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\begin{document}


\def\RunningAuthor{Punam Sawarkar et al.}
\firstPage{1396}
\articleType{Review Article}
\receivedDate{20 Jul 2020}
\acceptedDate{25 Aug 2020}
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\title{Indian Lifestyle With Ayurveda Perspective During Covid-19 Pandemic}
\author{Disha~Bhatero\textsuperscript{1},  
            Punam~Sawarkar\textsuperscript{*}\textsuperscript{1}, 
            Gaurav~Sawarkar\textsuperscript{2}~\\[5pt]{\textsuperscript{1}Department of Panchakarma, Mahatma Gandhi Ayurved College and Hospital and Research Centre, Salod, Wardha, Datta Meghe Institute of  Medical Sciences (DMIMS), Maharashtra, India}~\\{\textsuperscript{2}Department of Rachana Shareer, Mahatma Gandhi Ayurved College Hospital and Research Centre, Salod, Wardha, Datta Meghe Institute of  Medical Sciences(DMIMS), Maharashtra,  India}}

\begin{abstract}
Covid-19 is an infectious disease caused by novel Coronavirus. The overall prevalence rate of Covid-19 in Worldwide ( 9.94M )\& it is (529 K) \& (153 K) in India and Maharashtra. This situation can be considered under \textit{JanapadodhwansaVyadhi} in Ayurveda. The primary purpose of \textit{Ayurveda }is the prevention of the disease in healthy individuals and eradication of disease, which are curable. Immunity comes under the \textit{Vyadhikshamatva}. Further, Covid-19 infection is correlated with \textit{Vataj-Kaphaj Jwara}. In Ayurveda \textit{Rasayana} therapy to boost up immunity \textit{(Bala } \& \textit{Vyadhikshamatva}). The present study aimed to explore the concept of infectious disease and its prevention through different lifestyles described in Ayurveda. The above need-based information is collected from various \textit{Ayurvedic}literature (\textit{Laghutrayee, Bruhatryayi}) along with numerous research articles from databases, such as PubMed, Google Scholar. All collected data were depicted in narrative form and tabular manner under different heads. Considering the above aspect in the prevention of Covid-19, the role of Ayurveda intervention may be proved more beneficial in Covid-19. Further, adoption of code of conduct may efficiently overcome the current pandemic situation by maintaining good immunity \& implementation of \textit{Ahar, Vihar Vidhis, Dincharya, and Rutucharya\& Sadvritta } for improving disease resistance.
\end{abstract}\def\keywordstitle{Keywords}

\begin{keywords}Covid-19,\newline Ayurveda,\newline Prevention,\newline Dincharya,\newline Rutucharya,\newline Immunity
\end{keywords}
\twocolumn[ \maketitle {\printKwdAbsBox}]
\makeatletter{\raggedright\textsuperscript{*}Corresponding Author\par Name:\ Punam~Sawarkar~\\ Phone:\ 9860667023~\\  Email:\ drsuple.punam@gmail.com
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\section{Introduction}
Covid-19 is an infectious pandemic disease caused by novel Coronavirus, now called as a severe acute respiratory disease. The overall prevalence rate of Covid-19 worldwide is 9.94 Million, and it is 529 Thousand and 153 thousand in India and Maharashtra, respectively \unskip~\citep{942269:20844758}. There is no standard line of treatment established for the management of this pandemic. Prevention is the better option in this current dreadful situation, and the preventive aspect of this highly infectious disease is emphasized by modern science. However, the prevention of any illness is highly appreciated by Ayurveda, which is the ancient and holistic science of life. Such a pandemic situation is correlated with \textit{JanapadadhwansaVyadhi} in \textit{Ayurveda}\unskip~\citep{942269:20844361}. The primary purpose of \textit{Ayurveda} is the prevention of disease in healthy individuals and eradication of disease, which are curable \unskip~\citep{942269:20844362}.

Immunity is the backbone of a healthy life. The immune system helps to protect the host from pathogens; they are minimizing damage to tissue.  The immune system consists of an unlinked network of cells, lymphoid organs, and proteins that are strategically placed to ensure maximal protection against the infection \unskip~\citep{942269:20844751}. \textit{Vyadhikshamatva } is a crucial factor in the daily lifestyle of human beings for the prevention and recovery of the disease. That's why prevention of this disease can be very well done by maintaining good immunity \unskip~\citep{942269:20844755}.

\textbf{Aim And Objectives}

Considering the high need-based scenario, it becomes imperative to search for some alternative, safe, and effective in immune-modulatory remedies in \textit{Ayurveda}. Utilizing this modality, we can enhance immunity. Through this paper, the novel efforts are made to compile the various immune-modulator regimens mentioned in \textit{Ayurveda} in the form of a healthy lifestyle and seasonal purification (\textit{Rutucharya}) and daily dietary \& behavioural regimen (\textit{Dincharya}) which are essential components of a healthy lifestyle and exclusively narrated in \textit{Ayurvedic} sculptures.
    
\section{Materials and Methods}
The information regarding the above need base study is collected from various \textit{Ayurvedic} literature (\textit{Bruhatrayi, Laghutryayi}). Different research articles from databases such as Pubmed, Google Scholar, etc., all collected information is described under the heads in narrative and tabular form.  

\textbf{Result And Observation}

\textit{Proper Ahar}, \textit{Vihar,} and \textit{Nidra} are the fundamental pillar for the healthy maintenance of life and prevention of disease. This triad compromises robust lifestyle module in the current dreadful situation of COVID-19which demands for specific lifestyle modification at three levels


  
  \begin{enumerate}
  \item \relax Particular lifestyle for patient suffered by COVID-19
  \item \relax Lifestyle for healthy persons for the prevention of COVID -19
  \item \relax Lifestyle for the Person who is highly susceptible to COVID -19
  \end{enumerate}
  \textbf{Specific lifestyle for patient suffered by COVID -19}

The disorder Covid-19 it can be correlated with \textit{Vataj}-\textit{KaphajJwara. } Therefore, \textit{Vataj}-\textit{Kaphaj Shamak Chikitsa} and \textit{AgnideepanChikitsa} can be given. \textit{Agnidipak, Laghu Ahara, } and nutritious (\textit{Yusha, Laja, Manda, Peya, Vilepi}), which are essential for immune-modulator \& digestive stimulant properties mentioned in Table~\ref{tw-78053b77fcab},\unskip~\citep{942269:20844363}.


\begin{table*}[!htbp]
\caption{\boldmath {Recommended Daily Regimen for suffered Person } }
\label{tw-78053b77fcab}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.13079999999999998\linewidth-2\tabcolsep}p{\dimexpr.5105\linewidth-2\tabcolsep}p{\dimexpr.3587\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}S.N. & Ahar & Vihar\\
\tblmidrule 
1. &
  Peya, Manda, Vilepi, Yusha &
  Langhana\\
2. &
  Shalidhanya &
  Vishrama\\
3. &
  Moonga, Masur &
  VamanaKarma \\
4. &
  Draksha, Dadima &
  Tarpana\\
5. &
  Dugdha &
  Virechana\\
6. &
  Ushnodaka &
  Niruha\\
7. &
  ShadangPaniya  &
  Anuvasana\\
8. &
  LaghuAhar  &
  Abhyanga\\
9. &
  MamsaRasa  &
  Parisheka\\
10. &
  Sarpipana &
  Pradeha\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Recommended Daily Regimen for healthy persons} }
\label{tw-1d6221d937a2}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.13500000000000004\linewidth-2\tabcolsep}p{\dimexpr.4275\linewidth-2\tabcolsep}p{\dimexpr.4375\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}S. N. & Recommended Regimen  & Expected mode of Action \\
\tblmidrule 
1. &
  Brahma Muhurta &
  Nourishes the tissue rapidly, feeling of well being and happiness \\
2.  &
  UshnaJalapana &
  Feeling of lightness in the body\\
3.  &
  Sauchvidhi &
  Every Person should eliminate the natural urges daily\\
4. &
  MukhaNetraPrakshalan &
  Prevent the eye and mouth disease\\
5. &
  Jivhanirlekhan &
  The tongue should be clean with plant material\\
6. &
  Dantadhavan &
  Increase salivation and stimulate taste perception\\
7. &
  Snehagandushdharan &
  Which improves circulation of the oral cavity\\
8. &
  Nasya ( Navan)  &
  To avoid entry of dust particle into nasal tract\\
9. &
  Anjana (Rasaanjana)  &
  To drain out Kapha secretion from the eyes\\
10. &
  Abhyanga &
  A person should do oil massage daily\\
11. &
  Vyayam  &
  It improves work capacity, increases digestion power\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}

\begin{table*}[!htbp]
\caption{\boldmath {Specific lifestyle for the Person susceptible for COVID-19} }
\label{tw-bca934c3c1a6}
\def\arraystretch{1.1}
\ignorespaces 
\centering 
\begin{tabulary}{\linewidth}{p{\dimexpr.16619999999999997\linewidth-2\tabcolsep}p{\dimexpr.4419\linewidth-2\tabcolsep}p{\dimexpr.3919\linewidth-2\tabcolsep}}
\tbltoprule \rowcolor{kwdboxcolor}S.N. & Ahar & Vihar\\
\tblmidrule 
1. &
  Moonga &
  Yoga\\
2. &
  Masur &
  Pranayama\\
3. &
  Ardraka &
  Meditation\\
4. &
  Lasuna &
  Asanas\\
5. &
  Neem &
  JalaNeti \\
6. &
  Dhanyaka &
  Kavala\\
7. &
  Chyavanprash &
  Gandusha\\
8. &
  Dugdha &
  -\\
9. &
  Amalaki &
  -\\
\tblbottomrule 
\end{tabulary}\par 
\end{table*}
\textbf{Lifestyle for the healthy persons for the prevention of Covid-19}

Ayurveda has described some daily regimen, which is useful for a healthy lifestyle and maintenance of positive health mentioned in Table~\ref{tw-1d6221d937a2} ,\unskip~\citep{942269:20844752}. 

In \textit{Brahmamuhurta}, the expected mode of action nourishes the tissue rapidly, feeling of wellbeing and happiness. \textit{Ushnajal Pana} brings the lightness in the body. In \textit{Sauchvidhi}, every Person should eliminate natural urges daily. In \textit{MukhaNetraPrakshalan, } prevent the eye and mouth disease. In \textit{Jivhanirlekhan, the } tongue should be clean with plant material. \textit{Dantadhavan } increases salivation and stimulate taste perception. \textit{Sneha Gandush Dharan} improves the circulation of the oral cavity. \textit{Navan Nasya} avoids the entry of dust particles into the nasal tract. The use of \textit{Rasaanjana } helps to drain out \textit{Kapha} secretion from the eyes. In \textit{Abhyanga}, the Person should do oil massage daily. \textit{Vyayam} improves work capacity, increase digestion power.

The sedentary lifestyle during the lockdown period may result in weight gain. Therefore, more emphasis should be given over the indigenous, proper \textit{Yoga} and healthy lifestyle, as \textit{Yoga} and meditation increase \textit{Manobala. } Regular practices of Yoga and proper exercise should be adopted, but these should be carried out under supervision or adequate guidance for only experts. 

\textbf{The specific lifestyle for persons who are susceptible for COVID-19}

The specific lifestyle for the Person who is susceptible to COVID-19 is described in Table~\ref{tw-bca934c3c1a6}.Immune-modulator drug should be given to the Person. Diet, Exercise, Meditation should be given \unskip~\citep{942269:20844757}.

\textbf{Discussion }

\textit{Dincharya} should be followed regularly to helps improve the physical, mental, spiritual wellbeing of individuals. Daily habits of people make their happy lifestyle. \textit{SatmyaAhar, Vihar, Nidra}, \textit{Yogic Asan,} and \textit{Brahmacharya} should be followed to boost the \textit{Vyadhikshamatva}. \textit{Rasayana} therapy promotes and rejuvenates the physiology of the body \unskip~\citep{942269:20844756}. It brings proper uptake, growth, and improvement of essential \textit{Saptadhatus}which plays a vital role in immunity building.

In a nutshell, the \textit{Vataj}-\textit{KaphajJwar}, \textit{Ahar,} and \textit{Vihar} should be followed regularly to helps improve physical health. \textit{Agnideepak}, \textit{LaghuAhar,} and nutritious food items should be accompanied to boost the immunity \unskip~\citep{942269:20844364}.

\textit{Yoga}, \textit{Asanas}, \textit{Pranayama} should be followed regularly to improves the lifestyle of patients \unskip~\citep{942269:20844753,942269:20844754}. In \textit{Chyvanprash}, \textit{Amalaki} plays a vital role in boosting immunity. 
    
\section{Conclusion}
Considering the above discussion, it is reflected that the integrative approach of \textit{Ayurveda}For Healthy Lifestyle based on a healthy diet or healthy dietary regimen, proper seasonal regimen and adoption of code of conduct may efficiently overcome the current pandemic situation by maintaining good immunity of the Person as well as by minimizing the morbidity and mortality rate. There is ample scope for further research for the above mention regimen in the future.

\textbf{Acknowledgement}

I am sincerely thankful to our respected Dean Dr Vaishali Kuchewar and my guide Dr Punam Sawarkar for their constant guidance and support.

\textbf{Conflict of Interest }

The authors declare that they have no conflict of interest for this study.

\textbf{Funding Support }

Datta Meghe Institute of Medical Sciences (Deemed to be University), Maharashtra, India.
    

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