Samatvam - nimhansyoga.in

SamatvamJuly 2021

Department of Integrative MedicineNational Institute of Mental Health & Neuro Sciences

A Quarterly Newsletter Issue: 21

PATRON

DirectorNIMHANS

EDITOR

Dr. Shivarama VaramballyProfessor of Psychiatry & Head (I/c)Department of Integrative MedicineNIMHANS

ASSISTANT EDITOR

Dr. Praerna H BhargavJunior Scientific OfficerDepartment of Integrative MedicineNIMHANS

EDITORIAL COMMITTEE

Dr. Aarti JagannathanAssociate Professor Department of Psychiatric Social Work NIMHANS

Dr. Hemant BhargavAssistant ProfessorDepartment of Integrative MedicineNIMHANS

Dr. Prabhu Dev MAssistant EditorPublication DepartmentNIMHANS

Traditional Prophylaxis: Protecting Children from

COVID-19

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Department of Integrative Medicine, NIMHANS July 2021

Cover Article

AYUSH Ministry’s Guidelines for Prophylactic Care in Children The COVID-19 pandemic has swept across the globe, leaving unprecedented challenges in its wake. In the first wave, older adults and people with underlying health conditions were largely affected. However, the surge in the number of children and adolescents contracting the virus in the second phase has set the alarm bells ringing. Though

Prophylactic measures based on Ayurveda guidelinesAge Group Prophylactic Measures Doses

< 1Year

Samshamani Vati (250 mg) ¼ - 1/3 tab. (finely crushed and mixed with honey) to be licked 2 times a day

Ayush Bal Kwath*: Decoction of Tulasi, Dalchini, Shunthi, Haridra, (all one part each) Draksha & Jaggery (three parts each)

2-5 ml twice a day

1-3Years

Samshamani Vati (250 mg) ½ tab (finely crushed and mixed with honey) licked 2 times a day

Amla Murabba (mashed) OR ½ teaspoon or equal to ½ Amla, daily

Chyavanprash AvalehaOR ¼ -½ tea spoon full twice a day.

Arvindasava 3-5 ml twice a day with equal quantity of warm water twice daily after food

AYUSH Bal Kwath* 5-15 ml twice a day

Haldi (Turmeric) Milk ¼ teaspoon Haridra (turmeric) powder in 100 ml hot milk - once or twice a day.

3-6Years

Samshamani Vati (250 mg) 1 tab (finely crushed and mixed with honey) licked 2 times a day

Ashwagandha root powder 1 gm twice a day with warm milk or water (if in high risk i.e. family member is positive)

Amla Murabba (mashed/whole)OR 1 teaspoon or equal to 1 Amla, daily

Chyawanprash AvalehaOR ½ teaspoon once daily

Aravindasava 5 - 10 ml with equal quantity of warm water twice daily after food

Ayush Bal Kwath* 15-30 ml twice a day

Haldi (Turmeric) Milk ¼ teaspoon Haridra (turmeric) powder in 100 ml hot milk -once or twice a day.

6-12Years

Samshamani Vati (250 mg) 1 tab (finely crushed and mixed with honey/ lukewarm water) 2 times a day.

Ashwagandha root Powder 1-2 gm twice a day with warm milk or water (if in high risk i.e. family member is positive)

Amla MurabbaOR 1 teaspoon or equal to 1 Amla, daily

Chyawanprash AvalehaOR 1 teaspoon twice a day

Aravindasava 10 - 15 ml with equal quantity of warm water twice daily after food

Ayush Bal Kwath* 30-60 ml twice a day

Haldi (Turmeric) Milk ½ teaspoon Haridra (turmeric) powder in 100 ml hot milk -once or twice a day.

Gargle with lukewarm water mixed with pinch of Haridra and Saindhav Lavana; two times a day

12-18Years

General Guidelines as advised for adults may be followed, body build and Agni of the child may be assessed for appropriate dose.

children have predominantly mild or asymptomatic infection and a better prognosis compared to adults, those with co-morbid health conditions like Type-I diabetes, chronic cardiopulmonary disease or immune-compromised states may be at higher risk.

While there are no medications to cure COVID-19, some prophylactic

measures can help boost a child’s immunity and make the natural defenses as strong as possible. The oft-quoted adage, prevention is better than cure, cannot be more relevant in these times. The Ministry of AYUSH has issued an advisory on various immunity-enhancing steps for children from the time-tested approaches of the traditional systems.

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Department of Integrative Medicine, NIMHANSJuly 2021

Cover Article

Recipe for preparation of Ayush Bal Kwath* (ABK decoction for children):

All the ingredients (Tulasi, Dalchini, Shunthi, Haridra - all one part each, Draksha & Jaggery - three parts each) should be powdered & mixed well and should be stored in a clean and closed container. In order to prepare 5 ml of ABK- take 500mg of powder, boil it with 20 ml (four times of powder) of water to reduce it up to 5 ml. The lid should be partially closed during boiling. Every time fresh decoction should be prepared and given in lukewarm state as per the recommended dosage.

Prophylactic measures based on yoga guidelines

In general, the yogic practices help in enhancing the lung functions, cardio-vascular endurance, modulating immune system and reducing psychological stress.

Some general guidelines for the practice of yoga as per age group:1. 5 years could be considered as an ideal age to start

yoga.

2. 5-10 years of age should focus more on asanas, mantra chanting and yogic games with small components of simple pranayama.

3. As the age advances, asanas can be maintained for longer time (15-30 seconds) and more of fast and slow breathing techniques and meditation can be added.

A few words of caution before beginning of yoga practice by children:1. Yoga practice by children should always be under

the supervision of a trained yoga expert. Further, the presence of a parent is recommended for the children in the age of 5-10 years.

2. Yoga should be practiced on an empty stomach. A minimum of 2 hours gap after breakfast and 3 hours gap after a full meal is recommended before the practice of yoga.

3. Keep away sharp objects and heavy furniture from the site of yoga practice.

4. Use a proper yoga mat to prevent falls.

Symptomatic care as per Ayurveda guidelines in case of infection

Age Clinical presentation Medicine Dose

< 1 Year Fever AYUSH-64 (Crushed) half tablet mixed with honey and

licked 2 to 3 times a day

Godanti Bhasm 125 mg mixed with honey and licked 2-3 times a day

Samshamani vati ½ tab 3 times a day

Gastrointestinal Symptoms Balchaturbhadra Churna 100-125 mg 2-3 times a day

Cough and cold Talishadichurna/Sitopaladi Churna 250-500 mg with Honey 2-3times a day

1-3Years

Fever AYUSH- 64 Tablet ½ - 1 tablet (crushed and mixed with honey) 2-3 times a daily


Cough and coldTalishadichurna/Sitopaladi Churna 500 mg-1 gm with Honey 2-3 times a day

Haridra Khanda 1 gm with honey / lukewarm water 2-3 times a day

3-6Years

Fever AYUSH- 64 Tablet 1 tablet 2-3 times a daily


Cough and coldTalishadichurna/Sitopaladi Churna 1-2 gm with Honey 2-3 times a day

Haridra Khanda 1-2 gm with warm water 2-3 times a day

6-12Years

Fever AYUSH- 64 Tablet 1-2 tablet twice daily

Gastrointestinal Symptoms Balchaturbhadra Churna 500 mg 2-3 times a day

Cough and coldTalishadichurna/Sitopaladi Churna 2-3 gm with Honey 2-3 times a day

Haridra Khanda 2-3 gm with honey/ warm water 2-3 times a day

12-18Years

General Guidelines as advised for adults may be followed, body build and Agni of the child may be assessed for appropriate dose.

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Cover Article

5. The yoga teacher must instruct the children to not exert beyond their capacity.

Some contraindications during practice of yoga by children1. Children with epilepsy and heart disease should

not practice fast breathing techniques (Kapalabhati/ Bhastrika Pranayama)

The list of practices that can be practiced by children of all age groups, following the safety instructions mentioned above starting from the age of 5 are given below.

S. No.

Practice(Sanskrit)

Practice(English)

Rounds Time(mins)

References

Preparatory practices

1. Jogging Jogging 20 2 Ranjitha et al.,(2016)

2. Hasthauttansana - Padahasthasana

Backward & Forward swing 5+5 2

3. Trikonasana stretch Side bending 5+5 2

4. Katichakrasana Kriya Spinal twisting 5+5 2

5. Baddhakonasana Stretch Butterfly 100 2 Telles et al., (1997)

6. Vyaghrasana Stretch Tiger Stretch 3+3 2 Birkel et al., (2000)

Suryanamaskara practice

1. Suryanama skara Sun salutations 6 5 Chandrashekhar et al., (2014)Akhani et al.,(2019)

2. Udara shvasa kriya in Shavasana

Deep abdominal breathing (Inhalation: exhalation = 1:2)

1 1 Akhani et al., (2019)

Asanas Preparatory practice

3. Virabhadrasana - II Warrior pose 1+1 2 Birkel et al., (2000)

4. Vrikshasana Tree pose 1+1 2 Chanavirut et al., (2006)

5. Bhujangasana Cobra pose 1 1 Ranjitha et al., (2016)

6. Pavanmuktasana Kriya Wind relieving pose Rocking Rolling

5+5 (Maintain for 10 counts in final pose)

5 Ranjitha et al., (2016)Sharma et al., (2002)

Pranayama – Breath Regulation Techniques

7. Vibhagiya Pranayama* Sectional Breathing; Ratio Breath-in: Hold: Breath-out = 4:16:8Chin mudra ChinmayamudraAdi mudra

333

5 Ranjitha et al., (2016)Balasubramanian et al., 2015)Hakked et al., (2017)

8. Kapalabhati* Skull shining breath 30 strokes;1 stroke/2seconds;1 cycle

2 Soni R et al., (2012)Bhargav et al., (2014)

9. Bhastrika Bellow’s Breath 20 strokes per cycle; 2 cycles

2 Soni R et al (2012)Hakked et al., (2017)

10. Shvana svasa kriya Dog breathing 12-15 breaths 2 Ranjitha et al., (2016)

11. Shitkari Cool hissing breath 12-15 breaths 2 Akhani et al., (2019)

12. Simha garjana Lion’s roar 5 2 (Rain et al., 2021)

13. Surya Anuloma Viloma# Right nostril breathing 6 3 Jain et al (2005)

14. Chandra Anuloma Viloma#

Left nostril breathing 6 3 Jain et al (2005)

2. Yoga should not be performed when the child is sick, such as with a cold, flu, headache, or vomiting.

3. Children with any problems with the back should avoid certain yoga practices such as acute forward bends (Padahasthasana) and advanced backbends (Chakrasana).

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Cover Article

S. No.

Practice(Sanskrit)

Practice(English)

Rounds Time(mins)

References

15. Nadishuddhi* Alternate Nostril Breathing 6 5 Akhani et al (2019)Soni R et al (2012)Hakked et al (2017)

16. Antarkumbhaka* Internal breath retention 1 1 Hakked et al (2017)

17. Bhramari Humming breath 6 3 Akhani et al., (2019)Soni R et al., (2012)Mooventhan et al., (2014)Taneja et al., (2020)

18. Nadanusandhana AAA chantingUUU chantingMMM chantingAUM chanting

3333

5 Soni R et al., (2012)Mooventhan et al., (2014)

* practices can be performed by children above 8 years of age only.# practices to be performed by children of age 5-8 years.

*Committee Members: Prof. (Dr.) Abhimanyu Kumar, Vice-Chancellor, Dr. Sarvepalli Radhakrishnan Rajasthan Ayurved University, Kadwad, Jodhpur; Dr. K.S. Patel, Professor, Department of Kaumarbhritya, I.T.R.A., Jamnagar, Gujarat; Dr. N. Krishnaiah, RAV Guru and ex- Professor n HOD, PG Department of Kaumarbhritya, S. V. Ayurvedic College, Tirupati; Dr. Rajagopala S., Associate Professor & Head, Department of Kaumarbhritya, All India Institute of Ayurveda, New Delhi; Dr. Nisha Kumari Ojha, Associate Professor, Department of Kaumarbhritya, National Institute of Ayuved Jaipur, Rajasthan; Dr. Swati Ghate, Visiting Paediatrician, Department of Kaurmarbhritya, National Institute of Ayuveda; Dr. Prashant Gupta, Associate Professor, Shri Narayan Prasad Awasthi, Govt. Ayurveda College, Raipur; Dr. Sagar M Bhinde, Assistant Professor, Department of Kaumarbhritya, I.T.R.A., Jamnagar, Gujarat; Dr. Brahm Dutt Sharma, Department of Kaumarbhritya, National Institute of Ayuveda, Jaipur, Rajasthan; Dr. Hemant Bhargav, Assistant Professor of Yoga, Department of Integrative Medicine, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru.

Tiger Stretch Suryanamskara ShavasanaButterfly

Vibhagiya Pranayama Kapalabhati Dog breathing Bhujangasana

Bending Spinal TwistTrikoanasanaJogging

AntarkumbhakaNadi shuddhi Bhramari Lion's Roar

Virabhadra sana –II Vrikshasana Pavanmuktasana Bhujangasana

Sitkari

Hold16 counts

Breath-in4 counts

Breath-out8 counts

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Events

The International Day of Yoga was celebrated with much fervor at NIMHANS. Without letting the COVID-19 situation dampen the spirits of yoga enthusiasts, the Department of Integrative Medicine successfully organized a series of events as part of the celebrations. All the events evoked overwhelming response from the participants, within and outside NIMHANS.

7th INTERNATIONAL DAY OF YOGA CELEBRATIONS

Painting CompetitionA painting competition was organized for the children of NIMHANS staff (below the age of 16 years). There were two group categories for participation based on the age – below 10 years and 10 -16 years and the children were given a period of 10 days to send a soft copy of their drawings to the department for judgement. The event witnessed active participation from 31 children of which, three prizes were given under each category. Under 10 category first, second & third prizes were bagged by baby Jaahnvi, baby Yukti and Master Saday Sheejith respectively.

And in the age group 10-16 years, first, second and third prizes were

bagged by Ms. Varsha S, Ms. V Deepika & Master Rohan Gowda respectively. Prize distribution ceremony was organized on 23rd June at the Department of IM, for the winners of this contest as

well as the previous competition ‘Sanjeevini’ held to mark Ayurveda Day. The prizes were given away by Dr. Muralidharan K, Medical Superintendent, NIMHANS.

Winners of painting competition

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Events

‘Protective value of traditional health care approaches for children’ On 22nd June, a webinar on ‘Protective value of traditional health care approaches for children’ was organized by the Department of Integrative Medicine, NIMHANS & Visvesvaraya Industrial & Technological Museum, Bengaluru in collaboration with Indian Academy of Paediatrics. The

Guest LectureOn the evening of 21st June, a guest lecture was delivered by Dr. Balachundhar Subramaniam, Professor of Anaesthesia, Harvard Medical School. Addressing virtually around 84 participants on video conferencing platform, he highlighted the ‘Relevance of Isha Yoga techniques in the current pandemic’.

Mass sessionsOn 21st June, multiple mass tele-yoga sessions were organized by the Department individually for general public, children and patients:

Morning 7:00 a.m. session for the general public was led by Dr. Praerna Bhargav, Junior Scientific Officer & Mrs. Raksha, Yoga Therapist. A total of about 168 participants joined online (through zoom & youtube) and practiced yoga together.

Mr. Shubham & Mr. Shivam, Yoga therapists in research projects at Yoga centre, conducted the virtual yoga session for children at 8:00 a.m. and about 78 children enthusiastically participated in the session.

A combined direct yoga session was organized at the Yoga centre for all the patients coming for regular yoga at 11:00 a.m. besides a Tele-

session for the out-patients who couldn’t come here physically. Ms. Ashwini & Ms. Shreelakshmi, Yoga therapist in research projects at Yoga centre led the direct yoga session and the tele-yoga session was led by Dr. Usha Rani, Research

Officer, and Ms. Pooja Singh, Yoga therapist, CCRYN project.

Apart from these sessions, special yoga sessions were conducted by Mr. Vidyasagar and Mr. Kaushik, Yoga Therapists, for in-patients in Pavilion wards – 1 & 3.

program was graced by Smt. K. A Sadhana, Director of Visvesvaraya Industrial & Technological Museum, Bengaluru as the Chief Guest. The two and a half hours program was interspersed with three insightful talks filled with information by three eminent

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Events

IDY webinar series by CCRYNOn the occasion of IDY 2021, Central Council for Research in Yoga & Naturopathy, Ministry of AYUSH, GOI organized a 5-day webinar series from June 14th – 18th. Dr. Shivarama Varambally, Professor of Psychiatry and Head (I/c) Department of Integrative medicine, Dr. Hemant Bhargav, Assistant Professor of Yoga, Department of Integrative Medicine, Dr. Aarti Jagannathan, Associate Professor, Department of Psychiatric Social Work, from NIMHANS and Dr. BN Gangadhar, Former Director, NIMHANS & President, Ethics and Medical Registration Board, National Medical Council were the panelists for the discussion on the theme ‘Yoga for Mental Health’ on 18th June. Dr. Inbaraj, PhD Scholar at NIMHANS moderated this session.

MANAS Mitra: Promoting mental well-beingTo promote mental well-being through MANAS Mitra initiative, the office of Principal Scientific Advisor to the Government of India (PSA) and Ministry of Health & Family Welfare, GOI organized a webinar series on ‘Community Mental Well-Being in Challenging Times’ on 21st June. Dr. Hemant Bhargav participated as speaker and conducted a yoga program on Mental Well-being Conclave in the webinar with experts coming from MoHFW, AIIMS, & WHO India and MDNIY, New Delhi discussing the relevance of community mental well-being.

A webinar series on ‘Yoga for Stress-related Mental Health Consequences of the COVID-19 Pandemic’ was organized by Harvard Medical School from 15th - 17th June. Dr. Shivarama Varambally, Professor of Psychiatry and Head (I/c) Department of Integrative medicine, Dr. Hemant Bhargav, Assistant Professor of Yoga, Department of Integrative Medicine and Dr. BN Gangadhar, Former Director, NIMHANS & President, Ethics and Medical

Webinar on ‘Yoga for Stress-related Mental Health Consequences of the COVID-19 Pandemic’

Registration Board, National Medical Council, were invited to speak on related topics and also be panelists for the panel discussion. Dr. Shivarama Varambally spoke on the topic ‘Evidence Base for Application of Yoga in Mental Health Disorders: Focus on work done by NIMHANS during the COVID-19 Pandemic’. Dr. BN Gangadhar addressed the audience on ‘Neurobiology of Yoga in Mental Health Disorders’. Dr. Hemant Bhargav spoke on the topic ‘Yogic Understanding

of Stress and Approach towards its Management’ followed by a practical orientation to important yoga techniques for stress management during the COVID-19 pandemic. He also took a practical session on Cyclic Meditation Technique for stress management.

speakers – Dr. Preeti Galagali, Consultant Adolescent Physician & Medical Director, Bangalore Adolescent Care & Counselling Centre, Dr. Aziz Arbar, Ayurvedic Pediatrician and Neonatologist, Professor and Head, Dept. of Kaumarabhritya, KLES Ayurveda

Hospital, BMK, Ayurveda Mahavidyalaya, Belgavi, and Dr. Hemant Bhargav, Assistant Professor of Yoga, Department of Integrative Medicine, NIMHANS, Bengaluru. Dr. Shalu, Senior Resident, Psychiatry, was the Master of Ceremony for the

program. The event was enhanced by a practical yoga session for children at the end taken by Dr. Nishita L Jasti, Scientist B (Yoga), Department of Integrative Medicine, NIMHANS, Bengaluru. Around 50 participants joined the webinar.

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Guest Lectures

The Department of Integrative Medicine hosted three guest lectures, in the last three months (April – June), from esteemed experts in the field.

1. First guest lecture was delivered by Dr. Dinesh KS, Professor & Head of the Department of Koumarabhritya, VPSV Ayurveda College, Kottakkal, Kerala on 23rd April. He spoke vividly on the topic ‘Scope of Integrated Treatment approach in Autism Spectrum Disorders’.

2. The Department of Integrative Medicine was fortunate to hear from an eminent specialist in pulmonary medicine – Dr. Deepak Sakaram Rao on the topic “1 Year on & Counting.... A brief update on COVID-19”. He is the current Clinical Director for Speciality Medicine at PRUH, King’s College Hospital NHS Foundation Trust at King’s College, London and gave a comprehensive virtual talk on 21st May.

3. The third guest lecture was organized as a part of the International Day of Yoga Celebrations on 21st June. Dr. Balachundhar Subramaniam, Professor of Anaesthesia, Harvard Medical School, Department of Anaesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, USA and Director BIDMC, Sadhguru Center for a Conscious Planet, gave a lucid informative talk on ‘Relevance of Isha Yoga techniques in the current pandemic’.

NEW INITIATIVES

Tele-yoga for children Tele-yoga session for children is being conducted on a regular basis, from Monday to Friday, 5:00 – 6:00 pm https://zoom.us/j/95021618804 (Meeting ID: 95021618804; no password). The session is aimed at strengthening the immunity and general well-being of this tender age group, especially during these stressful COVID times which has forced children to stay indoors.

‘Yoga for Well-being’ A special morning yoga session for the public aiming at general well-being and stress reduction - ‘Yoga for well-being’ is being conducted on a regular basis on weekdays, from Monday to Friday, between 7:00 am to 7:30 am https://zoom.us/j/95808570444 (Meeting ID: 958 0857 0444; no password, open for all) and 4:00 pm – 4:30 pm https://zoom.us/j/92453015876 (Meeting ID: 92453015876; no password, open for all)

Events

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AYUSH home care guidelines for children

Amidst the second wave of pandemic hitting the tender age group, AYUSH came up with a comprehensive approach for care of children at home. Dr. Hemant Bhargav, Assistant Professor (Yoga), Department of Integrative Medicine, contributed to the formulation of protocols by the AYUSH – ‘Home care guidelines for children, Advisory for AYUSH Practitioners about prophylactic care in Children during the COVID-19 Pandemic’.

IAP advisory for parents

A team from the Department of Integrative Medicine took active part in the formulation of ‘Guidelines for parents – Yoga for Children’ brought out by Indian Academy of Pediatrics (IAP).

Dr. Hemant Bhargav, Assistant Professor – Yoga as Convener & Dr. Nishita Jasti, Scientist B – Yoga, Dr. Shalu E Abraham, Senior Resident and Mr. Shubham Sharma, Yoga Therapist (DST-SATYAM project) as members contributed to the development of guidelines.

NEW FACILITIES

Services for In-patient &

Out-patient Departments

The yoga wing of the department is running various yoga batches for different psychiatric and neurological disorders for out-patients and in-patients in direct mode taking all the necessary precautions to curb the spread of COVID-19 transmission. Yoga sessions are also being conducted once a week in tele mode as well on a follow-up basis for patients from distant places.

Yoga for Rehabilitation

A 45-minute tele-yoga session to help neuropsychiatric patients with rehabilitation is being conducted at the Department of Psychiatry Rehabilitation Services, two days a week (Mondays & Thursdays).

Special Clinics for Neurological Disorders

Ayurveda and yoga experts from the Department of Integrative Medicine are providing services at OPD in special clinics for neurological disorders – Multiple Sclerosis and Muscular Dystrophy on Wednesdays and Saturdays.

MINISTRY OF AYUSHAYUSH BHAWAN, B Block, GPO Complex, INA,

NEW DELHI - 110023

www.ayush.gov.in

www.facebook.com/moayush

www.twitter.com/moayush

MINISTRY OF AYUSHAYUSH BHAWAN, B Block, GPO Complex, INA,

NEW DELHI - 110023

www.ayush.gov.in

www.facebook.com/moayush

www.twitter.com/moayush

Home care guidelines for children

and Advisory for AYUSH Practitioners about prophylactic care in Children during the

COVID-19 Pandemic

Events

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Events

Doctors Day: Hon’ble PM urges IMA to take up more studies on yoga

IN NEWS

Deccan Herald, a prominent news daily, carried an article on online yoga sessions conducted by the Department of Integrative Medicine, NIMHANS, billing them as global hit during COVID-19 pandamic.

NIMHANS’ study on yoga and depression cited in top publicationsThe research conducted at NIMHANS assessing the therapeutic effects of Yoga in Major Depressive Disorder (MDD) found that Yoga along with standard antidepressant treatment can improve clinical response in patients with MDD and can also

bring about earlier remission. In addition, yoga produces measurable biological changes which give clues to its mechanism of action. The study was led by Dr. Muralidharan Kesavan, Professor, Department of Psychiatry, NIMHANS and was supported

under the ‘Science and Technology of Yoga and Meditation (SATYAM)’ Programme of the Department of Science and Technology, GOI. The findings have been published in the Press Information Bureau in the context of International Yoga day.

Hon’ble Prime Minister Shri. Narendra Modi addressed the nation on 1st July, on Doctors’ day which is celebrated in the memory of Dr Bidhan Chandra Roy. He said the way Indian doctors have served the nation and its people in the past one and half years since the advent of the pandemic in the country has set an example for the world and also thanked the medical fraternity on behalf of people of India. He also praised the medical fraternity for their role

in promoting yoga and explained how yoga including Pranayama has promoted positive health and provided assistance in treating post COVID complications. He urged the doctors to conduct more evidence-based studies on Yoga as intervention, as such studies have garnered appreciation from all over the world. Further, he requested the Indian Medical Association (IMA) to take it up as a mission and conduct more evidence based yoga studies in a very scientific manner, so that the results of these studies can be published in International Journals which will further lead to the popularization and promotion of yoga. In the end, he stated that the dedication and service of the Indian doctors will help in fulfilling and achieving

the message shared in “Om Sarve Bhavantu Sukhinah” mantra and support the nation in winning its war against COVID.

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Events

In the last few decades, many in the medical fraternity were of the view that we have won the race against communicable diseases and this led to the shift in focus of attention towards effective dealing with non-communicable diseases. But the unprecedented outbreak of the COVID-19 pandemic in 2020 caused by SARS-COVID 2 virus shook this notion and affected mankind in all possible ways taking a toll on health, well-being and even life. To combat the tremendous burden on the healthcare workforce in our country, the Central Council for Research in Yoga & Naturopathy (CCRYN), Ministry of AYUSH, New Delhi took a commendable initiative to strengthen our health care system by utilizing our rich source of traditional knowledge and implementing Integrative medicine for the effective & efficient management of this crisis situation. They developed a protocol based on Yoga, Naturopathy and Mental Health Counselling for ‘Psychosocial Rehabilitation of COVID-19 patients’ and an online training program (workshop) in

collaboration with various experts from the field of Psychology, Psychiatry, Yoga & Naturopathy to educate BNYS doctors on management of patients with Covid-19. The protocol was developed in collaboration with experts from the Department of Integrative Medicine and Department of Psychiatric Social work, NIMHANS, Bengaluru and S-VYASA University, Bengaluru. It was released on 23rd April followed by an online workshop. The program aimed at equipping BNYS doctors with the complete knowledge about COVID-19 including its epidemiology, disease course, how to screen associated distress and psychological sequelae and management of the same through Yoga and Naturopathy approaches. Further, mental health being a vital consideration for effective recovery from COVID 19 pandemic, mental health counselling was also integrated into the program. Following members were instrumental in preparation of this manual: Dr. Hemant Bhargav, Assistant Professor (Yoga) and Dr. Sumana V, Research

Associate, DST-SATYAM project from Department of Integrative Medicine, Dr. Aarti Jagannathan, Associate Professor, and D. Sreekanth Nair, PhD scholar from Department of Psychiatric Social Work, NIMHANS, Dr. Swathi P S, Assistant Professor and Dr. Apar Avinash Saoji, Principal of the School of Yoga and Naturopathic Medicine, S-VYASA Yoga University. Dr. H R Nagendra, Chancellor, S-VYASA University, Bengaluru released this manual in presence of Dr. Raghavendra Rao, Director, CCRYN, Dr. B N Gangadhar, Former Director, NIMHANS & President, Ethics and Medical Registration Board, National Medical Council, Shri P N Ranjit Kumar, Joint Secretary, Ministry of AYUSH, Government of India and Dr. Shivarama Varambally, Professor of Psychiatry and I/c Head, Department of Integrative Medicine. Later, a one-hour online workshop for BNYS

OUTREACH PROGRAMS

Release of Protocol for Psychosocial Rehabilitation of COVID-19 Patients by BNYS doctors

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Events

New projects sanctioned A project titled ‘“Ayurveda therapeutic regimen as Add-on to optimized conventional management of Parkinson’s disease: An RCT for Assessment of Clinical, Cortical excitability,

Neuroimmune and Autonomic function parameters” was sanctioned by CCRAS, Ministry of AYUSH, Delhi to Dr. Umesh C, Scientist C (Ayurveda) at Department of Integrative

Medicine and Dr. Pramod Kumar Pal, Professor of Neurology as the Principal Investigators. The project is of 3 years duration and has received funding of ` 63,30,308/-.

Training of external

candidates• Ms. Disha Nahata from

S-VYASA Yoga University was posted for 1 month observership in the Yoga wing of the Department.

• Dr. Shwetha Cheriyala MD Psychiatry student from Prathima Institute of Medical Sciences, Hyderabad, Telangana was posted for 15-day observership at the department.

The April issue of our quarterly newsletter “SAMATVAM” on the theme “Adapting traditional lifestyle in the modern world” was released by Shri PN Ranjit Kumar, Joint Secretary, Ministry of AYUSH, Govt. of India in a webinar organized by Central Council of Research in Yoga & Naturopathy (CCRYN) in collaboration with Swami Vivekananda Yoga Anusandhana Samsthana & Department of Integrative Medicine & Department of Psychiatric Social Work,

doctors was conducted by three speakers. Dr. Hemant Bhargav addressed the participants on the COVID pandemic situation and Yoga interventions for management of COVID-19. Dr. Apar Avinash Saoji presented the Naturopathy interventions for management of COVID-19 and the assessments that can

be conducted for psychosocial issues. Dr. Aarti Jagannathan talked about the mental health sequelae of COVID-19 and the psychosocial rehabilitation inputs for management of COVID-19. The concluding remarks were given by Dr. Manjunath N K. Pro- Vice Chancellor, S-VYASA University and Dr. Dhanasekhara Pandian,

Head, Department of Psychiatric Social Work, NIMHANS. The event concluded with positive hope & appeal to BNYS doctors across India to garner benefit from this module and unite together to deal effectively with the second wave of COVID-19 Pandemic in a holistic way.

Guest LecturesDr. Shivarama Varambally, Professor of Psychiatry

and Head (I/c) Department of Integrative medicine • Gave two talks on ‘Yoga for Stress-related Mental

Health Consequences of the COVID-19 Pandemic’ - organized by the Mental Health Technology Transfer Center Network, New England, USA on 15th and 17th June through video conferencing platform.

• Participated in an online panel discussion as a panelist on Yoga and Mental Health - organized by CCRYN, Ministry of AYUSH, GOI, New Delhi on 18th June.

• Delivered a talk on ‘Meditation - Mechanisms and Caveats’ in the online CME on ‘Meditation as a psychosocial intervention - Need of the hour’ as part of the International YOGACON USA 2021 organized by the American Academy of Yoga and Meditation on 19th June.

• Gave a talk on ‘Evidence for Yoga in Depression and Schizophrenia’ in the online CME on ‘Yoga in Depression and Schizophrenia’ as part of the International YOGACON USA 2021 organized by the American Academy of Yoga and Meditation on 26th June.

NIMHANS on 23rd April. The webinar’s agenda was to release the Protocol for Psychosocial Rehabilitation of Covid-19 Patients by BNYS doctors followed by a workshop for the same.

Release of SAMATVAM April 2021 edition

14

Samatvam


Guest Lectures & Publications

Dr. Kishore Kumar R, Assistant Professor of Ayurveda, Department of Integrative Medicine• Invited as an external member for the Staff

Selection Committee for Recruitment of SRF, Central Ayurveda Research Institute (CCRAS), Ministry of AYUSH, Govt. of India.

Dr. Hemant Bhargav, Assistant Professor of Yoga, Department of Integrative Medicine• Addressed approximately 300 Psychologists

and Psychiatrists on the topic ‘Yoga in Clinical Psychiatry’ in the 36th edition of Thursday Musings, Indian Psychiatric Society on 1st April.

• Participated as a resource person in an International Capacity Building Workshop cum Webinar on “Yoga for Non-Communicable Disease – A Scientific Perspective” organized by Morarji Desai National Institute of Yoga (MDNIY) WHO Collaborating Centre in Traditional Medicine (Yoga), held between 26-30 April.

• Under a program ‘Yoga for wellbeing of scientists during the pandemic’ organized by DST-SATYAM, GOI, he addressed about 60 scientists on the topic ‘Yoga for promotion of health during COVID-19 pandemic’ on 8th May.

• Highlighted the ‘Role of Yoga in COVID-19 pandemic’ in another event ‘Inaugural Program of International Yoga Day Countdown’ organized by Central Ayurveda Research Institute, Ministry of AYUSH, Govt. of India for the general public on 21st May.

• Spoke in a webinar series organized by Harvard Medical School on the topic ‘Yogic Understanding of Stress and Approach towards its Management’ followed by a practical Orientation session to important Yoga techniques for Stress Management during the COVID-19 Pandemic between 15th -17th June.

• Played the role of moderator in International Yogacon USA 2021 on the topic ‘Yoga for Neuro-rehab (Stroke)’, organized by American Academy of Yoga & Meditation & AIIMS, Rishikesh on 19th June.

• Invited as a guest speaker to speak on the topic Post COVID-19 complications and role of Yoga on 20th June on the occasion of celebration of 7th IDY organized by Manipur University in association with National Service Scheme–Cell Manipur University, Canchipur & Fit India Campaign Committee and Fit India Club, Canchipur.

• Facilitated a practical session on Yogasana,

Pranayama and Dhyana, in a virtual conference organised by World Psychiatric Association (WPA), Indian Psychiatric Society (IPS), Indian Federation of Psychiatric Associations (IFPA) & American Academy of Yoga & Meditation (AAYM) on the theme ‘Application of Spiritual Practices in Mental Health Services’, as part of the IDY celebrations, on 20th June.

• Invited as a speaker in the International webinar series “Yoga as Integrative Therapy” in the context of 7th International Yoga Day, organized by the Centre for Yogic Sciences, Aarupadai Veedu Medical College & Hospital (AVMC&H) from 22nd – 26th June.

Publications

Articles in International & National Indexed Journals

1. Jha M, Dumbala S, Gulati K, Bhargav H, Arasappa R, Varambally S, Gangadhar BN, Desai G. Yoga module for Somatoform pain disorders: Development, content validation and feasibility testing. Int J Yoga, 2021;14:3. Online ahead of print.

2. Bhat SG, Arasappa R, Jaganathan A, Varambally S. Yoga therapy for Obsessive Compulsive Disorder (OCD): A case series from India. Asian Journal of Psychiatry. 2021 Jul 2:102739.

3. Mukhopadhyay S, Abraham SE, Holla B, Ramakrishna KK, Gopalakrishna KL, Soman A, Chikkanna UC, Srinivas Bharath MM, Bhargav H, Varambally S, Gangadhar BN. Heavy Metals in Indian Traditional Systems of Medicine: A Systematic Scoping Review and Recommendations for Integrative Medicine Practice. J Altern Complement Med. 2021 Jun 17. doi: 10.1089/acm.2021.0083. Epub ahead of print. PMID: 34142855.

Books/Book Chapters/Manuals/Newsletters/Monographs

1. Hemant Bhargav, Sumana V, Shivarama Varambally, Application of Yoga in Prevention and Management of Substance Use Disorders: Book Chapter: Strategies to Promote Drug Demand Reduction - NIMHANS Publication No. 199, ISBN: 978-81-951544-0-1, 2021.

2. Praerna H Bhargav. Webinar on Release of Protocol for Psychosocial Rehabilitation of Covid-19 Patients by BNYS doctors. Yoga Sudha

15

Samatvam


Yoga therapy for Psychiatric

and Neurological Disorders at

NICY

The NIMHANS Integrated Centre for Yoga (NICY) which is a part of the Department of Integrative Medicine offers yoga therapy for inpatients as well as outpatients. Referrals come from all the clinical departments of NIMHANS including IMD with various diagnoses. A total of 926 yoga therapy sessions comprising various batches for patients and general public were conducted at NICY in the months of April, May & June 2021, both in tele and direct mode. It also includes tele-sessions conducted for promotion of positive health and general well-being of the public from India & abroad.

April

May

June

0

200

400

600

800

1000

1200

Global Well-being& NIMHANS staffbatch (Sessions)

Global Well-being& NIMHANS staff

batch(Parcipants)

Yoga for Children(Sessions)

Yoga for Children(Parcipants)

19

633

7132

19

918

20

1165

21

949

22

926

Yoga services for general well-being

April May June

AprilMay

June

0

100

200

300

400

500

600

# ofpa�ents

# ofSessions

# of Newpa�ents

# of follow-ups

COVID-19(Sessions)

COVID-19(Pa�ents)

PRS

538

239

5216 10

188

31

443

221

5 32 20

437

35

437

278

55 31 21

228

26

Yoga services for patients

April May June

Department of Integrative Medicine National Institute of Mental Health and Neuro SciencesHosur Road, Bengaluru – 560029, KarnatakaPhone: 080-26995730E-mail: [email protected]: https://nimhansyoga.in/

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