta Chikitsa in Nija Rogas (somatic ailments) – As already stated, these therapies are additionally included within the therapy of somatic issues, as in psychological issues. These therapies are talked about in each yuktivyapashraya chikitsa (rational remedy) and likewise daivavyapashraya chikitsa (divine therapies)
Learn – Daiva Vyapashraya Chikitsa – Divine Therapies of Ayurveda

For psychological issues

Adravyabhuta Chikitsa in Manasika Rogas (psychological issues) – Grasp Charaka has suggested the beneath talked about to be adopted within the therapy of psychological remedy –

  1. Gyana – religious information
  2. Vijyana – scriptural information
  3. Dhairya – nurturing endurance
  4. Smriti – evoking reminiscence
  5. Samadhi – meditation

All these fall within the territory of adravyabhuta chikitsa. It’s administered utilizing measures (upaya) that are formless (amurta) which incorporates the beneath talked about strategies –

  • creating terror or concern (bhaya darshana)
  • shocking / surprising (vismapana)
  • making one to neglect (vismarana)
  • inflicting agitation (kshobhana) or exhilaration (harshana)
  • threatening to kill (vadha)
  • tying up an individual (bandhana)
  • inducing sleep (swapna)
  • light therapeutic massage / touching (samvahana) and so forth

These measures are defined within the context of chapter coping with therapy of unmada (psychoses) and apasmara (reminiscence issues).

Adravyabhuta Chikitsa and Trividha Chikitsa

Trividha chikitsa i.e. threefold therapies are well-liked methods utilized in Ayurveda to comprehensively deal with many bodily, psychological or psychosomatic issues. They’re –

  1. Daivavyapashraya Chikitsa – religious therapies
  2. Yuktivyapashraya Chikitsa – rational therapies (together with therapies, medicines, dietetic regime)
  3. Sattvavajaya Chikitsa – psychotherapy

Amongst these three codecs of therapy, divine therapies and psychotherapy are formless therapies and don’t use any substance for the aim of therapy. Subsequently most measures included in daivavyapashraya and sattvavajaya chikitsa fall underneath adravyabhuta chikitsa.
Learn – Psychological And Non secular Advantages Of Fasting

Adravyabhuta Chikitsa and Chaturvidha Chikitsa

Grasp Sushruta has talked about 4 sorts of therapies, adopted to comprehensively deal with the ailments. They’re samshodhana – cleaning therapies, samshamana – palliative therapies, ahara –food plan and achara – conduct and way of life modifications. Amongst these, achara shall be included in adravyabhuta chikitsa. Alternatively we will inform that many measures of adravyabhuta chikitsa fall underneath the umbrella of achara.
Learn – Achara Rasayana – Behavioral Remedy For Calm Thoughts And Lengthy Life

Adravyabhuta Chikitsa and a few types of Shamana

Shamana means palliative therapies therapies. The beneath talked about shamana measures shall be thought of as adravyabhoota chikitsa since no substance is utilized in these types of therapy –

  • Kshudha (nigraha) – controlling or pacifying the starvation (fasting)
  • Trshna (nigraha) – controlling or pacifying thirst
  • Vyayama – getting indulged in train
  • Atapa – publicity to warmth of the solar
  • Maruta – publicity to the wind
    Learn – How To Do Fasting? A Step By Step Information For You

Adravyabhuta Chikitsa and Upashaya

Upashaya is like shamana. It’s administered with a hope of pacifying a illness, if it does, it’s continued and the identical upashaya turns into chikitsa i.e. therapy for that illness. If it doesn’t, the doctor would search for another method. If it aggravates the illness, it’s thought of as anupashaya and the measure is discontinued. Upashaya is considered when a illness is just not correctly recognized or when there are a lot of ailments and it’s tough to make an correct prognosis. In a method upashaya works on the logics of ‘trial and error technique’. It’s one among the many 5 diagnostic instruments nidana panchaka.

18 forms of upashaya have been defined in Ayurveda treatises. Three forms of strategies are used within the context of upashaya i.e. aushadha – drugs, ahara – meals and vihara – actions. They could be both just like or antagonistic to the reason for the illness, illness or each. The permutations and combos make up for 18 forms of upashaya.

Amongst these viharaja upashayas associated to actions shall be thought of underneath adravyabhuta chikitsa. They’re –

  • Hetu viparita vihara – actions antagonistic to the causative elements
  • Vyadhi viparita vihara – actions antagonistic to the illness
  • Hetu-Vyadhi viparita vihara – actions antagonistic to each trigger and the illness
  • Hetu viparitarthakari vihara – actions just like the causative elements
  • Vyadhi viparitarthakaria vihara – actions just like the illness
  • Hetu-Vyadhi viparitarthakari vihara – actions just like each trigger and the illness

Learn – Upashaya Anupashaya – Pacifying And Non-Pacifying Components Of Illness

Gist of Non-pharmacological Therapies extracted from Ayurveda classics

Adharaniya Vegas – Ayurveda enlists 13 physique reflexes which shouldn’t be forcibly withheld when the physique is making an attempt to precise them. If they’re suppressed they are going to result in many ailments. If they don’t seem to be suppressed they might contribute in the direction of complete well being. Beneath talked about are these urges which shouldn’t be suppressed forcibly –

  • Vata – fart and belch
  • Vit – feces
  • Mutra – urine
  • Kshavathu – sneeze
  • Trt – thirst
  • Kshudha – starvation
  • Nidra – sleep
  • Kasa – cough
  • Shrama shvasa – exertion dyspnea
  • Jrmbha – yawning
  • Ashru – tears
  • Chardi – vomiting
  • Retas – ejaculation

Right here no drugs or substance is used for upkeep of well being. However it’s suggested to not withhold these naturally manifesting urges.
Learn – Do Not Suppress Physique Urges: Charak Samhita Sutrasthana seventh chapter

Dharaniya Vegas

Equally there are some urges which needs to be managed and withheld. They’re primarily the psychological expressions / feelings. They’re –

Dinacharya / Rtucharyokta Vihara

Bodily actions suggested to be practiced on day by day foundation within the context of dinacharya i.e. day by day routine like strolling, train, waking up early within the morning and so forth shall be thought of as non-pharmacological therapies. Likewise the actions suggested to be achieved or practiced throughout every season within the context of rtucharya i.e. seasonal routine additionally must be thought of.

Different inclusions

Nidana Parivarjana – protecting away from the etiological elements (causative elements of a illness) Sadvrtta – observance of fine conducts and noble deeds
Achara Rasayana – all these acts and deeds which might bestow the advantages of rasayana (rejuvenators, immune modulators, anti-ageing medicines)
Langhana – all forms of lightening therapies besides shodhana – cleaning therapies,  deepana – digestive fireplace kindling medicines and therapies, and pachana – ama digesting medicines / therapies
Niragni sweda – all 10 sorts of sudation therapies whereby the contact of fireplace or warmth generated from the fireplace aren’t used
Vyyama – train – helps in making the physique agency, steady and powerful, will increase endurance – other than many different advantages
Nidra – sleep – is alleged to be one of many upastambha i.e. supporting pillar for upkeep of well being in a complete method, is therapeutic in emaciation sufferers
Brahmacharya – celibacy – is one more upastambha i.e. supporting pillar for upkeep of well being in a complete method, helps in having steadiness of wholesome semen and sperms in males, it bestows longevity and can be thought of as an essential pathway for salvation
Sankalpa – dedication or choice to get indulged in intercourse is alleged to be the perfect aphrodisiac Vajikarana Viharas – some actions, regimens and conducts are talked about to have aphrodisiac impact within the chapter of Vajikarana
Vidya – information / knowledge is alleged to be the perfect among the many brmhana – bulk promoter / promotes bodily and psychological nourishment
Vata, Pitta, Kapha hara Viharas – regimens / actions to steadiness / pacify vata, pitta and kapha Harsha – exhilaration is the basis of cheer or delight
Prashama – tranquility is alleged to be the perfect among the many pathyas i.e. healthful regimes – these helpful and conducive for the channels of the physique
Tattva Avabodha – understanding the fundamentals, reality and actuality is alleged to be the perfect among the many Harshana – these which promote happiness / bliss
Indriyajaya – management over one’s senses / self management is the perfect amongst these which promote delightfulness
Nivrutti – means freedom (from liabilities), that is thought of to be the perfect amongst these which induce / bestow nourishment of the physique
Vayu – contemporary air is alleged to be the perfect amongst these which give very important energy – prana
Dhee, Dhairya, Atmadi Vijnanam – These are the threefold therapies most well-liked and extremely advocated as the primary line of method in the direction of dealing with psychological issues. That is the idea of psychotherapy in Ayurveda. Dhee means selling the mind of the particular person, dhairya means putting in braveness within the minds of the affected person and atmadi vijnana contains making the particular person to grasp the idea of self-worth and offering counseling. These measures are used within the trendy psychiatry additionally.
Learn – Counselling – Sorts, Advantages, Myths And Info

Examples of Adravyabhuta Chikitsa

Sl No Illness Adravyabhuta Chikitsa Which means
1 Jwara / fever Langhana, Vishnu Sahasra Nama   Bandha, aveshana, pujana and so forth in bhutabhishangaja jwara Fasting, Chanting numerous (1000) names of Lord Vishnu or chanting the title of Lord Vishnu 1000 occasions Tying up the affected person / arresting, driving out / scaring out, worship and so forth in fevers precipitated because of evil spirits
2 Raktapitta / bleeding issues Shita upachara Chilly comforts
3 Urustambha – stiffness / spasticity of thighs Tarana, Vyayama Swimming towards the present of the river, bodily train, strolling on gravel and so forth to alleviate kapha
4 Atikrisha / emaciation Nidra, harsha, sukha shayya, sukha and so forth Sleep, being joyous, comfy bedding, being in a state of enjoyment and so forth
5 Atisthula / weight problems Vyayama, jagarana, vyavaya and so forth Indulgence in bodily and psychological workout routines, vigil (wakening throughout evening time), indulging in sexual act and so forth
6 Prameha / Diabetes Vyayama Train, naked foot strolling, strolling
7 Rajayakshma / Tuberculosis Yagjya Fireplace sacrifices
8 Unmada / Madness, Psychoses Ashwasana, Bhaya, Trasana, Pratidwandwa Chikitsa, Rudra Puja – in therapy of Nija Unmada  
Mantra ucchara and so forth – in therapy of agantuja unmada
 Counseling and assurance, creating concern / terror within the thoughts of the affected person, creating sudden terror, therapy by mutually contradictory psychic elements and worshiping Lord Shiva / Rudra – in treating madness / psychoses brought on by endogenous causes (doshas) Chanting sacred / spiritual hymns and different spiritual actions – in treating madness / psychoses brought on by exogenous causes
9 Shanka Visha / suspicious poisoning Mantra ucchara, Aswasana Chanting holy / spiritual / sacred hymns, counseling the sufferers and so forth
10 Atisara / diarrhea Harshana – in bhayaja atisara
Ashwasana – in shokaja atisara
Exhilarating – within the therapy of diarrhea brought on by concern Counseling – within the therapy of grief induced diarrhea (each these diarrheas might be in contrast with psychological diarrhea)
11 Madatyaya / Alcoholism Gandharva, Sahayascha praharshanah, harshani kriya Indulgence in music, pleasing and pleasant firms, psychotherapy
12 Atattvabhinivesha / Psychic perversion Vijgnana, dhairya, smrti, samadhi Mates of the affected person ought to instill understanding, endurance, reminiscence and energy of focus


The beneath talked about measures (non-pharmocological) are thought of to be upayantras i.e. accent devices and therefore helpful within the therapy of ailments –

  • Harsha – exhilaration
  • Pravahana – straining for evacuation
  • Kala – time issue
  • Bhaya – concern

The beneath talked about non-drug therapies shall even be included in adravyabhuta chikitsa –


Adravyabhuta Chikitsa don’t comprise of any herbs, medicines, meals or substances to deal with the ailments. Being non-pharmacological therapies they do have an effect (constructive impression) on the physique components and their capabilities. A few of them have their therapeutic impression on the physique and thoughts. A few of these non-drug therapies assist in stopping ailments, some in upkeep and steadiness of well being and plenty of others in curing the ailments – at bodily, psychological or each ranges.

At bodily stage they assist in upkeep of bodily well being and likewise to take care of dhatu samya i.e. steadiness of physique tissues. They assist in balancing the physique doshas and thus preserve all of the capabilities in a state of steadiness. Instance – train, sleep, and fasting, not withholding physique’s pure urges and so forth. These non-drug therapies that are primarily carried out for upkeep of psychological well being helps in enhancing the sattva attribute of the thoughts and steadiness imbalanced rajas and tamas attributes on the similar time. This helps in prevention and treatment of assorted psychological issues and ailments. Instance – psychotherapy, counseling, exhilaration, encouragement, meditation, pleasant firms and so forth.

The imbalance of bodily doshas and psychological doshas could impression one another in the end of time. Subsequently the non-pharmacological measures used at bodily stage would assist in psychological steadiness and treating psychological issues and vice versa. The non-pharmacological therapies together with spiritual actions and divine therapies primarily act on the idea of prabhava – particular impact which can’t be defined logically. These actions additionally improve and promote sattva attribute of the particular person. It is usually believed that these therapies have an effect on the cosmic rays of various planets (graha) and thus is believed to please the exogenous forces.

From illness and their therapy perspective – Even in accordance with the fashionable analysis, train helps in controlling the blood glucose ranges and likewise improves insulin sensitivity. It helps in stopping the related problems reminiscent of cardiovascular harm. Ayurveda too has given significance to the inclusion of train in lots of metabolic ailments together with prameha / madhumeha vis-à-vis diabetes mellitus. In a research it was discovered that numerous forms of workout routines viz cardio, resistance, Yoga, endurance kind and so forth confirmed helpful impact in T2DM (Srijit Das et al).

By all these we will see that adravyabhuta chikitsa are essential a part of the Ayurveda therapy protocol, be it in case of psychological issues or bodily issues or psychosomatic issues. Most of those measures are additionally adopted within the trendy period, some owing to the practices which have descended via the timeline of evolution and a few after having been proved via scientific checks and analysis works (although many of those haven’t gone underneath the hammer of scientific checks and have been discarded as absurd and ineffective). In most of them the religion or belief is the working issue and plenty of are stated to work on the idea of particular impact for which no scientific precept or foundation has been explored. However what’s essential is that any therapy with or with out type ought to present treatment or assist in stopping the ailments or in upkeep of well being. A great and skillful mixture of dravyabhuta (therapies whereby supplies like medicines, food plan and so forth are used) and adravyabhuta (non-drug) chikitsa is one of the simplest ways in the direction of comprehensively coping with many ailments in medical apply. When achieved so, the primary goal of therapy i.e. dhatusamya might be undoubtedly achieved to a fantastic extent.
Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu) – Skype




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