Ayurveda Europe’s Perspective: theBaltic Countries wsr Latvia

Professor Valdis Pīrāgs M.D.University of Latvia

Director of the Centre of Complementary Medicine

Seminar „Roadmap for Export Promotion of AUYSH Products –

Regulatory/Registration Guidlines for Europe“

10 August, 2016

AVP, Coimbatore, India

Ayurveda as the treatment method is regulated only inLatvia, Slovenia, Hungary, Romania and Serbia

European Union and Republic of India: a comparison

EU:28 member states

24 official languages

4.38 mln km2

508 mln people

$16.5 trillion GDP

GDP growth 1.7% (2015 estimate)

India:29 states

22 official languages

3.29 mln km2

1 293 mln people

$ 2,3 trillion GDP

GDP growth 7.8% (2016 estimate)

1. Enormous diversity2. Common values3. Historic traditions

The Baltic Countries

Out of India Route and Peopling Europe

nationalgeographic.com/2011

India's Ambassador to Latvia and Sweden Banashri Bose Harrison (2013)

Joint study with the Arya Vaidya Chikitsalayam& Research Instituteon diabetes (2012)

2013

More than 60 MD’s completed the Basic Course in Ayurveda provided by the Complementary Medicine Centre of the University of Latvia

MINDBODY

SPIRIT

1. EDUCATION3. LEGISLATION AND CLINICAL

PRACTICE (reimbursement)

INTEGRATIVE MEDICINE

The desired Future: a new more integrative understanding of the basic principles of Yoga and Ayurveda in the challenging age of genomics, proteomics and bioinformatics

2. RESEARCH

Article in the «Illustrated Science» (2016)

Indriķis Muižnieks as the research fellow at the Laboratory of Plant Development.In 1980, he received his PhD in Microbiology for research on Parallel Mechanisms ofPurine and Pyrimidine Metabolism in the Soil Microorganisms.

WHAT IS THE CURRENT SITUATION WITH

AYURVEDA IN EUROPE?

TOP 10 Healing Ayurveda Retreats in Europe

1. Ayurveda Parkschlösschen, Germany ,‘the only five-star Ayurveda hotel in Europe’

2. Hotel ThermenhofPaierl – Austria, original Ayurveda experiencewith Indian doctors and therapists

3. Hotel Alpino Atlantico – Madeira, Portugal, ‘a small boutique hotel specialized in high-class Ayurveda treatments by Indian specialists’

4. Ayurveda Mallorca –Spain, family atmosphere and delicious individually cooked meals,professional therapists from India and Sri Lanka.

5. Ayush Wellness Spa –Jersey, UK, the most suitable treatment by combining the authentic Ayurvedic therapies and luxurious spa treatments by Indian and western therapists.

6. Ayurveda Resort Sonnhof – Austria, ‘The heart of European Ayurveda’ 7. La Clairière Bio &

Spahotel – France, the finest organic cuisine with organic ingredients, typical for the Alsace region.

10. Hotel Wellness Kinga –Poland, four-star hotel, a consultation with the Indian doctors

http://www.topinspired.com/

Ayurveda Palace Jūrmala, Latvia (SPA and Hotel)

What is the Integrative Medicine?

Ayurveda

Holisticmedicine

Unani

Personalized Allopathic (Western) biomedicine

Yoga Naturopathy

Homeopathy Siddha

AcupunctureChiropractic

Traditional Chinese Medicine

Osteopathy

Anthroposophic medicine

• Integrative medicine aims to practice a new paradigm of medicine – one concentrated on complete restoration of a patient’s health in sustainable and scientific manner.

• It merges allopathic medicine with complementary and alternative medicines.

• Holistic approach also means personalized medicine – fine-tune particular mixture of pharmaceutical products for each individual person.

• Integrative medicine treats the "whole person", focuses on wellness and health rather than on treating disease.

• It is holistic approach that aims to treat the real cause of problem instead of treating symptoms (consequences) only.

China: integration of Traditional Chinese Medicine (TCM) and Western medicine

The Chinese integrative health care system was purposively created and promoted by Mao Zedong in 1956:

“to integrate the knowledge of Chinese medicine and materiamedica with the knowledge of Western medicine and pharmacology, to create our unique new medicine and new pharmacology.”

X.-Y. Hu et al. / European Journal of Integrative Medicine 7 (2015) 76–84

Natural products and mind and body practices are the most common

complementary health approaches

Academic Consortium for IntegrativeMedicine & Health

Under the umbrella of the Academic Consortium for Integrative Medicine & Health many leading USA universities provide treatments and health services in this discipline in additional to participating in research and education.

Harvard Medical School

Boston University School of Medicine

Stanford University School of Medicine

Yale UniversitySchool of Medicine

HOW SHELL WE PROCEED IN EUROPE?

MINDBODY

SPIRIT

AYURVEDAWESTERN CONVENTIONAL

MEDICINE

INTEGRATIVE MEDICINE

The desired Future: a new more integrative understanding of the basic principles of Yoga and Ayurveda in the challenging age of genomics, proteomics and bioinformatics

YOGA

Unity of Education, Research and Clinical Practice

Ayurvedic education

Ayurvedic clinical practice

Ayurvedic clinical & basic

reaserch

Reductionism versus Systems Science

Ahn AC, Tewari M, Poon C-S, Phillips RS (2006) The Clinical Applications of a Systems Approach. PLoS Med 3(7): e209. doi:10.1371/journal.pmed.0030209http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0030209

Proposed textbook of innovative approach to compare and translate basic principles of evidence (experience)-based Ayurveda in to the scientific language of the evidence-based Western medicine

EDUCATION: COMPARATIVE TEXTBOOK ON AYURVEDA FOR ALLOPATHIC DOCTORS AND SCIENTISTS

scientific language of

Standartization of Ayurvedic Services in European Union: expected change

• Education: from short-term courses to certified study programmes

• Research: from case studies to well standartized randomized controlled trials (RCT)

• Clinical practice: from Spa hotels to widely accessible outpatient practices

Basic Research: Pharmaceuticals vs Nutraceuticals

Neuroendocrine regulation

The Model of Integrative Medicine Research Centre

• To conduct clinical trials, registries, comparative effectiveness and clinical

• To conduct basic research in the areas of psychoneuroimmunologyand -endocrinology to further explore and explain the mind-body mechanisms, and lay the foundation for new and improved integrated therapies

• To become knowledge resource and databank on IM-related treatment methods and their safety and efficacy

• Research projects in ayurveda, yoga and other therapies should rely on recruitment via general practitioners and hospital ambulatory care, and via informational material, media and word of mouth

• Multicentric RCT’s in collaboration with the Indian Universities and teaching hospitals.

http://www.nordicintegrativemedicine.com/nim-center/im-clinical-research/

CM Witt et al. Trials 2013, 14:149

Research: Ayurveda randomized clinical trial (RCT) design

Old Medicine = Sick Care

Current Medicine = Medical Industry

Future Medicine = Value-based(Patient-centered) Medicine

The Necessary Change in Health Care Paradigm

The Necessary Change in Health Care Paradigm

The third stage envisages to establish a network of clinics (outside

Riga) for longer term treatments.

Additional branch of the project is to develop a pharmaceutical research

that would lead to drug development through utilizing traditional health

systems and reverse pharmacology.

3rd stage

The second stage envisages to create a clinic for consultations in the field of

integrative medicine. This project would build on specialists prepared during the

first state of the project that is still ongoing.

Consultations would be fee based. The current business models of ‘’ARS’’ or

’’Veselības centrs 4’’ could be a proxy.

2nd stage

The first stage of the project started in July 2012. The MOU for research between Dr. V. Pirags Professor and

Head of Internal Medicine at the University of Latvia and the Arya Vaidya Chikitsalayam & Research

Institute (AVCRI) in field of type 2 diabetes mellitus was signed.

The project was further expanded with the MoU between both institutions in the field of educational

programme at the University of Latvia. The programme currently focuses on continuing education in the field of

complementary medicine. 65 students completed the Ayurveda study programme in 2015.

.

1st stage