1.
SBEBA – Evidence Based Practice to improve Quality
Dr. Remya Krishnan MD PhD (Ay)

2.
The greatest TRUE challenges to Ayurveda physician today
• Not unemployment and low income
• Rather it is in reversing diseases fast and quick
• No precision or predictability in prescribing
• Need to depend on Western Medicine for health care challenges of
self and family .
• Inability to stay confident in learning and practice of Ayurveda.
• Inability to explain to younger generations of the community, the real
and intended prospects of this system

3.
What is Evidence in EBP of Ayurveda ?
• Evidence in Ayurveda is meant for two purposes :
a. To know Science ( of patient, disease and treatment)
b. To show data (of response of treatment in every individual
patient)
• The first evidence is meant for the physician community while the
second one is meant for the world
• The precision and predictability of second one is entirely dependent
on pertinent choice and application of the first

4.
What is going on today ?
• Eminence Based Practice
• Tradition Based Practice
• Experience ( self and shared) based Practice
• Allopathy Practice
• Integrated Medicine Practice
• Business led practice ( the prescribing and disposing unit are same)
There is no Evidence Based Practice for at-least last one century in
Ayurveda which means that our patients are not getting intended
cure by our science

5.
The solution
Integrating evidences of Science Based Medicine into practice
to make intended effects in patient outcomes instead of
uncertainity led benefits and risks
Jnana Poorva Karma is Evidence Based Practice in Ayurveda
Jnana refers to Pratipatti jnana ( the knowledge of
shsthraarthas and their application) and not statistics

6.
SBEBA – Practice of JPK
• Irrational prescribing is silent killer of Ayurveda and patients as well.
• More than 98 percent of practitioners all over the world are doing
irrational prescribing
• Irrational prescribing refers to absence of practice of JPK
• Irrational prescribing paves for morbidity, mortality and heavy financial
burden for patients with poor outcomes in their health status
• The only solution is to provide specific and specialised training for
physicians and students of Ayurveda for JPK oriented Practice
• The goal of SBEBA wisdom series is to enable physicians proficient in JPK

7.
SBEBA had recognised these facts
• Compared to conventional practice of Ayurveda, SBEBA induces high
level of precision and predictability in prescriptions
• Reduces medicine / treatment load and financial burden of patients
• Fast and on the target recovery in comparison to slow and
uncertainity led benefits and risks.
• Happy healthy patients out of medicine and treatments who were
once on the same .
• Protection from future diseases and maintenance of quality of lifeby
health after recovery from existing morbidities

8.
Science- Physician- Patient Trio
• SBEBA values patient health and money with greatest priority
• For the patient, his topmost priority is undoubtedly earliest recovery
and retaining routines
• SBEBA integrates the pertinent Science Based Evidence
corresponding to patient specific cause mechanisms to produce
intended effect on intended time .
• Excellence of well co-ordinated Science – Physician- Patient Trio
contributes to success of therapeutic accomplishment

9.
The myth of Yuktijnana
• Yuktijnana is personalised logic
• A Vaidya has the right to diagnose and deal with a patient in his own
way .
• Former experiences are the basement of Yukti and such Yukti is the
basement for latter experiences
• It is normal to get variable Yukties for the same disease of same
patient by different physicians

10.
The reality about Yuktijnana
• Yukti is analysis of cause – effect relationship of the status by applying
karya tatwas ( diagnostic principles of Ayurveda).
• As Karya tatwas are standardised in Ayurveda, Yukti is also a
standardised parameter .
• Yukti is Shasthra sahita tarka ( Science Based Reasoning) and not blind
assumption or imagination led by previous experience
• Yukti is said to be based on shasthraarthas and not empirical data
analysed by principles of statistics .
• Yukti is developed by learning and culturing of shasthraarthas and
does not develop automatically with advanced age and experience

11.
SBEBA methodology for scientific decision making
• SBEBA has developed a systematic standardised Methodology to develop
Yuktijnana called Evidence Triad Approach (ETA) evaluating patient based
on Hetu- Hetuvyadhi – Pancha Samprapthies .
Aptopadesha jnana- Anumana – Yuktijnana – Application –Pratipattijnana
• Right Shasthraarthas are to be chosen first
• Anumana and Yuktijnana of Shasthraarthas based on ETA
• Application of shasthraarthas by ETA
• Confirmation of Cause- Mechanism- Effect by application – Upasaya/
Anupasaya
• Attainment of Pratipattijnana ( confirmatory strategy) after confirmation of
Yukti for further standardised application in identical situations

12.
SBEBA wisdom series
• Initiated in 2015 for the purpose of initiating Science Based Evidence
Based Practice
• 43 seminars in different parts of India and four webinars
• Our goal is to establish the scientificity and intended potential of our
medical system
• We create leaders of Science Based Medicine and not followers for us
• Our motto is “educate and motivate”
• Every participant has a crucial responsibility to take the mission
forward by working hard in science and exposing the results with the
spirit of spreading the necessity of learning SBM

13.
SBEBA wisdom series
• Participants are to get off from other distractions
• SBEBA has copyrights and any attempts for plagiarism of the same is legal
offence.
• SBEBA is meant to become scientific practitioner from the status of
medicine prescriber.
• You can start applying right from the first patient you get after the webinar
and by very careful and judicious application of the logics you acquire here,
you can make intended predictable results on time
• Your cases are to be documented systematically along with logics of SBEBA
applied in every situation
• SBEBA is focussing on application of HOW TO CHOOSE instead of WHAT TO
CHOOSE .

14.
Evidence Based Practice
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