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Note from the
Author
The following is based on a response
I prepared to a question posted to the Internet SKEPTIC Discussion Group,
asking for information on the validity of the theories of Deepak Chopra,
M.D. I teach an elective course for medical students on the subject of
"alternative medicine"*, and have accumulated material in this
area over the last few years.
What follows is not an investigative report, but rather a
summary of material which I already had on hand. I should point out that I
do not have Chopra's books and have not read them; I am, for the most
part, merely summarizing statements and opinions of others. I have focused
on points related to medical claims, rather than those dealing with
transcendental meditation.
* I follow the standard set by Kurt Butler (Ref. 1, p. 2):
"The word 'alternative' appears in quotation marks because the
methods it characterizes are not true alternatives. A true alternative to
an effective health-care method is another method that has been proven
effective. The methods described herein are ineffective, unproven, or
both."
Thomas J. Wheeler, Ph.D. is an Associate Professor of
Biochemistry at the University of Louisville.
What is
Ayurveda?
To introduce the subject, I quote
from a book by Kurt Butler (Ref. 1, pp. 110-111):
Ayurvedic medicine is Indian folk medicine with roots going
back about two thousand years. It is promoted in America by disciples of
Maharishi Mahesh Yogi, the transcendental meditation (TM) guru.
By far the most publicized practitioner is Deepak Chopra,
M.D., a Western-educated Indian physician who turned to Ayurvedic medicine
after converting to the TM religion. Chopra's books include Creating Health: Beyond Prevention, Toward Perfection [Houghton Mifflin, 1987], The Seven Spiritual Laws of Success: A Practical Guide to
the Fulfillment of Your Dreams [Amber-Allen
Publishing, 1995], Quantum Healing: Exploring
the Frontiers of Mind/Body Medicine [Bantam,
1989], Perfect Health: The Complete Mind/Body Program for
Identifying & Soothing the Source of Your Body's Reaction [Harmony Books , 1991], and Ageless Body, Timeless Mind: The Quantum Alternative to
Growing Old [Three Rivers Press , 1998]. All
are dedicated to the Maharishi Mahesh Yogi,
whose "extraordinary insight" and "timeless knowledge"
enabled Chopra to restructure his reality.
The following summarizes some points in Butler's discussion
(pp. 111-117) of Chopra and Ayurvedic medicine. (Comments in square
brackets are my own):
The beliefs and practices of Ayurvedic medicine fall into
three categories: (1) some that are obvious, well established, and widely
accepted by people who have never heard of Ayurveda [e.g., don't overeat]; (2) a few that proper
research may eventually prove valid and useful [herbal remedies may
contain useful drugs, but their dangers and limitations often have not
been scientifically investigated]; (3) absurd ideas, some of which are
dangerous.
The third category of Ayurvedic medicines includes Dr.
Chopra's advice for preventing and reversing cataracts. Each day, he
advises, brush your teeth, scrape your tongue, spit into a cup of water,
and wash your eyes for a few minutes with this mixture.
Since Ayurveda attributes many diseases to demons and
astrological influences, it is not surprising that incantations, amulets,
spells, and mantras are commonly used remedies." Some Ayurvedic
remedies employ animal urine and feces [however, it was not stated that
Chopra advocates these].
Chopra's own words show how he has given up critical thinking
in favor of ancient dogma. He says that a good Ayurvedic physician can
tell a meditator from a nonmeditator, diagnose illness, and prescribe
appropriate remedies, all by feeling the patient's pulse."
[Traditional Chinese medicine also claims to be able to detect many
qualities and symptoms from the pulse, a claim which is rejected by
scientific medicine.]
Chopra espouses Ayurveda's mystical medicine the way one
might believe in a religion: Ayurveda's approach to physical disorders is
not basically physical at all...Faced with any illness, the vaidya (Ayurvedic physician) turns directly to Nature's intelligence,
where he finds the real cure. The herbs,
minerals and metals that he uses think the way we do...Ayurveda works
because it corrects a distortion in consciousness...
Chopra repeatedly asserts that 'for every thought there is a
corresponding molecule. If you have happy thoughts, then you have happy
molecules.'...Chopra also asserts that masters of Ayurvedic medicine can determine an herb's medicinal qualities by
simply looking at it. Scientific study is therefore unnecessary.
Chopra promotes the Ayurvedic claim that certain exercises
and asanas (yogic positions) can stimulate endocrine glands to excrete
their hormones. Since he is an endocrinologist, he should not find it
difficult to perform studies to test this concept...As far as I know, he
has never conducted any such study.
The next section of the book deals with Chopra's endorsement
of claims of Maharishi Transcendental Meditation regarding effects of TM
on crime and war, etc., and the ability to levitate. Butler challenges
Chopra to produce someone who can levitate, as demonstrated by the
following test: sit on a scale and reduce body weight by 5 percent for 15
seconds using mental power alone.
Chopra is the ideal propagandist for Ayurveda because, as a
medical doctor, he can give it a respectable scientific aura. He
occasionally gives therapeutic drugs and surgery their due for infections,
cancers, and heart conditions. Yet at other times he says that 'the direct
nondrug cures (especially TM) are more effective because they exhibit more
complete, holistic knowledge and more pervasive correlation.' On a 'Sonya
Live' program, he said that antibiotics and anticancer drugs don't work.
He blamed chemotherapy and radiation for 'an epidemic of immuno-compromised
disease,' which is pure poppycock.
In one of his books, Chopra advocates a special diet, along
with herbs, meditation, etc., for asthma, but doesn't mention the
avoidance of allergens such as animal hair and house dust.
Chopra also exaggerates the importance of positive thinking
in cancer therapy...Although a positive attitude may help a cancer patient
feel better, comply with treatment, and have a better quality of life, no
scientific study has demonstrated an effect upon the cancer itself."
Nor have depressed people been found to have a higher
incidence of cancer.
The JAMA Caper
Chopra was at the center of a
controversy in 1991, when JAMA (Journal of the American Medical
Association) published an article entitled "Letter From New Delhi: Maharishi Ayur-Veda: Modern Insights
Into Ancient Medicine," by Hari Sharma, Brihaspati Dev Triguna, and
Chopra (Ref. 2). The article describes traditional Ayurvedic medicine, and
then defines "Maharishi Ayur-Veda" as "a modern revival,
taking into account all of these approaches in accordance with the
classical texts...under the direction of Maharishi Mahesh Yogi in
collaboration with leading Ayurvedic physicians." Included in the
article are discussions of the benefits of TM and results of scientific
investigations of Ayurvedic herbal remedies.
A later issue included numerous letters (Ref. 3) both
favorable to and critical of the article, a reply from Sharma and Chopra
(Ref. 4), and a "Medical News & Perspectives" report (Ref.
5). Because JAMA has a policy concerning disclosure of financial interests
for authors of articles and letters, we can learn that the authors of the
favorable letters all were involved in the practice of ayurvedic medicine
or TM, some with direct connections to the Maharishi's enterprises. Among
the critical letters:
Patrick Ryan, a former member of the TM organization and now
"an educational consultant in the field of cult exit
counseling," stated, "The article has factual errors and, by
omission, paints a false picture of a rather unscrupulous organization.
Most references cited are generated by the Transcendental Meditation (TM)
'movement.' Professional critiques of TM research state that 'the
scientific research is without objectivity, and at times, simply untrue,'
and it is 'deliberately contrived to mislead the public.'...Drs. Chopra
and Triguna offer Maharishi Ayur-Veda services for a fee. By failing to
cite the contraindications (problems with headaches, insomnia,
concentration, gastrointestinal upset, hallucinations, anxiety,
depression, and destruction of personality) of Maharishi Ayur-Veda, the
authors violate the ethics of informed consent."
Gordon White, another former member of the TM movement,
provided additional criticisms of the alleged benefits of TM, with some
literature references.
Wallace Sampson, MD, who is board chairman of the National
Council AYURVEDA Against Health Fraud, noted that the article contained
"a collection of
dubious results of 'pulse diagnosis' and herbal and dietary
treatments...Although some of the results have been published, they have
not been validated by independent observers. They are inconsistent with
scientific knowledge and method." Similarly, Tim Gorski, MD asked
"Where is their double-blind controlled study, for instance, wherein
it is shown that Ayurvedic practitioners can accurately 'diagnose
diseases...such as diabetes, neoplastic disease, musculoskeletal diseases,
and asthma' by palpation of the radial pulse? Just think of all the
laboratory analyses, surgery, x-rays and spirometry that could be
dispensed with if they could prove such claims!"
John Patterson, PhD (Iowa State University) (whom some
readers may know for his activities in dealing with creationism), noted
that "The TM movement is to Hinduism what the Creation Science
movement is to Christianity - an aberration. Both are best viewed as
religion in the guise of science."
Kevin Garvey, a "counselor and legal consultant on cases
stemming from TM's abuses" wrote, "The line describing mind as
'a physical expression of the self-interacting dynamics of an underlying
abstract field of intelligence,' and which emphasizes this as a principle,
fails to identify its theological import. This is, however, a reference to
Hinduism's concept of Maya (matter is an illusion), Maya's integral
relation to Monism (all things are made of one substance), and the belief
that this substance is spirit. Transcendental Meditation Ayur-Veda defies
all medical knowledge because it accepts the archaic belief that disease
is the result of assault by female demons! This bit of truth, of course,
is not acknowledged to Western audiences."
Most of the reply by the authors (Ref. 4) dealt with the
evidence concerning the beneficial effects of TM. In response to Gorski,
they referred him "to the references in the original article,"
but the only reference to pulse diagnosis was not to the conventional
medical literature but rather to a book published in India entitled The
Essence of Pulse Diagnosis. They did not respond to comments by Garvey and
Sampson.
The report included in the same issue, written by associate
editor Andrew Skolnick, was entitled "Maharishi Ayur-Veda: Guru's
Marketing Scheme Promises the World Eternal 'Perfect Health'" [5].
Skolnick also wrote a report on the episode ("The Maharishi Caper:
JAMA Hoodwinked (But Just for a While)") which appeared in the
Skeptical Inquirer (Ref. 6). A further note
concerning the affair appeared later (Ref. 7).
One of the major points of Skolnick is that
despite indicating on a financial disclosure form that they were not
affiliated with any organization that could profit from the publication of
their article, the authors "were intimately involved with the complex
network of organizations that promote and sell the products and services
about which they wrote. They misrepresented Maharishi Ayur-Veda as India's
ancient system of healing, rather than what it is: a trademark line of
'alternative health' products and services marketed since 1985 by the Maharishi
Mahesh Yogi..." (Ref. 6, p. 255).
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