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Ayurveda -A glance
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Review Article
Ayurveda - A glance
School of Biosciences and Technology, VIT University, Vellore-632014, Tamil Nadu, India
*Corresponding Author Email: gothandam@yahoo.com
Ayurveda has the distinction of being the “oldest medical system known to man and
the oldest and most comprehensive spiritual teachings in the world”. Ayurveda is based on
the principle of maintaining a balance between the interrelated relationships within the
body and mind. It helps the patient to understand the benefits of knowing their body and
mind and to live in intimate relationship with nature. Ayurvedic literature has remedies for
age-related diseases like memory loss, osteoporosis, diabetic wounds, etc. for which no
efficient medicine is available in modern therapy. Even though Ayurveda has a sound
literature background, ironically its share in the global medicinal market is very less (0.5%).
In order to promote Ayurveda in the international market, ayurvedic drugs should be
available in standardized form, which is the minimum requirement for introducing a
product in the Western market. Ayurvedic formulations should be standardized on the basis
of active principle or major compound(s) along with fingerprints. There as great scope for
India to achieve global leadership of traditional medicinal market through export of quality
products from Ayurvedic medicinal system. This article gives an overview of Indian
traditional medicinal system-Ayurveda. It also highlights the principle of ayurvedic therapy,
current status of Ayurveda, the challenges faced by Ayurveda in the modern world and the
need of science based research to overcome its drawbacks. According to Caraka -"The Science
of life shall never attain finality. Therefore humility and relentless industry should
characterize your endeavor and your approach to knowledge. The entire world consists of
teachers for the wise and enemies for the fools. Therefore, knowledge, conducive to health,
longevity, fame and excellence, coming from even an unknown source, should be received,
assimilated and utilized with earnestness".
Sreena Raj et al. / Research in Plant Biology, 1(1): 1-14, 2011
and spirituality with health and medicine meditation. Vedic knowledge reveals that
(Chattopadhyay, 2007). Ayurveda is one of there was keen observation by the priests. But
the oldest natural healing systems of the the cure of the disease was expected to be
Vedic Sciences which originated in India because of magic power of amulets,
approximately 5000 years ago and is often 'expulsion' of disease causing demons
called the “Mother of All Healing”. The literal through propitiation and exorcism and
meaning of Ayurveda is “The Science of invocations to a god or gods who were
Life”; it’s the combination of two Sanskrit supposed to be specifically beneficial for
words ayur (life) and veda (science or curing a particular disease. The Magical and
knowledge) (Lad, 2003). Life here does not religious aspect of medicine in the Vedas was
refer to life of an individual but to the life of gradually supplemented by observations
the entire universe in which the individual is based on scientific thinking. During this age
part of it. Ayurveda allows the individual to appellation of Ayurveda took place in a
understand their body, mind and soul at its systematic approach without the neglection
deepest level and experience the wisdom of of its root in Atharavaveda. Thus Ayurveda
this knowledge to appreciate the conscious emerged not merely to be elite but also to be
that is present in the entire universe. laity (Subbarayappa, 2001). An important
development in the Vedic medicinal practice
Origin of Ayurveda was the use of Herbal formulation for
According to Indian mythological concept treatment. Thus Ayurveda developed itself as
Ayurveda originated from Brahma, the God a classic medical system from faith based to
of Creation. Hindu myth says that, Brahma reason based practice.
wants to ease the sufferings of his creation by
transferring the knowledge of Ayurveda to Sources of Ayurvedic literature
deities. Dhanvantari was one of those deities, Atharavaveda was the earliest authentic text
who then transferred this knowledge of in Ayurveda which discusses about the
science to modern world. Dhanvantari is nature of existence, health and disease,
considered as “Father of Ayurveda”. The pathogenesis and principles of treatment. It
roots of Ayurveda are generally traced to the also describe about the tridoshas and the use
Atharavaveda (circa 1500 BC), which has of herbs to heal the diseases of body and
numerous hymns relating to practical and mind. The knowledge of Vedas was gathered
scientific information on various subjects and systematically arranged to form
beneficial to the humanity like health, “Samhitas” which became fundamental texts
disease, anatomy, philosophy, engineering of Ayurveda, and are even used today by the
and astrology (Valiathan, 2009). During Vedic students and practitioners. Caraka and
period, Ayurveda was merely like as priestly Susruta sarnhitas are the classic Ayurvedic
or religious medical practice, in which the texts, in which Caraka Samhita (-900 B.C.)
Brahmans who perform religious rituals were work on internal health and therapeutic
also considered as Vaidyas. According to methods. Susruta Samhita (-600 B.C.) describes
Vaidyas, the religion and spirituality was about surgical orientation and descriptions of
intertwined with health, this knowledge was operations and instruments (Dev, 1999). The
acquired through direct cognition during last of the ‘Great Three’ of Ayurveda Astanga
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hrdaya was composed by Vagbhata. These Ayurveda from its stagnant condition. The
texts deal with all aspects of life, health, upwelling of Ayurveda from its neglected
disease and treatment. The Samhita phase of state was contributed by several brilliant
the ‘Great Three’ was regarded as the golden scholars like P. S. Varrier at Kottakkal,
age of Ayurveda, which was systematized Lakshmipathy in Madras, and Ramnath
and taught and practiced all over India. The Chopra from Calcutta (Valiathan, 2009).
Madhava Nidana (-800-900 A.D.) was another Today Ayurveda emerged as one of the
famous Ayurvedic work in ancient literature oldest medical system which can be
on the diagnosis of diseases (Majumdar, considered as Complementary and
1971). Bhava Mishra is considered as the last Alternative Medicine (Hankey, 2005) and also
celebrated writer in Ayurvedic medicine for as a whole medical system. Ayurveda is a
his esteem work Bhava Prakasha written holistic approach which gives more emphasis
around 1550. This book is still referred by on prevention and encourages maintaining
modern practitioners for its description of the health by balanced life with right
approximately 470 medicinal plants (Pandey, thinking, diet, life style and herbal remedies.
1960). These Samhitas and ayurvedic
literature were translated to various Science of Ayurveda
languages and the science of Ayurveda Ayurveda can be considered as intellectual
spread throughout the Asian subcontinent. coherence, which deals with the equilibrium
or the harmony of both mind and the
Stagnation and upwelling of Ayurveda physical body as a pre-requisite for a healthy
After Vagbhata, the golden age of Ayurveda and purposeful life, and for the realization of
came to an end. A period of stagnation human goals -dharma, artha and kam.
followed Ayurveda over thousands of years According to Ayurveda universe is
without much contribution to this medical considered as macrocosm and the human
practice. The knowledge of surgery almost body as microcosm. The constituents of
disappeared from the mainstream of external universe are identical to that of small
Ayurveda and was practiced by local internal universe within the body. This is the
practitioners who transferred their dominant theme in Ayurveda (Valiathan,
knowledge to next generation (Valiathan, 2009). Every living and non living entity is
2009). Foreign invasion was a beginning of constituted by five primordial principles or
the decline of Ayurveda. Ayurveda was a mahabhoota Prithvi, Jela, Theja, Agni and
religious science of healing, the anti-Hindu Vayu. The tissues of the body are also
and anti Buddhist approach of Muslim composed of these five elements and their
invaders lead to the withdrawal of Ayurvedic derivatives (Bhusan Patwardhan, 2009). This
system to local communities and families. identity of composition is the central
British invasion also pay way for the decline principle of ayurvedic therapeutics which
of Ayurvedic system. It was during the mandates the choice of drugs and food
British invasion, Western medicinal practices without causing side effects. Ayurveda is a
like Allopathy and homeopathy introduced holistic science of health care with the basic
in India (Raman, 2007). Nineteenth century concept, that the human body is a matrix of
encountered an unprecedented revival of “seven dhatus” or basic body tissues (Rasa,
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Rakta, Mansa, Meda, Asthi, Majja, Shukra) and cause ulcers and arouse anger. Kapha is the
mainly “three Malas” or waste products of the energy of lubrication and structure. This
body, such as feces, urine and sweat and energy controls growth of the body. It
“Agni” considered as the biological fire, supplies water to all body parts, moisturizes
performing all digestive and metabolic the skin, lubricates the joints and bones and
activities of the body, and “three life forces or maintains the immune system. Balanced
energies” called tridosha “vata, pitta and condition of kapha is required for the
kapha”. Any imbalance or disturbance in these expression of love and forgiveness. Imbalance
basic principles of body causes disease (Pulok may lead to insecurity and envy (Lad, 2003).
K Mukherjee, 2005). According to Ayurvedic Equilibrium between the Doshas and their
beliefs each person is unique with a specific governing factors are required for proper
Constitution or Prakriti. Constitution is the health, which is the central dogma of
combination of physical, psychological and Ayurveda. Every individual has a unique
emotional characteristics and the way the composition of tridoshas in their body.
body functions to maintains proper health. Usually one of the doshas will be prominent,
Prakriti is unique fingerprint of an individual. other will be moderate and the third will be
Several external and internal factors act upon least prominent. Vata is more dominant
to change the constitution of the body from under normal condition and controls the
the balanced state. Health is the equilibrium other two energy principles, Pitta and Kapha
or balance among the tridoshas in the body, (Sharma, 2010). Any imbalance in a dosha
and their disequilibrium or imbalance would will leads to various kinds of ailment (Vikriti)
be the diseased-state or Vikriti (Bala Manyam, and their symptoms. Food (ahara), Drugs
2005). (aushada) and Lifestyle (vihara) are the
important factors that maintain the balance in
Principle of Ayurveda a human body (Bhusan Patwardhan, 2009).
Ayurveda identifies that there are three basic Imbalance in the central dogma of Ayurveda
types of energy in the body mainly vata, pitta can be caused by external factors like
and kapha. Vata is the energy of movement. It unhealthy diet, bad habits, more mental
controls bodily functions associated with stress and climatic changes. Equilibrium or
motion, including blood circulation, balance is regained for maintaining health in
breathing, blinking, muscle and tissue Ayurveda by implementing new life style,
movements, heartbeat and movements of appropriate diet and use of herbal drugs.
cytoplasm and cell membrane. Balanced state
of Vata energy will result in creativity and Diagnosis and treatment
vitality. Imbalanced state, vata creates fear The triumph of ayurvedic treatment lies in
and anxiety. Pitta is the energy of digestion the diagnosis and the choice of herbal
and metabolism. It controls the body's remedies. Ayurvedic system recognizes the
metabolic systems, including digestion, fundamental importance of examining a
absorption, assimilation, nutrition, patient by direct perception. An ayurvedic
metabolism and temperature. In balanced physician should have thorough textual
state, pitta leads to contentment and knowledge and should be able to evaluate the
intelligence while in imbalanced state, pitta key symptoms and correlate it with the
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imbalance of doshas (Lad, 2005). Physician memory, treatment for infectious diseases
should employ all senses to identify the and many. Basic mechanisms like immune
disorder. Diagnosis can be done by modulation, hormonal changes, free radical
interrogation, inspection, palpation, listening scavenging, etc. are responsible for biological
to bowel sounds and observing the tongue, activity of ayurvedic formulations.
and many. Systematic interrogation with the Panchakarma or cleaning process is also done
patient helps the physician to get clear for some patients in order to remove the
picture about the history of disease and its toxins accumulated to obtain more benefits of
environmental aspects. Even though there is the treatment regime prescribed (Mradu
no mentioning about the pulse diagnosis in Gupta, 2009). Ayurveda is not only concerned
the classical ayurvedic texts, it is widely used with medicinal therapy, surgical methods are
by physicians nowadays to identify the also adopted for the cure of disease. But
nature and extent of doshas (Subbarayappa, surgery is only preferred at critical stages
2001). when other treatment measures become
inadequate. Lifestyle change, dietary
Once diagnosis is determined in terms of regimen, joyful surroundings and faith in the
imbalance in doshas, treatment should begin physician and his treatment are equally
without delay. Ayurvedic therapy starts with important as herbal drugs and procedures for
mild measures like changing the life style and successful treatment (Valiathan, 2009).
diet to eliminate the errors of the doshic
imbalance. According to ayurvedic texts, Ayurvedic therapeutics
Ayurvedic compendium also known as In ayurvedic classic texts like ‘Charka Samhita’
Astanga Ayurveda comprises eight branches: and ‘Susruta Samhita’ the use of plants and
Kayacikitsa (internal medicine); Salya tantra polyherbal formulations were documented
(surgery); alakya tantra (ophthalmology and for health care. Development of Ayurveda
ENT); Kaumara brhtya (paediatrics, obstetrics and its herbal remedies through ages is a part
and gynaecology); Agada tantra (toxicology); of cultural heritage of India (Narayana et al.,
Rasayana (geriatrics and nutrition); Vajikarana 1998). Ayurvedic formulations are of multi
(sexology); Bhuta vidya (psychiatry and component mixtures, containing plant and
demonology) (Ravishankar, 2007). Physician animal-derived products, minerals and
prescribe particular treatment regime based metals. Most of the ayurvedic therapeutics is
on the perturbed doshas. Treatment given polyherbal formulations. This is based on the
should be able to counteract and bring the fact that the therapeutic efficiency of the
perturbed doshas to normal equilibrium herbal constituents of plants is enhanced by
state. Ayurvedic therapy emphasizes on the synergistic efficacy of other plants (Pulok
prevention of disease, stabilizing body K Mukherjee, 2005). Various metallic
system and finally improving the lifespan. compounds like cinnabar, gold pyrites, lead
Ayurvedic medicines prescribed to patients, compounds, mercury, copper compounds,
contains drugs of plant, animal and mineral borax, iron pyrites, etc., are also used in
origin. These ayurvedic formulations has ayurvedic formulations. Several
several beneficial like treatment for cancer, pretreatments including sand heating,
treatment for age related problems like loss of boiling, smoking, steam heating, sublimation,
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evidence based standard profile. Need for formulation. Heavy metals are deliberate
evidence based research has became constituents of traditional ayurvedic
worldwide trend in medical research. medicines (Ernst, 2002). So the term
“Absence of evidence is not evidence of ‘contamination’ with respect to heavy metal
absence”. There are controversies prevailing will be inappropriate. They are recommended
the evidence for the efficacy of traditional in many drugs because they have particular
medicinal systems. Efficacy and validity of biological properties for curing. Toxicity of
traditional medicines should be evaluated heavy metals as been well defined in
with preliminary foundational and clinical ayurvedic literature. Specific physicochemical
studies. Quality and safety aspects of processes like sublimation, heating, etc. has
Ayurvedic formulation are also matters of been clearly mentioned in order to detoxify
major concern. There is only limited the metals. In order to avoid heavy metal
availability of data supporting the efficacy of toxicity, proper care should be taken while
Randomized Clinical Trials in traditional preparing the ayurvedic formulation. There
medicinal systems (Margolin, 1999). are some accidental contaminations like,
Traditional medicinal systems should preparative contamination and herbs and the
develop a public health care agenda minerals used in formulation itself are
including all aspects like social and cultural contaminated (Ernst, 2002). In such cases it
dimensions, sustainability and research won’t be fair to disrespect the entire system
strategies. This is essential for the shift of of medicine. Good Manufacturing Practices
complementary and traditional medicine (GMP) should be implemented more strictly
from the marginal status it holds to a to overcome this situation (Patwardhan,
significant role in international health care 2005).
(Gerard Bodeker, 2002). Another major
challenge faced by traditional herbal Inadequate scientific data
medicinal system today is the loss of genetic Even though ayurvedic drugs have well
biodiversity or risk of extinction (Lucy literature documentation, it lacks inadequate
Hoareau, 1999). Ayurvedic medicinal system scientific data supporting its pharmaceutical
also faces several problems, which prevent it properties and efficacy. Science based
from becoming the world’s largest traditional approach should be introduced for the
health care system. evaluation of efficacy of the formulations.
There is immediate need for scientific
Heavy metal toxicity research in order to evaluate the
When 20 ayurvedic medicines purchased pharmacological parameters of herbal
from India was analyzed for heavy metal formulation. Preparing monographs of the
content, 64% contain lead and mercury, and medicinal plants used in ayurvedic
41% contain arsenic (Robert B Spaer et al., formulation will be a scientific reference
2004) In some studies it has been found that which includes description, pharmacology,
heavy metal content has exceeded the legal allergic effects, and bioactivity of the plant
limits in herbal formulations (Itankar, 2001). (Aschwanden, 2001).
According to ayurvedic texts, emphasize the
relevance of heavy metals in their
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Lack of standards for safety, efficacy and and efficacy of Ayurvedic preparation which
quality control meet international standards and
Herbal medicines are generally considered as expectations. The initiatives include
safer drugs compared to synthetic drugs. But formulating new clinical trials, development
sometimes they are unsafe causing severe of new research methodologies, launching of
side effects like allergy, kidney new research journals, training programs for
malfunctioning and even death. The major researchers, development of comprehensive
problems with herbal medicines are the lack research databases and so on (Manohar,
of standardization and of safety regulations 2010). The major Indian pharmaceutical
(Aschwanden, 2001). Identification and companies, namely Himalaya, Zandu, Dabur,
characterization of active ingredient of herbal Hamdard, Maharishi, etc, have already began
drugs are essential to determine the efficacy researches for standardizing their herbal
of the drug formulation (WHO, 2002). Formulations by Chromatography techniques
Scarcity of medicinal plants has led to like TLC/ HPTLC finger printing, etc (Borris,
adulteration, substitution with other species 1996). Evidence-based researches and
and removal of a particular ingredient from approaches has now resulted in wider
the herbal drugs, which in turn effect the acceptance of ayurvedic medicines (Chopra,
quality of formulations (Parimelazhagan and 2000).
Rahul Chandran, 2010). Quality is the sum of
all the factors which contribute directly or Lack of adequate regulation of herbal
indirectly to the safety, effectiveness and medicines
acceptability of the product (Vaibhav et al., For the incorporation of traditional medicinal
2009). World Health Organization (WHO) has system like Ayurveda into international
formulated guidelines for determination of health care system, needs qualified
adverse side effects of traditional medicines practitioners and practices. There should be
used for human application. In order to adequate allocation of traditional medicinal
popularize ayurvedic formulation in global systems for capacity building and resource
market, we should develop safety limit development. This can be achieved by
profile for herbal drugs (Dubey and Pramila politicization of traditional medicine agenda.
Tripathi, 2004). Low proportions of Patents from Traditional
medicinal systems are due to stringent
According to Ayurvedic literature quality clauses of Indian Patents Act 1970 (Ganguli,
control measures should begin from the time 2004). Proper legal framework should be
and place of collection of herbs till the developed to protect Intellectual Property
finished product (Ankit Gupta et al., 2009). Rights of traditional knowledge (WHO, 2002).
World Health Organization (WHO) has China has achieved international regulatory
developed a detailed catalogue for quality standard through their national policy.
control methods for herbal drugs (WHO, Government of India has framed a policy for
1998). Several measures have been taken by Indian Systems of medicine, through
the government as well as ayurvedic private Department of Ayush. Government of India
sector to improve the research standards and also established National Commission on
to develop documented evidence for safety Farmers in collaboration with Foundation for
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Sreena Raj et al. / Research in Plant Biology, 1(1): 1-14, 2011
for new botanical drug discovery and for standardization of drugs from traditional
manufacturing botanical drugs. medicines (Pulok K Kukherjee and
Ponnusankar, 2011). Standardized drugs in
Standardization of Ayurvedic drugs market will enhance safety and trust level in
There is enormous scope for traditional people, which in turn enhance the global
medicinal systems like Ayurveda in the market of ayurvedic drugs (Gurib Fakim,
global herbal market. For conquering the 2005).
global market, ayurvedic formulations should
be standardized as per WHO guidelines. Publications
Standardization involves evaluation of Even though Ayurveda is one oldest
quality, safety and efficacy of the traditional medical system practiced through
formulations. For the standardization of out the world, it has been selectively
quality of Ayurvedic drugs, the active neglected in western literature. It can be
principle and their composition should be clearly ruled out the negligible mentioning of
identified with analytical techniques. Ayurveda in most of the leading journals like
Standardized drugs should contain consistent JAMA, BMJ and Lancet (Catherine Zollman,
levels of specified compounds, and they are 1999). Most pathetic situation emerged when
subjected to rigorous quality controls during many reputed scientists of medical field are
all phases of the growing, harvesting, and unaware about Ayurveda and its relevance
manufacturing processes (Bandaranayake, (Paul, 2001). Several high impact journals
2006). According to standardization have denied Ayurvedic articles without any
guidelines, macroscopic and microscopic peer review based academic reasons. Now
evaluation and chemoprofiling using HPLC, situation is gradually changing, more
GC and HPLTC as been recommended publications related to quality, safety and
(Dnyaneshwar Warude, 2005). Standardi- efficacy of Ayurvedic medicines in
zation of ayurvedic drugs may lead to the international peer-reviewed journals
development of monographs and (Bhushan Patwardhan, 2003). High impact
pharmacopeias. After knowing the active works along with motivated scientists are
principle, it should undergo safety studies essential for enhanced international
both invitro and invivo (Kamboj, 2000). For publication in Ayurveda (Bhushan
ensuring safety and efficacy of Ayurvedic Patwardhan, 2009).
formulations, pharmacological and clinical
studies should be done. Ayurvedic drugs are Conclusion
generally considered as safe drugs but several Even though India has a rich traditional
adverse side effects have been reported. This knowledge and heritage, its share in the
brings into focus the need for international market is very negligible. There
pharmacovigilance study of Ayurvedic is a growing demand for traditional
formulations. Even though medicinal system in the present global
pharmacovigilance research in ayurvedic market. In order to compete with global
drugs is an unthought-of concept, but it is traditional medicine market, India should lay
need of the hour (Urmila Thatte, 2011). more stress on standardization and quality
System biology is a new effective approach proofing of its drugs. Development of the
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