Foundational principles of classical Ayurveda research

Double-blind randomized controlled trials (RCTs) are viewed as the golden standard of drug research in Western medicine. However, RCTs are far from "golden" in many respects. They are impractical for many therapies, such as for surgeries and complex lifestyle changes. They encourage a one-size-fits-all approach to medical treatment that fails to address the huge diversity among individual patients in terms of their physical and emotional symptoms, social and cultural upbringing, and other factors. Perhaps, more importantly, they do not help doctors make the best medical decisions required to produce optimal patient outcomes. To guide a search for an alternate model of medical research, three principles based on Ayurveda, an ancient and powerful system of health care that has stood the test of time, are presented. These principles, arrived at after mining Ayurvedic epistemology, are: Inductive learning, whole systems thinking, and individually optimized therapy. In honor of the ancient sages or "Rishis," whose voice is used to deliver Ayurvedic knowledge in the ancient texts of Ayurveda, these are referred to as the "Rishi principles." Individually optimized therapy is interpreted using the lens of decision analysis. Common research methodologies are examined for embodiment of these principles.