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Dr K K Aggarwal

The principle of counseling comes from Bhagavad Gita where Arjuna, when he was confused whether to fight or not, Lord Krishna his counselor gave him 18 sessions. In the first session, he only listened to him. In the second session, he counseled him in great details. From 3rd to 17th session, he gave reasoning for each and every counseling aspect, frightened him and yet consoled him and lastly in the 18th session, he revised his counseling advices.

Cognitive behavioral therapy in Allopathy is based on these Bhagavad Gita principles and advocates multiple sessions for any counseling.

Divorce is invariably due to lack of communication or misunderstanding between the two partners. When they file separation which is usually in rage or as a reaction, and when they are given six months to one year period, it is possible for them to reconcile their issues based on the above principles of Bhagavad Gita.

The other principle of this therapy is based on the concept of creativity. The stages of creativity are – intended intention, information gathering, information reshuffling, incubation period, insight and implementation.

Whenever we want to do a job, we should first concentrate and sit to think about it. Then we gather information and reshuffle this information to choose the information which we need.

After that, we must divert our mind to do something different. This period is called incubation period. During this incubation period, an insight comes in the mind which gives us the direction to implement our thoughts.

This is based on the principle that a relaxed mind is a creative mind. That is the reason that most of our Rishis  Munies used to go into deep meditation to become more creative. Spiritual pilgrimage also involves a period of being away from the routine.

The six months to one year period given before sanctioning of divorce also works on this principle of incubation period. Separation itself takes away the stress and when one starts relaxation, the person introspects and finds that the fault is in him or her also and the same helps in reconciliation.

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There are now more than 85 drugs that may interact with grapefruit. The list includes statins (atorvastatin, lovastatin, and simvastatin), some antibiotics, cancer drugs, and heart drugs. Most at risk are older people who use more prescriptions and buy more grapefruit.

Grapefruit contains furanocoumarins, which block an enzyme that normally breaks down certain medications in the body. When it is left unchecked, medication levels can grow toxic in the body.

Other citrus fruits such asSevilleoranges (often used in marmalade), limes, and pomelos also contain the active ingredients (furanocoumarins), but have not been as widely studied.

The findings appear in the Canadian Medical Association Journal.

This interaction can occur even if grapefruit is eaten many hours before taking the medication. For example, simvastatin, when taken with about a 7-ounce glass of grapefruit juice once a day for three days, produced a 330% greater concentration of the drug compared to taking it with water. This can cause life-threatening muscle damage.

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PTSD is a stress which lasts for up to 13 days if handled properly and for months or years if not handled after an acute stress. This can be a serious disorder.

The reference to grieved mourning a death can be found in the Vedic literature. There is custom that the grieved partner is made to weep till she or he is overwhelmed with emotions. In fact, all relatives and friends participate in the exercise, depending upon their respective closeness to the deceased.

In the antim yatra most relations join and after that the grieved person is made to sit for 90 minutes every day as a part of the ceremony which either ends on chautha or tervi where again everybody known gather together to end the ceremony. Thereafter, normal activities of life are resumed.

In some sections of the society there is also a custom of shaving the head or doing ‘daan’ of hairs and or wearing white clothes.

There is a scientific explanation behind these customs?
The plausible explanation are many and are based on the observation that a grieved person may go into depression which if not treated properly may last for months together, or even forever. For example the acute stress after the death of somebody very close will be called acute traumatic stress and the condition Post-Traumatic Stress Disorder (PTSD).

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Children and teenagers with congenital heart disease should be strongly discouraged from getting a tattoo or piercing their ears or other body parts, because it could lead to a potentially deadly infection of the heart called endocarditis

Infective endocarditis occurs when bacteria or fungi attaches and begins to grow on the valves of the heart. If left untreated, it can lead to a fatal destruction of heart muscle.

Most people are not aware that they should talk to their doctor before tattooing or piercing their body.

Body art in the form of tattoos and piercing has become increasingly popular among children and teenagers.

Most experts today strongly discourage all forms of body art. For those who cannot be dissuaded, the recommendation is to give antibiotics prior to tattooing or piercing, “with strong advice for prompt treatment of any signs of subsequent infection”.

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The best description of the causes and treatment of insomnia comes from Vidura Niti a dialogue between Vidura and Dhritasashtra.

In the text, King Dhritarashtra said: “O Vidura, Sanjaya has come back. He has gone away after rebuking me. Tomorrow he will deliver, in the midst of the court, Ajatashatru’s message. I have not been able today to ascertain what the message is of the Kuru hero. Therefore, my body is burning, and that has produced sleeplessness. Tell us what may be good for a person that is sleepless and burning.

“My body is burning, and that has produced sleeplessness” is a typical description of anxiety and related sleeplessness, true even today.

Vidura said: “Sleeplessness overtakes thief, a lustful person, him that has lost all his wealth, him that has failed to achieve success and him also that is weak and has been attacked by a strong person”.

He therefore described five basic reasons for insomnia and even in today’s science they are true. No new cause has been added in this list of stress induced insomnia.
The situations are:
1. A thief
2. A lustful person
3. A person who has lost all his wealth
4. A person who has failed to achieve success
5. A person who is weak and has been attacked by a strong person.

Ayurveda describes sleep as an aggravation of Vata & Pitta dosha. The number one cause of the same is mental tension; suppressed feelings & acute bitterness. The above five situations again hold true to this effect.

Apart in Allopathy other causes of insomnia mentioned are constipation; dyspepsia; excessive intake of tea, coffee & alcohol and environment Factors-excessive cold, heat or change of environment. They are in most of the situations the effect and not the cause of insomnia.

The treatment of insomnia involves either suppressing the emotions with drugs or root level eradication of stress with proper counseling.
Bhagavad Gita, Chanakya Niti and Vidur Niti are high level counseling books of ancient era and provide texts and sutras even true today.
Bhagavad Gita was a counseling when Arjuna went in an acute anxiety state and was not being able to decide whether or not he should fight with his near ones. He said: my legs are trembling, my bows are leaving me, by body is shaking, what should I do”. The principles of Gita today are incorporated as the principles of any counseling.

Chanakya gave principles of how to manage conflicts and win over others. One of his main teachings was that money earned by unfair means can only last for eight years.

Another answer to insomnia is learning meditation as described in Patanjali Yoga Sutra or Yoga Vashistha. It is based on the principle of concentrating on the present, which shifts the inner environment from sympathetic to para sympathetic mode. 20 minutes of meditation morning and evening provides the same biochemical benefit as gathered from 7 hours of deep sleep.

Here are some other sutras of Vidura Niti
• Do not inhabit a country where you are not respected, cannot earn your livelihood, have no friends, or cannot acquire knowledge. (1.8)
• Do not reveal what you have thought upon doing, but by wise counsel keep it secret, being determined to carry it into execution. (2.7)
• Consider again and again the following: the right time, the right friends, the right place, the right means of income, the right ways of spending, and from whom you derive your power. (4.18)
• A wise man should not reveal his loss of wealth, the vexation of his mind, the misconduct of his own wife, base words spoken by others, and disgrace that has befallen him. (7.1)

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People with chronic obstructive lung disease, emphysema and other serious lung diseases can safely travel by airplane, but they should be evaluated by their doctor before travel.

 In a study of 500 lung disease patients surveyed after a planned flight, British researchers reported in the European Respiratory Journal that 18 percent travelers suffered some type of respiratory symptom on the plane, most commonly shortness of breath, coughing and chest pain. However, the symptoms were typically moderate, and there were no serious incidents requiring an emergency landing.

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1. What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone the body releases in response to stress.

2. Positive thinking produces nearly a 30 percent drop in perception of pain.

3. Spirituality and the practice of religion is associated with a slower progression of Alzheimer’s disease.

4. Those who regularly attend organized religious activities may live longer than those who don’t. Regular participation lowers mortality rate by about 12 percent a year.

5. People undergoing cardiac rehabilitation feels more confident and perceive greater improvements in their physical abilities if they have a strong faith.

6. Increased levels of spirituality and religious faith may help substance abusers kick their habit.

7. Spirituality stimulates the relaxation response. When the body is relaxed, your heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.

8. Spirituality can affect immune-system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, like an increase in white blood cells.

9. Prayer heals the heart. Positive talking and thinking in the ICU produces better results.

10. Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

 

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Winter is the month for heart attacks and the symptoms in women and the elderly may be different,

  • Chest pain is still the most common sign of a heart attack for most women but women are more likely than men to have symptoms other than chest pain or discomfort when experiencing a heart pain. In a study published in Archives of Internal Medicine researchers examined 35 years of research that yielded 69 studies and found that, between 30 and 37 percent of women did not have chest discomfort during a heart attack. In contrast, 17 to 27 percent of men did not experience chest discomfort.
  • Older people are also more likely to have heart attack without chest discomfort. Absence of chest discomfort is a strong predictor for missed diagnosis and treatment delays.
  • Women are also more likely than men to experience other forms of cardiac chest pain syndromes, such as unstable angina, and they appear to report a wider range of symptoms associated with acute coronary syndrome (ACS). They are more likely to report pain in the middle or upper back, neck, or jaw; shortness of breath; nausea or vomiting; indigestion; loss of appetite; weakness or fatigue; cough; dizziness; and palpitations.

·  Women are, on an average, nearly a decade older than men at the time of their initial heart attack. Coronary heart disease is the leading cause of death among U.S.women, and affects one in 10 women over the age of 18.

 

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