Wednesday, November 29, 2023

ASWHAGANDHA IN AYURVEDA

 ASHWAGANDHA


   

ASHWAGANDHA



Withania somnifera (WS), also known as ashwagandha, Indian ginseng, and winter cherry, it has been an important herb in the Ayurvedic and indigenous medical systems for over 3000 years. The roots of the plant are categorized as rasayanas, which are reputed to promote health and longevity by augmenting defense against disease, arresting the aging process, revitalizing the body in debilitated conditions, 

increasing the capability of the individual to resist adverse environmental factors and by creating a sense of mental wellbeing 


  •  It is in use for a very long time for all age groups and both sexes and even during pregnancy without any side effects


  •  Historically, the plant has been used as an antioxidant,adaptogen, aphrodisiac, liver tonic, antiinflammatory agent, astringent and more recently to treat ulcers, bacterial infection, venom toxins and senile dementia. 


       
                  

FRUIT OF ASWHAGANDHA

Clinical trials and animal research support the use of WS for anxiety, cognitive and neurological disorders, inflammation, hyperlipidemia and Parkinson’s disease. 


WS chemopreventive properties make it a potentially useful adjunct for patients undergoing radiation and chemotherapy. 


Recently WS is also used to inhibit the development of tolerance and dependence on chronic use of various psychotropic drugs. 


TAXONOMICAL CLASSIFICATION 


Kingdom :- Plantae, Plants; 


Subkingdom-:Tracheobionta, Vascular plants; 


Superdivision:-Spermatophyta, Seeds plants; 


Division :- Angiosperma 

Class :- Dicotyledons 

Order :- Tubiflorae 

Family :- Solanaceae 

Genus :- Withania 

Species :- somnifera Dunal 


Botanical description:- WS is a small, woody shrub in the Solanaceae family that grows about two feet in height.


It can be found growing in Africa, the Mediterranean, and India. An erect, evergreen, tomentose shrub, 30-150 cm high, found throughout the drier parts of India in waste places and on bunds. Roots are stout fleshy, whitish brown; leaves simple ovate, glabrous, those in the floral region smaller and opposite; flowers inconspicuous, greenish or lubrid-yellow, in axillary, umbellate cymes; berries small, globose, orange-red when mature, enclosed in the persistent calyx; seeds yellow, reniform. The roots are the main portions of the plant used 

therapeutically. The bright red fruit is harvested in the late fall and seeds are dried for planting in the following spring. 


Parts used:- Whole plant, roots, leaves, stem, green berries, fruits, seeds, bark are used. 


Synonyms:- 


Sanskrit:- Ashwagandha, Turangi-gandha; 


English:- Winter Cherry; 


Hindi:- Punir, asgandh; 


Bengali:- Ashwagandha; 


Gujarati:- Ghodakun, Ghoda, Asoda, Asan; 


Telgu:- Pulivendram, 

Panneru-gadda, panneru; 


Tamil:- Amukkura, amkulang,

amukkuram-kilangu, aswagandhi, 


Karnataka:-

Viremaddlinagadde, Pannaeru, aswagandhi, Kiremallinagida; 


Goa:- Fatarfoda; 


Punjabi:- Asgand, isgand; Bombay: Asgund, ashwagandha; 


Rajasthani:- Chirpotan 


PHYTOCHEMISTRY 


Chemical constituents of WS are always of an interest for the researchers. The biologically active chemical constituents are alkaloids (ashwagandhine, cuscohygrine, anahygrine, tropine etc), steroidal compounds, including ergostane type steroidal lactones, withaferin A, withasomniferin-A, withasomidienone,withasomniferols A-C, withanone etc. 


Apart from these contents plant also contain chemical constituents like withaniol, acyl steryl glucosides, starch, reducing sugar, hantreacotane, ducitol, a variety of amino acids including aspartic acid, proline, tyrosine, alanine, glycine, glutamic acid, cystine, tryptophan, and high amount of iron. 


Chemical ingredients


Steroidal alkaloids and lactones known as withanolides specifically Withaferin A and Withanolide D are two main withanolides contribute to the most of the biological actions of withania. Withanine, Withaniol, Anaferin, Tropine and many other Alkaloids andSteroids are present.



Ayurvedic properties:-


Rasa- Tikta, Kasaya, Madhura, 

Guna- Snigdha, Laghu,


Virya- Usna, 


Vipaka-Madhura


Dashakarma- Kapha

Vata Samaka



Medicinal uses in Ayurveda:-


Useful part of Ashwagandha is mainly the root. Seeds,leaves and fruits are also used as medicine.


External Uses:- 


 Ashwagandha leaves and root paste is applied on enlarged cervical glands or swelling of other glands as it reduces oedema and pain, oil massage isdone in vata diseases and weakness. In ear discharge the juice of Ashwagandha leaves is used as eardrops. For healing of blisters, black ashes of the roots are applied.


The dried leaves are ground to a powder from which paste is made and used in the treatment of burns and wounds and also for a sunscreen upon women's faces.


Internal uses:


Nervous system:- 


Ashwagandha root is sedative,tranquilizing and nervine tonic, hence helps in tonic nerves and useful in fainting, giddiness and insomnia(The species name somnifera means "sleep-inducing" in Latin).


 It is also used as an “adaptogen” to help the body cope with daily stress, as a general tonic and for improving thinking ability. It also improves the brain’s memory functions like attention and concentration,hence helping with the symptoms of Parkinson’s, Alzheimer’s and other neuro-degenerative diseases. 

It enables the body to reserve and sustain vital energy throughout the day while promoting sound, peaceful sleep at night. Ashwagandha benefits, strengthens and tones all muscle tissues including the heart and lungs.

It increases muscle tone while concurrently soothing muscular inflammation. It is an ideal remedy for muscular aches, pains, and stiffness,weakness and low body weight.


Digestive system:- The bark powder of Ashwagandha is appetizer, carminative and anthelmintic and hence is used in abdominal pain, constipation and worms.


Circulatory system:- Ashwagandha has an effect on the heart, purifies the blood and reduces oedema. So it is used in weakness of heart, blood disorders and oedema. The decoction is used in rheumatoid arthritis.


Respiratory system:- Ashwagandha is an expectorant and has anti asthmatic properties, due to which it is useful in cough. Ashwagandha ash along with ghee and honey is effective in asthma. If phlegm is thin, it is used in the form of ash or its alkaline extract is used. Decoction of bark should be given in low dose for cough and asthma. It is also used as a tonic in the above conditions.


Reproductive system:- 


Ashwagandha is considered as sukrala i.e. semenogogue which increases semen. It iswell known for its aphrodisiac property and is used in semen disorders. A mixture of 5 gms of Ashwagandha powder, 10 gms of ghee and sugar along with 250 ml milk is a good tonic, nutritious and aphrodisiac. It completely cures puerperal backache and leucorrhoea caused due to endometritis.


Urinary system:- It is a diuretic and used in oliguria or anurea.


Skin:- Ashwagandhadi churna is indicated in wrinkle skin and premature ageing and premature graying of hair. It is used in vitiligo and other skin diseases.


Satmilkaran:- It increases weight, improves immunity and is an aphrodisiac. Used in debilitation diseases and marasmus in children.


Medicines in market:- 


Ashwagandhadi Churna,

Balarista, Ashwagandha Rasayana, Ashwagandha Ghrit,Ashwagandharishta, Dhatupoustika Churna, PhalaKalyan Ghrita, Rasaraj Rasa etc.


Side effects and contraindications: 


Ashwagandha is not recommended in case of hyperthyroidism or pregnancy and can in high doses provoke certain intestinal problems. In strong doses, Ashwagandha can have a hypnotic effect. Hence should be started with small doses then increased gradually. 


Ashwagandha is best taken in the evening, because in strong doses the plant can act as a sedative.


Pharmacological evidences:-


  •  Anti inflammatory property:- The alcoholic extract has significant anti-inflammatory property in both acute and chronic types of inflammation. The decoction of rooton oral administration against carrageenin induced inflammation, produced marked anti-inflammatory property. 

The extract of leaves on experimental models sub acute models of inflammation and CCl4 induced hepatotoxicity in albino rats exhibited anti-inflammatory effect. Ashwagandha possessed marked anti-inflammatory effect against denaturation of protein in vitro. The effect was plausibly due to the alkaloid and withanolide contents of Ashwagandha


  • Hepatoprotective activity:- Alcoholic extract of the leaves of the plant was found to significantly inhibit CCl4 induced alterations in transaminase activity and pentobarbitone sleeping time indicating presence of hepatoprotective activity. This was confirmed through histopathological studies.


  • Infertility activity:- Roots have infertility activity in mice and did not completely abolish oestrus or mating but it delayed the processes. Roots also have the effect to produce infertility mating and cause a decrease in litter size, tuber roots have no uterine stimulant activity on isolated guinea pig uterus.


  • Antibacterial activity:- The leaves exhibited anti- bacterial and anti fungal property. It was effective against gram positive bacteria and Helminthosporium sativum (fungus).


  • Psychotropic/Anti 

anxiety activity:- Total alcoholic extract on oral administration in albino rats caused decreased locomotor activity and learning behavior,potentiated barbiturate hypnosis, increase in the whole brain tissue level of serotonin and histamine. It induced depletion of catecholamines and Ach in the brain. The Aqueous suspensions of roots of Ashwagandha and the Korean drug Ginseng were tested comparatively for 2 pharmacological activities, namely Anti-stress activity by the ‘mice swimming endurance test’ and anabolic activity by noting gain in body weights and levator ani muscle in rats showed a significant increase in mice swimming time by Ginseng and Ashwagandha as compared to the control group. Significant increase in body weights in the Ashwagandha treated group was better than Ginseng. Gain in wet weights of the levator ani muscle were also significant in Ginseng and Ashwagandha treated groups, however, the weight gain of dried levator ani muscles showed comparable results for both these drugs.


  • Anticonvulsant activity: Dried powder, decoction and alcoholic extract showed anti convulsant property against electro shock and phenobarbitone, the alcoholic extract being much more potent.


  • Skin care:- Its potent antioxidant properties help protect the skin against free radical damage and slow down the ageing process by firming up the skin for a more youthful look. Ashwagandha stimulates DHEA,which is a precursor to both testosterone and estrogen and stimulates the production of natural skin oils. It also promotes the production of vital compounds and proteins for healthy skin such as hyaluronan for skin hydration, elastin to keep the skin supple and collagen for skin strength. For glowing skin Ashwagandha can be used asa toner with dried ginger and lemon.


  • Healthy Hair: Used in shampoos, Ashwagandha is believed to help improve scalp circulation and strengthen the hair, as well as help get rid of dandruff. It also appears to stimulate production of melanin, the pigment responsible for the colour of hair. So, it may actually reverse graying of hair and it also helps deal with hairloss. 


  • Immuno-modulator activity:- Ashwagandha has shown a significant modulation of immune reactivity in animal models. Administration of Ashwagandha was found activity like immunosuppressive drugs, viz, cyclophosphamide, azathioprin and prednosolone. Treatment with Ashwagandha was found to significantly increase Hb concentration, RBC count, platelet count, and body weight in mice. 


  •  Anti peroxidative action: The importance of Withania somnifera root extract in the regulation of lead toxicity with special reference to lipid peroxidative process has been investigated in liver and kidney tissues. While lead treatment (0.5 mg/kg body wt. / day for 20 days) enhanced hepatic and renal lipid peroxidation (LPO), administration of plant extract in the doses of 0.7 g/kg and 1.4 g/kg body wt. / day along with equivalent doses of lead acetate for 20 days significantly decreased LPO and increased the activities of antioxidant enzymes, viz., superoxide dismutase (SOD) and catalase (CAT), thus retaining normal peroxidative status of the tissues. It was suggested that the ameliorating role of root extract of W. somnifera in the lead intoxicated mice could be the result of its antiperoxidative action.


  • Anti ageing effect:


 Double blind clinical trial carried out to study the effect of plant on prevention of ageing in 101 normal healthy males in 50-59 years age group. Root powder (0.5gm) was given orally three times a day for 1 year. Results showed statistically significant increase in Hb%, RBC, hair melanin, and seated stature in treated group in comparison to placebo group. Decrease in serum cholesterol was more in treated group than in placebo group.


  • Macrophage activating effect: The chemotactic activity of macrophages and production of Interleukin-1 (IL-1) and tumor necrosis factor (TNF) were significantly reduced in mice treated with the carcinogen achratoxin A (OTA). Administration of Ashwagandha with other drugs was found to significantly inhibit OTA-induced suppression of macrophage chemotaxis and

production of IL-1 and TNF-α by macrophages 21

 

  • Haemopoitic effect:- The combination of Ashwagandha and ginseng (Panax ginseng) was orally

administered in rats for 90 days using three doses. There was significant increase in body weight, food consumption and liver weight and improved haemopoisis was observed.


  •  Antibiotic Activity: The antibiotic activity of the Ashwagandha roots as well as leaves experimentally

shown that Withaferin A in concentration of 10µg/ml inhibited the growth of various Gram-positive bacteria, acid-fast and aerobic bacilli, and pathogenic fungi. It was active against Micrococcus pyogenes var aureus and partially inhibited the activity of Bacillus subtilis glucose-6-phosphate-dehydrogenase. Withaferin A inhibited Ranikhet virus. The shrub’s extract is active

against Vaccinia virus and Entamoeba histolytica. Asgand showed the protective action against systemic Aspergillus infection. This protective activity was probably related to the activation of the macrophage function revealed by the observed increases in phagocytosis and intracellular killing of peritoneal macrophages induced by Ashwagandha treatment in mice. Antibiotic activity of Withaferin A is due to the presence of the unsaturated lactone-ring. The lactone showed strong therapeutic activity in experimentally induced abscesses in rabbits, being somewhat stronger than that of Penicillin. It substantiates the reputation of the leaves as a cure for ulcers and carbuncles in the indigenous system of medicine.



THANK YOU 



Monday, November 20, 2023

Traditional Medicinal Knowledge System of Tridosha in Ayurveda

 Traditional Medicinal Knowledge System of Tridosha in Ayurveda


The role played by Traditional Medicinal Knowledge (TMK) such as, Ayurveda in personalized and preventive healthcare has its foundations in the Humoral Doctrine of Tri-dosha:- Vata, Pitha and Kapha. This encompasses the manifestation of Panchamahabhutas within the human body thereby exhibiting unique bodily characteristics. Advanced pharmacogenomics hasscientifically been correlated to the traditionally known genetic attributes of Tri-dosha and human  body  Prakriti. 

   


Simultaneously the advancement of ethnopharmacology has enabled the extraction of plant-derived chemical compounds and bioactive constituents in drug discovery leading to commercial manufacturing of modern medicine that are a part of global market economy and founded on the western ideals of IPR and monopolistic trade tendencies. This has led to the bypassing of Access and Benefit Sharing (ABS) of the Convention on Biological Diversity (CBD) resulting in rampant misappropriation and bioprospecting of TMK through obtaining of IP rights without prior approval.  This has challenged the very subsistence and survival of indigenous and local communities thereby raising a strong necessity for a cooperative model of TMK sharing over the prevailing knowledge commercialization, private rights and monopolistic-

capitalistic approaches


The objectives of the research paper is to discuss and understand the scientific validation of Tri-doshas, to critically analyze the protection of TMK through IPR, local customary laws & traditions and current national and international policy perspectives. Further, the research explores historical roots of modern western medicine to TMK and also analyses several cases where objections have successfully been raised by TKDL at the global patent offices against  the grant of patent to prior art dealing with TMK of India. A detailed case study of the success story of the ‘Kani Model’ of Access and Benefit Sharing has been made to emphasize on cooperative knowledge sharing.



The treatment of diseases originally started as a sacred and spiritual belief and therefore involved a mix of prayers, practices and herbal mixtures thereby forming the basis of traditional medicine knowledge system among the indigenous and local communities in India and at the global level. India has seen the evolution, documentation and practicing of traditional 

medicinal knowledge such as Ayurveda and yoga as a viable tool of wellness management. Ayurveda is one of the traditional medicinal knowledge system that is widely practiced in India. The evolution of modern medicine too has had its roots in the traditional 

medicine system until the Renaissance and Industrial 

Revolution enabled the gradual advancement of 

technology, understanding of pathology and pharmaceuticalization procedures in a competitive 

globalized market as we see today.


Notably, there have also been colonial implications in the intercontinental exchange of medicinal plant species and traditional medicinal knowledge at the global level.


Therefore, the progress achieved in modern medicine have evolved out of the empirical knowledge from traditional medicinal system such as Ayurveda and Siddha from India. Ancient civilizations such as China, Egypt, Greece, Mesopotamia, etc. too have roots in traditional medicinal knowledge. Having said that a large chunk of the global population still use medicines that are based on traditional medicinal knowledge systems.


The 1980s saw the role played by biotechnology in the discovery of plant derived pharmaceutical drugs there by causing greater interest among the scientists and physicians towards ethnopharmacology and traditional medicinal knowledge that were historically and customarily protected and carry forwarded by the indigenous and local communities. 


The protection of traditional knowledge by deeming it as intellectual property first took shape at the 1992 Rio Summit.


wherein the Convention on Biological Diversity was 

adopted to ensure access and benefit sharing under the perspective of ‘semi-commons’ and prevent bioprospecting of traditional knowledge by third parties.


The prospects of Semi-Commons enable the greater benefit of traditional knowledge to its holders and the public through cooperative sharing of knowledge and resources. 


Evolution of Traditional Knowledge and Intellectual Property


The historical foundations behind the intellectual 

property can be traced back to the industrialization era with constant upgradations inorder to suit such nations that were leaders in technology and advanced scientific research post the Industrial Revolution (IR). 


The First and the Second World Wars proved to the 

world nations that vital scientific knowledge and 

cutting edge technological expertise were crucial for 

the nations to sustain as global and regional superpowers. 


The disintegration of the USSR was just the beginning of USA‘s emergence as a monopolistic power with the backing of the European Union. The ‘global north’ there after ensured that the global south unitedly marched behind it practically in all aspects, particularly in trade relationship. This enabled them to have an extra edge over the other nations or societies in ensuring that the legal ledgers played an 

advantageous role for the ‘global north’ over the 

‘global south’ in terms of knowledge acquisition 

under the garb of Liberalization, Privatization and Globalization (LPG).


 While there existed an 

established ‘selfless culture’ of traditional knowledge on the principles of cooperation and togetherness in the countries of the global south, the global north bound the entire world with competition and commercialization through the Trade Related Aspects 

of Intellectual Property 

Rights (TRIPS) under the 

World Trade Organization (WTO) to bring about a 

commonality among the world nations and assert that  intellectual property is a trade related asset inspite of the diversity prevailing in the intellectual property regimes of the “global south‘ that had originally suited their culture, tradition, and indigenous communities. 


The concern that the indigenous people and their 

communities are mainly in the developing and under developed countries of the global south have demanded equal protection for traditional knowledge. 


As a result in the year 2000, the Inter-governmental Committee on Intellectual Property and Genetic Resources, Traditional Knowledge and Folklore 

(IGC) was established by the World Intellectual Property Organisation (WIPO) so as to develop a global legal instrument that would render effective protection for traditional knowledge, genetic resources and traditional cultural expression / folklore. The liveliness and richness associated with traditional knowledge is that it has phenomenally been developed, sustained and passed on from one 

generation to another in a community. The authorship 

or inventor of any traditional knowledge is mostly unknown and the dynamic nature of traditional knowledge makes its protection difficult using the TRIPS or other legal instrument available.


 Intellectual Property and 

Traditional Medicinal 

Knowledge in India


A large number of population depend on traditional medicine while several of the modern vaccines and drugs are based on natural resources and associated traditional medicinal knowledge. In India the importance of traditional medicinal knowledge with regards to the indigenous communities also comes with social, cultural and scientific values. As a result it has invited recognition, respect, preservation and protection from undue commercialisation and 

scientific interest towards traditional medicinal 

knowledge. TMK are mostly derived from plant and animal varieties and hence fall under genetic resources which are not human creations but occur naturally in the nature and therefore cannot be directly protected as intellectual property. Intellectual Property refers to creation of the mind, such as 

inventions; literary and artistic works; designs; and 

symbols, names and images used in commerce. 

Intellectual Property is protected in law by patents, 

copyright and trademarks which enable people to earn recognition or financial benefit from what they invent or create. This means that the individual creator or inventor holds the rights over his/her intellectual property – Intellectual Property Rights/IPR.


The World Health Organization (WHO) defines traditional medicine as the sum total of the knowledge, skills and practices based on the theories, beliefs and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health, as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness wherein ‘traditional’ means the knowledge that is created in a manner that reflects community traditions that have been created preserved and transmitted from generations and held collectively. Though the indigenous community may 

innovate, the fact which deems their innovation is 

based on the community‘s collective heritage that it 

has held. WIPO, through its Intergovernmental Committee on Intellectual Property and Genetic 

Resources, Traditional Knowledge and Folklore, 

seeks to develop international legal instrument that would provide effective protection of Traditional Cultural Expressions, Folklore and TK – including traditional medicinal knowledge. Though, there are a multitudinal definitions that cover various areas of traditional knowledge, a holistic definition for traditional medicinal knowledge with all its features and aspects concerning indigenous rationale, sustainability and customary self-regulations is required so as to understand the indigenous and local communities in its truest essense. Therefore, a contextual definition for Traditional Medicinal Knowledge is:-


Traditional Medicinal Knowledge is associated 

with indigenous communities that are unique and derived through observations from the nature, surrounding environment and then transmitted, originally orally, from one generation to another 

throughout the world.”


Traditional Medicinal Knowledge with its spirit 

of local - collective ownership characterizes the consciousness of spiritual belief, diverse culture, dynamic wisdom, collective heritage, sacred values, time tested sustainable practices that are ancestrally inherited within the indigenous & local communities and their social world. This time proven nature of Traditional Medicinal Knowledge system is such that it precisely provides the indigenous and local communities with the required knowledge, wisdom, practices and purpose of their existence by simultaneously enabling the communities to live in harmony with the ecosystem and uncompromisingly adapt themselves to ecological changes. Such holistic 

interconnectedness between community level activities of humans and various components of mother nature over a prolonged period of time with a scope to adapt 

to change is what distinguishes Traditional Medicinal Knowledge from that of modern western medicine.


Role of Panchamahabhuta and Tri-dosha in Ayurveda


Traditional Medicinal Knowledge Systems 

(TMKS) such as, Ayurveda, uses combinations of physiological exercises, massages, meditation, diet 

modification, medicines derived from indigenous 

plants, animal products and minerals for the treatment 

of ailments. The fundamental aspect of the healing and treatment in TMKS is based on the theoretical understandings of the Panchamahabhutas and the Tri-doshas. According to Charaka, the famous physician from ancient India, it is the doctrine of tri-doshas that dominates the theory and practice of traditional 

medicinal knowledge systems such as Ayurveda and are not just theoretical concepts but real substances.


The five eternal and base components of nature or the Panchamahabhutas are Prithvi (Earth), Apa (Water), 

Agni (Fire), Vayu (Wind) and Aakasha (Ether). All the living and non-living beings including the human body are created from the permutations and combinations of different variables or the components of Panchamahabhutas Thereby making every 

individual as a unique entity in relation to the external 

environment from the preview of Ayurveda.


This is to precisely say that human body is a ‘miniature form of nature’ wherein the similar components of the 

nature are present in our body. The following description of the properties of Panchamahabhutas with regards to our body is important:-


(i) Prithvi or earth is the basic gross element which 

gives the sense of smell and is characterized with 

mass, density, opacity and inertia. 


(ii) Apa or water is the element of aqua or liquids and possesses the characters of fluidity, coldness, viscosity etc


(iii) Agni or fire is the thermal element and is related to digestion. Agni also represents the manifestation of anger, passion and courage in the human body.


(iv) Vayu or air is the basic gaseous element and 

possesses the characteristics of lightness.


(v) Akasha or Ether is related to space and enables sound and hearing. They form the pores, cavities and channels in the human body. Panchamahabhutas control various activities of our body through the Tri-doshas or body humours which are the three vital energies of our body namely Vata (wind), Pitta (bile) and Kapha (phlegm). 


Further, each of the doshas are composed of two of 

the Panchamahabhutas and perform anatomical 

activities as:-


1. Vata has the primary elements of Vayu (air) and 

Akasha (ether) with the functional control over 

movement and communication.


2. Pitta has the elements of Agni (fire) and Apa(water) to functionally oversee digestion, metabolism and transformation. 


3. Kapha has the elements of Apa (water) and Prithvi (earth) to functionally provide cohesiveness, body structure and lubrication. 


Each person contain the unique blend of these doshas. So the core and foundational aspect of health and disease as per the principles of Ayurveda is centred in the uniqueness of an individual. However most of them have one of it as a dominating doshas which form the true nature of the body or the prakriti. The Tri-doshas are present in varying proportions in the human body and tend to form specific body signatures according to the dominant dosha of our body to form distinct prakriti or the nature of the body. Just like the Panchabhutas create atmospheric, climatic and physical changes in the surrounding nature, they also affect our bodily wellbeing through different proportions and combinations in the form of doshas. M. S. Valiathan 

in his book, ―The Legacy of Charaka writes ―While the homology between the structural materials within the body and outside, in the physical world, is the theme of the pancabhuta doctrine, the functional equilibrium inside the body is explained by tridosa.


Therefore, the role played by the Tri-doshas in our body and mind are crucial for its survival, metabolism, endurance, health, and disease prevention apart from determining of physical and mental characteristics of our body. The ratio of vata, pitta and kapha influence the human body in its individual features, mental and emotional character and traits as well as our unique strengths and vulnerabilities. Every dosha has a quality and bodily manifestations of its own. Any deficiency or excessive quantity of the tri-doshas is said to unsettle a condition of health disorders and disturbances.


Ayurveda also prescribes several lifestyle oriented 

remedies and adaptations to ensure the equilibrium of 

the doshas. Ayurveda not only stresses on the physical nature of the body but also on the psychological aspect of the individual and a holistic 

approach towards diet and lifestyle inorder to maintain health and prevent disease.

It is also important to understand the specific 

dosha properties and the detailed results of their 

balance and imbalances in the human body.


The following shloka from the Susruta Samhita

describes as to what ‘health’ is according to Ayurveda, a traditional medicinal knowledge system:-

Samadosha Samagnischa Samadhatumalakriyaha

Prasannatamenindriyamanaha SwasthyaItyabhidheeyate”


It means When the doshas are in balance (samadosha); when the different forms of agni are in balance (samagni); when the processes are associated with the creation of dhatus and mala are in balance and working seamlessly; when the atma (soul); the sense organs (jnanendriya and karmendriya) and the mind (manaha) are in a state of happiness and harmony (prasanna); this (iti) is called (abhidhiyate) health (swasthya).


The vaidyas or the traditional healer understands the particular prakriti that the human body is predominantly associated with for diagnosis of ailments. The treatment is given in accordance with the imbalance of dosha in a person. TMKS provide the 

scope and relevance towards personalized medicine and prevention system through the better understanding of the body type or prakriti thereby making Ayurveda a universal concept of traditional medicinal system that can be associated with the concepts of science. 

Personalised preventive medicine is of greater 

advantage in the case of Ayurveda wherein other non-traditional systems of medicine have the scope of only personalized medicine.


The prakriti signature is 

unique from one person to the other and this has been 

validated and evidenced by modern science.


Scientific Validation of Tri-doshas


The article titled, “DNA methylation analysis of 

phenotype specific stratified Indian population”


published in the Journal of Translational Medicine

has elaborately reported that the respective doshas of vata, pitta and kapha were experimentally correlated with their known characteristics of motion (vata), higher metabolism (pitta) and structural attributes (kapha). The experimental research method involved had been the sampling of whole blood DNA samples of individuals whose ayurvedic prakriti specimens of vata, pitta and kapha was earlier known. The samples were subjected to methylated DNA immuno-precipitation (MeDIP) and microarray analysis. After data analysis, prakriti specific signatures were validated through bisulfite DNA 'sequencing'. The research also concluded that the differential DNA methylation signatures of all three doshas showed the genetic basis of traditional human classification system, in accordance with Ayurveda, that provides the scope for personalized medicine.


Another study determined the genetic basis of doshas, in varying proportions of dominance, which were as described in the Charaka Samhita by performing SNP (single nucleotide polymorphism) analysis of the three prakritis. The results were also independently confirmed by ‘AyuSoft’ which is a software developed on the basis of classical ayurvedic literature.The scientific and genetic basis for body‘s 

prakriti have been distinguished and differentiated with individuals of pitta-prakriti having faster metabolism and those of kapha-prakriti having slower metabolism thereby enabling drug discovery,pharmacogenomics and personalized medicine.


A better understanding of dosha theory as abided in 

Traditional Medicinal Knowledge system such as 

Ayurveda from the perspective of genetic and 

biotechnological research have opened the scope for 

pharmacogenomics which is but the study of genetic 

response with regards to variations and responses to a drug thereby utilizing the genetic information in 

preventing an adverse reaction. Simultaneously, 

genomic research have shown correlations between genetic patterns and doshas thereby impacting physiological and psychological applications. The Prakriti of human body has genetic connotation 

that are totally based on the dosha cluster thereby 

making every individual as a unique entity in terms 

of physical, physiological and psychological characteristics


Specific dosha properties and its result in the human body


VATA 

Constitution

  • Involved in breathing and eye movement


  •  Motor functioning


  •  Cell functioning


  •  Easily excited, alert without thinking much before constant action


  •  Thin, light and flexible body


BALANCED


  • Personal creativity & 

accomplishment


  • Courage


UNBALANCED


  • Fear, worry, and anxiety


  •  Problems with motor 

functioning,nimbleness, and dexterity


  •  Fear of loneliness


  •  Boredom


PITTA

Constitution


  • Involved in body metabolism


  •  Involved in appetite, food digestion and absorption,transformation and transportation for assimilation of nutrition into the body and dispelling of waste products


  •  Cell functioning


  • Neurotransmission and neuropeptides in intelligence


  •  Vitality


  • Learning and understanding theories and concepts


  •  Seldom gains or loses weight nor has weight fluctuations


  •  Disciplined leaders


  • Intelligence and understanding


UNBALANCED


  • Anger, hatred, and jealousy

  •  Perfectionism

  •  Judgemental and critical

  • Problems with inflammation leading to chronic disorders and heart diseases


KAPHA


Constitution



  • Involved in body structure and the stability of the structure


  • Involved in water metabolism and fluid distribution throughout the body


  • Lubricates cells, tissues, joints and organs


  • Cell functioning Chubby shape


  • Retention of 

knowledge for memory


BALANCED


  • Expression of love and compassion


  •  Faith and devotion


  •  Melodious voice and speech patterns


  •  Longevity in life


  •  Feelings of calmness


  • Forgiveness and benevolence


UNBALANCED


  • Addictions and unhealthy attachments to things, substances and people


  •  Calculating greed and ruthlessness


  •  Disorders involving the congestion of fluids trapped in various places within the body.


  •  Slow digestion and weight gain


  • Cravings for sweet and salty food


  •  Idleness and long periods of sleeping



TMK and IPR: Cases of Modern Medicines

Derived from Traditional Medicine


The therapeutic use of traditional medicinal plants for the treatment of human diseases has been in practice in many of the cultures and societies across the globe. This has also, over the period of time, led to the development of various independent and organised medicinal systems in accordance with the geographic availability of various species of medicinal plants until they were finally institutionalized from the modern perspective.


 A large population of the developing countries depend on Traditional Medicinal Knowledge as it is an available and affordable source of treatment for various ailments. 


With the aid of modern sciences and technological 

tools it has become possible to extract active drug compounds from the medicinal plants and this has become possible because the medicinal plants are naturally capable of amalgamating thousands of such individual bioactive constituents from the soil and environment that are rooted to it. Plant derived chemical compounds have thereby enabled the manufacturing of modern medicine and it has been scientifically correlated that the diagnosis based on 

traditional medicinal plant and that of chemical 

compounds derived from the active compounds of the plant happen through similar process and mechanism. 


Therefore, traditional plant based medicines are as 

effective as the modern - conventional medicines while Traditional Medicinal Knowledge continue to be the foundational base for the development of modern drugs as they are the best source for obtaining a variety of drugs.


Since the plant derived drugs continue to be an inevitable source of new drug discoveries and opportunities they are also the simultaneous interjecting points of global platform for pharmaceutical market economy, determining factor for the stability of pharmaceutical markets worldwide, intellectual property rights and bio-prospecting of Traditional Medicinal Knowledge, habitat degradation and sustainable exploitation of natural resources, tropical forest-biodiversity conservation and rights of indigenous & local communities.


The Materia Medica of Ayurveda contain 8000 

known medicinal recipes made of herbs, metals, 

minerals, animal products and their ash in right 

proportions and a systemic therapy. Further, the detailed study of ethnopharmacology and traditional medicine have led to several natural products, drug discoveries and several pharmaceutical companies have altered their strategies accordingly to differing uidelines of standardization, manufacture and quality control. Importantly, the process of reverse engineering towards traditional knowledge driven drug development by adopting reverse pharmacology path with much faster and cheaper cost with the help of modern technologies have found scope too. 


In this regard, Traditional Medicinal Knowledge 

involves the medicinal use of plants and herbs that 

form the integral part of genetic resources and are 

therefore not the original creation of the human 

intellect and hence does not qualify for protection as 

an intellectual property. Moreover, the Traditional 

Medicinal Knowledge have been guarded, preserved 

and held as collective heritage by the indigenous and local communities as a part of their cultural traditions that have been continuing for several generations. 


Such time-proven knowledge have also been a source of subsistence and survival for the indigenous and local communities and therefore any intention to commercialise Traditional Medicinal Knowledge should happen in accordance with the Access and Benefit Sharing (ABS) mechanism of the Convention on Biological Diversity (CBD). Instances of patents granted to plant based genetic resources involving Traditional Medicinal Knowledge such as, turmeric and neem had invited criticism thereby resulting in subsequent revoking of the patents that were awarded to them. Prevention of misuse and misappropriation of Traditional Medicinal Knowledge is therefore crucial. Inspite of this the global attraction garnered 

by Traditional Medicinal Knowledge has been 

immense due to the growing side-effects of allopathic medicines and therefore, the systems of traditional medicinal knowledge has become subject to biopiracy and patenting


The development of the Traditional Knowledge Digital Library (TKDL) by Council of Scientific and Industrial Research (CSIR) to prevent the misappropriation of traditional medicinal knowledge from awarding of patent at the International Patent Offices by scientifically classifying India‘s Traditional Medicinal Knowledge systems such as Ayurveda, Siddha, Unani and Yoga into a multi-language searchable database is therefore important in this regard. 


While this is the case, patents for products, formulation, compositions and processes for 

traditional ayurvedic medicine, medicinal plants and herbal based formulations have well been granted to several Indian and foreign entities. 


Roots of Modern Western Medicine in TMK


The roots of western medicine too is founded on 

the basis of traditional humour based medicine that are similar to those of the Tri-doshas and had plant based herbal medicines as its medicinal materials.

Before the 20th century, European Medicine depended on the indigenous medicine system wherein the components of drugs were availed from natural products such as plants and their parts that were available from the mediterranean region and with the Middle East, Asia, and the Americas contributing knowledge and materials in the medieval and early modern periods and therefore a large number of Traditional European Pharmaceutical writings that can be located to the mediterranean region that were compiled by the physicians of Greece, Rome, Byzantine and medieval Islamic with the earliest dating back to 500 BC uptill the 19th century AD that reveal the earliest tradition and imprints of 

Western - European Ethnopharmacology by providingplant, animal and mineral based medicinal 

informations and therapeutic formulations that cured diseases from time to time.1As multi-disciplinary studies on pharmacology from the historical perspective reveal European herbal medicines were used for the treatment of rheumatic disorders in the 16th and 17th century.


Instances of medicinal plant species introduced from other continents during European colonization show the importance accorded to Traditional Medicinal Knowledge.


Inspite of having such a tradition in the history of 

European medicine which forms the foundation of 

modern western medicine, the effectiveness of TMK 

and herbal medicine is termed as unscientific and 

therefore brushed off as invalid and ineffective.

Importantly we have already discussed the widespread urge and exhaustive efforts by pharmaceutical companies to discover new drugs and 

develop modern allopathic medicines from Traditional Medicinal Knowledge by obtaining Intellectual Property Rights that emphasise on knowledge commercialization and bioprospecting.


The role played by renaissance and industrial 

revolution with regards to advancing science and 

technology played a role in altering the history of 

pharmacy and medical chemistry thereby causing the gradual diminishing of traditional medicinal use and rise of pharmaceutical companies with economical 

motives. The change of attitude from traditional 

medicine towards medical science in Europe was seen in 19th century and to study the ancient sciences was considered waste as against scientific experimentation. 


In 20th century the scientific discovery of life saving antibiotics like Penicillin further declined the study of traditional medicine.


Success Stories of ‘Access and Benefit Sharing’ and Protection of TMK Amidst past instances of unauthorized use and 

misappropriation of traditional medicinal knowledge by third parties, there are also success story models 

that have taken prior consent from the indigenous and local communities who are the holders of Traditional 

Medicinal Knowledge by sharing the benefits of access and commercialisation by patenting chemical compounds that are derived from plant based 

Traditional Medicinal Knowledge.


From Arogyapacha plant to ‘Jeevani’: The Traditional Medicinal Knowledge of the Kani Tribe


The indigenous Kani tribe inhibit the wind-ward side 

of Agasthyamalai hills in the tropical forests of 

Western Ghats in the state of Kerala.The Plathi who are the tribal physicians of the Kani tribe ‘customarily’ hold the exclusive Traditional Medicinal Knowledge belonging to the community and they alone have the right to transfer and disseminate their Traditional Medicinal Knowledge which includes the use of wild plants as medicines. It was in December 1987 that an ethnobotanical expedition team from the All India Coordinated Research Project on Ethnobiology (AICRPE) led by Dr. Palpu Pushpangadan who was then the director of the Jawaharlal Nehru Tropical Botanical Garden and 

Research Institute (JNTBGRI) in Kerala noticed the ‘untiring’ Kani guides while the expedition team particular traditional knowledge has enabled the 

Kani tribals to survive for generations altogether in 

travelling large distances in search of food and other 

forest resources. After constant persuasion the Kani guides finally led the expedition team and identified the plants that are locally known as Arogyapacha and scientifically as Trichopus zeylanicus Travancoricus. 

Though Trichopus zeylanicus is also found in Sri Lanka and Thailand, only the Indian sub-specie is found to possess medicinal properties. 


Dr. Palpu Pushpangadan and his team of scientists 

took the Arogyapacha plant to JNTBGRI so as to study it scientifically and to look into the possibility of commercializing. After undergoing over an eight 

year research constituting several chemical and 

pharmacological tests it was discovered that the fruit and the leaves of the plant exhibited properties of 

antistress, immune stimulating, stamina boosting, fatigue relieving, controlling tumor growth, activating body‘s natural defenses and cellular immune system. This followed the isolation of twelve active chemical compounds from the Arogyapacha plant that was responsible for the effects that the team had experienced during their expedition. 


While the Kanitribals traditionally practiced eating the berry fruits of the Arogyapacha plant to directly obtain these compounds and the benefits associated with them, the JNTBGRI team discovered that crushing of the Arogyapacha plant leaves was the most effective way to obtain the twelve compounds. The JNTBGRI team, through a standard research and development program 

successfully conducted clinical trials and scientifically demonstrated the critical medicinal benefits of the Arogyapacha plant. The JNTBGRI team had in 1994 

decided to file process patent application with the IP office in India for the manufacturing of polyherbal sports medicine named ‘Jeevani’ based on the isolated chemical compounds from the Arogyapacha plant for 

protection and effective commercialisation of the 

accessed traditional medicinal knowledge for which the benefit incurred was intended to be shared with the Kani community. Notably ‘Jeevani’ was a 

standardized medicinal formulation obtained as an 

end product of the research and development using 

the Arogyapacha plant, its isolated chemical compounds and other herbal plants. The intellectual property protection for ‘Jeevani’ was crucial for preventing third party misuse and misappropriation and for the sharing of benefits by JNTBGRI with the indigenous and local communities as per the benefit sharing agreement signed with the Kani people, which is in accordance with the Access and Benefit Sharing 

(ABS) mechanism of the United Nations Convention 

on Biological Diversity (CBD).


The product technology licensing for the effective 

commercialisation of ‘Jeevani’ was granted to Arya Vaidya Pharmacy Ltd of Coimbatore for primary 

commercial manufacturing of ‘Jeevani’ in 1995. The initial licensing agreement between JNTBGRI and Arya Vaidya Pharmacy Ltd Was for a period of seven years and a license fee of $ 50,000 USD. However large scale commercial cultivation of Arogyapachaplant at the land inhibited by the Kani people, which belonged to the Indian Forest Department, caused 

environmental concerns pertaining to land and forest degradation, and therefore necessitated prior approval and significant challenges. It is here that JNTBGRI pointed out the usage of only the leaf part of the Arogyapacha plant need to be harvested without actually destroying the plant as a whole. It was only after JNTBGRI gave assurances to the Forest Department and ‘Integrated Tribal Development 

Program’ of the Directorate for Tribal Welfare, Govt. of Kerala, that it would pay Kani people for the seeds as well as the leaf-harvests which in turn would fetch a stable source of income for the Kani cultivators, that the cultivation of Arogyapacha plant was permitted by the Forest Department. This followed the training and skilling of selected Kani cultivators in cultivation and harvesting that enabled JNTBGRI to supply Arogyapacha plant leaves to the Arya Vaidya Pharmacy Ltd. The formation of Kerala KaniSamudaya Kshema Trust in 1997 with people of the 

Kani tribe as its members has the objective to promote welfare and development activities amongst the members of the Kani community. In March 1999, the first royalty payment of US $ 12,500 was received in 

accordance with the benefit sharing agreement that 

have been simultaneously used for various welfare 

projects of the Kani people. Further in 2006, JNTBGRI formed a Business Management Committee with the Kani people in setting minimum conditions for Access and Benefit Sharing (ABS) such as extending license and royalty benefits.


The role played by traditional medicinal knowledge in customarily protecting and preserving the medicinal secrets of Arogyapacha plant within the indigenous Kani tribe is notable. The access to the traditional medicinal properties of Arogyapacha

plant by JNTBGRI, the subsequent commercial

development and licensing of ‘Jeevani’ sports drug, 

the ultimate benefit sharing and financial impact on 

the lives of Kani people is but a unique global model 

that signifies the pivotal importance and the need for the recognition of traditional medicinal knowledge holders and their intellectual property towards ‘cooperative’ R&D induced drug discovery in the modern times. Kani model is also a epitome of an idea of semi-commons that calls for the rights of indigenous and local communities.


Protection of Traditional Medicinal Knowledge


The WIPO postulates the preservation of the indigenous community as the best possible way for 

the protection of Traditional Medicinal Knowledge as 

they are linked to the subsistence of the community just as seen in the case of the Kani tribe. By protecting the indigenous and local communities in accordance with their customary laws, practices and protocols enables them to pass on from one generation to another as a part of their traditional obligatory duties. Customary laws and protocols are the traditional rules abided by the indigenous communities so as to enable the elderly members to govern their community. This has been seen as important because the customary laws define as to how the resources and knowledge of the community are shared, utilized and inherited within the community so as to prevent inappropriate and 

unauthorized use by those outside the community. 


Apart from the customary laws, there are several 

international instruments that provide Intellectual 

Property Protection of Traditional Medicinal Knowledge. The Convention on Biological Diversity, 1992 recognizes the value of TK of the indigenous and local communities. The CBD in Article 8 (j) requires the party countries to ―respect, preserve and maintain knowledge, innovations and practices of indigenous and local communities embodying traditional lifestyles relevant for the conservation and 

sustainable use of biological diversity; promote their wider application with the approval and involvement 

of the holders of such knowledge, innovations and practices; and encourage equitable sharing of benefits arising from the utilization of such knowledge, innovations and practices.


The Nagoya Protocol on Access to Genetic Resources and the Fair and Equitable Sharing of Benefits Arising from their Utilization, 2010, objectivizes ―the fair and equitable sharing of the 

benefits arising from the utilization of genetic resources, including by appropriate access to genetic resources and by appropriate transfer of relevant technologies, taking into account all rights over those resources and technologies, and by appropriate funding, thereby contributing to the conservation of biological diversity and the sustainable use of its components.


In India, The Biological Diversity Act, 2002, 

mandates an individual or a body to obtain approval 

from the National Biodiversity Authority to access biological resources or Traditional Knowledge 

associated with it for the purposes of research, bio-

survey, bio-utilization or commercial utilization, to 

make any application for obtaining any IPR and 

transfer of any results of research pertaining to 

genetic resources. However, the act has proven to be too stringent in enabling the securing of patents so as 

to enable the sharing of knowledge and benefit to the traditional knowledge holders.


Conclusion


The role played by indigenous and local communities in the preservation, protection and proliferation of traditional knowledge including traditional medicinal systems through the respective customary and cooperative mechanism as an effective tool for wellness management is well evident. However the growing concern of biopiracy, bioprospecting and misappropriation of Traditional Medicinal Knowledge on one side and inappropriate claims over the genetic resources through the various instruments of intellectual property rights by third parties without prior approval has already posed as a challenge to the subsistence and survival of the indigenous and local communities. The advent of biotechnology and related disciplines such as, Ethnopharmacology and Pharmacogenomics has 

scientifically validated traditional medicinals concepts such as the humoural theories into factual entities thereby attracting greater interest of the modern medicine and pharmaceuticals to look into the expertise of wellness management and health related solution held by traditional medicinal systems. 


Particularly the validation of Tri-dosha as the foundational entity of Ayurveda has been attractive enough for pharmaceutical companies to commercialize herbal medicines and drugs that are derived from plant/animal sources. However, the traditional medicinal systems are also deep rooted as cultural entities that hold multitudinal character and immense value among the practitioners of such systems.


This has importantly been a definite outcome of inter-generational interaction of the indigenous communities over a greater period of time resulting in the carving of substantial necessities and economic needs on traditional lines. 


The evolving of an alternative global economic regime post the second-world war and the disintegration of the USSR on the lines of liberalization, privatisation and globalization with emphasis on intellectual property rights has increased the scope for knowledge as a private entity through commercialisation which is in contradictory with the perception of knowledge as a common entity for the benefit of the social constituents. 


This is irrespective of the fact that Traditional Medicinal Knowledge has historically been a cooperative phenomenon at the global stage. The ‘Kani Model’ of access and benefit sharing provides a greater scope for furthering the true nature of indigenous and local 

communities with regards to the protection of traditional medicinal knowledge on the lines of cooperative knowledge sharing and equitable benefit mechanism that can be made possible through a sui generis instrument.


With this the scope of intellectual property as a semi-commons finds greater emphasis wherein every stakeholder is benefitted through cooperative knowledge sharing.


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