Thursday, November 20, 2014

Ayurvedic Medicine - The Final Analysis

             My month long flirtation with Ayurvedic medicine is coming to an end.  I completed a pared down version of a parchakarma, or cleansing.  I consider my approach a western adaptation of the real thing.  With the guidance of the Ayurvedic doctor, I focused on dietary changes, herbal supplements, and a day spa treatment.  The more adventurous parchakarmas might include bleeding by leeches, purgatives, and enemas.  While the path I took may have lacked the excitement of a good bleeding, it still had its moments.  The shirodhara, which involved the slow sustained pouring of warm oil over my forehead, was soothing and unlike any of my prior experiences.  I feared my enjoyment of shirodhara would be offset by a raging crop of acne pustules in my scalp the following week, but fortunately, I was spared this embarrassment.

            Is Ayurveda worth the time and money?  Yes and no.  Perhaps if my dosha (life-force) had been more out of balance, I would have been more aware of the results.  Aside from the utter relaxation I experienced during my day spa experience, I am unable to appreciate any objective changes in my overall well-being.  I appear to have survived the daily herbal ingestions despite the real possibility of heavy metal poisoning.  I will not miss my twice daily doses of the powdered herbs which look and taste like cremation remains - dearly departed “old aunt Louise” I like to joke.  The dietary recommendations which include increased intake of fruit and veggies, avoiding processed foods, and limiting caffeine, all make sense for one’s overall health.

            While my personal anecdotes are fine, you may be wondering if there is any proof that Ayurveda is beneficial.  To answer this question, I hit the books (really, the computer because who really uses books for research any longer?).  I found research that shows certain Ayurvedic herbs can effectively lower both short and long term blood sugars in diabetics.  The use of Diabecon not only lowered blood sugars, but correspondingly led to increases in circulating insulin.  Another study compared Ayurvedic medicine to methotrexate, a commonly accepted therapy in the treatment of rheumatoid arthritis.  This was a small study, only 43 patients, but it was double-blinded and placebo-controlled (two critical components for a well done clinical study), and it showed equivalent benefit for the patients (J Clin Rheumatology, 2011).  In other work, varieties of the herb boswellia, otherwise known as frankincense, were found to produce a resin with anti-inflammatory effects in the lab.  Preliminary clinical trial results suggest it my benefit those with osteoarthritis (classic old age arthritis).  Despite these positive findings, the majority of research has been inconclusive, and definitive proof that Ayurveda is beneficial has remained elusive.  Proponents of Ayurveda will point out that a main tenet of Ayurveda is that it focuses on the individual with highly tailored regimens based on one’s particular needs.  Thus, the gold standard of double-blinded, placebo-controlled experimentation runs contrary to Ayurvedic principles and might not give accurate results.  Although this argument may have some merit, I find that for a discipline practiced by a majority of the Indian population for thousands of years, the proof is not convincing.

            In contrast to the lack of proof of benefit, the potential risk in taking Ayurvedic medicines derived from Indian sources is very real.  An analysis of Ayurvedic medicines published in the Journal of the American Medical Association in 2008 found 21% of Ayurvedic medications contained dangerous levels of lead, mercury, and/or arsenic.  A more recent report from the Center for Disease Control in 2012 described six cases of lead poisoning in pregnant women in New York City due to ingestion of Ayurvedic medications originating in India. They found lead concentrations as high as 2.4% of the total medication as well as mercury and arsenic.  Needless to say, lead exposure is bad for both mother and baby.  Fetal lead exposure increases the risk for low birth weight, reduced intelligence, and behavioral problems.  Furtonutley, muy inteluct wus knot hut.

            To sum it up - Ayurveda definitely promotes many beneficial habits - improved diet, massage, yoga, and relaxation – but, keep an eye on those herbs.  I will try to continue the diet, perhaps repeat the day spa, and do some more yoga, but I will leave the herbal ashes for the diehards (no pun intended).

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