Swastha and Swasthya

Dr Kirti Bhati
Definition of Swasthavritta and its objective.

• Swashavritta means “regime of abiding by one's nature'.

• It highlights the importance of maintaining a healthy life by adopting
principles of a daily regimen, seasonal regimen, and ethical regimen
to combat the diseases associated with lifestyle changes.
• Deals with the state of health and the regimens to be followed to
keep oneself healthy such as dinacharya (daily routine),
ritucharya(seasonal routine),diet and its significance in healthy and
diseased condition, sadvrtta(moral codes) and yoga. In general,
it deals with the concept of social and preventive medicine.
 Arogyalakshanas
According to Acharya Charak a healthy person is, the one having balanced proportion of muscles,
compactness, firmness in organs does not fall prey to prowess of a disorder.
The person having balanced musculature has got tolerance for hunger, thirst, the sun, cold and exercise,
balanced Agni (Digestive fire) and normal metabolism

According to Acharya Susruta, a healthy person is , whose humors and metabolic state are in equilibrium, whose
functional activities of the tissues and excretory products (i.e., the physical state) are in balance and the soul
senses and mind (i.e., the mental state of the body) fell well.

Willingness to eat, digestion of food eaten comfortably, proper excretion of feces, urine, air, lightness in body,
all the senses feel happiness, sleeping and awakening happily, strength in body benefit of normal body color
and age. These are the Arogya Lakshanas explained by Acharya Kashyap
Physical health
• For representing Physical health Acharyas used the terms like
• Prasanna Varna (Good complexion)
• Kayagniabhivardhana (Good appetite),
• Sama Samhanana (Organs of the body are of unexceptional size), Srusta
Vindmutra Vata (Regular activity of bowel and bladder) etc.
• All the sense organs are intact.
• In Resting condition, temperature Pulse rate, Blood pressure, Respiratory
rates should be in normal range for the individuals according to age and
sex.
• Physical health can be accessed by taking history of hospitalization, clinical
examination, anthropometry, biochemical and lab investigation.
ii) Mental health
• A person can be called mentally healthy if his Atma and Indriya is in
balanced state.
• And should be devoid of mental factors like Krodha, Ersya, Shoka etc
• The mental health can be assessed by his behavior and attitude, A
perfect state of balance with the surrounding world, Having
harmonious relation with others, Intelligence, Memory, Learning
capacity, Judgment are normal, Not having any internal conflicts,
Accepts criticisms supportively, Good self-control Solves the problem
intelligently and own, Self-confident, Well-adjusted with others,
Satisfied with what he possesses, Cheerful and calm, Self-satisfaction,
Adjustment, Self-control
iii) Social health
• Accepted, Respected, Loved by all in the family, by his friends,
relatives, neighbors, colleagues and others.
• Possession of social skills, Proper social involvement, Ability to see
oneself as member of larger society.
• A person who is healthy physically, mentally, and socially is said to be
in a state of, positive health i.e., highest standard of health.
Dimensions of Health
• Health is multidimensional.•
• World Health Organization explained health in three dimensional
perspectives: physical, mental, social and spiritual.
• Besides these many more may be cited, e.g. emotional, vocational,
political, philosophical, cultural, socioeconomic, environmental, educati
onal, nutritional, curative and preventive..
Physical dimension
• physical dimension views heath form physiological perspective.
• It conceptualizes health that as biologically a state in which each and
every organ even a cell is functioning at their optimum capacity and
in perfect harmony with the rest of body.
• • Physical health can be assessed at community level by the
measurement of morbidity and mortality rates.
Mental dimension
• Ability to think clearly and coherently. This deals with sound
socialization in communities.
• Mental health is a state of balance between the individual and the
surrounding world, a state of harmony between oneself and others,
coexistence between the relatives of the self and that of other people
and that of the environment.
• Mental health is not merely an absence of mental illness.
Features of mentally healthy person
• • Free from internal conflicts.•
• Well - adjusted in the external environment.
• • Searches for one's identity.Strong sense of self-esteem.
• • Knows himself: his mind, problems and goal.
• • Have good self-controls-balances.
• • Faces problems and tries to solve them intellectually.
Social Dimension
• It refers the ability to make and maintain relationships with other
people or communities.
• • It states that harmony and integration within and between each
individuals and other members of the society.
• • Social dimension of health includes the level of social skills one
possesses, social functioning and the ability to see oneself as a
member of a larger society.
SPIRITUAL DIMENSION
• • Spiritual health is connected with religious beliefs and practices. It
also deals with personal creeds, principles of behavior and ways of
achieving peace of mind and being at peace with oneself.
• • It is intangible "something" that transcends physiology and
psychology.
• • It includes integrity, principle and ethics, the purpose of life,
commitment to some higher being, belief in the concepts that are not
subject to "state of art" explanation.
Dhatusamyalakshanas
• The quantity, quality, and consistency of food intake is responsible for
the quantity, quality, and consistency of our tissues.
Factors for good health
• Genetic factors
• A person is born with a variety of genes. In some people, an unusual
genetic pattern or change can lead to a less-than-optimum level of
health. People may inherit genes from their parents that increase
their risk for certain health conditions.
• Environmental factors
• Environmental factors play a role in health. Sometimes, the
environment alone is enough to impact health. Other times, an
environmental trigger can cause illness in a person who has an
increased genetic risk of a particular disease.
Importance of Shodhana in Swastha in
relation to Sanchita & Asanchitha Dosha
• The aim of Ayurveda is "Swasthasya swasthya rakshanam aturasya
vikara prashamana" so to maintain health of an healthy individual to
maintain this Seasonal Bio-purification is very helpful.
• • Daily regimens are like Massage, Exercise, Gurgling, Gandusha,
Powde massage, Nasal medication. Seasonal regimens include
detoxification according to the seasons like in Vasant-Vamana,
Sharad-Virechana and Raktamokshana, and in Varsha- Basti
(Niruhabasti and Anuvasana) (C.Si. 6/4)
 Concept of Health

In 1948, the World Health Organization (WHO)Trusted Source defined health with a phrase that modern authorities still
apply.
“Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”

In 1986, the WHOTrusted Source made further clarifications:

“A resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical
capacities.”
Classification of Swastha purusha
as Sanchita dosha and Asanchita Dosha
• Ayurveda the science of life and the only science which guides about
healthy regimens to live healthy, happy and long life.
• The Bio-purification or Detoxification therapy which will eliminate the
vitiated toxins present in the body in terms of Vamanadi measures.
• According to different seasons there will be vitiation of Doshas in the
body which may in turn leads to different disease.
• If one should take care of this by performing specific Shodhana (Bio-
purification) in respective Seasons may pacify the vitiated dosha and
help in preventing the ailment, these will act as preventive, promotive
and curative.
Concept of well-being
• Wellbeing of an individual or group of individuals have several
components and has been expressed in various ways, such
as'standard of living' or 'level of living' and quality of live.
WELLBEING
• Wellbeing of an individual or group of individuals have objective
(standard of living or level of living) and subjective (quality of life)
components.
• Thus, a distinction is drawn between the concept of 'level of living'
consisting of objective criteria and of 'quality of life' comprising the
individual's own subjective evaluation of these.
Standard of living
• Income and occupation, standards of housing, sanitation and
nutrition, the level of provision of health, educational, recreational
and other services all be used individually as measures of
socioeconomic status, and collectively as an index of the standard of
living.
Level of living
• It consists of nine components: health, food consumption, education,
occupation and working conditions, housing, social security, clothing,
recreation and leisure human rights.
• These objective characteristics are believed to influence human
wellbeing. It is considered that health is the most important
component of the level of living because its impairment always means
impairment of the level of living.
TWO ASPECTS OF HEALTH
• • Subjective: It is formed by sensations and feelings of a person
suffering from disease.
• • Objective: Its basis is formed by objective parameters obtained by
measurement of structures and functions of a person during disease.
• • The quality of life can be evaluated by assessing the persons
subjective feeling of happiness or unhappiness about the various life
concerns.
Quality of Life.
• Quality of life (QoL) is a concept which aims to capture the well-being,
whether of a population or individual, regarding both positive and negative
elements within the entirety of their existence at a specific point in time.
• For example, common facets of QoL include personal health (physical,
mental, and spiritual), relationships, education status, work environment,
social status, wealth, a sense of security and safety, freedom, autonomy in
decision-making, social-belonging and their physical surroundings.
• The World Health Organization explains QoL as a subjective evaluation of
one's perception of their reality relative to their goals as observed through
the lens of their culture and value system.
One health concept /
Vasudhaiva Kutumbakam” or
“One Earth · One Family- One Future”.
What is the concept of Vasudhaiva Kutumbakam?

“Vasudhaiva Kutumbakam" is a Sanskrit phrase that translates to "The world

is one family." It conveys the idea that all people and nations on Earth are
interconnected and should be treated with a sense of unity, empathy,
and shared responsibility
The phrase "One Earth, One Family, One Future" is more than just a collection of
words—it's a vision for global solidarity.
• It reminds us of our shared responsibility as inhabitants of this planet.
• It's a call to transcend borders, both physical and ideological, to create a world
that's sustainable, inclusive, and united.
• As global citizens, it's incumbent upon us to embrace this vision, for in unity lies
our best chance at forging a future that's equitable and just for all.