MD, PhD, MAE, FMedSci, FRCP, FRCPEd.

yoga

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The Indian Ministry of Ayush was established in 2014 with a vision of reviving the profound knowledge of India’s ancient systems of medicine and ensuring the optimal development and propagation of the Ayush systems of healthcare. Earlier, the Department of Indian System of Medicine and Homoeopathy (ISM&H) formed in 1995, was responsible for the development of these systems. It was then renamed as the Department of Ayurveda, Yoga, and Naturopathy, Unani, Siddha and Homoeopathy (Ayush) in November 2003 with focused attention towards education and research in these therapies.

In the global landscape of public health, India’s Ministry of AYUSH stands as a profound anomaly. While most middle‑ and high‑income countries have converged around evidence‑based, scientifically grounded medicine, India has instead expanded this large, state‑run administrative apparatus where cultural nationalism and traditionalist narratives dominates over clinical efficacy and scientific rigor. The Ministry’s current trajectory reveals a troubling pattern: the systematic promotion of unproven therapies, flawed research, and notorious breaches of ethical principles, particularly with respect to the treatment of India’s most vulnerable populations.

The Homeopathy Anomaly

The most glaring anomaly must be the Ministry’s continued, high‑level support for homoeopathy. India is currently the only country in the world that maintains a dedicated national ministry and a statutory regulatory framework – via the National Commission for Homoeopathy – specifically to promote a system widely regarded as implausible, ineffective and harmful. Global assessments, including those by no less than 28 independent organisations worldwide, have concluded that there is no reliable evidence that homeopathic remedies work beyond placebo. Yet the AYUSH Ministry funds and publicizes a central research council (the Central Council for Research in Homoeopathy, CCRH) as well as a network of homoeopathic hospitals and teaching institutions, with annual budget allocations now exceeding ₹4,400 crore (roughly 470–480 million US dollars at current exchange rates). By directing substantial taxpayer funds to homoeopathic research and infrastructure, the state effectively endorses a “placebo‑as‑medicine” model, elevating it to the status of a national health strategy. This is not merely an academic dispute; it is a policy outlier that places India’s healthcare posture at odds with well‑established chemical and physical principles, as well as with the recommendations of leading international scientific bodies.

The Facade of Rigor

The Ministry tends to defend its approach by claiming a pivot toward “evidence‑based” or “scientific” AYUSH medicine, but an examination of its research output suggests a facade of rigor rather than its substance. Much of the work produced by bodies such as the Central Council for Research in Ayurveda (CCRA) and their counterparts in Unani and Siddha consists of investigations that are methodologically weak and wide open to bias. Key methodological flaws recur:

  • Small sample sizes: Many trials involve fewer than 50–100 participants, rendering them statistically underpowered.​
  • Lack of blinding: A large proportion of studies is open‑label, where both clinicians and patients know the assigned intervention, amplifying placebo effects and observational bias.
  • Selective reporting and publication bias: Negative findings – where AYUSH interventions fail to demonstrate benefit – are rarely published.​

By branding such useless studies as “scientific proof,” the Ministry engages in a form of “science‑washing.” This practice misleads the public, uncritical clinicians, and policymakers into believing that AYUSH therapies have undergone the same rigorous, independent scrutiny as conventional therapies.

The Ethical Violations

In my view, the most serious concern is ethical. Under the banner of “Self‑Reliant India” (Atmanirbhar Bharat), the Ministry has aggressively promoted AYUSH products, for instance, during the COVID‑19 pandemic. This push could be viewed as an exercise in cultural pride and national self‑reliance but, in fact, it carries serious risks.

Medical ethics rely on two core principles: informed consent and non‑maleficence. When a state body, backed by cabinet‑level authority, “flogs” unproven and potentially dangerous treatments to a largely rural population with limited health literacy, it undermines both. Many patients are not able to distinguish between an ancient tradition and a clinically validated drug, yet they may be led by government‑sponsored messaging to defer or abandon evidence‑based treatments.

This is particularly dangerous in chronic conditions such as diabetes mellitus and hypertension, where effective pharmacological control and regular monitoring are both available and potentially life‑saving. If patients substitute proven allopathic regimens with state‑endorsed AYUSH alternatives of uncertain efficacy, the consequences can be dire. They include uncontrolled blood glucose, stroke‑risk elevation, organ damage, and avoidable mortality. The Ministry’s conduct, in effect, offloads these risks onto the most vulnerable while shielding itself behind appeals to tradition and national identity.​

Conclusion

The Ministry of AYUSH has become the institutional vehicle for a “pluralistic” health model that, in practice, functions as a state‑funded rejection of the scientific method. This constitutes a regression in public‑health governance rather than a progressive pluralism. Until the Ministry subjects its therapies to the same scrutiny as any other medicine, and until it accepts transparent, independent evaluations without recourse to political or cultural vindication, it will remain less a health body and more a department of cultural preservation and doctrine.

Opioid withdrawal involves sympathetic hyperactivity and reduced parasympathetic tone, which standard pharmacological treatments may not adequately address, contributing to relapse vulnerability. This study evaluated yoga as adjuvant therapy to accelerate opioid withdrawal recovery and assess its impact on heart rate variability, anxiety, sleep, and pain.

This 2-arm, early-stage randomized clinical trial was conducted at an addiction medicine inpatient ward in India from April 30, 2023 to March 31, 2024. The outcome assessors and data analyst were blinded to group allocation. Participants included adults aged 18 to 50 years with opioid use disorder experiencing mild to moderate withdrawal symptoms (Clinical Opiate Withdrawal Scale [COWS] scores 4-24). Exclusion criteria included severe withdrawal, neurological conditions affecting autonomic function, severe psychiatric conditions, and recent yoga training. Of 68 individuals screened, 59 were randomized (30 yoga and 29 control participants).

Participants in the yoga group received (A) 10 supervised 45-minute sessions during 14 days alongside (B) standard buprenorphine treatment, including relaxation practices, postures, breathing techniques, and guided relaxation. Participants in the control group received (B) standard buprenorphine treatment only. Co-primary outcomes included time to withdrawal stabilization (COWS score <4) and heart rate variability parameters. Secondary outcomes included anxiety (Hamilton Anxiety Rating Scale), sleep latency, and pain scores. Assessments were conducted at baseline (day 1) and day 15.

Fifty-nine participants (59 male [100%]; mean [SD] age, 25.6 [3.9] years) completed intent-to-treat analysis. Participants in the yoga group recovered faster than those in the control group (hazard ratio [HR], 4.40; 95% CI, 2.40-8.07; P < .001), with a median stabilization time of 5 days (95% CI, 4-6 days) for those in the yoga group vs 9 days (95% CI, 7-13 days) for the control group. Participants in the yoga group showed superior heart rate variability improvements with large effects on low frequency (LF) power (ω2 = 0.16), high frequency (HF) power (ω2 = 0.14), and LF/HF ratio (ω2 = 0.12); all effects were statistically significant (P < .001). Mediation analysis showed that increases in parasympathetic activity accounted for 23% of the treatment effect (indirect HR, 1.38; 95% CI, 1.10-2.03). Anxiety reduction was significantly greater among those in the yoga group (ω2 = 0.28; P < .001), with moderate improvements in sleep latency (a 61-minute reduction; P = .008) and pain (P = .004).

The authors concluded that in this randomized clinical trial, yoga significantly accelerated opioid withdrawal recovery and improved autonomic regulation, anxiety, sleep, and pain. These findings support integrating yoga into withdrawal protocols as a neurobiologically informed intervention addressing core regulatory processes beyond symptom management.

This conclusion is demonstrably wrong, and I am dismayed that a reputable journal published it.

The study followed the infamous ‘A+B versus B’ design. It is infamous because it is seemingly rigorous (“A RANDOMIZED CLINICAL TRIAL”!!!), while invariably generating a positive result for the tested intervention – even if it happens to be nothing more than a placebo tretment. And because of this, it is, in my view, unethical to use it for concluding about the specific effects of the tested intervention. I have explained this so often that I hesitate to do it again:

  • Imagine the treatments as two amounts of money.
  • Amount (treatmet) A equals £1.
  • Amount (treatment) B equals £2.
  • If one (the verum) group gets A+B, it will have £3.
  • If the other (control) group gets just £2, it will have £2.
  • A+B is always more that B.
  • If A is a placebo, the A+B > B still applies, due to the existance of placebo effects
  • QED!

The crux is obviously that the A+B vs B design only appears to be rigorous but, in fact, does NOT control for placebo effects. Since placebo effects exist, the A+B vs B design must produce a positive result, even if the verum is ineffective and merely generates a placebo response.

As the type of yoga employed in this study is bound to generate a sizable placebo effect, it would easily be enought to cause the observed outcomes. Let me put it even more bluntly: this study design is unable to tell us whether the yoga therapy or a placebo response was responsible for the observed result*.

In view of this, I will re-formuate the first sentence of the conclusion as follows:

In this randomized clinical trial, a placebo effect accelerated opioid withdrawal recovery and improved autonomic regulation, anxiety, sleep, and pain.

But what about the 2nd sentence of the conclusion?

Arguably, it is even worse!

To claim that the findings of one single study sufiice for calling for the integration of the tested treatment into routine healthcare ignores the need for independent replications and is therefore dangerous nonsense.

 

*(Btw: this is also the reason why it is so popular with pseudoscientists trying to show that their pet therapy works.]

 

While still Prince of Wales, Charles was once asked if his campaigning for so-called alternative medicine (SCAM) would continue once he became king. His answer was unusually clear: “No, it won’t. I’m not that stupid.” Now that he has been king for three years, it seems reasonable to review his activities in SCAM during this period. Here is a brief summary:

  • In 2023, Charles appointed Dr. Michael Dixon (yes, you may have met him several times before, e.g. herehere, or here) as the Head of the Royal Medical Household.
  • Charles retained his role as Royal Patron of the Faculty of Homeopathy, an organisation dedicated to supporting registered health professionals who practice homeopathy.
  • Charles and Camilla have continued their practice of visiting the Soukya International Holistic Health Centre in India, which employs treatments like Ayurveda, homeopathy, and yoga.
  • In 2023, in THE TIMES reported that Charles has decided to use one particularly implausible form of SCAM, reflexology, for helping women who have difficulties getting pregnant.
  • One of Charles’ charities had to return £110,000 to the Indian government in 2023. The funds had been earmarked for an NHS SCAM clinic championed by Charles. Yet, the clinic never materialised. The ‘Ayurvedic Centres of Excellence’ was to open in 2018 in London. Funding was to come from the Indian government and from private donors. At the time, Dr Michael Dixon commented enthusiastically: “This is going to be the first Ayurvedic centre of excellence in the UK. We will be providing, on the NHS, patients with yoga, with demonstrations and education on healthy eating, Ayurvedic diets, and massage including reflexology and Indian head massage. And all this will be subject to a research project led by Westminster University, to find out whether the English population will take to yoga and these sorts of treatments. Whether they will be helped by it and finally whether it will reduce the call on NHS resources leading to less GP consultations, hospital admissions and operations.”
  • In 2024, Charles has personally honoured Dr Michael Dixon, head of the Royal Medical Household, by making him  a Commander of the Royal Victorian Order (CVO).

While less outspoken on the topic of SCAM since his accession than he was as the Prince of Wales, these published activities (it seems safe to assume that thaere are many more the public does not learn about) clearly are a royal endorsement for SCAM. In other words, when Charles predicted “I’m not that stupid”, he may not have been entirely correct.

Suffering from ‘burnout’? Mindfulness, yoga, and acupuncture are just three of a plethora of practices that are said to improve ‘burnout’. While there is growing interest in these practices, many employers remain sceptical about their benefits and are hesitant to invest resources in implementing them.

This meta-analysis examined the impact of these practices on burnout and explored potential moderators. The authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to ensure comprehensive and transparent reporting in the identification of eligible studies. Overall, 21 studies were included (8 on mindfulness, 7 on yoga, and 6 on acupuncture), all involving independent samples, with a total of 1,364 participants.

The meta-analytic results showed that all three therapeutic practices have consistent and beneficial effects on reducing burnout. Furthermore, moderation analyses indicated that mindfulness interventions conducted within the work schedule have a significant reduction in burnout, while acupuncture interventions with between 4 or 8 weeks (the more weeks, the better) also reduced burnout. However, no significant moderation effect was observed for yoga interventions.

The authors concluded that overall, the findings provide insights into the effectiveness of these complementary practices in reducing burnout and highlight the need for further research in this area.

As a co-author of the ‘PRISMA’ guidelines, I can assure you that this review did not follow them. I can also assure you that the primary studies are mostly of poor quality and that therefore the evidence for the three therapies is far from conclusive.

But this is not what I want to dwell upon today. I prefer to focus on the diagnosis of ‘burnout‘.

‘Burnout’ may be popular (Medline listed ~300 articles on the subject in the year 2000, while last year the figure had increased to well over 3 000), but it is not a formal diagnosis in clinical frameworks like the DSM-5 or ICD-10. Despite this undeniable fact, ‘burnout’ is now widely used as a psychological and occupational syndrome. ‘Burnout’ is characterized by emotional exhaustion, depersonalization and reduced personal accomplishment, often related to chronic workplace stress. The WHO includes ‘burnout’ in the ICD-11 (code QD85) as an occupational phenomenon, not a medical condition. It is supposed to be quantifiable through tools like the Maslach Burnout Inventory (MBI). ‘Burnout’ overlaps with conditions like depression, anxiety, or adjustment disorders.

‘Burnout’ might thus not even be a distinct entity; symptoms like fatigue or low motivation are certainly not unique. Often ‘burnout’ seems merely to be a buzzword for dysstress. Its validity hinges on self-reporting and clinician judgment and there is no way to confirm anyone’s subjective notion of suffering from ‘burnout’.In other words, people who are a bit stressed and fed up with their work situation can self-diagnose to be ‘burnout’ victims, and nobody can prove them to be wrong.

In view of all this, I ask myself, who would be surprised that mindfulness, yoga, and acupuncture can be shown (in studies of dubious methodological quality) to be effective for ‘burnout’?

It is not hard to predict that many more studies will follow and show that virtually every so-called alternative medicine (SCAM) under the sun is helpful for ‘burnout’ (already, Medline lists ~700 papers on ‘alternative medicine for burnout’). After all, nothing is easier to cure than a condition that did not exist in the first place!

 

On Easter Sunday, it seems reasonable to look at a recent paper about religious factors that might determine the usage of so-called alternative medicine (SCAM). This article examined the vitalistic/holistic foundation of SCAM.

The two Ukranian authors explain that, according to the principles of holistic medicine, health is associated with the harmonization of the elements and forces that constitute human nature on both the physical and spiritual levels of existence. Regarding the religious foundations of SCAM practices of Eastern origin, the systems such as yoga, Daoism, and Ayurveda perceive energy as an impersonal force that an individual can accumulate, balance, and influence through physical and spiritual exercises to achieve health, longevity, and personal self-improvement. These systems are vitalistic, as they recognize impersonal energy as the fundamental basis of existence. In contrast, the conceptual foundation of SCAM practices of Western origin differs fundamentally from Eastern approaches. These practices are not rooted in Christianity, despite having emerged in countries belonging to Christian civilization. This is because, in Christianity, the source of existence is God-Person, which significantly diminishes the ontological status of impersonal energy. As a result, Western SCAM practices have developed an instrumental approach to vitalistic methods, adapting many Eastern techniques to the Western cultural and anthropological context. Additionally, they are based on various personal quasi-scientific systems, such as Mesmer’s magnetism, Hahnemann’s homeopathy, Palmer’s chiropractic methods, and others. To an external observer, these methods may appear impressive. However, whether a physician chooses to incorporate them into their practice depends entirely
on their personal experience and convictions.

The authors concluced that “both Eastern and Western SCAM practices consider energy an important factor in health, and their holistic approach integrates work with the body, mind, and spirit. Regarding the religious foundation of Eastern SCAM practices, systems such as Yoga, Daoism, Ayurveda consider energy to be an impersonal force that individuals can accumulate, balance, and influence through physical and spiritual exercises to
achieve health, longevity, and personal self-improvement. These systems are vitalistic because they recognize energy as the fundamental basis of existence. In contrast, the conceptual foundation of Western SCAM practices is fundamentally different. These practices can not be rooted in Christianity, even though they originate from countries within Christian civilization. This is because, in Christianity, the source of existence is God-Person,
which diminishes the significance of energy. With some exceptions, Christianity lacks a holistic view of energy, and
human control over it is limited. As a result, Western SCAM practices have developed a more instrumental approach to vitalistic methods, including those borrowed from Eastern medicine. Furthermore, they rely on quasi-scientific systems developed by specific individuals, such as Mesmer’s magnetism, Hahnemann’s homeopathy, and Palmer’s chiropractic methods, and others.”

Convinced?

Me neither!

Happy Easter, nonetheless.

This systematic review/network meta-analysis assessed whether relaxation and stress management techniques are useful in reducing blood pressure in individuals with hypertension and prehypertension. The authors retrieved all studies published in English of adults with hypertension (blood pressure ≥140/90 mm Hg) or prehypertension (blood pressure ≥120/80 mm Hg but <140/90 mm Hg). Studies were considered that compared non- pharmacological interventions used to promote relaxation or reduce stress with each other, or with a control group (eg, no intervention, waiting list, or standard care). Studies were assessed with the risk of bias 2 tool (RoB2), and those at high risk of bias were excluded from the primary analysis. The certainty of the evidence was assessed with CINeMA (Confidence in Network Meta- Analysis).

A total of 182 studies were included (166 for hypertension and 16 for prehypertension). Results from a random effects network meta-analysis showed that, at short term follow- up (≤3 months), most relaxation interventions appeared to have a beneficial effect on systolic and diastolic blood pressure for individuals with hypertension. Between study heterogeneity was moderate (τ=2.62- 4.73). Compared with a passive comparator (ie, no intervention, waiting list, or usual care), moderate reductions in systolic blood pressure were found for breathing control (mean difference −6.65 mm Hg, 95% credible interval −10.39 to −2.93), meditation (mean difference −7.71 mm Hg, −14.07 to −1.29), meditative movement (including tai chi and yoga, mean difference −9.58 mm Hg, −12.95 to −6.17), mindfulness (mean difference −9.90 mm Hg, −16.44 to −3.53), music (mean difference −6.61 mm Hg, −11.62 to −1.56), progressive muscle relaxation (mean difference −7.46 mm Hg, −12.15 to −2.96), psychotherapy (mean difference −9.83 mm Hg, −16.24 to −3.43), and multicomponent interventions (mean difference −6.78 mm Hg, −11.59 to −1.99). Reductions were also seen in diastolic blood pressure. Few studies conducted follow-up for more than three months, but effects on blood pressure seemed to lessen over time. Limited data were available for prehypertension; only two studies compared short term follow- up of relaxation therapies with a passive comparator, and the effects on systolic blood pressure were small (mean difference −3.84 mm Hg, 95% credible interval −6.25 to −1.43 for meditative movement; mean difference −0.53 mm Hg, −2.03 to 0.97 for multicomponent intervention). The certainty of the evidence was considered to be very low based on the CINeMA framework, owing to the risk of bias in the primary studies, potential publication bias, and imprecision in the effect estimates.

The authors concluded that the results of our study indicated that many relaxation interventions show promise for reducing blood pressure in the short term but the longer term effects are unclear. Future studies in this area should include adequate follow-up to establish whether the effects on blood pressure persist over time, both while the relaxation interventions are ongoing and after they have been completed. Researchers should also use rigorous study methods and reporting to minimise the risk of bias in the results. Finally, we encourage researchers to assess all relevant outcomes, including cardiovascular events and adverse events, as well as blood pressure itself.

I was asked to provide a comment on this paper for a ‘Science Media Centre Roundup’ – here is what I wrote:

“This is a rigorous and important review. Its findings are eminently plausible: just like stress would increase blood pressure, so does relaxation decrease it. The problem, as I see it, might be compliance. Stressed people tend to be chronically pressed for time, and relaxation techniques take considerably more time than simply swallowing an antihypertensive pill.”

The aim of this recent review was to investigate the efficacy of non-surgical and non-interventional treatments for adults with low back pain compared with placebo. It included all randomised controlled trials evaluating non-surgical and non-interventional treatments compared with placebo or sham in adults (≥18 years) suffering from non-specific low back pain.

Random effects meta-analysis was used to estimate pooled effects and corresponding 95% confidence intervals on outcome pain intensity (0 to 100 scale) at first assessment post-treatment for each treatment type and by duration of low back pain—(sub)acute (<12 weeks) and chronic (≥12 weeks). Certainty of the evidence was assessed using the Grading of Recommendations Assessment (GRADE) approach.

A total of 301 trials (377 comparisons) provided data on 56 different treatments or treatment combinations. One treatment for acute low back pain: (non-steroidal anti-inflammatory drugs (NSAIDs)), and five treatments for chronic low back pain:

  • exercise,
  • spinal manipulative therapy,
  • taping,
  • antidepressants,
  • transient receptor potential vanilloid 1 (TRPV1) agonists)

were found to be efficacious. However, effect sizes were small and of moderate certainty. Three treatments for acute low back pain (exercise, glucocorticoid injections, paracetamol), and two treatments for chronic low back pain (antibiotics, anaesthetics) were not efficacious and are unlikely to be suitable treatment options; moderate certainty evidence. Evidence is inconclusive for remaining treatments due to small samples, imprecision, or low and very low certainty evidence.

The authors concluded that the current evidence shows that one in 10 non-surgical and non-interventional treatments for low back pain are efficacious, providing only small analgesic effects beyond placebo. The efficacy for the majority of treatments is uncertain due to the limited number of randomised participants and poor study quality. Further high-quality, placebo-controlled trials are warranted to address the remaining uncertainty in treatment efficacy along with greater consideration for placebo-control design of non-surgical and non-interventional treatments.

This is an important analysis, not least because of the fact that the research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The methodology is sound and the results thus seem reliable.

The findings are in keeping with what we have been discussing at nauseam here: no treatment works really well for back pain. For acute symptoms no so-called alternative medicine (SCAM) at all is efficacious. For chronic pain, spinal manipulation therapy (SMT) have small effects. As SMT is neither cheap nor free of risks, excercise is much preferable.

Considering that most SCAMs are heavily promoted for low back pain (e.g. acupuncture, Alexander technique, cupping, Gua Sha, herbal medicine, homeopathy, massage, mind-body therapies, reflexology, Reiki, yoga), this verdict is sobering indeed!

It has been announced that Tulsi Gabbard (born 1981) was selected by Donald Trump to become the future Director of National Intelligence (DNI) who serves as executive head of the United States Intelligence Community (IC) and directs and oversees the National Intelligence Program (NIP). All IC agencies report directly to the DNI. “For over two decades, Tulsi has fought for our Country and the Freedoms of all Americans. As a former Candidate for the Democrat Presidential Nomination, she has broad support in both Parties – She is now a proud Republican!” Trump wrote. “Tulsi will make us all proud!”

Tulsi Gabbard is an Army Reserve officer who served as a Democratic representative for Hawaii’s 2nd congressional district from 2013 to 2021. During her time in Congress, Gabbard became known for her strong stand against Islamic terrorism in the Middle east and her controversial positions on Syria. After ending her presidential candidacy, she endorsed Joe Biden in March 2020. After her departure from the House of Representatives in January 2021, Gabbard took more conservative positions on issues such as abortion, foreign policy, LGBTQ rights, and border security. She appeared frequently on Fox News, often serving as a fill-in host for Tucker Carlson Tonight. In October 2022, Gabbard left the Democratic Party citing differences on foreign policy and social issues. In August 2024, Gabbard endorsed Donald Trump for the 2024 United States presidential election and became an honorary co-chair of Trump’s 2024 presidential transition team. To understand Gabbard’s ambitions, her aunt, Dr Caroline Sinavaiana Gabbard, once claimed that it is necessary to look to Tulsi’s upbringing in a secretive cult whose members show absolute loyalty to a reclusive guru.

Tulsi Gabbard has long been known for belonging to the above-mentioned weird cult, the ‘Science of Identity Foundation’ (SFI). The cult has been described as an alt-right branch of Hare Krishna and reportedly developed thousands of followers across Hawaii, Australia, New Zealand and Southeast Asia and worships its founder as an extention of god. Former members of the SFI and others close to Gabbard have said the group’s influence could be affecting her political motives. People have said the SFI forbids people to speak publicly about the group, requires people to lie face down when their guru, Chris Butler, enters a room and even sometimes eat his nail clippings or “spoonfuls” of the sand he walked on.

The Science of Identity Foundation (SIF) was founded in 1977 by Jagad Guru Siddhaswarupananda (Chris Butler). It teaches the practice of meditation and kirtan—along with the timeless yoga wisdom—to help individuals achieve greater spiritual, mental, and physical well-being. Jagad Guru Siddhaswarupananda (Chris Butler) describes himself as a highly respected yoga guru (teacher) coming in a long line of authentic spiritual masters in the ancient Vedic tradition known as Vaishnavism. He has taught students all over the world in the science of yoga. Many individuals inspired by Jagad Guru have now taken on the role of teachers to assist him in spreading yoga wisdom. Kirtan is a call-and-response or antiphonal style song or chant, set to music, wherein multiple singers recite the names of a deity, describe a legend, express loving devotion to a deity, or discuss spiritual ideas. It may include dancing or direct expression of bhavas (emotive states) by the singer. Many kirtan performances are structured to engage the audience where they either repeat the chant, or reply to the call of the singer.

Tulsi Gabbard has been with the SIF since her childhood, and Chris Butler is her spiritual guide. Tulsi’s father, Mike Gabbard, a Hawaii State Senator was also associated with SIF. He opposed to same-sex marriage and viewed spirituality as a weapon against sexually deviant practices. Tulsi’s mother, Carol Gabbard, even served as the treasurer of the SIF.

Philip Ingram, former British Army senior intelligence and security officer, said: ‘I think appointing anyone with zero intelligence experience to be director of national intelligence should be an alarm call.’ And John Bolton cautioned that “with his announcement of Tulsi Gabbard to be the Director of National Intelligence, he (Trump) is sending a signal that we have lost our mind when it comes to collecting intelligence. Up until a few hours ago, I would have said that was the worst cabinet appointment in recent American history. Of course, since Matt Gaetz’s nomination, he clearly has taken the lead on that score.”

That, of course, was before Trump announced that the anti-vaxer, Robert Kennedy (who might be the subject of my next post), will be responsible for health!

 

It has been reported that King Charles is on a secret trip to Bengaluru, his first visit to India since being coronated as king of the United Kingdom on May 6, 2023, at Westminster Abbey, London. Charles arrived in Bengaluru on October 27 and will be at the Soukya International Holistic Health Centre (SIHHC) in Whitefield for wellness treatment till Wednesday (30/10) night, when he is expected to fly to London.

Sources privy to his secret visit said that King Charles arrived in Bengaluru directly from Samoa, where he attended the 2024 Commonwealth Heads of Government Meeting from October 21-26. His visit to Bengaluru was strictly kept under wraps, and he was directly taken to SIHHC, where he was also joined by his wife, Queen Camilla.

According to sources, the couple’s day begins with a morning yoga session, followed by breakfast and rejuvenation treatment before lunch. After a brief rest, a second round of therapies follows, ending with a meditation session before dinner and lights out by 9 pm. They have been enjoying long walks around the campus, visiting the organic farm and cattle shed. Considering the high-profile secret visit, a high-security ring was thrown around SIHHC.

The health centre, founded by Dr. Issac Mathai, is located in Samethanahalli, Whitefield, on Bengaluru’s outskirts. This integrative medical facility combines traditional systems of medicine, including Ayurveda, Homoeopathy, Yoga, and Naturopathy, along with over 30 complementary therapies like reflexology, acupuncture, and dietetics.

Although this is his first visit as a monarch, Charles has visited the centre on nine earlier occasions and celebrated Deepavali on three occasions there. The royal couple has earlier taken wellness treatments, including anti-ageing, detoxification and rejuvenation. On November 14, 2019, the couple celebrated the then Prince Charles’ 71st birthday at SIHHC, an event that attracted a lot of publicity, unlike this visit.

_______________________

The website of the SIHHC modestly claims to be “THE WORLD’S FIRST INTEGRATIVE HEALTH DESTINATION’

As I reported in 2022, at a press conference in Goa it was claimed, that Prince Charles had been cured of COVID-19 after seeking treatment from a Bengaluru-based alternative treatment resort, SOUKYA International Holistic Health Centre’ run by a doctor Isaac Mathai. The Palace later denied that this was true.

And what about Dr. Issac Mathai? This is what he writes about himself:

A journey that began from the hills of Wayanad (northern Kerala) in 1985, started to bloom in 1998, and today is an international destination for Holistic health and wellbeing. When Dr. Issac Mathai embarked on this journey influenced by his mother, a Homeopathy practitioner who “helped people get better”, little did he know that one day he would lead a team to redefine the essence of health and wellbeing.

As a confident youngster aspiring to be an ‘exceptional Homeopathic Doctor’, Dr. Mathai encountered two key turning points in life – one, an internationally well-received research paper on integrating Yoga with Homeopathy to cure respiratory disorders, and two, learning at the Hahnemann Postgraduate Institute of Homeopathy, London.

Later he was made a Consultant Physician at the Hale Clinic in London, where he treated a number of high-profile people. This helped him establish a reputation in the holistic healing community in quick time. SOUKYA, is today, a residential holistic centre comparable to any facility in the world.

In a world that is comfortable with the conventional practice of ‘popping pills’, the world at large practices a combination of self-medication based on preconceived notions about what is wrong with individuals. In such a scenario, Dr. Issac Mathai and his team of experienced practitioners from different streams have achieved an important goal – create awareness about the possibility of prevention of adverse health conditions, rather than just addressing the symptom.

Education:

M.D. (Homeopathy),
Hahnemann Post-Graduate Institute of Homeopathy, London M.R.C.H, London
Chinese Pulse Diagnosis and Acupuncture, WHO Institute of Traditional Chinese Medicine, Nanjing, China
Trained (Mind-Body Medicine Programme) at Harvard Medical School, USA

Of the 3 institutions mentioned above, I could only find the last one: Harvard CME | Mind Body Medicine.

And under MD (Homeopathy), I found this: MD in Homoeopathy is a 3-year long postgraduate course in medicine including a year of house job, and remaining 2 years of research and study.

So, should we be concerned about the health of our King?

What do you think?

Advocates of so-called alternative medicine (SCAM) almost uniformly stress the importance of prevention and pride themselves to make much use of SCAM for the purpose of prevention. SCAM, they often claim, is effective for prevention, while conventional medicine tends to neglect it. Therefore, it seems timely to ponder a bit about the subject.

It makes sense to differentiate three types of prevention:

  1. Primary prevention aims to prevent disease or injury before it ever occurs.
  2. Secondary prevention aims to reduce the impact of a disease or injury that has already occurred.
  3. Tertiary prevention aims to soften the impact of an ongoing illness or injury that has lasting effects.

Here I will includes all three and I will ask what SCAM has to offer in any form of prevention. I will do this by looking at what we have previously discussed on this blog in relation to several specific SCAM and add in each case a very brief evaluation of the evidence.

Acupuncture

Chiropractic

Herbal medicine

Homeopathy

Mind-body therapies

Osteopathy

Does Osteopathy Prevent Motion Sickness? – NO CONVINCING EVIDENCE

Supplements

Yoga

I hope you agree: this list is impressive!

  • Impressive in the way of showing how often we have discussed SCAM for prevention in one form or another.
  • Impressive also to see how little positive evidence there is for effective prevention with SCAM

Of course, this is merely based on posts that were published on my blog. Some will argue that I missed out on some effective SCAMs for prevention. Others might claim that I judged some of the the above cited articles too harshly. If you share such sentiments, I invite you to show me the evidence – and I promise to look at it and evaluate it critically.

Meanwhile, I will draw the following conclusion:

Despite the prominent place prevention assumes in discussions about SCAM, the actual evidence fails to show that it has an important role to play in primary, secondary or tertiary prevention.

 

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