Ayurvedic care quality in India: Insights on essential drug availability
Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Quality of Ayurvedic health care delivery in provinces of India: Lessons from essential drugs availability at State run Ayurveda dispensaries
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Sanjeev Rastogi
Journal of Ayurveda and Integrative Medicine:
(A monthly peer-reviewed publication)
Full text available for: Quality of Ayurvedic health care delivery in provinces of India: Lessons from essential drugs availability at State run Ayurveda dispensaries
Year: 2018 | Doi: 10.1016/j.jaim.2018.01.004
Copyright (license): CC BY-NC-ND 4.0
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Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic care quality in India: Insights on essential drug availability�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Drug:
Drugs are essential components in Ayurveda, which is an ancient system of medicine that relies on specific herbs, minerals, and formulations for health care. The effective delivery of Ayurvedic treatment is hindered by the unavailability of essential drugs. Therefore, ensuring a drug supply from the Essential Drug List (EDL) is vital for maintaining the quality of medicine provided at Ayurvedic dispensaries in India.
2) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine that promotes wellness through a holistic approach. It emphasizes the use of natural elements, herbs, and specific formulations like Bati and Bhasma. The availability and quality of Ayurvedic treatments directly impact the health of the Indian population, especially in rural areas, informing the importance of drug supply under the AYUSH initiative.
3) Medicine:
Medicine refers to substances used to treat ailments and promote health. In the context of Ayurveda, various medicines are categorized based on their efficacy and safety, including drugs like Guggulu, which play a crucial role in treatment protocols. Understanding the quality and availability of Ayurvedic medicine is essential for effective health care delivery.
4) Quality:
Quality in health care is assessed through the availability of essential drugs, the efficacy of treatments, and patient outcomes. In the Ayurvedic system, quality is directly tied to the presence of approved medicines such as Abhraka-bhasma and Shuddha-gandhaka. Regular monitoring of drug availability at dispensaries ensures that quality health care is upheld.
5) Table:
Tables are used to present data systematically, making it easier to compare and analyze information regarding drug availability, classifications, and statistics pertaining to Ayurveda. The tables in the study show the stark differences between the State Essential Drug List and the EDL-ASU, highlighting the discrepancies affecting quality treatment in dispensaries.
6) Bati:
Bati in Ayurveda refers to medicinal pills or tablets that are prepared with specific herbs and formulations. These are an important aspect of Ayurvedic medicine, and their availability is crucial for providing effective treatment. The absence of commonly prescribed Bati in dispensaries signifies a gap in quality health care service delivery.
7) Bhasma (Bhasman):
Bhasma refers to a type of processed ash or calcinated medicine in Ayurveda, believed to have potent healing properties due to the purification process. It is often used to enhance the therapeutic effects of treatments. The availability of various Bhasma in Ayurvedic dispensaries reflects the adherence to quality aspects of Ayurveda medicine delivery.
8) Rasa (Rasha):
Rasa in Ayurveda denotes compositions that have profound medicinal effects, often derived from alchemical processes. Rasa-yoga encompasses various formulations that demonstrate the significance of quality in Ayurvedic therapies. The presence and adherence to specific Rasas can significantly impact patient outcomes in Ayurveda.
9) Guggulu:
Guggulu is a resin that is an integral part of many Ayurvedic formulations used for its anti-inflammatory and healing properties. Its availability is crucial for effective treatment protocols in Ayurveda, highlighting the importance of maintaining consistent drug supply for quality health care delivery.
10) Shuddha (Suddha):
Shuddha translates to pure in the context of Ayurvedic medicines and is indicative of the quality and efficacy of the medicinal components. The production and distribution of Shuddha formulations is essential in ensuring that Ayurvedic treatments meet standard quality criteria for patient safety and health outcomes.
11) Taila:
Taila, or oil, is commonly used in Ayurvedic practices for therapies like Abhyanga (massage) and internal consumption. The quality of Taila affects the therapeutic benefits achieved through various treatments. Ensuring regular supply and availability of diverse Taila preparations is crucial in delivering quality Ayurvedic care.
12) India:
India is home to Ayurveda, a traditional system that is deeply rooted in its culture and healthcare practices. The Indian government's efforts through the AYUSH ministry aim to enhance the reach and efficacy of Ayurvedic medicine, thus directly correlating with the availability of essential drugs and the quality of care provided across the country.
13) Pishti (Pisti):
Pishti refers to a fine powder of minerals or herbs prepared for medicinal use in Ayurveda. The presence of various types of Pishti is significant for certain treatments, playing an important role in the delivery of effective Ayurvedic medicine. Inadequate availability of these formulations can compromise treatment quality.
14) Ayus (Ayush):
The AYUSH ministry in India oversees the promotion and development of Ayurveda, Yoga, Unani, Siddha, and Homeopathy. It is responsible for regulation and supporting essential drug supplies in Ayurvedic dispensaries. The efforts under AYUSH are critical for improving the quality of Ayurveda healthcare services across the nation.
15) Parpati:
Parpati is a form of Ayurvedic medicine made by mixing herbal powders with minerals, which undergoes a heating process. Its recipes and presence in Ayurvedic dispensaries help ensure comprehensive health solutions for patients, connecting with the concept of providing high-quality Ayurvedic care.
16) Siddha:
Siddha refers to a traditional form of medicine practiced in Tamil Nadu, India, that parallels Ayurveda. The Siddha system also emphasizes proper drug availability and therapeutic formulations to maintain the quality of health care. Bridging practices from Siddha within the larger framework of AYUSH can enhance India's medicinal landscape.
17) Chandra:
Chandra, meaning moon in Sanskrit, often appears in Ayurvedic literature relating to rejuvenation and healing practices. Formulations like Chandra-prabha are renowned for their therapeutic use, showcasing the necessity for adequate supply chains and quality checks in Ayurvedic healthcare.
18) Kshara (Ksara):
Kshara signifies an alkaline substance used in Ayurveda for its therapeutic properties. The understanding and utilization of Kshara are critical in various treatments, thus necessitating robust supply mechanisms to ensure that quality drugs are available at Ayurvedic dispensaries.
19) Indian:
The term Indian denotes the geographical and cultural context where Ayurveda was developed. Understanding India's diverse health care needs inspires the efforts to deliver quality Ayurvedic medicine through efficient drug supply systems under the governance of the AYUSH ministry.
20) Lepa:
Lepa refers to herbal poultices used for external applications in Ayurveda. As a key element in many treatments, the consistent availability of Lepa preparations is necessary to provide patients with high-quality care that Ayurveda aims to achieve.
21) Haritaki:
Haritaki is a widely used herb in Ayurveda renowned for its health benefits, such as digestion and detoxification. Availability of Haritaki and its derivatives in Ayurvedic dispensaries emphasizes the importance of drug supply to uphold quality treatments.
22) Teaching:
Teaching in Ayurveda pertains to the educational systems that disseminate knowledge about Ayurvedic practices and medicinal formulations. Institutions must have access to essential drugs to support quality training and hands-on experience for Ayurvedic practitioners.
23) Disease:
Disease in Ayurveda is approached holistically, with treatment plans incorporating various drugs like Guggulu or Rasayana. Enhancing the quality of Ayurvedic healthcare relies on ensuring that the necessary medicines are available for conditions prevalent within different populations.
24) Reason:
The reason for conducting studies on drug availability in Ayurveda derives from the need to improve quality health care delivery. Understanding gaps in drug supply can inform policies and initiatives under the AYUSH ministry.
25) Khanda (Khamda):
Khanda refers to a powdered form of Ayurvedic preparations that hold medicinal value. Its availability in dispensaries is essential to cater to patients remedially, highlighting the importance of both access and quality in Ayurvedic medicine delivery.
26) Bindu (Bimdu):
Bindu indicates drops, specifically in the context of eye drops or nasal drops in Ayurvedic therapy. The presence of essential Bindu formulations in dispensaries is indicative of a commitment to maintaining high-quality standards in patient care.
27) Mukta:
Mukta represents pearls or purified elements used in various Ayurvedic formulations. Its availability signifies the authenticity of treatment options, thus influencing the overall quality perceived by patients seeking Ayurvedic care.
28) Pur:
The term poor relates to the socio-economic conditions affecting numerous patients seeking Ayurvedic care. Poor availability of essential drugs compromises the quality of treatment that can be provided, thereby limiting patients' health outcomes.
29) Abhrakabhasma (Abhraka-bhasma):
Abhraka-bhasma is a processed form of mica used in Ayurvedic treatments, known for its therapeutic properties. The necessity for Abhraka-bhasma in Ayurvedic dispensaries underscores the importance of including critical drugs in lists to enhance healthcare quality.
30) Candraprabha (Candra-prabha):
Chandra-prabha is a classical Ayurvedic formulation known for its rejuvenating effects. Ensuring its supply in dispensaries is critical in addressing health issues effectively, signifying the need for quality medicines in Ayurveda.
31) Muktapishti (Muktapisti, Mukta-pishti):
Mukta-pishti is a special powder made from pearls, utilized in various Ayurvedic formulations for its unique health benefits. The availability of Mukta-pishti is fundamental in promoting high-quality treatment options in Ayurvedic healthcare delivery.
32) Netrabindu (Netra-bindu):
Netra-bindu refers to drops specifically designed for eye care in Ayurveda. Their consistent availability is crucial for providing quality eye treatments, highlighting the significance of ensuring robust supply chains in Ayurvedic medicine.
33) Gandhaka (Gamdhaka):
Gandhaka is sulfur used in Ayurvedic formulations known for its antimicrobial properties. Ensuring the availability of Gandhaka in state-run dispensaries is essential to maintain the quality aspects of Ayurvedic treatments.
34) Yogaraja (Yoga-raja):
Yogaraja refers to a specific Ayurvedic formulation known for its effectiveness in treating various ailments. Its presence in dispensaries is vital for upholding treatment quality, indicating the need for continuous monitoring of drug supplies in Ayurveda.
35) Sphatika:
Sphatika represents crystal mineral used in Ayurvedic formulations with unique therapeutic properties. Maintaining access to Sphatika emphasizes the importance of quality substances in Ayurvedic medicine practices.
36) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenation therapies in Ayurveda designed to enhance longevity and vitality. The supply of Rasayana formulations must be ensured to promote quality Ayurvedic healthcare and address patients' needs effectively.
37) Abhraka:
Abhraka denotes mica, used in traditional Ayurvedic formulations due to its purported health benefits. Access to Abhraka and its derivatives in Ayurvedic dispensaries directly affects treatment quality and patient care expectations.
38) Pippali (Pippalin):
Pippali is long pepper, an integral herb in Ayurveda, used for its health benefits, especially in respiratory issues. The consistent availability of Pippali underscores the need for quality in Ayurvedic medicinal practices.
39) Avaleha:
Avaleha signifies semi-solid Ayurvedic preparations used for treatment. Their presence in dispensaries is crucial in ensuring effective care, indicating a commitment to quality health solutions in Ayurveda.
40) Nimbadi:
Nimbadi refers to a class of formulations that incorporates the benefits of Nimbu (lemon) and related herbs. Ensuring the supply of Nimbadi is vital for quality treatments in Ayurveda, emphasizing access to essential drug availability.
41) Shankha (Sankha, Samkha, Shamkha):
Shankha refers to conch-shell powder used in Ayurvedic treatments, celebrated for its unique health benefits. The availability of Shankha in dispensaries reflects the emphasis on quality healthcare accessible to patients.
42) Ghrita (Ghrta):
Ghrita, or medicated ghee, is a significant component in Ayurvedic therapeutics known for its restorative properties. Ensuring the supply of Ghrita is vital for high-quality treatments, emphasizing the need for consistent access in Ayurvedic healthcare delivery.
43) Prabha:
Prabha generally refers to radiance or light and can be associated with formulations that promote health and wellness. The presence of such formulations in Ayurvedic practices directly affects the quality of care extended to patients.
44) Anjana (Amjana):
Anjana refers to eye ointments used in Ayurvedic treatments for eye care. The availability of Anjana formulations is essential for ensuring quality eye health services in Ayurvedic dispensaries.
45) Shiras (Siras, Siro, Shirash):
Shirah relates to head or brain and may appear in discussions about treatments addressing head-related ailments. Availability of medicines addressing Shirah issues in Ayurvedic settings highlights the significance of drug supply for quality treatment.
46) Satva (Shatva):
Satva in Ayurveda refers to purity and essence of certain medicines that enhance the quality of treatments provided. Understanding the availability of Satva preparations is crucial for maintaining high-quality Ayurvedic care.
47) Varti (Vartin):
Varti signifies medicated wicks used for applications in ear and eye health. Their consistent availability in Ayurvedic dispensaries underlines the emphasis on providing quality care and effective treatments.
48) Pakva:
Pakva signifies processed or cooked substances used in various Ayurvedic formulations. Ensuring availability of Pakva medicines is vital for quality care delivery in Ayurveda practices across the country.
49) Netra:
Netra translates to eye, involving discussions around various medicinal preparations aimed at enhancing eye health in Ayurveda. The provision of eye treatments reflects the systemic quality of care available to the public.
50) Rules:
Rules governing the standardization and supply of Ayurvedic medicines are crucial to ensure the quality of treatments. Adherence to such rules fosters consistency and reliability within the Ayurvedic healthcare system, impacting patient perceptions and outcomes qualitatively.
51) Kirti (Kirtti):
Kirti is associated with fame and reputation, often reflecting in the quality of treatments delivered through Ayurveda. Ensuring that Ayurvedic practices uphold high standards contributes to positive Kirti in community health perceptions.
52) Study (Studying):
Study in the context of Ayurvedic medicine often involves assessing the availability and effectiveness of various drugs. Research findings on drug delivery and patient outcomes inform available structures and practices towards maintaining quality healthcare delivery.
53) Hara:
Hara often appearing in Ayurvedic formulations signifies taking away ailments. Its importance is highlighted when considering the need to consistently ensure effective formulations are included in the quality checks of Ayurveda medicines.
54) Arka:
Arka refers to a herbal decoction or distillation used in Ayurvedic treatments. The presence of Arka preparations at dispensaries is crucial for the delivery of quality health care in Ayurveda, particularly in addressing specific health conditions.
55) Vati:
Vati indicates small tablets made from various herbs in Ayurveda. Ensuring there is an adequate supply of Vati formulations in dispensaries is essential for quality care delivery in Ayurvedic practices.
56) Shuddhagandhaka (Suddhagandhaka, Shuddha-gandhaka):
Shuddha-gandhaka is purified sulfur used in Ayurvedic formulations, known for its therapeutic properties and purification processes. Its availability signifies efforts towards maintaining quality in Ayurvedic health care delivery.
57) Arjunarishta (Arjunarista, Arjuna-arishta):
Arjunarishta is an Ayurvedic formulation made from the Arjuna tree, known for heart health support. Ensuring Arjunarishta is available in adequate amounts is crucial for providing quality Ayurveda medicines to patients in need.
58) Announcement:
Announcement refers to official statements regarding drug availability or policies surrounding Ayurveda. Clear communication regarding available medicines supports the transparency and quality assurance processes in Ayurvedic health care.
59) Yavakshara (Yava-kshara, Yavaksara):
Yava-kshara refers to an alkaline substance derived from barley, utilized in Ayurvedic treatments for various health benefits. Keeping a stable supply of Yava-kshara ensures that quality care is delivered, thereby enhancing the potencies of Ayurvedic practices.
60) Performance:
Performance in the context of healthcare refers to the effectiveness of the services provided, directly influenced by the availability of drugs and quality of care practices. Evaluating performance metrics helps inform improvements in Ayurvedic health systems.
61) Developing:
Developing refers to the processes undertaken to enhance the quality of Ayurveda healthcare systems. This involves improving supply chains and integrating evidence-based practices into traditional approaches to meet contemporary health needs.
62) Kaphaketu (Kapha-ketu):
Kapha-ketu denotes balancing drugs targeting the Kapha dosha in Ayurveda. Ensuring the availability of such formulations is imperative for quality treatments administered in clinical environments.
63) Triphala (Tri-phala):
Triphala is a well-known Ayurvedic formulation composed of three fruits. Its consistent availability enhances the credibility of Ayurvedic practices, highlighting the need for quality in drug supply for optimal health benefits.
64) Shringa (Srnga, Shrimga):
Shringa is a term used for various medicinal types in Ayurveda; understanding its applications ensures quality treatments through effective drug supply chains in health facilities.
65) Amalaki:
Amalaki is an essential herb in Ayurveda, famous for its rich vitamin C content and health benefits. Ensuring its supply is vital for providing high-quality herbal treatments within the Ayurvedic system.
66) Mandura (Mamdura):
Mandura refers to iron preparations used in Ayurvedic medicine to treat various health conditions. Its presence in dispensaries affects the overall treatment quality available to patients seeking Ayurvedic care.
67) Arishta (Arista):
Arishta designates fermented Ayurvedic formulations that provide various health benefits. Maintaining a stable supply of Arishta medicines is crucial in validating the quality of treatments offered at Ayurvedic healthcare facilities.
68) Rasnadi:
Rasnadi is a notable Ayurvedic formulation used for its therapeutic effects, particularly in digestive health. Its availability signifies attention to quality in addressing patient needs effectively within Ayurvedic practices.
69) Kashaya (Kasaya):
Kashaya indicates herbal decoctions used in Ayurveda, reflecting the diversity of medicinal options available at dispensaries. Its consistent presence is essential for maintaining quality in Ayurveda treatments.
70) Gutika:
Gutika refers to dry pills used in Ayurveda for specific therapeutic benefits. Ensuring a well-curated supply of Gutika formulations directly impacts the quality of medicines available in Ayurvedic dispensaries.
71) Lavana:
Lavana denotes salts used in Ayurvedic medicine; their application varies from digestion improvement to therapeutic effects. Availability of Lavana in dispensaries is necessary to empower quality health interventions in Ayurveda practices.
72) Kupilu:
Kupilu is an Ayurvedic herb recognized for its medicinal properties. Its consistent supply ensures that Ayurvedic practices uphold quality standards in addressing health concerns among patients.
73) Tankan:
Tankan refers to the medicinal preparation made from the earth element, known for its benefits in treating various ailments. The availability of Tankan in dispensaries is essential for facilitating quality care in Ayurveda.
74) Panca (Pancan, Pamca):
Pancha refers to five components in Ayurvedic formulations linked with balancing therapeutic attributes. Their systematic availability enhances the quality of patient care through comprehensive treatments.
75) Asava (Ashava):
Asava signifies fermented Ayurvedic liquids renowned for their health benefits. Maintaining a consistent supply of Asava formulations is crucial for establishing quality in Ayurvedic healthcare delivery.
[Note: The above list is limited to 75. Total glossary definitions available: 123]
Other Science Concepts:
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