Page 24 - Biennial Report 2018-20 Jun 2021
P. 24

Ayurveda is an Indian system of medicine that has been documented and is in practice for over
                  3000 years. It addresses various aspects of health and well-being as well as diseases and has an
                  individualised approach that resonates with different aspects of precision medicine.  Modern
                  medicine enjoys  the advantages of objective  methods  of diagnosis, normative  values  for
                  physiological parameters and a rigorous, well established process of drug discovery. However,
                  the   practice   of                                                           modern
                  medicine  tends to                                                    focus on super-
                  specializations, with                                                 each     doctor
                  looking at a  certain                                                 organ while the
                  body itself is a well-                                                    coordinated
                  machine.   Patients                                                   can   end    up
                  shuttling  from one                                                   specialist   to
                  another or deal with                                                       ineffective
                  medications because                                                   it  does   not,
                  usually, leave scope                                                  for       inter-
                  individual  variability.                                              Ayurveda on the
                  other hand, explores                                                  the underlying
                  cause of the  disease                                                 and considering
                  the whole body as a                                                   single     unit,
                  follows a systems’                                                    approach.     It
                  focuses   on    the                                                   variation from
                  the      underlying                                                            normal
                  physiology of the individual, rather than the deviation  from the population normal.
                  Independently, the study of human genomes has also revealed the underlying  variability
                  amongst people even within genetically homogeneous populations.  Ayurgenomics, an area of
                  synthesis between the traditional knowledge  of Ayurveda and the  emerging insights from
                  genomics, allows fundamental genetic variation to be mapped to patho-physiology. Ayurveda
                  has a formal framework for capturing inter-individual variability, called Prakriti, but it involves
                  extensive, in-depth assessment by a qualified and trained physician.  Under the project, at IGIB,
                  Mitali Mukerji and Bhavana Prasher have brought together their knowledge of genomics and
                  Ayurveda,  to develop Ayurgenomics as a research  area. With support from the ministry of
                  AYUSH, a special Centre of Excellence has been set up for the development of Ayurveda, through
                  the deployment of modern genomics approach to the study of Prakriti.

                  The project aims to develop and validate multi-system objective parameters that could serve as
                  Prakriti indicators for stratification of healthy individuals across diverse ethnic groups. A multi-
                  omic molecular signature panel that could aid Prakriti assessment to a trained physician and
                  provide objective, measurable  methods is  the anticipated  outcome. By applying Prakriti
                  assessment methods on the basis of markers in lifestyle and complex disorders like Type II
                  diabetes mellitus, its prognostic and diagnostic value can be explored. High altitude conditions
                  offer another area where inter-individual variability, based on adaptation and hypoxia genes can
                  be understood through the lens of Prakriti.  The centre also conducts orientation programmes
                  on Prakriti methods and its scientific basis for Ayurveda post-graduates, researchers and training
                  of trainers as a part of Continuing Medical Education. A tie-up with NIT Durgapur has been
                  initiated through an MoU and Dr Bhavana Prasher has designed a special course on Ayurveda
                  Biology  in collaboration with Department  of Biochemistry Sri Venkateswara College,  Delhi
                  University, that is offered as a weekend add-on course at the Department of Biochemistry Sri
                  Venkateswara College, Delhi University.

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