Yoga chyawanprash part of new management protocol for recovered COVID-19 patients

Henrietta Strickland
September 15, 2020

Union Health Ministry on Sunday issued "post COVID-19 management protocol", encouraging use of Chyawanaprash, Yoga Asanas, daily gargling and walks among others for those who have recovred from the novel coronavirus. The recovery period is likely to be longer for patients who suffered from more severe form of the disease and those with pre-existing illness, it said.

The 55-year-old leader tested covid-19 positive on 2 August and later his test came negative but due to some post covid-19 recovery symptoms such as fatigue, he was again admitted to the premier medical institute. As of Sunday morning, it is now in the second place in terms of cases at 4,659,984, while the country's death toll stood at 77,472. "These need to be taken only after prescribed by qualified practitioners permitted under law for prescribing the medicine/therapy under the specific stream", said the Health Ministry in the guidance note.

Post Covid problems have been reported in recovered patients.

The ministry said its recommendations are aimed towards an "integrated holistic approach" for managing patients who have recovered enough from COVID-19 for care at home.

-Balanced nutritious diet, preferably easy to digest freshly cooked soft diet. "Drink an adequate amount of warm water (if not contra-indicated)".

Avoid smoking and consumption of alcohol. The doctor to be always informed about all medicines that the individual is taking (allopathic/AYUSH) so as to avoid prescription interaction. They should be mindful of "early warning signs" such as high-grade fever, breathlessness, chest pain, oxygen saturation under 95%, etc.

The post-COVID Management Protocol for holistic follow-up care and well-being of all post- COVID recovering patients also places huge premium on AYUSH therapies asking people to have warm water and saline gargles and steam inhalation with AYUSH herbs in case of cough. The addition of herbs/spices for gargling/steam inhalation.

There could be substances in traditional medicine systems that influence immunity levels but to ask recovering patients to take "immunity-boosting" AYUSH medications are "tantamount to quackery", said Shri Prakash Kalantri, professor of medicine at the Mahatma Gandhi Institute of Medical Sciences, Wardha.

The document recommended recovered COVID-19 patients to share their experiences with friends/relatives, or through social media, to spread awareness and reduce the stigma.

Seek psycho-social support from peers, community health workers, counsellor. Besides, the Ministry advised for mental health support.

Group sessions of yoga and meditation have also been recommended, provided health precautions like physical distancing are followed.

In a healthcare facility setting, a patient is advised to go for the first follow-up visit (physical or telephonic) within 7 days after discharge, preferably at the hospital where a person underwent COVID19 treatment. Poly-therapy is to be avoided due to potential for an unknown drug-drug interaction, which may lead to Serious Adverse Events (SAE) or Adverse Effects (AE). "Severe cases requiring critical care support will require more stringent follow up", it highlighted.

-The patients who had undergone home isolation will visit the nearest health facility if symptoms persist.

Other reports by Click Lancashire

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