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Ayurveda or ayurvedic medicine is a more than 6,000 year old comprehensive system of medicine based on a holistic approach rooted in Vedic culture. Its conspicuous use of the word veda, or knowledge, reveals its role in early Hinduism and describes its hallowed place in India. Ayurveda also had a tradition of surgery. Two early texts of Ayurveda are the Charaka Samhita and the Sushruta Samhita. Ayurveda This article is part of the branches of CAM series. CAM Classifications NCCAM: Alternative Medical System Modality: Professionalized Culture: Eastern Vedic Ayurveda used inoculation for protection against smallpox. This was a consequence of the principle that like cures like on a small level, whereas at a grosser level opposites cure opposites. Ayurveda has employed certain toxic substances in small dosages for powerful healing effects, including its alchemical preparations. It also used various herbal and animal toxins like snake venoms. It has a whole science of toxicology called agada-tantra as one of the eight branches of traditional Ayurveda. This branch not only treated poisons but used them in certain conditions, generally in small dosages. The Ayurvedic idea is that the organism adapts to the environment and its food, climate etc. This principle of adaptation is called satyma. Through introducing small amounts of a germ, the organism can adapt to it and learn to resist it. Ayurveda became increasingly symptom-based, treating the symptoms of a disease rather than the root cause. However, it is important to note that Ayurveda was originally a consciousness based system of health care. Its philosophy, expressed in modern terms, is to strengthen the immune system. Qualities It could be said that the simple essence of ayurveda is knowledge and awareness of the qualities of nature – called gurvadi gunah. By understanding the qualities inherent in the environment, in foodstuffs, in activities, etc., one gains an appreciation of their effects on the individual constitution through the principle of similarities; i.e., that similarities cause increase while dissimilarities cause decrease. Thus hot qualities in the environment or diet will increase hot qualities in the body. The gurvadi gunah are listed in Vagbhata's Ashtanga Hrdayam as: Doshas The 3 main doshas (organizing qualities of intelligence) are Vata (resembles the classical elements ether and air), Pitta (fire), and Kapha (water and earth). All bodily processes are believed to be governed by a balance of the 3 doshas. Whichever dosha appears to dominate a person's behavior and physique is called his constitution type. Each constitution type has particular strengths and susceptibilities. Vata Vata, composed of air and space, governs all movement in the mind and body and must be kept in good balance. Too much vata leads to "worries, insomnia, cramps and constipation.... Vata controls blood flow, elimination of wastes, breathing and the movement of thoughts across the mind." Vata activates the nervous system, hearing and speech; and expresses as enthusiasm and creativity. Vata also controls the other two principles, Pitta and Kapha, and is usually the first cause of disease. Pitta Pitta is said to be composed of fire and water; it governs "all heat, metabolism and transformation in the mind and body. It controls how we digest food, how we metabolize our sensory perceptions, and how we discriminate between right and wrong." Pitta must be kept in balance, too. "Too much [Pitta] can lead to anger, criticism, ulcers, rashes and thinning hair." Kapha Kapha consists of earth and water. "Kapha cements the elements in the body, providing the material for physical structure. This dosha maintains body resistance....Kapha lubricates the joints; provides moisture to the skin; helps to heal wounds; fills the spaces in the body; gives biological strength, vigor and stability; supports memory retention; gives energy to the heart and lungs and maintains immunity...Kapha is responsible for emotions of attachment, greed and long-standing envy; it is also expressed in tendencies toward calmness, forgiveness and love." Too much Kapha leads to lethargy and weight gain, as well as congestion and allergies. In sum, Ayurveda represents a system that considers both the states of mind and body in its diagnosis and treatment. Ayurveda took into consideration the fact that many illnesses are caused by foreign agents and small organisms that may require aggressive intervention. Today Having lost state patronage during the British rule in India, Ayurveda is making a slow comeback. In practice in India, there are Ayurvedic doctors who are purists and others who choose to use it in combination with Western medicine. Ayurveda is gaining lots of interest in the Western countries. Ayurvedic treatments in the West are primarily dietary and herbal due to lack of well educated Ayurvedic practitioners. Patients are classified by body types, or prakriti, which are determined by proportions of the three doshas. Illness and disease are considered to be a matter of imbalance in the doshas. Treatment is aimed at restoring harmony or balance to the mind-body system.Ayurvedic medicine is gaining in popularity around the world.