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Ayurveda is Science Based Evidence Based Medicine and not pseudoscience.

AYURVEDA IS SCIENCE BASED EVIDENCE BASED MEDICINE
In 2012, Dr.Remya Krishnan defined Evidence-based medicine (SBEBA, henceforth) in Ayurvedic Science as the “conscientious, explicit, and judicious use of most pertinent Science Based Evidence to the unique cause circumstances of every individual subject in making decisions about their diagnostic and therapeutic care (Evidence Based Ayurveda & Rational Prescribing, First Edition, 2012). But today what Ayurvedic fraternity is doing is conducting research based on randomized control trials, systematic reviews and other types of population data oriented research of empirically chosen medicines  which is nothing but the practice of the very unscientific cook book medicine when originally Ayurveda recommends solely the practice of Science Based Medicine .It should be noted here that at the same time, physicians are not clinically adopting these evidences for proving benefits and risks but rather they follow their blind intuitions ,self and shared experiences and Eminence Based Medicine. Then why RCTs are done is to prove medicine after medicine aimlessly and baselessly for producing benefits and risks and at the same time, patients are treated entirely not based on this but other trial and error means.

KNOWLEDGE MATTERS BEFORE STUDY The fundamental proposition of Evidence Based Medicine in Ayurveda is primarily to attain clarity and confirmation regarding what to know and how to do in every individual subject infront of physician, why and how and all these are answered best by the theorems, algorithms and logics explained within the science of Ayurveda itself and not anywhere else. Recording observations based on personal clinical experiences is outbuilt evidence but what is crucial in determining the quality and purity of these outbuilt evidence is the accuracy in choice and application of Science Based Evidence in the subject, a fact which is unknown to Ayurvedic fraternity today. A pudding gets truly relishing and tempting only if the ingredients and method of preparation is accurate and not merely when data of pudding consumers are compiled and shown .Growing data of pudding consumers no way guarantee that every person gets the rightly cooked pudding by looking at the data of number of consumers. For that the method of making pudding with right proportion of ingredients in the right way is to be learnt and this is explained in the background knowledge of pudding making and not in foreground knowledge of data of number of consumers. So learning accurately what to do in a clinical situation matters a lot in rightly intervening upon the same.Hence Science Based Evidence Based Medicine is crucial to establish the scientific evidence based practice of Ayurveda. It is not the medicine that matter in the practice of Science Based Medicine but rather the clarity and objectivity for deciding the medicine in particular situation and whether it served the objective or not. For that in Ayurveda, the practice is to be entirely guided by background science itself and that is what is Evidence Based practice is intended to be in the system. If Evidence Based Medicine is a concept intended with good intentions to reach the right decisions from the medical science to intervene upon man, then definitely it should not be some outbuilt indefinite unknown compound oriented temporary data of benefit- risks applied in trial and error terms by embracing the fool’s paradise of falsifiability. Ayurvedic science recommends a physician to constantly culture his intelligence in Science Based Evidences so as to resolve the endless confusions which are common in the process of clinical decision making. Also Ayurveda does not recommend multi- disciplinary approach in handling a patient, rather it advocates that every physician has to individually equip himself in the knowledge and judicious practice of Science Based Medicine to intervene upon a patient on the whole in the scenario of complexity of real clinical cases and reverse their entire  morbidity instead of fragmented intervention based on any structure and its function alone. When it is the background science which directs clinical actions on individual patients, then on what basis it is considered today in Ayurveda that external evidence are to inform scientificity of medicine ? Does it make any sense really to say so? PROVE APPLICATION OF SCIENCE AND NOT MEDICINE There is a very crucial thing missed by current Ayurveda fraternity. Unlike Modern Medicine in Ayurveda, there is absolutely no need to prove treatment after treatment or classical medicine after medicine to establish their safety primarily because there are existing documented evidences regarding the manufacturing, quality control procedures in manufacturing and science led algorithms and guidelines regarding where to use a particular treatment or compound, why and how, when, what all to consider while employing the same, what all to follow in the patient, and how to interpret the results. Instead of adopting this higly scientific innate methodology of science how does blind RCT of a new or old compound help to attain clarity and objectivity in Ayurvedic research. If a compound is established to be safe and beneficial in such a way, what is the certainity that it will guarantee the “intended results” ( Ayurvedic science recommends to produce only intended result and not benefit risks) in real clinical situations??? How do the population level of current EBM studies of baselessly chosen compounds or treatments to individual level in realistic clinical situations ???Let me know please ! Where is Ayurveda fraternity heading to? Guidelines of clinical decision making are to serve as accurate piece of advices appropriate to the particular clinical situation in the particular subject and not merely compounds of cook book medicine. How does the current mimicry of Ayurveda of that of Western Medicine in the matter of hunt for Evidence Based Medicine end up in valid and effective conclusive decisions beneficial to save and protect every patient who seeks Ayurveda? Gawande’s popular science book summarizes it well: “A statistical formula may be highly successful in predicting whether or not a person will go to a movie in the next week. But someone who knows that this person is laid up with a broken leg will beat the formula. No formula can take into account the infinite range of such exceptional events. Despite of having a vast and deep science in hand, going behind these reductionist biostatistics to prove scientificity of Ayurvedic practice is entirely idiotic and detrimental to the very existance and identity of this medical system Ayurveda. There is no wonder that physicians still adopt aimleaa and baseless self and shared experiences or mixopathy or expert opinions ( experts are not standardised) as they have to survive in their profession by some fair or unfair means. In Ayurveda, Medicine is a practice of Science in the background and not the data in the foreground because fundamentally Ayurveda is Science Based Medicine and not Medicine based science.Science is the proven and established knowledge of man in Ayurveda which explains what- why- where- when- how- why not etc of fundamental aspects of health and disease and there is nothing scientific possible by entirely deviating from this very basic crucial knowledge of man. Hence for the purpose of scientific research, diagnostic and treatment principles are to be derived from this back ground science to be applied pertinently in every clinical situation and this kind of translational research is first and foremost done by Science Based Evidence Based Ayurveda pioneers, Dr. Rajkumar KC and Dr. Remya Krishnan, the outputs of same which are published in their four  scientific publications so far and trained for hundreds of practitioners whose variation in  evidences of former and latter clinical practice( after receiving training) speak the accuracy of the outcome of this unique kind of translational research. We can trust and act in a rational way when Science Based Evidence Based Ayurveda is learnt and practised in place of current uncertainity led empirical ways. Also it is important to know that getting evidence for treatment and diagnostics will involve getting “accurate knowledge about the circumstances of individual patient” and which causally relevant factor might affect the interaction with the treatment and this is exactly what Science Based Evidence Based Ayurveda offers in place of current cook book medicine oriented practice of Ayurveda. Human judgers are fallible and so are doctors. Hence it is crucial that some rational standards which are proven and established based on logics are vital to be adopted in the practice of Evidence Based Medicine and such rational standards are available in the rational science of man Ayurveda. One has to rightly comprehend and learn to apply them is the only big challenge and Science Based Evidence Based Ayurveda has already developed tools and techniques to train the physicians to overcome this big challenge. Statistics have very limited rolls in proving the application of Ayurvedic science, all that it can do is only show and not “ know”. Knowing is possible only from background knowledge and anything that is shown without knowing background application is scientifically invalid in Ayurveda. CONCLUSION In short, the evidence in Evidence Based Medicine of Ayurveda must consider Ayurvedic scientific infrastructure to create a clear structured set of inbuilt science led decisions for individual patients in place of epidemiological study. Evidence Based Medicine is ultimately meant for patient cure and care and not for new drug development in the case of Ayurveda. Here we need new intelligence development for physicians in the knowledge and practice of Science Based Medicine. This work is already started authentically and systematically by the pioneers of Science Based Evidence Based Ayurveda which forms the foundations for an era of renaissance of professional Ayurveda.