Ghee is the essence of Milk (is the essence or Sap of all Plants). The ingestion of Ghee is like offering the finest of fuels into the fires of Digestion- Agni. In accord with this, Ghee builds the Aura, makes all the organs soft, builds up the Internal Juices of the body-Rasa, which are destroyed by Aging and Increases the most refined element of Digestion-Shukra & Ojas, the underlying basis of all Immunity and the “Essence of all Bodily Tissues”. Ghee is the “Single most Ojas Producing food on Earth”. Ghee is known to increase intelligence--Dhi, refine the intellect-Buddhi and improve the memory-Smrti. Cow’s Ghee is used in many ways and in many diseases as told in Ayurveda Shastra.

Although Ghee kindles or increases the digestive fire- Agni, on which all nutrition depends, it does so without aggravating Pitta- the elemental functioning of fire within the body. Use of Ghee in Ayurveda means by default it is Cow’s Ghee.

Ghee causes Secretions and Liquification in the Dhatus-bodily tissues that dissolve Wastes allowing the functional Intelligences of the body-Doshas to carry away Toxins-Ama. The ingestion of Ghee is used in Panchakarma specifically to first penetrate into and then dissolve Ama in the Dhatus, allowing the Wastes to be then carried to the Intestinal Tract and then Expelled.

Qualities of Cow’s Ghee:

“Dhee kaanthismruthikaarakam balakaram medhokaram shuddhikrudvataghnam shramanaashanam swarakaram pittapaham pushtidam!!”

It increases Intelligence; Helps in enhancing Memory Power; Rejuvenates the Skin from inside and increases its Glow; Boosts body Energy; Detoxifies Body; Normalizes Vata; Increases clarity of Voice; Normalises Pitta; Nourishes the Body; Improves Digestion and increases body Fire; Increases Quality and Quantity of Semen; It is very effective in disorders of Eye; Acts as a Good Rasayana; It is the best form of Fat.

Ghee prepared out of cow’s milk is considered to have best Medicinal properties. Freshly prepared Ghee is very Effective and Useful. The Ghee which has been kept for 10 years is called as “Purana Ghrita”. It is widely used in treating Epilepsy and other Neurological disorders.

The Ghee which has been stored for more than 100 years is called as “Kumbha Sarpi”. The Ghee which is stored more than 100 years is called as “Maha Ghrita”. Maha Ghrita is used in Chronic Cough and disorders of the Eye.

Facts about Cow’s Ghee:

Cow’s Ghee has Great power to remove Atomic Radiation from Atmosphere when we do a Yagna, Homa, A Religious Ceremony or a Sacrificial Rite. Hence they are practiced from good olden days in Ayurveda.

If you add 1 Tola (11.66 gm) of Cow’s Ghee into the sacrificial pit of Alter, it can produce 1 Ton of fresh Oxygen in the Atmosphere. That’s the reason why in the Temples in India, Hindus lighten Lamps with Cow’s Ghee.

Cow’s ghee has Good Cholesterol (High Density Lipid HDL), so patients with high cholesterol should eat Cow’s Ghee. It’s a really Good Natural Tonic to the Heart.

If we do Nasyam (Nasal Effusion) with few drops of Cow’s Ghee Three times a day, it balances Tridoshas (Vata, Pitta & Kapha.

In a Patient with Psoriasis or any other Skin Disorder, instead of rubbing any expensive Ointments, just rub Cow’s Ghee. It will work like Miracle because it has great effect to detoxify your system.

TOE WALKING

It is very natural for the parents to assume that persistence of toe walking is just a force of habit and nothing else. But we ‘docs’ at times need to rule out medical causes before attributing the condition to mere habit. Such children need a thorough assessment in form of a detailed history and a physical examination.
When a young child begins to walk, toe walking is common and is considered within a broad range of normal, particularly when the child can stand with his foot flat when not walking. During normal gait development, “heel strike” (1st event in gait cycle) should occur by the age of 3 yr. Persistent toe-walking past this age is abnormal and neurological causes like mild cerebral palsy need to be ruled out.
The other possible reason for this can be a shortened tendo-achilles tendon/ heel cord, which pulls the ankle and foot down (plantar flexion). When no cause is found for this, it is termed as ‘Idiopathic’. The condition thus, is called “Idiopathic Toe Walking” and may have been present in the older family members in their childhood.
Basis of treatment in both is to correct the deformity around the ankle and maintain it to allow a normal heel-toe gait pattern. One starts by stretching the tendo-achilles at regular intervals, using short-leg casts after stretching to maintain correction initially; followed by orthotic/brace support. In Idiopathic cases, surgical lengthening of heel cord is generally delayed for several years and is the last resort. The condition is known to take a long time to respond and patience needs to be in abundance. For toe walking due to mild cerebral palsy (CP), a proper rehabilitation program (physical and occupational therapy) in addition, needs to be tailored for the patient. As CP itself cannot be eradicated, its effect on lower limb joints needs to be monitored during growth, and managed accordingly. An appropriate controlled surgical release of gastro-soleus at the musculo-tendinous junction may be planned in certain cases at the right age. This is followed by maintenance of correction by casts initially and later by ankle-foot orthosis (AFO). The family needs to be thoroughly educated regarding the utmost importance of a persistent proper rehabilitation in terms of physical therapy and gait training.


Dr Ramani Narasimhan
Sr. Consultant Pediatric Orthopaedic Surgeon
Indraprastha Apollo Hospitals, New Delhi.
Mobile no: 09811016102

Laser Eye Surgery at Aashray Eye and Skin Clinic
A-52. Meera Bagh. New Delhi

The surgery reshapes the cornea
The surgery is intended to reduce a person's dependency on glasses or contact lenses.
A laser is used to permanently change the shape of the cornea, the clear covering in front of the eye

What does the surgery do?
The surgery is done as an out-patient procedure and takes about 14 min per eye.


Local anaesthetic drops are placed in the eye being treated.
An automated rotary blade is used to make a flap in the cornea.
A hinge is left at one end of this flap.
The flap is folded back to reveal the middle part of the cornea. Pulses from a laser vaporise a portion of this and the flap is replaced.
The patient walks out with dark glasses.
How does this improve vision?
People need to wear glasses for different reasons. Some people are said to be short-sighted or myopic. This is due to the cornea being too steeply curved or the eye longer than normal.
Therefore, light rays fall in short of the retina - the area at the back of the eye that interprets the image - and results in blurred distance vision.
Other people are long-sighted or hyperopic because their cornea is too flat or the eye is too short. This means that the light rays focus too far beyond the retina.
Others have a condition where the cornea is oval shaped rather than spherical, called astigmatism. This produces two different focal points which can blur images at all distances.
Laser surgery to reshape the cornea can help to correct these problems.


Will it help with age-related vision loss?
No.
Laser surgery will not be able to cure age-related presbyopia and the need for reading glasses that people often develop in their mid-40's.
This is because presbyopia is not to do with a problem with the cornea. Instead, it occurs when the lens becoming less flexible with age.
Where can I get it?
Private treatment usually costs £1000-1500 in the UK i.e. almost 80000 Rs. In India the best treatments are available in a price range of 20000 to 45000 Rs for both eyes. This being a cosmetic procedure, it is not covered by Medi-claim or Company Insurance.
What are the risks?
Complications occur in less than 5% of cases, according to the Royal College of Ophthalmologists. U.K.
Some people have a problem with dry eyes in the months after surgery and artificial tear supplements might be needed in few weeks after surgery
Many patients have experienced glare or halo effects when night driving, particularly just after treatment. This is more likely the higher the correction that has been made, but is rarely severe. Higher order corrections are possible with Zyoptic Laser or Aspheric Zyoptic.
In rare cases, excessive thinning of the eye wall can cause the shape of the eye to be unstable after treatment. Severe loss of vision is very unusual, but some patients could require corneal surgery or hard contact lenses to restore vision – this complication has been reported in less than 5 patients per million lasiks.
Can both eyes be done on the same day?
Yes.
How long will it take me to recover?
Most patients have a reasonably comfortable period after surgery and are back at work within a few days to a week.
Depending on the vision correction attempted, driving may be unsafe for one to two weeks. Tinted glasses with ultraviolet protection are needed when out in the sun for the first three months.

FEMALE & MALE HEALTH ISSUES
What is Sexual Orgasm? A peak of arousal, marking a moment of intense pleasure. The female orgasm lasts a few seconds, followed by a feeling of relaxation. Continued stimulation may also result in further orgasms. Unlike the men, some women are able to do this without the need to rest for a short period of time, smoke a cigarette or order in pizza.
Do women only climax during penetrative activity? Far from it. The fact is very few women orgasm solely as a result of the penis penetrating the vagina, it's more likely to happen through stimulation (touching/rubbing/kissing) of the clitoris - the highly sensitive bump located at the top of the vaginal lips.
What are the female orgasmic signs medically? Here are some general orgasm indicators, describing the build up and the moment itself:
• rising feeling of intense strange feelings;
• increase in blood pressure and pulse rate;
• breathing quickens;
• increase in vaginal lubrication;
• clitoris becomes erect and exposed;
• breasts become enlarged, nipples erect;
• skin flushes, particularly the face and chest;
• pelvic muscle spasms, causing vaginal contractions and orgasmic sensations

Why does orgasm happen?: In men, the orgasm is all tied up with a specific reproductive function-sperm Ejaculation. Women don't have to orgasm during sex in order to conceive, which makes the reason why it happens hard to pin down. Here are some of the more interesting (and questionable) theories, none of which address the simple fact - if it's enjoyable, who needs theories?
• After climax, you're more likely to lie down, thus increasing sperm retention and boosting your chances of conception!
• The muscular contractions associated with the female orgasm help pull sperm from the vagina to the cervix, again boosting conception chances.
• To create an emotional bond between lovers.
• A means of communicating sexual satisfaction to your partner (always a good thing).



Female Sexual Arousal
Your girlfriend or wife is stress-free, you have plenty of foreplay and romance, and you’ve tried every position possible, but she simply cannot have an orgasm. This can be a very troubling and discouraging situation for both people involved. Both the man and woman can feel as though they are sexually inadequate, leading to distress within the relationship.
Female Sexual Arousal Disorder (FSAD) can be categorized by the following symptoms:
• inability to experience orgasm
• inability to produce lubrication
• decreased libido or lack of desire
Having one of these symptoms does not necessarily mean that one has FSAD. A physician should be contacted for diagnosis.
There are both physical and emotional causes of FSAD. Here are some of the known causes:
• lack of affection within relationship
• communication problems
• fatigue and stress
• physical illness likes diabetes or heart disease
• psychological conditions like depression
• relationship lacking emotional intimacy
• restrictive upbringing concerning sex
• negative/traumatic sexual experience
Here’s a little introduction to each of the pleasure zones of girls and women:
Clitoris:
• Areas above, to the sides, and below the clitoris are highly sensitive
• Its only physical function is to provide sexual pleasure
• Most women claim that the clitoral orgasm is the most intense
• In his book Sexual Behavior on the Human Female (1953), Charles Kinsey found that out of 2700 American women, half received orgasm through clitoral stimulation
Vaginal Orgasm:
• Outer third of the vagina is the most sensitive
• Many women claim that it is more difficult to achieve a vaginal orgasm than a clitoral one.
• Freud labeled this type of orgasm as the “mature” type, whereas the clitoral orgasm was an “immature” type of sexual experience (A General Introduction to Psychoanalysis, 1916)
It is important to note, however, that one type of orgasm is not better than the other – they are simply two different ways of experiencing pleasure.Every woman has her own preference over which orgasm provides the best pleasure.
Men who are striving to please their girlfriends or wives in bed should communicate with their partners to discover:

a) which is easiest for her to achieve
b) which one she prefers in terms of physical pleasure


Vaginal Dryness
An estimated 20 million American women suffer from vaginal dryness—and as a consequence, painful intercourse. Dryness can result from menopause, childbirth, stress, and even the use of certain medications. Vaginal dryness can sometimes be a great obstacle when trying to achieve orgasm. It can make sex painful and even unbearable for some women.

Male reproductive cells - Sperms
The mature sperm cell (spermatozoa) is 0.05 milliliters long. It consists of a head, body and tail. The head is covered by the ac cap and contains a nucleus of dense genetic material from the 23 chromosomes.
It is attached from the neck to the body containing mitochondria that supply the energy for the sperm's activity. The tail is made of protein fibers that contract on alternative sides, giving a characteristic wavelike movement that drives the sperm through the seminal fluid, which also supplies additional energy. Some sperm have two heads or two tails and if the testes are too warm they may die or spermatogenesis may not occur. Sperm swim at a rate of about 3mm (0.12 inches) per minute. That’s an average, it’s different for every guy. Some sperm cells are 'better' swimmers than others. Why? They need to wave their tales more than 1000 times just to swim a half an inch.

Sperm cells are made in the testes where it takes about 72 days for one sperm to grow. Sperm production requires a temperature which is three to five degrees below body temperature. The scrotum has a built-in thermostat, which keeps the sperm at the correct temperature while they’re being stored. If it becomes too cool on the outside, the scrotum will bring the testicles closer to the body for warmth as you probably know from jumping into a cold pool of water or ocean. That’s why the testes hang away from the body -- so sperm can develop at the temperature they need. (95° - 97° F or 35° to 36° C). Semen contains small amounts of more than thirty elements. The middle section controls the sperms activities. The sperm or (spermatozoa -- which are the little swimming critters) make up only about 5% of what a man ejaculates each time he ejaculates. The rest of what a man ejaculates in his ejaculate, which is about a teaspoonful (5 ml), is made up of water, sugar, protein, vitamin C, zinc, and prostaglandins. Semen or seminal fluid is the mixture of sperm and the secretions of the seminal vesicles and prostate glands. Over the course of a guy’s life, he’ll produce more than 12 trillion sperm.
Drawing Copyright belongs to: Simon & Shuster Inc., NY, NY 1999

Male Sexual Arousal
Erection: Although much research has been done on erectile function and dysfunction, many aspects of function still remain unclear. (Even with the invention of those blue pills you have seen advertised on TV.)
Erection results from dilation of the arteries in the penis and an increase in arterial blood under high pressure -- to simplify things a bit. This causes the erectile tissue in the penis to become engorged. Erection also most likely involves several neurotransmitters.
Orgasm
With increasing intensity of the sexual stimulus, the reflex centers of the spinal cord begin to emit impulses that leave the cord to the genitals and initiate emission, which is the forerunner of ejaculation. Fluid from the vas deferens, the prostate, the ampulla, and the seminal vesicles (and even more tiny glands) are propelled into the internal urethra by contractions of the groin muscles*. The filling of the internal urethra elicits signals that are transmitted through the pudendal nerves from the spinal cord. Increases in pressure in the urethra cause the semen to be propelled to the exterior, resulting in ejaculation! The period of emission and ejaculation is termed male orgasm. After ejaculation erection ceases within 1 to 2 minutes in most males.
Sexual Hormones: It is apparent that sexual desire and performance depend on some threshold level of testosterone, however, this level varies from man to man. One of the greatest inhibitors of sexual functioning in males is loss of or low self-esteem and the development of a negative self-image.

Q What is the difference between a male and female orgasm?
Ans : The most obvious difference in orgasms is that male orgasms are usually accompanied by the ejaculation of semen. Ejaculation involves the secretion of semen into the urethra (urinary canal) and a rhythmic contraction of pelvic muscles that forces the semen out of the urethra.
In males sometimes orgasms occur with or without ejaculation. When men have orgasms without ejaculation, the pelvic muscles contract and you feel like youêre having an orgasm, but the semen is prevented from being secreted into the urethra. Less commonly, the semen is pushed backward into the bladder during orgasm and appears as milky fluid that comes out during urination after sex. This is called retrograde ejaculation and happens occasionally when men try to prevent ejaculation during orgasm and is usually not a sign of a disorder. However, retrograde ejaculation does happen more frequently in people with diabetes or after surgery, causing damage to the nerves around the penis. During orgasm for a female, the rhythmic contractions take place within the pelvic muscles as well as the walls of the vagina. In most women, there is no fluid ejaculated during orgasm. Another difference between male and female orgasm is that women do not experience a refractory period and may have multiple orgasms with continued or additional stimulation.

Q When my husband and I have sex, sometimes I feel too dry inside and often it hurts. There are also times when I feel a pain in my belly when he is in too deep, any suggestions?
Ans : Don't stress out over vaginal dryness. You might just need a vaginal lubricant and there are many to choose from, even the generic brands work well. Spend more time before the act getting interested and ready to participate. Kissing, fondling, caressing and slowly getting into sexual exploration may also be a part of the dance that's lacking for you. If you have severe pain, seek medical help right away. It may be an infection, inflammation or condition that requires attention. BUT, tell him so together you can create the pattern that's pleasing for both of you. Concentrate on what feels good for both of you; inside and out.
Q Can masturbating hurt me?
Ans : No, not really. You might get sore if you are masturbating a lot. If you feel sore from masturbating too much, than that is too much for you. In case you feel deadly tired or very bad after masturbation, you should stop it for the time you really recover. The scientific reason is that after every masturbation, oxygen level in your blood is considerably dropped. Blood takes some time to pick up oxygen. It is a good idea to have drink a glass of water in small sips (not hurriedly).

A
Total Stress Management Guide
For Nurses

Author

Dr. Shriniwas Kashalikar










Prologue:
Dear sisters
Right at the outset I would like to pay my humble tributes to you and your profession and express my gratitude on behalf of all those whom you serve.
Yours is such a profession where there is almost no end to the sacrifice that you make. Most of you work hard; on domestic as well as occupational front! I really admire your patience and salute you for the same. Really you are the chosen ones of the Almighty and hence most privileged.

Secondly I would like to congratulate you for your success in achieving expertise, which is so valuable in healing the ailing mankind.

Now before I go ahead I would like to concede the possibility that you could be knowing much more than the contents of this book. Also, you may be practicing Total Stress Management better than me and you may already be healthier than me in every possible way. But this is my humble effort to share with you what I understand and try to practice!

In view of your supreme importance in patient care and in view of the extremely stressful situations you have to go through, it is imperative that somebody cares for you and your health! So kindly appreciate my concern about your well being and instead of believing blindly or rejecting blindly, consider these contents with open mind, verify and accept or reject on the basis of your own experience.

Dr. Shriniwas Kashalikar

Total Stress Management For nurses working with critically ill patients.

It is good to appreciate that Total Stress Management (Holistic Health Promotion) requires two aspects to be handled. First; is you and second is your environment.
Let us consider the first aspect i.e. you.
There are five aspects of your being!
They are, spiritual, intellectual, emotional, instinctual and physical! It is needless to clarify that these are not watertight compartments and the classification is for the purpose of simplicity in understanding.
So, the Total Stress Management (Holistic Health Promotion) involves nurturing these five aspects of your personality!

Spiritual health!
When you work with patients requiring critical care, you are facing agonies, anxiety, fear, worry and restlessness. You require tremendous spiritual strength in such situations. I am sure you do not lack spiritual strength. But one simple way to nurture or further develop spiritual aspect is imbibing the concept of unconditional acceptance, love and respect for your self. This helps you to
explore the SOURCE OF LIFE i.e. SPIRITUAL POWER WITHIN YOU. Invoking this power within you is also called as exploring the healer within you.
Therefore learn to ACCEPT, LOVE AND RESPECT, yourselves, unconditionally. This is possible by two means. One is through conscious efforts and the other is through the traditional practice of NAMASMARAN i.e. remembering the name of God or your Guru.
Namasmaran is a simple way of growing from within. However it is ironical that since it is simple and inexpensive people [including me] find it most difficult to practice it! It appears too simple and hence incapable of nurturing us spiritually! But I feel that spiritual growth can really be possible through Namasmaran and it can increase the healing power within you.

How to assess your spiritual health?

There are few criteria by which you can assess your spiritual health and develop it further.

One criterion is the perspective of global welfare. You begin to think and automatically wish the best for one and all! This in itself strengthens you.

Another criterion is fearlessness. It is true that through practice and experience most of you grow fearless even in otherwise dreadful situations. But fearlessness resulting from spiritual growth is nondecremental i.e. without any decline and also, it is devoid of callousness!

Another criterion is your talk.
One of the hallmarks of spiritual growth is revitalizing words. Your words become naturally empowering. You do not have to cultivate or artificially make them so!

One more criterion is your look. Your facial expression and body language naturally reflect affection and care. Your mere presence and your touch begin to heal your patient. In other words empowering happiness begins to emanate through every aspect of your existence.

It must be appreciated that depression and melancholy are infectious. Pain and misery can also be infectious. They can erode you without you being aware of it. Hence you require this power within you to help yourself and everyone around [patients, their relatives, other patients, your colleagues and even the doctors] to overcome stress!

Spiritual growth is additionally important because it gradually reduces two most important causes of stress viz. pettiness and superficiality. Pettiness and superficiality create unending dilemmas, which can really harm you. Hence yet another criterion of spiritual health is broad mindedness and profoundness evident in not getting disturbed by trivial matters!

For the spiritual growth or spiritual health or for exploring the healer within you, AUTOSUGGESTIONS can also help. But thoughtless autosuggestions should be avoided; as you may get trapped in your own petty or even mean ideas.

Following autosuggestions are based on profound philosophical insight. They are of great value.
A] I shall not get angry or feel sad today because it is about past which has gone by.
B] I shall not worry or get restless because it about future which may not come.
C] I shall thank the nature or God for the bounties, because they are many times concealed and not apparent.
D] I shall respect everyone, because global unity is an objective reality and God is present in every one.
E] I shall do my duty honestly because honesty means exploring the universally beneficial element in my work and that would prevent dragging of mind from getting distracted towards fallacious and illusive glamour present elsewhere.

You must be familiar with different prayers, hymns, bhajan, kirtan, pooja, dancing meditation, laughing meditation and many other forms of worship. You may or may not practice one or more of them as per your choice, liking, inclination or faith.

Now let us understand the role of intelligence in spiritual health by an example.

Imagine a swimming pool, with a facility of a nice diving board. Imagine beautiful steps to reach that diving board. Imagine that you can not swim unless you dive!
Now, swimming in the pool after diving wonderfully and enjoying it is like enjoying spiritual health. The steps to reach that diving board are like rationality or intelligence.
Those of us who do not climb the steps obviously cannot swim. Irrationality and blind belief are hurdles in acquiring spiritual health.
Similarly those who climb the steps and reach the diving board, but do not jump from it can also not swim. They get imprisoned in their own intellectual framework. They do not realize its limitations. They are blind to millions of possibilities, which are beyond the range their own intelligence. Such intellectual imprisonment also is a hurdle in acquiring spiritual health.
Climbing the steps, reaching the diving board and jumping from it [getting freed from the enslaving shackles of one’s own paradigms and intellectual frames] help one to be spiritually healthier.
Intellectual health

Now it must be clear to you how all the other aspects of your personality would begin to get nurtured by sound spiritual growth. Spiritual empowerment is like sap of life. Through your crystal clear inner core spring; the globally beneficial thoughts and plans!
For a moment I may sound too theoretical, hypothetical or even impractical or dreamy.
But as you actually blossom more and more from within, you would realize the limitless dimensions of your intellectual and creative potentials. You increasingly appreciate with clarity the role you can play in your own way in global welfare. This consciousness is the fountainhead of intellectual health!

It creates the intellectual zest and dynamism intrinsic to intellectual health. Then you stop undermining yourself in spite of knowing fully well that the world is so vast.

Now you would start getting involved and interested in your job to a much greater extent. You get much more motivated to study the intricacies of your job. You expertise and efficiency starts multiplying. In the midst of humility; you get bolder and inquisitive. Even though asking questions is a royal way to intellectual health the reading books and literature pertinent to Total Stress Management (available for free download on www.superlivng.net) is extremely important and absolutely essential!
Your intellectual empowerment engenders delegation of increasingly important tasks to you by your superiors. This process automatically makes you confident, and smart.
Because of your knowledge; every one begins to need you, love you, admire you honestly and also respect you. Since you are knowledgeable, you no more resent questions of your juniors and your patients. You no more resent questions from patients’ relatives. This is how the whole working atmosphere gets filled with buoyancy, enthusiasm and above all; cordiality.

However intellectual health can be further buttressed and blossomed by specifically conquering the high tech life style, “one up man” ship, knowledge of diseases such as cancer, diabetes, hypertension, ischemic heart diseases etc., information mania etc, which all increase stress.
1. Adopt high tech life style with due sense of proportion and with respect to the comfort it would give you.
2. One up man ship or competition should be adopted for achieving excellence. If there are petty pursuits, then they can ruin your happiness easily.
3. Knowledge of diseases can produce deep impact on mind and lead to neuroses and phobias. These phobias can spoil the life completely. Therefore it is essential to “ride” over the knowledge! Here spiritual health can really help you as negative thoughts are effectively overcome by spiritual bliss, (though it is not easy!). Secondly you have to learn to appreciate that every thing we read or know, is not complete in itself. Even if the information about the diseases is correct the human spirit is invincible and is “more correct”! Hence do not get bogged down and stressed by threatening information about the diseases published, broadcasted or telecasted; whether in scientific journals, text books or in media.

Dealing with information explosion properly, makes you humble and realistic also!

This is well illustrated in the anecdote of Mahatma Gandhi’s three monkeys.
After one reads or hears about these three monkeys, one tends to ask, “Why should I not hear, see or talk bad if I really am convinced about it? Does not it amount to being a hypocrite?”
The answer is simple but very useful in acquiring intellectual health!
What we hear and interpret is a function of limited range of hearing and seeing and limitations of the processing of that information based on past experiences, in our brain. Hence to feel that it is the truth and declare it amounts to being unrealistic and arrogant. It is fallacious. Therefore we should and if at all; humbly state as “our impressions” and not claim it to be absolute truth.
Understanding this scheme gives you the knowledge of perceptive [intellectual] error that leads to stress and its correction.
Intellectual health manifests in globally beneficial perspective, policies, plans and actions in your field, which would blossom not ny the patients, but everyone involved in healthcare; directly or indirectly!

Emotional health

Every one knows the different positive and negative emotions. It is very easy to say that we should overcome fear, anger, hatred, depression, jealousy etc. It is also very easy to advocate positive emotions such as peace, happiness, love and so on.

But the important difficulty is how to actually be able to do it?

Human brain itself is such that those parts involved in emotions are hardly under the control of the parts instrumental in thoughts! Moreover there is no clarity about parts of brain [if any] related to spiritual growth. Hence even as spiritual health and intellectual health can substantially ward off many emotional disturbances, most emotions do not always follow the suit of spiritual and intellectual processes. They have good deal of autonomy and volatility. Hence additional specific measures have to be taken to nurture emotional health.

We have to understand here that emotional health depends largely on soundness of our limbic system and autonomic nervous system, though it is influenced to a certain extent by central nervous and hormonal activities.

Now what is the practical relevance of these facts?
The relevance is that we can practice following pranayamas to tone up these parts and acquire high degree of emotional health!

KAPALBHATI
KAPAL means forehead and BHATI means light or brightness.
You are supposed to do active and moderately forceful abdominal expiration and you are supposed let the inspiration take place passively. Do it rhythmically but not jerkily. Count the strokes of expiration. Practice about twenty strokes initially and gradually increase the number up to five hundreds to one thousand in comfortable manner.
Do not practice after eating food.
Do not practice if you have wound [e.g. surgery], hernia, hydrocele, or any inflammatory condition of your abdomen.
Do not practice in pregnancy.

Initially you may find it little difficult, but a few days of practice would make you comfortable.
I would not like to make any tall claims. But you may find out for yourself whether you lose weight, feel energetic, feel buoyant, feel younger or no. In addition find out whether you have stopped palpitating in minor adversities or imaginary fears. Verify whether unwanted perspiration stops or not. Find out whether you get any benefits on your lipid profile or blood sugar. Emotional health has clear cut positive impact on your instinctual and physical health. This can be called the byproduct of the emotional health!

There is scientific explanation for the mechanisms underlying these and many other benefits, for the details of which, you can refer to my books available for free download on www.superliving.net, but we need not go in the details here.

BHASTRIKA
The meaning of the BHASTRIKA is bellows.
You are supposed to breathe in and out forcefully mimicking the action of bellows. The rhythm of the bellows is necessary but it is important to avoid jerk.
Do not practice at least five after food.
Do not practice in case of hernia, hydrocele, wound or inflammation of any nature in thorax or abdomen.
Do not practice in pregnancy.
KAPALBHATI AND BHASTRIKA if practiced cautiously may help in early stages of certain malignancies.

UJJAYI
UJJAYI means victory.
Breathe out slowly, forcefully and fully. Now partially contract your larynx i.e. the region of voice box and breathe in with a high pitch
in-blowing sound.
There are no precautions and restrictions for UJJAYI except presence of lesion in respiratory pathway itself.

BHRAMARI
BHRAMARI means related to BRAMAR, which means the familiar insect sucking honey from flowers making typical humming sound while flying. Since you produce similar sound in this pranayama it is called BHRMARI.

Hold your index fingers on forehead, middle and ring fingers on the eyes and little fingers below the eyes and thumbs pressing on ears and breathe in maximally without jerk, and then breathe out slowly through voice box and nasopharynx producing humming sound through out your expiration. The vibrations produced from within have healing and revitalizing effect on everything within the head!

ANULOM VILOM
Breathe in through one nostril and breathe out through the opposite nostril. Now breathe in by the opposite nostril and breathe out through the original nostril.
This is one cycle. You can repeat this ten to twenty times as per your convenience.
Do not give jerks. Do not practice after food for at least three hours.

Later three pranayamas can be practiced in pregnancy or any other condition of the abdomen or thorax. You can practice them in sitting or any other position.
In this pranayama, since holding of breath is not advocated you can practice it even when you are traveling.
Please practice and verify whether these techniques make emotional health sound with several additional benefits on you physical health.

We have to pay attention to our instinctual health and physical health for overcoming unpleasant sensations and consequent emotional disturbances (e.g. nagging, irritating, nauseating, disgusting sensations arising from within our stomach, duodenum, ileum, ascending, sigmoid and descending colon, rectum, anal canal, urinary bladder, uterus, ovaries, muscles, fascia, tendons, ligaments, joints, blood vessels, pregnancy, delivery, lactation, menstruation, menopause etc.)

Few simple tips to which, you can add many more according to your experience can contribute to your emotional health even though they are most not essential.

You must sleep well or else you get more irritable
Take adequate rest as other fatigue makes you depressed, withdrawn and negative.
Observe cleanliness as unclean habits due a variety of reasons can cause allergies, infections, psoriasis, lichen planus and other nagging skin disorders. They can really disturb you peace and make you miserable.
Use well fitting, comfortable and suitable clothes as bad clothing can create difficulty your movements. It can spoil your body image and self-esteem. Ill-fitting clothes distract your attention and reduce your efficiency. Make use of natural perfumes and pleasant colors to brighten up the atmosphere and make it cheerful. Ornaments and cosmetics too may have a “cosmetic” role in acquiring sound emotional health!

Try to practice following few points and see if you start feeling better. My experience tells so.
1] You can charge the atmosphere by merely greeting the people properly and giving them suitable gifts. For that you have to accept them unconditionally, love and respect them. Pay attention to them and their ailments with total focus. Such bond actually revitalizes you. When you see the feelings of gratitude and solace, your emotional health begins to improve.
2] Your patients need your love. They do not appreciate condemnation, criticism and value judgment.
3] Appreciate people. Always complement by words such THANKKS and GOOD etc. You get appreciation if you give!
4] Apologize profusely and naturally for even so called small mistakes and errors.
5] Always say you agree during your dialogue even if you do not. In the course of well begun dialogue you can convince your point.
6] Spare time for certain hobbies, such as music, knitting, painting etc. so that there is no monotony and you can pleasure of the variety!
7] Find out the degree of pleasure from its intensity, its duration and its impact on the society. This certainly helps you to decide what is more important than the other. This is called PRIORITIZATION.
Once a thought or a feeling or an action is judged as the most important objective it becomes easy to ASSERT yourself.
After you ASSERT just recollect the moments of ecstasy of maximum intensity, duration and that simultaneously benefited others.
Relive ASSERTION and CONSOLIDATE your priorities. This is POSITIVE REINFORCEMENT.

Now recall the thoughts, feelings and actions that gave you maximum sadness lasting for maximum duration and hurting or inflicting others. This would help you to avoid the same on priority basis and is called NEGATIVE REINFORCEMENT.
When you regularly practice positive and negative reinforcement the WELLNESS CYCLE begins. Wellness cycle means increased experience of active peace, intellectual sharpness, happiness, healthy instincts and satisfactory physical activities. WELLNESS CYCLE destroys the deleterious effects of vicious cycle or distress cycle.




Instinctual health

Spiritual, intellectual and emotional health forms the basis of instinctual health. But you can be benefited more from the following adjuvant measures as well!

Biologically speaking, we the humans also inherit the instincts, which are in mammals and birds.
These instincts are integral to life and largely related to neurohormone and hormone secretion and metabolic activities. Hence if instincts are not satisfied the stress produced is tremendous and far more dangerous than mere emotional stress and hence you have to overcome it “instinctual stress” to acquire instinctual health!

1] Survival
Survival is the most basic instinct. With technology survival has become easier. But with cut throat competition, increase in crimes, frauds, irregularities and corruption, simple person are getting increasingly insecure. The advertisements of life insurance, health products, medicines etc exaggerate the dangers and increase the insecurity even further. The result is increase in suicides and murders. It is important to be spiritually, intellectually and emotionally strong by learning, teaching and publicizing the Total Stress Management for conquering the fear of survival and thereby acquire instinctual health.

2] Hunger and thirst
They are important for survival. We call them instincts because they are extremely strong drives determining the behavior. If they are not satisfied they can unleash violence of unimaginable magnitude. Secondly eating and drinking behavior has tremendous influence on your total health!

a] Do not fall prey to the aggressive advertising campaigns. Use your own discretion and common sense.
b] As far as possible eat home made food,
c] Avoid excessive consumption of any one type of food such as ice creams, chocolates, deep fried foods etc. Do not drink excessive soft drinks, beer or hard liquor.
d] Include wheat, patni, nachani, bajara, jawar, corn and also neem, karela, bel, Amala, ginger, pudina, cocum, tulsi, jamun, cow milk, butter milk, green leafy vegetables, salads, seasonal fruits, methi sprouts, alfalfa [lucern] sprouts and different oils in your diet. Let there be variation and moderation.

Sexual instinct
Odd hours of working, excessive time consumed in commuting, lack of sleep, lack of security etc. can adversely affect the sexual drive and capacity. Frigidity, impotence and such many problems can arise and spoil your life completely.

It is not possible to discuss every problem in detail, but I would request you to kindly pay serious attention towards your and your partner’s sexual satisfaction (You may refer my books and articles on sexology available free download on my website www.superliving.net).

Herd instinct
Herd requirement is instinct to live together. The animals habituated or rather biologically bonded with instinct to form herd, go haywire if they are removed from the herd or lost from the herd. Keep yourself in good company. What is good company? Good company is one that reminds and reorients you to your inner power, magnanimity, divinity and vitality, and never drags you to pettiness and superficiality!

Habitat
Habitat in simple words means the over all the atmosphere to which the animals deeply attached. We should try to relive our childhood conditions and keep our roots alive. They nurture us.

Defecation
Polished cereals, white bread, eggs and other food stuffs, which do not contain fiber, tend to reduce the contractility of gastrointestinal tract and may cause constipation. Sedentary habits further aggravate the situation.
So use more fiber in diet by using green leafy vegetables and salads. Take suitable exercise regularly.

Movement
It is proved by experiments on laboratory animals, that the restriction on movements causes tremendous stress. Sedentary individuals suffer from hypokinetic stress. You can overcome such stress and acquire instinctual health by walking, jogging, trekking etc. Practice frequent stroll and change positions frequently.

Physical health
What is physical health? Apparently the answer is very very simple. But Strength, endurance, flexibility, agility, good body proportions, good biochemical blood profile, normal working all parts of body, reserve strength are all important indicators of physical health. From holistic point of view, not merely the condition of your body, but the actions of your body; indicate physical health. So in short what does your brain do as part of your body? What do your eyes see or read? What are ears listening to? What are your hands engaged? So it is necessary to ask such questions about every part of body so that you get a clear idea about your physical health.

Let us note some tips for excellent physical health.
1] Drink lot of water in morning. You may choose to drink warm water if you have tendency for constipation.
2] Splash your eyes with cold water at least twenty times each.
3] Drink a cupful of herbal juice. Herbal juice usually contains neem, harada, karela, pudina, amala, tulsi, adrak and rock salt for taste.

The advantages are many. You have to experience them.
4] Massage your gums, palates, and rest of the parts of your mouth. Use ayurvedic tooth paste or powder for brushing.
5] Bath should ideally be with cold water. It is rejuvenating. But you can use any water that suits you.
There are prayers for reciting in morning, during brushing, during bath and before breakfast. You can combine physical and spiritual development.
6] Exercises: Jogging, walking, swimming, spot jogging, dancing [classical as well as western dance] surya namaskar, yogasana, karate, kung fu, judo, silk weaving exercises, aikido, sit ups and many aerobic and anaerobic exercises , sports, trekking, mountaineering are not available all. But you choose some of the varieties suitable to you.
There many exercises which we have devised for sedentary workers. These are vakrasana, chakrasana, vrukshasana, brahamudra, exercises involving, neck, shoulders, hands, knees, feet and so on.
There seven exercises that can be used to improve eyesight and even get rid of the spects.
a] Start slowly and gradually b] Do not give jerks c] Take care of your tendons and ligaments d] Be cautious about your balance so as prevent fractures e] Do not perspire excessively f] It is safer to be in group
g] Take rest for a day or two in a week.
7] Massage is very useful. It has an inseparable element of emotional soothing. In the evenings the head massage is especially useful. You can do it yourself. You can use Brahmi oil and get the additional advantage.
Massage eyes, face etc.
As far as body massage is concerned, it may not be feasible to take it every day. But at least once in a week whole body massage can do wonders to your health. You can use any oil of your choice and also with consideration to the season. Massage your feet twice or thrice a week.
Regular massaging ensures flexibility of the small joints and adequate circulation and micro-circulation in the feet. This is especially useful in diabetics who are more to develop vasculopathy and resultant damage in the feet, in the form of necrosis and gangrene.
Wash and massage face two or three times a day. Massage your eyebrows and eyelids. Wash your mouth at least thrice a day during duty hours and if feasible brush teeth at least once. Do exercises of tongue such as rolling the tongue up, down, left right etc, inside the mouth.

Emotional disturbances are reflected through body posture. Body posture in turn can affect your emotions. Therefore erect posture is preferred whenever possible. It compliments the TSM. It is important to sit with your back and loin touching the back of the seat. This reduces undue strain on your back and reduces the chances of backache.

Practice SIMHAMUDRA which involves opening the mouth wide open and stretching the tongue out of the mouth and hold it for 10 to 15 seconds.
Practice BRAHMA MUDRA, in which you turn your head to all sides similar to Lord Brahamdev.
Practice NASIKAGRA DRISHTI and BHRUMADHYA DRISHTI in which you focus your eyes on tip of nose and middle of the eyebrows respectively.
Practice jaw relaxation in which you simply allow the jaw to hang. But it is not simple!
Do flexion and extension exercises of your arms, elbows, hands, fingers, ankles, knees, hips, back, abdomen as and when you get time.

To end, the most important thing is; NAMSMARAN and if you can not do anything else at least practice NAMASMARAN.
(To get maximum benefit and to know more about NAMASMARAN and other various aspect of Total Stress Management, read my books available for free download on www.superliving.net
and
www.scribd.com/drshriniwas
and
start practicing and teaching others!)