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DOI: 10.1055/a-2294-6947
Ayurveda bei onkologischen Erkrankungen
Summary
In der Onkologie kann Ayurveda eine komplementärmedizinische Rolle spielen. Ayurveda betrachtet den Körper als selbstregulierendes Milieu, gesteuert durch funktionelle Prinzipien (v. a. Dosha, Agni) und physiologische Strukturen (v. a. Dhatu, Mala, Srotas). Krebserkrankungen werden im Ayurveda als Systemerkrankungen verstanden. So sind in die Ätiopathogenese onkologischer Erkrankungen zumeist alle 3 Dosha involviert.
Die supportive Ayurveda-Behandlung von Krebs kann je nach vorliegender Fragestellung Ursachenvermeidung oder Prävention, spezielle körperliche Reinigungsverfahren (Pancakarma), Stoffwechselkorrekturmaßnahmen, Immunmodulation, Geweberegeneration (Rasayana) sowie psychomentale Stärkung durch Meditation, therapeutisches Yoga und Manualtherapie umfassen. Die Grenzen der komplementäronkologischen Ayurveda-Behandlung in Deutschland liegen vor allem in der Verfügbarkeit seriöser Versorgungsangebote und -sicherer Phytotherapeutika sowie in dem finanziellen Aufwand, da Krankenversicherungsträger die Kosten dieser Therapien in der Regel nicht übernehmen. Wissenschaftliche Evidenz entsprechend EbM ist noch sehr limitiert, jedoch existiert ein breites, über mehrere Jahrtausende systematisiertes, erfahrungsmedizinisches Wissen. In der Praxis zeigt sich, dass Ayurveda eine sinnvolle Ergänzung zur konventionellen Krebsbehandlung sein kann, vor allem wenn es darum geht, die onkospezifische Lebensqualität zu verbessern und Nebenwirkungen zu verringern.
Publikationsverlauf
Artikel online veröffentlicht:
16. Mai 2024
© 2024. Thieme. All rights reserved.
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co.
KG
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Literatur
- 1 Kessler C, Michalsen A. The role of whole medical systems in global medicine. Forsch Komplementmed 2012; 19 (02) 65-66
- 2 Ranade S. Ayurveda: Wesen und Methodik; 16 Tabellen. Stuttgart: Thieme; 2004
- 3 Lad V. Lehrbuch des Ayurveda. Die Grundprinzipien. Kandern: Narayana; 2012
- 4 World Health Organization. WHO benchmarks for the training of ayurveda (2022). Im Internet. https://iris.who.int/bitstream/handle/10665/351480/9789240042711-eng.pdf?sequence=1 Stand: 15.04.2024
- 5 World Health Organization. WHO benchmarks for the practice of ayurveda (2022). Im Internet. https://iris.who.int/bitstream/handle/10665/351475/9789240042674-eng.pdf?sequence=1 Stand: 15.04.2024
- 6 World Health Organization. WHO global centre for traditional medicine (2020). Im Internet. https://www.who.int/initiatives/who-global-centre-for-traditional-medicine Stand: 15.04.2024
- 7 Central Council for Research on Ayurvedic Sciences. LOI between OCCAM-NCI and CCRAS-India (2020). Im Internet. https://www.energy.gov/sites/prod/files/US-India%20ST%20Agreement.pdf Stand: 15.04.2024
- 8 Government of India. National health profile (2022). Im Internet. https://cbhidghs.mohfw.gov.in/WriteReadData/l892s/94203846761680514146.pdf Stand: 15.04.2024
- 9 Keßler CH. Ayurveda, Yoga, Meditation – Traditionelle Indische Medizin und ihr Bezug zu den fünf Säulen der Naturheilkunde [Habilitationsschrift]. Berlin: Charité; 2020
- 10 Mao JJ, Pillai GG, Andrade CJ. et al Integrative oncology: Addressing the global challenges of cancer prevention and treatment. CA Cancer J Clin 2022; 72 (02) 144-164
- 11 Broom A, Nayar K, Tovey P. et al Indian cancer patients’ use of traditional, complementary and alternative medicine (TCAM) and delays in presentation to hospital. Oman Med J 2009; 24 (02) 99-102
- 12 Kumar D, Goel NK, Pandey AK. et al Complementary and alternative medicine use among the cancer patients in northern india. South Asian J Cancer 2016; 05 (01) 8-11
- 13 Shetty N, Rai PR, Shetty A. Study of the use of traditional, complementary, and alternative medicine in Indian cancer patients. IJMPO 2019; 40 (03) 365-368
- 14 Lim EJ, Vardy JL, Oh BS. A scoping review on models of integrative medicine: What is known from the existing literature?. J Altern Complement Med 2017; 23 (01) 8-17
- 15 Deshmukh V, Kulkarni A, Bhargava S. et al Effectiveness of combinations of ayurvedic drugs in alleviating drug toxicity and improving quality of life of cancer patients treated with chemotherapy. Support Care Cancer 2014; 22 (11) 3007-3015
- 16 Palliyaguru DL, Singh SV, Kensler TW. Withania somnifera: From prevention to treatment of cancer. Mol Nutr Food Res 2016; 60 (06) 1342-1353
- 17 Giordano A, Tommonaro G. Curcumin and cancer. Nutrients 2019; 11 (10) 2376
- 18 Gundeti MS, Dedge A, Dave P. Ayurveda and plant-based interventions for cancer management: A systematic review. J Drug Res Ayurvedic Sci 2017; 02 (02) 64-80
- 19 Tomeh MA, Hadianamrei R, Zhao X. A review of curcumin and its derivatives as anticancer agents. Int J Mol Sci 2019; 20 (05) 1033
- 20 Ryan Wolf J, Heckler CE, Guido JJ. et al Oral curcumin for radiation dermatitis: A URCC NCORP study of 686 breast cancer patients. Support Care Cancer 2018; 26 (05) 1543-1552
- 21 Hejazi J, Rastmanesh R, Molana H. et al Effect of curcumin supplementation during radiotherapy on oxidative status of patients with prostate cancer: A double blinded, randomized, placebo-controlled study. Nutrition and Cancer 2016; 68 (01) 77-85
- 22 Ide H, Tokiwa S, Sakamaki K. et al Combined inhibitory effects of soy isoflavones and curcumin on the production of prostate-specific antigen. Prostate 2010; 70 (10) 1127-1133
- 23 Saggam A, Tillu G, Dixit S. et al Withania somnifera (L.) dunal: A potential therapeutic adjuvant in cancer. J Ethnopharmaco 2020; 255: 112759
- 24 CAM-Cancer Consortium, Kompetenznetz Komplementärmedizin in der Onkologie – KOKON. Kurkumin (05/2022). Im Internet. https://www.onkopedia.com/de/onkopedia/guidelines/kurkumin/@@guideline/html/index.html Stand: 15.04.2024
- 25 Hübner M, Keßler C. Aryurveda. In: Matthes H, Schad F, Hofheinz R-D, Hrsg. Integrative Onkologie: DIN Beratungsmanual für Ärzte und Apotheker. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2022: 76
- 26 Gupta SN, Stapelfeldt E. Ayurveda-Medizin: Kaya-cikitsa-Therapiekonzepte für innere Erkrankungen. Stuttgart: Thieme; 2023
- 27 Sharma RK, Dash VB. Caraka Samhita. Vol 1. Varanasi: Chowkhamba Sanskrit Series Office; 2018
- 28 Murthy KRS. Sushruta Samhita. Vol 1–3. Varanasi: Chaukhambha Orientalia; 2016
- 29 Murthy K. Vagbhata’s Astanga Hrdayam. Vol. 1. Varanasi: Chaukhambha Orientalia; 2001: 53-57
- 30 Sushruta An english translation of the Sushruta Samhita. Vol. 1 of 3: Sutrasthanam. London: Forgotten Books; 2018
- 31 Dhruva A, Hecht FM, Miaskowski C. et al Correlating traditional ayurvedic and modern medical perspectives on cancer: Results of a qualitative study. Altern Complement Med 2014; 20 (05) 364-370
- 32 Patel D, Mansoori A. Cancer – an ayurvedic perspective. IJARPB 2012; 02 (02) 179-195
- 33 Matthes H, Schad F, Hofheinz R-D. Integrative Onkologie: Ein Beratungsmanual für Ärzte und Apotheker. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2022
- 34 Sahu R, Vinayka J. Samprapti and it's clinical importance. JETIR 2022; 09 (10) b1-b4
- 35 Chauhan A, Semwal DK, Mishra SP. et al Ayurvedic concept of shatkriyakala: A traditional knowledge of cancer pathogenesis and therapy. J Integr Med 2017; 15 (02) 88-94
- 36 Gupta HH. Stellenwert von Ayurveda und Yoga in der Onkologie. ZKM 2016; 08 (02) 31-35
- 37 Metri K, Bhargav H, Chowdhury P. et al Ayurveda for chemo-radiotherapy induced side effects in cancer patients. J Stem Cells 2013; 08 (02) 115
- 38 Rastogi S. Ayurvedic principles of food and nutrition: Translating theory into evidence-based practice, in ayurvedic science of food and nutrition. Berlin: Springer; 2013: 3-14
- 39 Ayush MO.. Cancer (o.D.). Im Internet. https://namayush.gov.in/sites/all/themes/webcms/images/org_str/CANCER.pdf Stand: 15.04.2024
- 40 Murthy Srikantha K. Vagbhata’s astanga hrdayam – text, English translation, notes, appendix and indices. Varanasi: Chowkhamba Krishnadas Academy; 2000
- 41 Micke O, Hübner J, Münstedt K. Ayurveda. Der Onkologe 2009; 15: 792-798
- 42 Bhandari M, Ravipati AS, Reddy N. et al Traditional ayurvedic medicines: Pathway to develop anti-cancer drugs. J Mol Pharm Org Process Res 2015; 03 (03) 130
- 43 May K, Jeitler M, Murthy V. et al A case report of acute hepatitis involving the medicinal herb tinospora cordifolia along with other variables. J Integr Complement Med 2023; 29 (05) 327-333
- 44 Kammler G. Yoga in der Komplementärmedizin bei Krebs. Im Fokus Onkologie 2022; 25 (03) 3
- 45 Cramer H, Haller H. Yoga in der supportiven Onkologie: Wie ist die Evidenz?. Deutsche Zeitschrift für Onkologie 2020; 52 (04) 148-151
- 46 Mackenzie MJ, Carlson LE, Speca M. Mindfulness-based stress reduction (MBSR) in oncology: Rationale and review. JEBIM 2005; 02: 139-145
- 47 Jain M, Mishra A, Yadav V. et al Long-term yogic intervention decreases serum interleukins IL-10 and IL-1β and improves cancer-related fatigue and functional scale during radiotherapy/chemotherapy in breast cancer patients: A randomized control study. Support Care Cancer 2022; 31 (01) 6
- 48 Hilfiker R, Meichtry A, Eicher M. et al Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: A systematic review incorporating an indirect-comparisons meta-analysis. Br J Sports Med 2018; 52 (10) 651-658
- 49 Baliga MS, Dsouza JJ. Amla (Emblica officinalis gaertn), a wonder berry in the treatment and prevention of cancer. Eur J Cancer Prev 2011; 20 (03) 225-239
- 50 Vyas P, Thakar AB, Baghel MS. et al Efficacy of Rasayana Avaleha as adjuvant to radiotherapy and chemotherapy in reducing adverse effects. Ayu 2010; 31 (04) 417-423
- 51 Bhat PM, Umale H, Lahankar M. Amalaki: A review on functional and pharmacological properties. JPP 2019; 08 (03) 4378-4382
- 52 Dutta R, Khalil R, Green R. et al Withania Somnifera (Ashvagandha) and withaferin a: Potential in integrative oncology. Int J Mol Sci 2019; 20 (21) 5310
- 53 Dhama K, Rekha K, Swati S. et al Medicinal and beneficial health applications of Tinospora cordifolia (Guduchi): A miraculous herb countering various diseases/disorders and its immunomodulatory effects. Recent Pat Endocr Metab Immune Drug Discov 2017; 10 (02) 96-111
- 54 Beriwal VK, Singh B, Thapliyal S. et al A clinical evaluation of Guduchi (Tinospora cordifolia) and Yashtimadhu (Glycyrrhiza glabra) as chemopreventive agent in cancer treatment. ASJO 2019; 05 (02) 064-071
- 55 Yadav V, Krishnan A, Vohora D. A systematic review on Piper longum L.: Bridging traditional knowledge and pharmacological evidence for future translational research. J Ethnopharmacol 2020; 30 (247) 112255
- 56 Macit MS, Koyuncu S, Kocaadam-Bozkurt B. et al Evaluation of ginger (Zingiber officinale roscoe) on energy metabolism and obesity: Systematic review and meta-analysis. Food Rev Int 2019; 35 (07) 685-706
- 57 Peterson CT Rodionov DA, Iablokov SN. et al Prebiotic potential of culinary spices used to support digestion and bioabsorption. Evid Based Complement Alternat Med 2019; 2019: 8973704
- 58 Sreenivasan S, Krishnakumar S. Synergistic effect of curcumin in combination with anticancer agents in human retinoblastoma cancer cell lines. Curr Eye Res 2015; 40 (11) 1153-1165
- 59 Bandey I, Chiou SH, Huang AP. et al Progranulin promotes temozolomide resistance of glioblastoma by orchestrating DNA repair and tumor stemness. Oncogene 2015; 34 (14) 1853-1864
- 60 Naidoo DB, Chuturgoon AA, Phulukdaree A. et al Centella asiatica modulates cancer cachexia associated inflammatory cytokines and cell death in leukaemic THP-1 cells and peripheral blood mononuclear cells (PBMC's). BMC Complement Altern Med 2017; 17 (01) 377
- 61 Kumari I, Kaurav H, Choudhary G.. Rubia cordifolia (Manjishtha): A review based upon its ayurvedic and medicinal uses. HJHS 2021; 06 (02) 17-28
- 62 Khundrakpam A, Sivakami PS. Phytonutrient rich medicinal plant “Centella asiatica” as brain enhancing potential – A review. IJSR 2016; 05 (03) 1984-1987
- 63 Mishra S, Aeri V, Gaur PK. et al Phytochemical, therapeutic, and ethnopharmacological overview for a traditionally important herb: Boerhavia diffusa linn. Biomed Res Int 2014; 2014: 808302
- 64 Palatty PL, Azmidah A, Rao S. et al Topical application of a sandal wood oil and turmeric based cream prevents radiodermatitis in head and neck cancer patients undergoing external beam radiotherapy: A pilot study. Br J Radiol 2014; 87 1038 20130490
- 65 Prasad S, Srivastava SK. Oxidative stress and cancer: Chemopreventive and therapeutic role of triphala. Antioxidants (Basel) 2020; 09 (01) 72
- 66 Baliga MS. Triphala, ayurvedic formulation for treating and preventing cancer: A review. J Altern Complement Med 2010; 16 (12) 1301-1308