Bams-Final Research Complete Notes
Bams-Final Research Complete Notes
Bams-Final Research Complete Notes
c. Formulation of Hypothesis
आयुर्वेद अर्वतरण-
-ब्रम्हा ने आयुर्वेद का स्मरण दक्ष प्रजापतत अतिनी कुमारो को इं द्र-भारद्वाज आत्रेय
6 तिष्य
प्रथम संतहता –ब्रह्म संतहता –1000 अध्याय -1 लाख श्लोक
अथर्ववर्वेद =
o अथर्ववर्वेद का नाम अथर्ववन ऋतष के नाम पे पड़ा |
o काल 1500 इ.पूर्वव. मानते है |
o आयुर्वेद , अथर्ववर्वेद का उपां ग है |
o अथर्ववर्वेद को ब्रम्हार्वेद भी कहते है |
o अथर्ववर्वेद की 9 िाखाये र्व 5 कल्प सूत्र है |
o अथर्ववर्वेद में तपत = मायू ; ज्वर =तक्मा; कफ=आम OR बलास पयाव य िब्द
o अति र्व सूयव को कृतम नािक बताया है |
o अथर्ववर्वेद में कुल 289 र्वनोषतधयो का र्वणव न
o अथर्ववर्वेद में आयुर्वेद संबतधत अतधकतर भाग – 2nd काण्ड में र्वतणव त
o औषध के 4 तर्वभाग -1 र्वानस्पत्य 2 र्वनस्पतत 3 औषध 4 तर्वरुद्ध
o प्रयोग भेद से -1.आथर्ववर्वनी 2.आन्धगगरासी 3.दै तर्व 4.मनुषज्य
ऋग्वे द =
67 औषध द्रव्य,RY,ह्रद्रोग,चमवरोग,बन्ध्यत्व,अंगप्रत्यारोपण,संजीर्वनी तर्वधा,रसायन,तत्रदोष ,दोष
यजुर्वेद=82 औषध द्रव्य का नामोल्लेख
तजसमें आयुर्वेद का और पररष्कृत स्वरूप सामने आया है त आहार पाक की प्रतिया में अन्न का
स्थूल, सूक्ष्म र्व अततसूक्ष्म पाक का तर्वधान है त आहार-रस के रस र्व तकट्ट दो भाग होते ह। त रस के
स्थूल र्व सूक्ष्म दो भाग होते ह। , यह तचतकत्सकों को ज्ञान हो गया थात रोगों के क्षेत्र में कुष्ठ के भेद
पामा का ज्ञान, िरीरतिया के क्षेत्र में हृदय की तियातर्वतध का ज्ञान, भूततर्वधा, पुरुष र्व रोगोत्पति
का कारण आतद तर्वषयों का ज्ञान उपतनषद काल तक तचतकत्सकों को हो गयो थात षोडि कला
पुरुष, हषणा तर्वषयक तर्वचार, गभोत्पति में यथेष्ट गभव प्रान्धप्त हे तु तर्वतर्वध प्रकार के भोजनों का
तनदे ि, केर्वल अनुसिान से ही जाना जा सकता है त षड् रसोत्पति द्रव्यगुण में ए ह अनुसिान
की द्योतक हैत दि प्राणायतन, तत्रदोष तसद्धान्त में बात के स्पष्ट पााँ च भेद, चतु ष्पाद तसद्धान्त
आतद का ज्ञान भी तचतकत्सा तर्वज्ञान की उिरोिर उन्नत अर्वस्था को इं तगत करता है क्ोंतक आगे
चलकर संतहताओं में इन्ीं का तर्वस्तृत स्वरूप दे खने को तमलता है त
1.माधर्व क्षनदान –
ले खक – माधर्वकर (इगदु कर का पुत्र )-तिर्व का उपासक “त्रैलोक्िरणं तिर्वम् ”
ले खक काल – 7र्वी िताब्दी
कुल अध्याय -69
“अल्पबुद्धि प्रयोजन तन्त्र” भी कहते है | (But अल्पबुन्धद्ध प्रबोधन तटका –BY-श्रीकंठदि ON
अ.ह.)
“नानातन्त्रक्षर्वहीनानां क्षभषजामल्पमेधसाम”
“रोग तर्वतनश्चय” अथावथव जो रोगों के भेद र्व साध्यता-असाध्यता का ज्ञान करर्वाये|
माधर्व की अन्य रचनाये – पयाव य रत्नमाला; रस कौमुदी; कूटगुदगर; आयुर्वेद प्रकाि ; आयुर्वेदीय
रसिास्त्र
स्त्री रोगों का 7 अध्याय में र्वणवन
आमर्वात , श्लीपद, पररणाम िूल, अन्नद्र्र्व िू ल , सूततका रोग , योतनकि,अम्लतपि , मेदो रोगों
का पृथक अध्यायों में र्वणव न
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3.भार्वप्रकाि –
16 र्वी िती –ले खक भार्वतमश्र
तपता –लटकन तमश्र
3 खण्ड
पूर्वाव धव में तदनचयाव ,रोगों के तनदान आतद का र्वणव न ले तकन अध्यायों में तर्वभातजत नही
उतराधव में मध्यम खण्ड र्व उिर खण्ड र्वतणव त
मध्यम खण्ड में 71 अध्याय
उिर खण्ड में 2 ही अध्याय िमि र्वाजीकरण र्व रसायन का र्वणव न
रस संर्वहन में केदारी कुल्या न्याय समथव क (र्वा=गभव पोषण में)
ओज को अति सोमात्मक माना : ( सुश्रुतानुसार ओज सोमात्मक)
स्वणव क्षीरी मूल को चोक कहा ह।
प्रमेह तपड़काओ में प्राककमव=रक्तातार्वसेचन
जीर्वन की न्धस्थतत सम्पूणव िरीर में मानी पर तर्विे ष रूप से िु ि रक्त र्व पुरीष में मानी ह।
तफरं ग तचतकत्सा –रस कपुवर र्व चोपचीनी प्रयोग
र्वातज व्यातध की तरह तपिज और कफज व्यातध का स्वतं त्र र्वणव न
सोमरोग,मुत्राततसार, र्वणव न (FA- र्वंगसेन -12th सदी)
िय्यामूत्र का र्वणव न
सभी पंचमहाभूत के नाम र्वकारादी से र्वन्ी र्वयार तर्वषद र्वारर र्वसुंधरा
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भेल संक्षहता =
आलोचक तपि को दो भेद –बुन्धद्ध र्वैिेतषक र्व चक्षु र्वैिेतषक
जनोपध्वंस को जनमार कहा i जनोपध्वंस को सुश्रुत ने मरक कहा ह।
िु कनाि घृत,काकादनी घृत –अपतं त्रक तचतकत्सा में
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The word research Re=means, once more, afresh,anew OR Back; with return to a
previous state;
Search=look thorough or go over thoroughly to look something OR Examine to find
anything concealed.
Research is composed of two syllables ‚re‛ and ‚search‛.
‚Re ‛ is a prefix meaning again or over again.
‚Search ‛ is a verb meaning to examine, to test and try or to probe closely and
carefully.
Together they form a noun describing a careful, systematic, patient study and
investigation in
some field of knowledge, undertaken to establish facts or principles. - (Grinnell
1993).
Research Def. by WHO Research is a quest for knowledge through diligent
search or investigation or experimentation aimed at discover and inter-relation of
new knowledge.
PV Sharma “कायवकारणभार्वष्य द्रव्याणां गु णकमवयो: | परीक्ष्य स्थापनं सम्यक् अनुसंधान
उच्यते ||”
अनु = to follow
संधान= appropriate knowledge
Thus, अनुसंधान means to follow appropriate knowledge. A/C to P.V. Sharma, the
study of cause & effect relationship between द्रव्य, गु ण & कमवafter several
observations & through verifiable examinations, arrival at final conclusion is called
अनुसंधान.
Synonyms
तनरुन्धक्त /उत्पति – 'अनु हर्वं सम्' इन उपसगव द्वयपूर्ववक 'डु धाञ्’ धारणपोषणयोोःत इस 'जु होत्यातद' गण
की धातु से कमव में 'ल्युट् प्रत्यय' करने पर 'अनुसिान' पद बनता है त
-तकसी भी तर्वषय को तचन्तन/तकव द्वारा सम्यक् रूप से दृढ़ कर पुष्ट करना/धारण करना/संस्थातपत
करना ही अनुसिान है त
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-तनरुन्धक्त – अनु उपसगव+गतत तहं सादिव नेषु धातु से भार्वाथवक+ ‚ल्युट् प्रत्यय" के जुड़ने से अनु
और हषण तसद्ध होता हैत
'अनु और हषण' पद में यण् सन्धिकायव करने पर ‚अन्वे षण‛ िब्द का तनमाव ण होता है
-तकसी तर्वषयतर्विे ष या र्वस्तुतर्विे ष को समग्ररूप जानना अन्वे षण िब्द है त
-िब्दाथव - अन्वे षणा Searching, Investigation, Seeking for
-Desire, to search, to achieve, Probing Paryeshana is defined as to search from all the
dimensions. Which means the activity to search a solution for improved designs of
functioning.
खोज is observation/investigation/experimentation.
-खोज is defined as to find the truth about any fact or phenomenon.
िोध is the process of revalidating the old facts on the basis of modern parameters.
यथाथव ज्ञान -is discovery of new facts or re-establishment of old facts i.e.,
establishment of a theory or solution to a problem.
Research design can be defined as a blue print to conduct a research study which
involves the description of research approach, study setting, sampling size, sampling
technique, tools and methods of datacollection and analysis to answer a specific
research question or for testing research hypotheses.
Research design is a plan of how & where data are to be collected & analyzed.
Research AIM find out new fact (invention) , verification of the old facts
(revalidation).
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-To conduct clinical trials with integral approach considering Ayurvedic and modern
parameters.
-To find solutions for current problems like autoimmune diseases, sound & air
pollution
-To study aetiology, pathogenesis of new diseases like AIDS, chickengunia, dengue
& find out Ayurvedic management.
-To study the cause and effect relationship (R) for the proper under standing of
Ayurvedic concepts.
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-In understanding Ayuvedic science, some points may need eloboration, because
many times topics either have short description or less clarification (अव्यक्त, अनुक्त,
ले िोक्त), some may even raise doubts . All these points can be made clear and
understood by intelligent persons with the help of techniques of expositions
(तन्त्रयुन्धक्त) or scientific presentation.
3. Evaluation of Ayuvedic therapies on the basis of their effects and side effects.
4. Conducting clinical trials with integral approach considering Ayurveda as well
as modern parameters.
-Applied research is a descriptive type of research which tends to solve specific and
practical questions or problems . It is conducted having a predetermined goal in
mind . A hypothesis about a phenomenon is generated which is based on a theory,
then scientific methods are applied to prove it. Applied research is often based on
pure research.
Qualitative Research-
Qulaitative research is a type of scientific research consists of an investigation that:
-Seek answers to a question
-Systematically use a predefined set of procedures to answer the question
-Collects evidence
-Produces findings that were not determined in advance
-Produces findings that are applicable beyond the immediate boundaries of the
study.
When used along with quantitative methods, qualitative research can help us to
interpret and better underestand the complex reality of a given situation and the
implication of quantitative data.
Mixed Research-
Observational Research-
An interventional trial is specifically designed to evaluate the direct impacts of
treatment or preventative measures on disease. During a randomized controlled
trial, which is one example of an interventional trial, participants with the same
disease will be randomly separated into one of two or more groups: intervention
groups or control groups. Some will be given the intervention, which could be a
drug, device, or some other medical intervention (i.e., diet change). Some will not
receive the intervention, or will receive the current standard intervention. Both
groups are essential to the objectives of a trial, which is to measure the safety and
efficacy of whatever drug, device, or other medical intervention is being tested.
interventional Research-
During an observational study, no intervention is implemented by the investigator.
As the National Cancer Institute explains it, participants are observed or certain
outcomes are measured, but no attempt is made to affect the outcome. Which is to
say, no treatment is given. One benefit to this approach is the fact that a large
population can be studied, over a long period of time, if needed. An observational
study could even be a survey in which the investigator is sampling a particular group
of people and asking them questions over time.
differences between these two research approaches are their aim and organization.
The aim of an interventional trial is to get more information about a particular
intervention. Participants are organized into different treatment groups so
investigators can compare results.
On the other hand, observational studies aim to get more information about
populations, diseases, beliefs or behaviors , without any intervention. The
investigators observe the participants taking part in the study, but don’t directly
influence their treatments or behaviors.
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The basic things which should be kept in mind while selecting a problem are as
(i) The particular research must add in the knowledge. If it is not going to provide an
entirely new concept, at least the study should be able to varify the old knowledge.
(ii) The research work must be useful and in priority of public policy related with
health.
(iii) Subject which is over done should not be normally choosen, for it will be a
difficult task to throw any new light in such a case.
(iv) The subject selected for research should be familiar and feasible so that the
related research material or source of research are within ones reach.
F-Feasibility
I-Interesting
N-New
E-Ethical
R-Reproducive
(vi) Contraversial subjects should not become the choice of an average researcher.
(vii) The importance of the subject, the qualification involved, the time factor are
other criteria that must also be considered in selecting a research problem.
A proper definition of research problem will enable the researcher to be on the right
track where as an ill-defined problem may create hurdles.
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Research problem must be stated in a scientific manner in such a way that it can be
analyzed objectively with appropriate tools. The task of formulation and rephrasing
the research problem is very important as it determines the further research steps. It
decides the sample frame, method of sample selection and data type.
(1) Information seeking-The ability to scan the literature efficiently, using manual or
computerized methods, to identify a set of useful articles and books.
(2) Critical appraisal-The ability to apply principles of analysis to identify valid
studies.
(1) Be organized around and related directly to the thesis or research question
(ii) Synthesized results into a summary of what is and what is not known.
To undertake any new research project, the research has to refer the previous work
done by the scientist in the concerned field. It gives an orientation about the
proposed research project. Many times the methodological insight is percieved by
the researcher with the literature review.
3. Formulation of Hypothesis-
After extensive literature review, researcher should state in clear terms the working
hypothesis. Working hypothesis is a tentative assumption made in order to draw out
and test its logical or emperical consequences. It must be very specific so that it can
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be tested. For example one may hypothesize that kaphaja prakruti persons are more
susceptible for obesity.
Hypothesis always keep a researcher on right track by indicating the type of data
required and the type of method of data analysis to be used. Hypothesis sharpens
researcher's thinking and focuses attention on the more important facets of the
problem.
(a) Discussion with colleagues and experts about the problem, its origin and
objecttives in seeking a solution.
(b) Examination of data and records, if available, concerning the problem for
possible trends, pecularities and other clues.
(c) Review of sin ler studies in the area or the studies on similar problems.
(d) Exploratory personal investigation which involves original field interviews on
limited scales with interested parties and individuals with a view to secure greater
insight into the practical aspect of the problem.
The term research aim usually refers to the main goal or overarching purpose of a
research project. Sentences stating the aim of a project are usually quite brief and to
the point.
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The aims or goals of a study are short general statements (often just one statement)
of the overall purpose of the trial. For example, the aim of a study may be ‚to assess
the safety and efficacy of drug XYZ in patients with moderate hyperlipidemia.‛
The objectives are much more specific than the aims. Objectives usually refer to the
effect of the product on specific safety and efficacy variables, at specific points in
time, in specific groups of subjects. An efficacy study may have many individual
efficacy objectives, as well as one or two safety objectives; a safety study may or may
not have efficacy objectives.
"To find out the truth which is hidden and has not been discovered as yet" is the
main purpose/aim of research.
It should be arranged in a logical manner (i.e., keep related ideas together and write
chronologically where possible).
This section must be written in paragraph form so you must include the materials
within the logical and/or chronological order of use.
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The materials and methods section describe in detail all the materials that have been
used to conduct a study as well as the procedures that are undertaken. As research
writing should be orderly and organized therefore the materials in each of its sub-
section should be presented in a logical manner.
In each section of the materials and methods start with the most important
procedure and go on to the least important. Also provide headings and subheading
to make each sub part of the materials and methods section clear and
understandable. There are various reasons why you should state all the materials and
methods in detail:
1. it enables the readers to evaluate the appropriateness of your research
methodology,
2. it helps you prove the reliability and validity of your results,
3. it enables other researchers to replicate your research exactly the same way you
did it,
Observations
Definition- As a means of gathering information for research, may be defined as
perceiving data through the senses: sight, hearing, tastes, touch and smell.
Observation, as the name implies, is a way of collecting data through observing.
Purposes of Observation-
1. To enable the researcher to gather empirical data which are difficult to obtain by
other means.
2. To enable the researcher to gather sufficient data to supplement or verify
information gathered by other means.
3. To enable the researcher to gather information or data needed to describe the
aspect of a variable being studied which cannot described accurately without
observation.
4. To enable the researcher to gather directly primary data or first-hand information
for his study for a more accurate description and interpretation.
5. To enable the researcher to gather data from the laboratory or elsewhere through
experimentation.
RESULT-
The results section is where you report the findings of your study based upon the
methodology [or methodologies] you applied to gather information. The results
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section should state the findings of the research arranged in a logical sequence
without bias or interpretation. A section describing results is particularly necessary if
your paper includes data generated from your own research.
The results section is a section containing a description about the main findings of a
research, whereas the discussion section interprets the results for readers and
provides the significance of the findings.
The Results section of a scientific research paper represents the core findings of a
study derived from the methods applied to gather and analyze information. It
presents these findings in a logical sequence without bias or interpretation from the
author. A major purpose of the Results section is to break down the data into
sentences that show its significance to the research questions.
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Apta means learned, the precept of learned, are free from defects of rajas & tamas is
known as ‘Aptopadesha’ (Authoritative Statement) which is regarded as Pramana.
Authoritative statement is the precept of the apta (credible persons). Apta are those
who possess knowledge devoid of doubt, indirect & partial acquisition, attachment
& aversion. Thus the persons endowed with knowledge & experience, devoid of
attachment & aversion are apta, their statement is Pramana. Apta, who are free from
defects of rajas & tamas, speak always truth & so undoubtedly can be considered as
the source of valid knowledge. The words or works of such persons form
Aptopadesha. This is true even today. Text books of great personalities in their
respective fields are quoted for authoritative knowledge. One of the qualities of a
researcher is that he should acquire existing knowledge & training in physical &
mental skills necessary to do the activities implied in research. The existing
knowledge of science can be acquired through Aptopadesha or authoritative
statement.
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Pratyaksha Pramana:
Anumana Pramana:
The procedure of inferring i.e. knowledge of unknown from the known facts is called
as Anumana . Anumana or inference is the indirect knowledge based on reasoning.
Anumana Pramana is a logical conclusion based on reasoning. Inference is based on
prior perception. It is of three types & is related to the three times .
I. Inference of the cause from the effect - relates to past. This can be
correlated with the casecontrol study design (i.e. retrospective study)
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II.Inference of the effect from the cause – relates to future. This can be
correlated with cohort or prospective study design.
III. The commonly observed events at present.
This can be correlated with Case sectional study design (Time prevalence study).
Anumana (Inference) is used extensively as means to acquire knowledge. Various
causes of non-perceptibility can create hurdles in direct perception. In this field,
Anumana helps in acquiring knowledge. Anumana Pramana plays a vital role in
interpretation of results. Interpretation refers to the task of drawing inferences from
the collected facts after an analytical or experimental study. It is search for broader
meaning of research findings. Generalization of results is based on inference only.
Anumana Pramana Also have two types:
I. In one type it is for one’s own self i.e. स्वाथाव नुमान
II. In another condition; it is used to provide knowledge to others i.e. पराथाव नुमान
In Pararthanumana somebody after getting inferential knowledge makes other
understand and achieve the same knowledge with the help of Panchavayavi vakya:
a) Pratidnya (Hypothesis)
c) Udaharana (Example)
d) Upanaya (Justification)
Yukti Pramana:
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The knowledge which perceives the facts which are produced by arrangement of
multiple causative factors is yukti (rationale or logical reasoning). It is accurate in all
past, present and future and also achieves the three purusharthas i.e. dharma, artha
& kama).
Rational & fruitful combination of several factors is yukti. Yukti helps in determining
one effect in relation to the various causative factors responsible there of Yukti is the
rational planning of therapeutic measures. Recognition of yukti as a measure of
gaining knowledge is the peculiarity of Charak Samhita. Deciding the dosage and
kaal of administration of drug, route of administration, along with the selection of
drug requires proper planning and thus the effects of treatment depends upon yukti.
The physician who knows yukti (logical reasoning) is always superior to the one who
knows only drugs.
So Aptopadesha, Pratyaksha, Anumana & Yukti Pramana are required at all steps of
research like for planning, operation & reporting. To gain clear & entire knowledge
of science of Ayurveda, it is necessary to search for scientific devices or methods of
approach. Due to this necessity Charaka has adopted Pramanas. Pramanas are called
as Pariksha in Ayurveda, which means scientific investigation. Pramanas can be
considered as scientific tools of research. Pramana vidnyana proves that Ayurveda,
based on logical reasoning, accepts the only scientific method in search of truth.
Hence, Pramanas can be considered as ancient methods of research which are
essential in development of research methodology of ancient medical science of
India, i.e. Ayurveda. The concept of Pancha-avyava-vakya is the journey from to
Partigya i.e. hypothesis (formulation of an idea/ research problem) to Nigmana i.e.
thesis (valid conclusions) finally.
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Before 200 BC, Charaka described the importance of healthy life - health (Aarogya)
as an excellent source to acquire virtue (Dharma), wealth (Artha), gratification (Kama)
and emancipation (Moksha).
According to Charaka, person should pursue three desires - desire for living a
healthy life (Praneshana), desire for wealth (Dhaneshana) and desire for the great
beyond after this life (Paralokeshana).Out of these desires one should consider the
desire to live before all because on death everything departs, which is similar to the
principle of the universal declaration of human right ‚everyone has the right to life
liberty and security of person.‛
The high ideals of medical practice and the responsibility of the physician are
emphasised in Caraka’s poignant statement: ‘No other gift is better than the gift of
life’. Caraka clearly outlined four ethical principles of a doctor: ‘Friendship, sympathy
towards the sick, interest in cases according to one’s capabilities and no attachment
with the patient after his recovery’. The Caraka samhita emphasizes the values
central to the nobility of the profession, thus: ‘Those who trade their medical skills
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for personal livelihood can be considered as collecting a pile of dust, leaving aside
the heap of real gold’.
Furthermore, ‘He who regards kindness to humanity as his supreme religion and
treats his patients accordingly, succeeds best in achieving his aims of life and obtains
the greatest pleasures’.
In the Susruta samhita, the doctors’s duty and obligations to the patient are
stressed: ‘The patient may doubt his relatives, his sons and even his parents but he
has full faith in the physician. He *the patient+ gives himself up in the doctor’s hand
and has no misgivings about him. Therefore, it is the physician’s duty to look after
him as his own son’. Prospective medical students were carefully selected according
to the criteria of the noble ethos of the profession.
Ayurvedic medicine is a repository of ancient medicine which finds resonance even
today. It was in the past elevated to the status of the Vedas. The issues of ethics,
closely compared to the concept of ′Dharma′ are inlaid in Ayurvedic treatises.
Acharya bhel mentioned ‚dharmeshna‛ in ‚tri-eshnas‛.
In Ayurveda, the issue of ethics is closely comparable with Dharma. In ancient
medicines, there are no separate sections on ethics, but the flavor of ethical spirit
runs throughout the text, which indicates, how the base of ethics inculcate.
Textbooks of Ayurveda offer many guidelines on good medical practices. Qualities of
good patient and good physician are mentioned in the form of Chatushpada. The
Adhyayana Vidhi enlightens the procedure of medical education and rules for
setting subsequent practices. Sadvritta and Vaidya Vruttiare other mile stones which
elaborate set of rules for professional good conduct. Acharyas of Ayurveda also
guides the physician how to interact with the patient.
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Autonomy
Charaka insists to acquire the code of good conduct (Sadvritta) for those who desire
to promote their well-being. He explains in good conduct that one should worship
God, preceptor (Guru), elderly people, accomplished teachers; should take the
initiative in talk; remain cheerful; should have a presence of mind even in difficult
circumstances; should donate; help the poor. He even recommends wearing white
clothes, cutting hair and nails, use of flower and fragrance. One should not be
attached to women, friends and servants with sinful attitude. One should never insult
women. One should not be in the habit of breaking rules. One who follows the code
of conduct acquires virtue.
and treating patient appropriately (Kriya) also are the qualities of a physician
(Vaidya).
Charaka advises not to prescribe medicine for women without permission of their
husband or guardian.While entering into a patient's house, physician should take
along some known person whose entry is permitted, with head lowered, having
good memory, with stillness, thinking carefully and moving accordingly. Having
entered there, physician should not engage his speech, mind and senses anywhere
except the patient's disease and care. He should not entertain the other entities of
the patient's body. He should have respect for female patients. Thus in the light of
morals of bioethics one should not enjoy oneself in patient's house while the patient
is suffering from disease.
In western bioethics patient's right to autonomy requires informed consent and
dictates that the patient's medical situation is truthfully revealed. However Charaka
infers that speaking truthfully about the disease is not absolute, if by doing so, one
might harm the diseased or the others. Thus Ayurveda ethics confer preference to
the physician, whether to speak the truth or not. This is the fundamental ethical
expression of Ayurveda's basic morals.
Beneficence
Beneficence is the duty always to act in the best interest of patient or the action that
is done for benefits of others. This action can be taken to help prevent or remove
harm to others. The goal of medical science is to promote the welfare of patient. To
achieve this goal, physician should possess the skill and knowledge that enables him
to assist others.
Sushruta gives guidelines for the physician to enter the profession. That physician
should enter in the profession, who has completed the study of the texts,
understood the interpretations, who has made himself thorough practical training
and recapitulating the teachings of the science always and obtained the permission
from the king. This is suggestive of the existence of the rules regarding the control
and regulation of medical practice during ancient times, similar to registration of a
medical practitioner of present days. ‚Don’t behave like a quack.‛ This is the warning
given to the physicians to be always careful in conduct and behavior with patient to
avoid loss of reputation and respect in society.
Sushruta devoted a complete chapter Yogyasutriyam (practical training) to make a
student fit for surgical work. In the view of Sushruta, though the student has
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understood the element of the science fully, he must be made a competent (Yogya).
Because by acquiring only theoretical knowledge and no practical training, he
becomes unfit and incompetent for surgical procedures. With this purpose, Sushruta
explained and demonstrated different kinds of Yogya Vidhi. For example practice of
excision (Chhedana Karma) can be done on pumpkin (Pushpaphala) and cucumber
(Trapusa); scraping (Lekhana Karma) can be practiced using broad sheet of dead
animal leather with hair; puncturing (Vedhana) can be practiced using veins of dead
animal and stalk of lily plant; probing (Eshana Karma) can be practiced using holes in
pieces of wood eaten by moths; should practice on similar objects and become
skilled in surgical art. Sushruta says that, in this way the intelligent, who has made fit
himself by using methods and techniques suitable for practical training described in
the texts, does not falter in his actions. We must appreciate Sushruta's effort to give
most importance to practical training and make every student fit to perform surgical
procedures.
As for the code of ‚prevention‛ in treatment of disease, Charaka says that plan of
action should be ready ‘in order to prevent the flood’ to avoid hazards. In the same
way preventive treatment can be applied after observing the premonitory symptoms
(Poorvarupa) of the future disease. Avoiding the cause of disease (Nidanparivarjana)
is the treatment in brief to protect the health of a person.
Non-maleficence
Principle of non-maleficence asserts that ‚do not harm‛ or ‚risk no harm on other.
Therefore medical services of the health care professionals reach the optimum
standard of patient care through proper training, competent and acquired skills. In
health care, harm - by narrower definition - could be pain, dysfunction or death.
However broader definition of harm is often required in ethical consideration. This
principle includes not doing harm, preventing harm and removing harmful
condition.Physician should not provide ineffective treatments to the patient as these
offer risk with no possibility of benefits and thus have a chance of harming patient.
Physician must not do anything that would purposely harm the patient without the
action of benefit because many medications, cause harm in addition to benefit.
along with the adverse effects of the therapy in an unfit person and also the
treatment for adverse effects.Acharya expounds complications due to carelessness
of the physician (Vaidyanimitta Vyapada), which should be avoided by a good
physician. This shows the dignity of Acharya in preventing and removing harm.
Justice
Principle of justice involves being fair in allocation of resources and in the physician's
obligation to the patients. According to this principle all person in the society should
be treated fairly.Sushruta advises the physician that he should be in easy reach of all
people especially the poor ones who may not have the courage to come to the
physician easily. Hence master suggests to wear white clothes (Shuklavastra) which
symbolizes cleanliness and similarity to all, which can be compared with the ‚white
coat‛ ceremony as a rite of passage for students entering medical college. Wishing
good of all in word and deed (Kalyanabhivyaharen), living friendly with all the living
beings (Bandhubhuten), showing compassion towards the suffering and wishing
happiness for all is the philosophy of the medical profession, which all physicians
should inculcate in their life.
While EBM is a large step forward, these skills are necessary but not sufficient for the
practice of contemporary medicine. All clinicians should:-
Find the best evidence for every day practice (Information mastery)
Assess relevance before rigor. Is the evidence patient oriented?
Evaluate information about therapies, diagnostic tests, and clinicaldecision
rules. Is it true?
Understand basic statistics.
Have at fingertips "just in time" information at the point of care using web
based and/or handheld computer based information and tools for clinical
decision making
Evaluate expert-based information, including colleagues, CME, presentations,
reviews and guidelines.
Critically evaluate information from pharmaceutical representatives
EBM Principals
1. Construct a well-built clinical question and classify into one
category(therapy,diagnosis,etiology, or prognosis)
2. find the evidence in health care literature –
PRIMARY LITERATURE -resources include articles and studies presented in peer-
reviewed journals. Manuscript (Pandulipi), text books, monograph, modules,
dictionaries. Research surveys and reports, by Govt and non-Govt organisations.
Review articles, original articles in journals or books and thesis or dissertation
submitted and seminars proceedings. Different guideline for practice, protocols etc.
SECONDARY LITERATURE- is compiled by indexing and abstracting services that can
be used to systematically locate various types of published literature. Different
formats of secondary literature are available in the form of various databases like
DHARA: Digital Helplinefor Ayurvedaic Research Articles www.dharaonline.org;
AYUSH Research Portal Ayushportal.nic.in; CAM-QUEST (Complimentary and
Alternative medicine)www.cam-quest.org/in; Pubjet pubjet.com; RMIS: Reserch
Management information System) Rmis.nic.in
TERTIARY LITERATURE -is core knowledge established via primary literature or
accepted as standard of practice within the medical community. The tertiary
reference may consist samhitas, textbooks on various drugs or disease topics.
3. critically test(appraise) or formally evaluate for validity and usefulness -
"Critically appraise" refers to determining the appropriateness of a some evidence
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(usually a journal article) for a particular clinical situation. (I) Internal validity: Refers
to the soundness of the research methodology
• Does the study measure what it says it is measuring?
• Related to efficacy: performance under ideal (or laboratory) conditions.
– done or not ?
– Mentioned or not ?
– Done or not ?
– Done or not ?
re the groups similar at the start of the trial ?
- Done or not?
(ii)External validity:
is must
regular updating of knowledge and not merely on the years of clinical experience
EBM as Lifelong Learning
The practice of evidence-based medicine is a process of lifelong, self-directed,
problem-based learning in which caring for one's own patients creates the need for
clinically important information about diagnosis, prognosis, therapy and other
clinical and health care issues.
Instead of routinely reviewing the contents of dozens of journals for interesting
articles, EBM suggests that you target your reading to issues related to specific
patient problems. Developing clinical questions and then searching current
databases may be a more productive way of keeping current with the literature.
Evidence-based medicine "converts the abstract exercise of reading and
appraising the literature into the pragmatic(तथ्यात्मक) process of using the
literature to benefit individual patients while simultaneously(साथ ही)
expanding the clinician's knowledge base."
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I. INTRODUCTION –
Data mining is the extraction of useful patterns and relationships from data sources,
such as databases, texts, the web. It has nothing to do however with SQL, OLAP, data
warehousing or any of that kind of thing. It uses statistical and pattern matching
techniques. The concern in data mining are noisy data, missing values, static data,
sparse data, dynamic data, relevance, interestingness, heterogeneity, algorithm
efficiency, size and complexity of data. The data we have is often vast, and noisy,
meaning that it’s imprecise and the data structure is complex. This is where a purely
statistical technique would not succeed, so data mining is a solution. Data mining
has become a popular tool for analyzing large datasets. The efficient database
management systems have been very important assets for management of a large
corpus of data and especially for effective and efficient retrieval of particular
information from a large collection whenever needed. The proliferation of database
management systems has also contributed to recent massive gathering of all sorts of
information. Information retrieval is simply not enough anymore for decision-
making II. What are Data Mining and Knowledge Discovery? With the enormous
amount of data stored in files, databases, and other repositories, it is increasingly
important, if not necessary, to develop powerful means for analysis and perhaps
interpretation of such data and for the extraction of interesting knowledge that
could help in decision making
[1]. Data Mining, also popularly known as Knowledge Discovery in Databases (KDD),
refers to the nontrivial extraction of implicit, previously unknown and potentially
useful information from data in databases. While data mining and knowledge
discovery in databases (or KDD) are frequently treated as synonyms, data mining is
actually part of the knowledge discovery process. The Knowledge Discovery in
Databases process comprises of a few steps leading from raw data collections to
some form of new knowledge. The iterative process consists of the following steps:
1. Data cleaning: It is also known as data cleansing, it is a phase in which noise data
and irrelevant data are removed from the collection.
2. Data integration: In this stage, multiple data sources, often heterogeneous, may
be combined in a common source.
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3. Data selection: At this step, the data relevant to the analysis is decided on and
retrieved from the data collection.
4. Data transformation: also known as data consolidation, it is a phase in which the
selected data is transformed into forms appropriate for the mining procedure.
5. Data mining: it is the crucial step in which clever techniques are applied to extract
patterns potentially useful.
6. Pattern evaluation: in this step, strictly interesting patterns representing
knowledge are identified based on given measures.
7. Knowledge representation: is the final phase in which the discovered knowledge is
visually represented to the user.
This essential step uses visualization techniques to help users understand and
interpret the data mining results. It is common to combine some of these steps
together. For instance, data cleaning and data integration can be performed
together as a preprocessing phase to generate a data warehouse. Data selection and
data transformation can also be combined where the consolidation of the data is the
result of the selection, or, as for the case of data warehouses, the selection is done
on transformed data.
The KDD is an iterative process. Once the discovered knowledge is presented to the
user, the evaluation measures can be enhanced, the mining can be further refined,
new data can be selected or further transformed, or new data sources can be
integrated, in order to get different, more appropriate results. Data mining became
the accepted customary term, and very rapidly a trend that even overshadowed
more general terms such as knowledge discovery in databases (KDD) that describe a
more complete process. Other similar terms referring to data mining are: data
dredging, knowledge extraction and pattern discovery.
III. Five Major Elements in Data Mining
1) Extract, transform, and load transaction data onto the data warehouse system.
2) Store and manage the data in a multidimensional database system.
3) Provide data access to business analysts and information technology
professionals.
4) Analyze the data by application software.
5) Present the data in a useful format, such as a graph or table.
IV. What can be discovered?
The kinds of patterns that can be discovered depend upon the data mining tasks
given. Two types of data mining tasks are there descriptive data mining tasks that
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describe the general properties of the existing data, and predictive data mining tasks
that attempt to do predictions based on inference on available data.
The data mining functionalities and the variety of knowledge they discover are
briefly presented in the following list:
Characterization: Data characterization is a summarization of general features of
objects in a target class, and produces what is called characteristic rules. module to
extract the essence of the data at different levels of abstractions.
Discrimination: Data discrimination produces what are called discriminate rules and
is basically the comparison of the general features of objects between two classes
referred to as the target class and the contrasting class[4,5].
Association analysis: Association analysis is the discovery of what are commonly
called association rules. It studies the frequency of items occurring together in
transactional databases, and based on a threshold called support, identifies the
frequent item sets.
Classification: Classification analysis is the organization of data in given classes.
Also known as supervised classification, the classification uses given class labels to
order the objects in the data collection. Classification approaches normally use a
training set where all objects are already associated with known class labels. The
classification algorithm learns from the training set and builds a model. The model is
used to classify new objects.
Prediction: Prediction has attracted considerable attention given the potential
implications of successful forecasting in a business context. There are two major
types of predictions: one can either try to predict some unavailable data values or
pending trends, or predict a class label for some data. The latter is tied to
classification. Clustering: Similar to classification, clustering is the organization of
data in classes. However, unlike classification, in clustering, class labels are unknown
and it is up to the clustering algorithm to discover acceptable classes.
Outlier analysis: Outliers are data elements that cannot be grouped in a given class
or cluster. Also known as exceptions or surprises, they are often very important to
identify.
Evolution and deviation analysis: Evolution and deviation analysis pertain to the
study of time related data that changes in time. Evolution analysis models
evolutionary trends in data, which consent to characterizing, comparing, classifying
or clustering of time related data. It is common that users do not have a clear idea of
the kind of patterns they can discover or need to discover from the data at hand. It is
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therefore important to have a versatile and inclusive data mining system that allows
the discovery of different kinds of knowledge and at different levels of abstraction.
This also makes interactivity an important attribute of a data mining system.
V. What are the kinds of data can be mined ?
Flat files: Flat files are actually the most common data source for data mining
algorithms, especially at the research level. Flat files are simple data files in text or
binary format with a structure known by the data mining algorithm to be applied.
The data in these files can be transactions, time-series data, scientific measurements,
etc.
Relational Databases: a relational database consists of a set of tables containing
either values of entity attributes, or values of attributes from entity relationships.
Tables have columns and rows, where columns represent attributes and rows
represent tuples. A tuple in a relational table corresponds to either an object or a
relationship between objects and is identified by a set of attribute values
representing a unique key
Transaction Databases: A transaction database is a set of records representing
transactions, each with a time stamp, an identifier and a set of items. Associated with
the transaction files could also be descriptive data for the items.
Multimedia Databases: Multimedia databases include video, images, audio and
text media. They can be stored on extended object-relational or object-oriented
databases, or simply on a file system. Multimedia is characterized by its high
dimensionality, which makes data mining even more challenging.
Spatial Databases: Spatial databases are databases that, in addition to usual data,
store geographical information like maps, and global or regional positioning. Such
spatial databases present new challenges to data mining algorithms.
Time-Series Databases: Time-series databases contain time related data such
stock market data or logged activities. These databases usually have a continuous
flow of new data coming in, which sometimes causes the need for a challenging real
time analysis. Data mining in such databases commonly includes the study of trends
and correlations between evolutions of different variables, as well as the prediction
of trends and movements of the variables in time.
World Wide Web: The World Wide Web is the most heterogeneous and dynamic
repository available. Data in the World Wide Web is organized in inter-connected
documents[3].
VI. Challenging Problems In Data Mining
1. Developing a Unifying Theory of Data Mining
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2. Scaling Up for High Dimensional Data and High Speed Data Streams
3. Mining Sequence Data and Time Series Data
4. Mining Complex Knowledge from Complex Data
5. Data Mining in a Network Setting
6. Distributed Data Mining and Mining Multi-agent Data
7. Data Mining for Biological and Environmental Problems
8. Data-Mining-Process Related Problems
9. Security, Privacy and Data Integrity 10. Dealing with Non-static, Unbalanced and
Costsensitive Data
VII. Application Of Data Mining
Now a days data mining are used in lots of areas but In this section , here we mainly
listed some application areas for data mining.
1. Data mining Application in Healthcare
2. Future Direction of Health care system through Data mining tools
3. Data mining used in many different areas in manufacturing Engineering
4. Data mining is used for market basket analysis
5. Data mining is used an emerging trends in the educational system
6. Data mining Application can be generic and domain specific
7. Data mining techniques used in the CRM
8. Large scope for application of data mining in Medical Science
9. Data mining Methods are used in the Web Application
10. Data mining method is used to classify the network traffic control
11. Data mining and its techniques is used for an application of Sports Center
12. Data mining methods are used for application in a malicious executable is Threat
i.e. in System Security.
How Data Mining is useful in Ayurveda
Data mining is a computational process of discovering patterns in large data sets
involving methods at the intersection of artificial intelligence, machine learning,
statistics and database systems.
The term data mining appeared around 1990 in the database community. Currently,
data mining and knowledge discovery are used interchangeably. To achieve valuable
information, in context of Data Mining, it follows three major steps i.e, data
collection, data shrink and valuable data quest.
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www.nia.nic.in
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www.blissayurveda.com
www.ayurveda.md
www.soukya.com
www.ayurvedaschool.in
www.ayurvedanextdoor.com
www.ayurhelp.com
www.healthandayurveda.com
www.alwaysayurveda.com
www.ayurveda-seminars.com
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