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32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
32 Years of IRIIM
Indian Research Institute for Integrated Medicine (IRIIM) with 32 years of omen service in Health Care Management has been recognised by Govt. of India and Govt. of WB
Services Offered
Therapy, Research and Development Work, Training, De-Addiction Work, Yoga-Naturopathy, Disease Prevention and Awareness Generation,
Various Activities of IRIIM
Since 1981, IRIIM aims to propagate and develop a multi-dimensional approach which can provide a cost-effective, safe, easily accessible, pro-nature and modern health care delivery system for the people. As a non-profit voluntary organization, IRIIM serves the common people at OPD and in Indoor (only in Eastern India) at 'Ranajit Memorial Hospital' housed at 'IRIIM Bhawan' in an environment that ameliorates the sense of well being at an affordable expenses. Since 2008, Kolkata City Integrated Treatment centre of IRIIM is functioning.
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Research & Development |
Recognition of IRIIM as Research Institute Renewed 9th time since 1996 by Govt. of India Dear Friends of IRIIM, We are glad to inform you that Department of Scientific & Industrial Research (DSIR) under Ministry of Science & Technology, Govt. of India has renewed the Recognition of the Scientific and Industrial Research Organisations (SIROs) to Indian Research Institute for Integrated Medicine (IRIIM), Howrah West Bengal by an order vide F.No. 14/255/1995-TU-V dated 24th July 2019. ( Copy enclosed ) This is the 9th time renewal done since 1996 on the basis of IRIIM achievement in Research and Development (R & D) work as per Govt. of India's guideline. Possibly only research institute in India in the field of Acupuncture got this unique recognition. As per guideline the first few objectives of IRIIM are as follows : (i) To undertake research work to establish the mechanism of action of Acupuncture therapy and to evaluate its effectiveness singly or combinedly with other therapeutic systems (i.e. Allopathy, Homoeopathy, Ayurveda, Naturopathy, Unani, Yoga and Physiotherapy etc.), in order to develop an Integrated Medicine for having maximum benefit for the suffering humanity. (ii) To practice different therapies singly and combinedly and to evaluate their effects scientifically. (iii) To undertake and organize research programmes with a view to delivering the effects of therapies to the common people at a large with simplest and common form. (iv) To undertake and organize training programmes with a view to spreading the therapies singly and/or combinedly. Few salient achievements : i) In 1999 IRIIM completed successfully the first research project on Acupuncture in India sponsored by Indian Council of Medical Research (ICMR) on Comparative Efficacy of Acupuncture with Non Steroidal Anti Inflammatory Drugs (NSAIDs) in Rheumatoid Arthritis (RA). ii) First time in India IRIIM completed three successive research projects on Traditional Tongue Diagnosis sponsored by 3 Govt. of India bodies - Dept. of Information Technology(DIT), Central Council for Research in Yoga-Naturopathy (CCRYN) and Dept. of Science and Technology (DST). iii) First time in India IRIIM completed 2 successive research projects sponsored by Defence Research Development Organisation (DRDO) under Ministry of Defence on Efficacy of Moxibustion in different clinical conditions. iv) IRIIM is an Affiliated Acupuncture and Yoga & Naturopathy Training Institute respectively by West Bengal Council Acupuncture Therapy and West Bengal Council of Yoga Naturopathy, both under Govt. of West Bengal. v) During the whole recognition process of Acupuncture in India and in different states, IRIIM faculty is playing continuously the vital role in documentation, negotiation and discussion. vi) IRIIM is the head office of Acupuncture Science Association (ASA) India, the largest representative body of acupuncturists of the country. vii) Since 1981 as a non-profit registered society, IRIIM conducts all round activities related to acupuncture and integrated therapy depending mainly on donation from well wishers and common people. Friends, Achievement of IRIIM could not be possible without your active help and patronage. We sincerely hope to get more and more support in future also. Thanking you, Yours Truly Dr. Debasis Bakshi on behalf of IRIIM Family www.iriim.org
Areas of Research Undertaken (In Key Words)
Integrated Medicine, Traditional Medicine, Acupuncture, Moxibustion, Yoga, Naturopathy, Relaxation, Meditation, Diet, Nutrition, Traditional Tongue Diagnosis, Traditional Pulse Diagnosis, Sanitation, Environment, Herbal medicine, Organic Food & Farming, Mental Health, Pain, De-addiction and Rehabilitation, Respiratory diseases, Hypertension, Diabetes, Migraine, Arthritis, Acidity, Diarrhoea, Menstrual disorder, Biological Clock, Acupuncture appliances, Electro-medical Equipment, Student health care, Mother – Child health care, Integrated health training programme, Auto- immune diseases, Stress reduction, Integration in medicine, Training, Pro-nature Health Awareness, Life Style Disorder, Women’s Health and Awareness through S& T.
Research Projects Completed by IRIIM
ABSTRACTS of 6 Acupuncture related Research Projects completed by IRIIM, Howrah 1. ICMR SPONSORED RESEARCH PROJECT ON ACUPUNCTURE Period: 1997 to 1999 Entitled : “THERAPEUTIC EFFICACY OF ACUPUNCTURE IN COMPARISON TO NON-STEROIDAL ANTI-INFLAMMATORY DRUG (NSAID’S) IN THE TREATMENT OF RHEUMATOID ARTHRITIS (RA): A CLINICO EXPERIMENTAL STUDY.” Ref.No. ICMR IRIS NO. 9202020 PROJECT NO. 5/4/5/EXM/95-NCD-IIConducted By: INDIAN RESEARCH INSTITUTE FOR INTEGRATED MEDICINE (IRIIM) Principal Investigator: Dr. Debasis Bakshi Sponsored by: Indian Council of Medical Research (ICMR) ABSTRACT Introduction: Rheumatoid Arthritis, an auto-immune, inflammatory, crippling disease is mediated by infection, environmental or dietary factors with the impairment of humoral and cellular immunity. It occurs approximately in 3% of adult Indian population (male: female = 1: 3). In the pathogenesis of R. A. polyarticular inflammation is generally followed by destruction of cartilage, bone and other structures of the joint, with consequent deformity and disability. Modern medical management especially considers these aspects of R. A. through the use of anti-inflammatory and immuno-modulatory as well as immuno-suppressive agents. Accordingly, Acupuncture Therapy (A.T) with its analgesic, anti-inflammatory and immuno-modulatory potential has been tested in this research programme. Besides the evaluation of clinical efficacy of Acupuncture Therapy (A.T), this project is also aimed at to standardize the diagnostic approach of Traditional A. T. In Traditional A. T., painful joints condition is called as ‘Bi Syndrome’ which includes R. A. Further ‘Bi Syndrome’ has been categorized into different types according to nature of pain as Wandering Bi, Fixed Bi etc. In respect to aetio-pathogenesis, besides organ involvement, emotional and external (including dietary) factors are also implicated. Therefore A. T. looks into the problem in a holistic manner. Latest approach of RA management aims at to the reduction of pain and inflammation, preservation of functional capacity of joins, resolution of etiopathogenic processes and facilitating healing. Methodology: Random selection of patient and 100 subjects for each group were proposed. Full case history was recorded as per specific history sheet of Traditional Medicine. Proposed routine pathological examinations were done to asses the general health condition. After a course of treatment (both acupuncture and NSAIDs) repeat laboratory examination was done, recorded and condition of patient was assessed. Clinical findings & Pathological investigation reports are all stored in efficient manner to create a complete database. Result: In this comparative clinico- fundamental study, we have treated and evaluated 50 and 69 confirmed RA patients under acupuncture and NSAID’s treatment profile respectively. In regard to the primary alleviation of the symptoms and improvement of health of R.A. patients both the global assessments have shown significant therapeutic potential of acupuncture in comparison to NSAID’s. In terms of duration of morning stiffness, nature of pain, disability, status of inflammation related indicators (ESR level, Lipid peroxide level & TNFa) and hemoglobin level, significant improvement under acupuncture therapy has been noticed.In regard to the recurrence of the disease symptoms, during follow up period, acupuncture group has showed better response than NSAID’s group. It is important to note that though the drop out rate under acupuncture therapy was more than that of NSAIDs group but patients who continued the total course of acupuncture treatment showed better self confidence and co-operating attitude to fight out the disease. In this consideration, Acupuncture is a successful traditional therapeutic modality of the Orient as evident in present comparative Clinico-Fundamental study for 21/3 years on 119 confirm RA patients (i.e. 69 RA patients treated by NSAIDs & 50 RA patients treated by traditional Acupuncture Therapy). Study unveiled that 30 to 100 sittings of Acupuncture with its adjuncts (i.e Moxibustion, Cupping, Electro-Acupuncture & Diet) are efficient in reducing morning stiffness (p<.001), pain and swelling, disability (p<.00001), inflammation [as indicated by reduction of ESR (p<.01), levels], anaemia [i.e. Hb% increased, (p< >00001)], of RA patients in comparison to that under NSAIDs group. Conclusion: In this Therapeutic intervention, confirmed RA patients were subjected to traditional differential diagnosis for selection of specific local and distal Acupuncture points, adjuncts and therapeutic methodologies exclusively followed the techniques of traditional Acupuncture healers. Therefore this study indicated that the therapeutic efficacy of acupuncture in the management of R.A. needs more in depth analysis not only in regard to its pain relieving, anti-inflammatory and immuno-modulatory role but also to its non-invasive diagnostic potential and patient’s psychological acceptability. Present observations not only justify the therapeutic efficacy and immuno-modulatory role of Acupuncture in RA management but also demand in depth study in realizing traditional holistic fundamentals. *********************************************************************************************** 2. DEPT. OF INFOR. TECHNOLOGY, MIN. OF COMMU. & INFOR. TECH., GOVT. OF INDIA SPONSORED RESEARCH PROJECT ON TRADITIONAL TONGUE DIAGNOSIS Period: 2000-2003 Entitled : “Development of Image Processing and Pattern Recognition System for Exploitation of Non-Invasive Traditional Diagnostic Potential of TONGUE” Conducted By: Indian Research Institute for Integrated Medicine (IRIIM) Mourigram Howrah & Institute of Cybernetics Systems and Information Technology (ICSIT),Kolkata Principal Investigators: Dr. Debasis Bakshi & Prof. Dr. Dwijesh Dutta Majumder Sponsored by: Department of Information Technology, Ministry of Communication & Information Technology, Govt. of India The report comprises of the results of an investigation on a project entitled “Development of Image Processing and Pattern Recognition System for Exploitation of Non-Invasive Traditional Diagnostic Potential of Tongue” of formerly the Department of Electronics (DoE), Ministry of Information Technology (MIT), and now Department of Information Technology, Ministry of Communication & Information Technology, Govt. of India, carried out by a multi-institutional and multidisciplinary group of scientists at: a) Indian Research Institute for Integrated Medicine (IRIIM), HOWRAH, West Bengal. b) Institute of Cybernetics Systems and Information Technology (ICSIT), KOLKATA, West Bengal. This work is at the intersection of some basic sciences like Biological and Medical Sciences specially Traditional Medical Science on the one hand and modern technologies like Image Processing, Pattern Recognition and of course Computer Science on the other hand.Before entering into the technical domain it is worthwhile to write a few lines on the initialization of this unusual type of multi-institutional and multi-disciplinary project. This project, may be in different form, was initially submitted to the then DoE, GoI. in the year 1999 by the PI from IRIIM, who has worked for more than 30 years in the diverse areas of traditional medicine such as Acupuncture, Yoga-Naturopathy and Traditional diagnostics such as Tongue & Pulse Diagnosis etc. Tongue Diagnosis is a traditional non-invasive diagnostic procedure of different traditional medical systems like Ayurveda, Unani, Acupuncture etc. In modern medicine though tongue gets importance but qualitative evaluation has not yet been performed. Traditionally TONGUE DIAGNOSIS is of enormous importance, along with other traditional diagnostic criteria, not only in identification and evaluation of pathological conditions of the subjects as a whole but useful in assessment of the structural and functional status of different vital organ systems of the body at different stages of diseases. Considering importance of TONGUE as a potential diagnostic tool, the Senior Director and Adviser concerned in the area of Health Care Services of MIT suggested to contact one of the most renowned computer scientist of the country, an internationally recognized pioneering researcher for the last 40 years in the areas of pattern recognition, image analysis, computer vision and cybernetics at large, who is the other PI from Indian Statistical Institute (ISI) / Institute of Cybernetics Systems and Information Technology(ICSIT) in this project. It may be noted that the scientific community in the world over is convinced that a need exists for bringing the salient features of the different modalities, preferably non-invasive modalities together into a common computer-based platform, commonly referred to as Multimode Medical Image Processing platform for diagnostics and therapeutic Planning. But it is clear that the modalities mentioned above are highly costly and not easily available for the rural health care system for countries like India, China and Bangladesh etc. In the third world countries we have to try to develop cost effective but modern high technology methods and approaches involved in Traditional Medicine (TM) in general provide some guidance in this respect. Tongue inspection applying image processing and pattern recognition has very positive diagnostic potential. Research focus in this collaborative project was oriented to develop a methodology for acquisition of the salient features and parameters of the traditional diagnostic inspection of Tongue, by some modern Information Technology and Computer Science based methods known as Image Processing and Pattern Recognition and present them to the medical community as a cost effective non-invasive diagnostic and therapeutic tool, and bring the results to a common computer platform for the medical practitioner to come to a conclusion. It may be mentioned, some groups in China, Japan and USA are working towards tongue diagnosis but not tongue image processing. Ours is the first effort in India in that direction. We have developed a standard image data acquisition system, a tongue image database management system with content based image retrieval method, and a new fuzzy fractal based tool for analyzing the segmented images for diagnostic purposes and have presented them in different chapters. According to the expertise provided by the clinicians on traditional medicine we first get into the task of solving the tongue-image acquisition problem. After several long trial and error sessions it is standardized. Presently a simple but standard arrangement using a digital camera made by Nikon has been installed to grab the pictures of tongue along with a portion of face. The picture data along with other statistics as per Traditional Medical Diagnostics are being stored in a Relational database. All the pictures were color digital pictures. The important features of tongue are color, texture, edge profile (teeth marks) and the appearance of these at different part of the tongue. For handling the color pictures we developed a uni-color algorithm where the three-color values red, green and blue were combined into a single uni-color function. We found that segmentation of the tongue from the background is a non-trivial task, which we tackled successfully. We had to devise a scale and rotation independent texture identification technique using Fuzzy Multi-Fractal (FMF) methodology. The FMF was applied to design a classifier for identifying disease from a given tongue image. Finally we designed a multiple classifier system using the features 1) color frequency histogram (CFH) of total tongue, 2) CFH of different fixed zones of tongue and 3) Multi-Fractal parameter. Our work established the need and methodology for integrating the tongue images into a database – that can be graduated to knowledge-based system for better diagnostic and therapeutic planning. Finally, the project aimed to standardize & develop traditional medical wisdom by preparing a computerized database along with tongue images at different stages of disease which can be applied as one of the non-invasive diagnostic procedures. By integrating IT with TM, this simple technology will provide a low cost, easily available, easily accessible, non-hazardous diagnostic procedure for the service of the broad masses of people to develop and improve health care service as a whole. Conclusion We have conducted a study on the observation of the tongue proper and tongue coating as per TM and with some most modern theory of image processing and pattern recognition. Our database consisted of 404 tongue images of four groups, namely Normal – 102, High Blood Pressure (HBP) – 120, Upper Abdominal Pain (UAP) – 81, Anemia – 101 We have also presented the results of intra-group and inter-group variations indicating some of the clinical significances. It is obvious that there are some definite features of tongue and clinical findings in tongue images that differ in normal and three diseased study groups both in respects of colour, textures and coating. We have developed two soft computing tools namely, a new colour image processing model (Uni- Colour model) and a specific texture image processing model (fuzzy multi-fractal - FMF) for this purpose. As a result of the some of the intrinsic properties of these tools, the intra-group and inter-group variations became prominent. Further study with more data is called for to arrive at meaningful feature evaluation for disease identification. More systematic and rigorous research programme needs to undertaken for observation of the colour and form of the tongue proper. Colour could be a) pale tongue, b) red tongue, c) deep red tongue, or d) purple tongue, each one with wide variations. Form of the tongue proper could be a) swollen tongue, b) thin tongue, c) cracked tongue, d) thorny tongue, e) deviated tongue, f) rigid tongue and g) flaccid tongue, and their wide variations of combination of colour and forms. Similarly, quality of tongue coating could be of wide variations – namely, a) thick coating and thin coating, b) moist coating and dry coating, c) sticky coating and granular coating and d) peeled-off coating. Colour of the coating could be a) white, b) yellow, c) grey and d) black along with any of their combinations. If one wants to establish the science behind the tongue diagnosis and tongue image analysis as a diagnostics technology by applying theories of PR, IP & Computer Vision and relevant soft computing tools, exhaustive study needs to be undertaken. Some promising work undertaken for the disease groups other than those envisaged in the project are those of a) Brown Sugar Addiction and b) Asthma as indicated in Appendix A and Appendix B. The result of present project will definitely provide a framework and a sense of direction for future research. The results also indicate that no single modality of observation testing should be considered as conclusive for a definite diagnosis. For conclusive and evidential reasoning, combination of modalities should be taken for diagnosis and therapy planning. ***************************************************************************************** 3. CCRYN, AYUSH, MIN. OF H & FW, GOVT. OF INDIA SPONSORED RESEARCH PROJECT ON TRADITIONAL TONGUE DIAGNOSIS PERIOD: 2005 to 2008 Entitled “Development of Traditional Tongue Diagnosis aided by Information Technology For Standardisation of Nature Cure Diagnostic Methods” Conducted By: INDIAN RESEARCH INSTITUTE FOR INTEGRATED MEDICINE (IRIIM) Principal Investigator: Dr. Debasis Bakshi Sponsored by: Central Council for Research in Yoga-Naturopathy (CCRYN), Deptt. of AYUSH, Ministry of Health & F.W., Govt. of India Abstract Introduction: Tongue Diagnosis is a non-invasive diagnostic procedure of different traditional medical systems like Acupuncture, Ayurveda etc. In modern medicine tongue gets importance but no qualitative evaluation has been performed. In Traditional Medicine, along with other traditional diagnostic criteria, TONGUE DIAGNOSIS contributes enormous importance in identification & evaluation of pathological conditions as a whole, also very useful in assessing the structural (Yin) and functional (Yang) status of organ systems. Methodology: Selection of patient for study group (Acidity-Indigestion & Asthma) was done as per naturopathic diagnostic criteria (recommended by National Institute of Naturopathy, NIN Pune). Full case history was recorded as per specific history sheet of Traditional Medicine. Acquisition of image of iris, face & tongue was taken before treatment by high-resolution digital camera in standard setting. Routine examination of blood, stool, urine was done to asses the general health condition and also pH of blood estimated to assess the alkalinity of blood. After 30 days treatment repeat image & laboratory examination was done, recorded and condition of patient was assessed. All the images, Normal & Diseased are sorted out first. Separate image gallery is made to view all the images for normal and diseased individuals to develop living interaction with the clinicians besides using this system as pre step of database generation. Images, Clinical findings & Pathological investigation reports are all stored in efficient manner to create a complete database. Result: From the above observation, it is evident that patients are improved by the Yoga-Naturopathy treatment guided by Tongue Diagnosis. Normal tongue images (including variations within normal range) show normal clinical findings. In Diseased group, tongue features (color, coating & characteristics) along with other clinical findings vary from normal group. Abnormal tongue features also vary amongst different diseased groups. In statistical evaluation, it is observed that in acidity-indigestion group the complaints of acidity and other associated symptoms show P-value < 0.05 and all the tongue findings also show P-value < 0.05. In bronchial asthma group, the asthmatic and other sufferings excepting bladder evacuation show the P-value < 0.05. Here in tongue findings coating, moisture and special character show P-value <0.05. Only tongue colour and size do not show P-value < 0.05. Conclusion: Primary findings of data obtained and statistical evaluation show Tongue features vary with clinico-pathological conditions, which can well be utilized as an important non-invasive diagnostic tool through developing a standard database. By integrating IT with TM, this simple technology will provide a low cost, easily available, easily accessible, non-hazardous diagnostic procedure for the service of the broad masses of people to develop and improve health care service as a whole and Naturopathic diagnosis in particular. Moreover, traditional tongue diagnosis definitely is an important indicator for diagnosis as well as assessing the development of different clinical conditions. Further study will enrich the science of non-invasive, low-cost, easily accessible diagnostic potential of both traditional & mainstream medicine. ******************************************************************************************* 4-5. DEFENCE LABORATORY (DRDO) SPONSORED RESEARCH PROJECTS ON MOXA PERIOD: 2007 to 2009 and 2008 to 2009 Entitled: 1. “Development of Moxibustion Based Novel Technique using Himalayan Herbs for Fast Relief from certain Human Ailments” And 2. “Evaluation of Moxibustion Technique for Sustainable Relief from Certain Common Ailment like Backache and Diarrhoea” Conducted By: INDIAN RESEARCH INSTITUTE FOR INTEGRATED MEDICINE (IRIIM) Principal Investigator: Dr. Debasis Bakshi Sponsored by: Defence Research Laboratory, Tezpur, Assam ABSTRACT Introduction: Moxibustion means application of heat directly or indirectly on the skin at certain points (called Acu points) by holding ignited stick of dried moxa leaves about an inch away from the desired area to bring mild warmth to the local area for 5 to 10 minutes. It regulates the flow of energy and blood, expels cold and damp, builds up body resistance and prevents from disease. It regulates the energy system of body and helps smooth flow of blood, expels pathogenic cold and damp, improves resistance power and increases immunity. It aims to evaluate Clinical Data & Interpretation of sustainable relief from common ailments like Backache and Diarrhoea after applying Moxibustion technique. Moxibustion has been widely used as a very handy and effective folk remedy for centuries in Asia. In no.1 project the study groups were suffering from Common Cold due to climatic change, Painful joints and Stressful conditions. In no.2 the study groups were Backache and Diarrhoea. Methodology: Project No.1:- In this project, Survey and Identification of Himalayan Herbs suitable for Moxibustion in 3 spots on Darjeeling hill of Himalayan range at the altitudes of 3000 ft to 5000 ft., done. Before plucking, leaves from different herbs, Field visit was planned by the IRIIM Sr. Faculty and research staff in Himalayan range and the areas for best cultivation was identified. Different herbs like moxa leaf identified, collected and evaluated qualitatively. All the information regarding Moxa like herbs recorded and for qualitative recognition images of herbs (plants & leaves) grabbed by a high-resolution digital camera. Accordingly specific herbs including Moxa leaves are collected as per norms. Moxa Wool & Stick making machine parts were assembled and Trial production has started. After collection, Moxa leaves are dried in indirect sunlight and later on in drier followed by grinding, cleansing, preparation of different devices for application for getting maximum therapeutic efficacy. All information regarding Moxa like herbs and images grabbed by a high-resolution digital camera are recorded for computerized documentation. Total 100 patients (suffering from Common Cold due to climatic change, Painful joints and Stressful conditions) treated at IRIIM, Howrah and Siliguri. All the findings are noted down in specific Comparative Data Entry Format for Therapeutic Evaluation. Project No.2: Total 100 subjects, suffering from Backache and Diarrhoea, treated at IRIIM, Howrah. Detailed case history of each individual is noted in specific proforma and followed by application of Moxibustion technique by the SRF on the subjects. All the findings are noted down before & after treatment and recorded in computer data base. Result: From the above observation, it is evident that Interpretation and Evaluation of therapeutic Effect of Moxibustion Technique in said study groups are done. Moreover this method is very easily applicable and convenient. Persons are trained to undertake the treatment. More than 50% improvement observed in most of the cases. Conclusion: This project is a primary investigation which can certainly help in exploration of medicinal herbs of North-East region. After the completion of the project, it is found that the technique of Moxibustion may be integrated as an additional tool for giving support to some common ailments, which can be treated by any medicine. This applied research project having direct application to Armed Forces as well as common people deployed in North-East region specially where common diseases of Cold & Damp origin are prevailing. *********************************************************************************** 6. DST, GOVT. OF INDIA SPONSORED RESEARCH PROJECT ON SOFTWARE DEVELOPMENT BASED ON TRADITIONAL TONGUE DIAGNOSIS Period: 2007 to 2010 Entitled: “Development of Traditional Tongue based Diagnostic Software through Grabbing and Processing of tongue images for storage, retrieval and rule generation for prognosis and diagnosis of disease conditions” Ref.No SR/S3/EECE/57/2006 ; Dt.16/04/2007 Conducted By: INDIAN RESEARCH INSTITUTE FOR INTEGRATED MEDICINE (IRIIM) Principal Investigators: 1. Dr. Prabir Kumar Biswas, Indian Institute of Technology, Kharagpur 2. Dr. Debasis Bakshi Indian Research Institute for Integrated Medicine, Howrah Sponsored by: Department of Science and Technology (DST), Govt. of India ABSTRACT Introduction: Tongue Diagnosis is a non-invasive diagnostic procedure of different traditional medical systems like Acupuncture, Ayurveda etc. Checking the characteristics of tongue has been one of the non-invasive diagnostic methods in traditional medicine. With the advent of efficient imaging and image processing techniques, it is now possible not only perform tongue diagnosis of a large number of patients, it is also possible to systematically store and analyze tongue conditions of a patient over a period of time. Development of tele-medicine and other technologies also can help in remote diagnosis of patients using tongue images. The plan is to develop tools and techniques for efficient acquisition, processing, storage and indexing, retrieval of tongue images that will help in systematic study of the role of tongue in medical diagnosis. An expert system may be developed based on the knowledge gathered through learning of the tongue conditions and disease conditions of a large number of patients. This can help in prognosis and adoption of preventive measures by the population. Methodology: Selection of patient for study group (Hyperacidity & Hypertension) was done as per naturopathic diagnostic criteria (recommended by National Institute of Naturopathy, NIN Pune). Full case history was recorded as per specific history sheet of Traditional Medicine. Acquisition of image of tongue & face was taken before treatment by high-resolution digital camera in standard setting. Routine examination of blood, stool, urine was done to asses the general health condition. After 30 days treatment repeat image & laboratory examination was done, recorded and condition of patient was assessed. All the images, Normal & Diseased are sorted out first. Separate image gallery is made to view all the images for normal and diseased individuals to develop living interaction with the clinicians besides using this system as pre step of database generation. The images were transferred to the computer bases for the development of database and further processing of the data for image classification, enhancement and pattern recognition, and to compare it with the normal classified data. Facial image was segmented to extract the tongue region for further processing. Region growing technique was used for this purpose. Centre of the image was taken as the seed point and region was grown by including additional pixels based on color similarity and connectivity. Morphological operations were used for segment refinement. Result: Trial application of unknown image identification with the help of the programme developed by IIT, Kgp. and Clinical matching of image analyzed data was done. Software is developed with GUI integrating all the feature extraction modules to give the feature vector to be used for classification purpose. A support vector machine based classifier is developed and integrated with the above software for diagnosis purpose. Three different classes namely normal, high BP and acidity are considered. The diagnostic tool has been trained using and tested on the image database provided by IRIIM, Mourigram. An accuracy of around 83 % is achieved. Conclusion: Primary findings of data obtained, evaluation and trial application show Tongue features vary with clinico-pathological conditions. To establish further the potentiality of traditional tongue based diagnostic methodology through image analysis system and with a large database of tongue images, preparation of a suitable programme/software with specific tongue features will be helpful for clinicians for diagnosis at low-cost & non-invasive way. Also to strengthen tele medical science by using software with specific tongue features may be possible.
Research Studies Undertaken by IRIIM
Research Projects proposed for next three years by IRIIM
The Institute has a modest research laboratory. Besides this, the research section of the institute has some necessary modern equipment for the ongoing research along with computers and internet facilities. IRIIM Faculty has presented 139 scientific papers in different National & International seminars, conferences, workshops etc. For more than 25 years, IRIIM has been working on the Recognition of Acupuncture, Alternative & Traditional Systems of Medicine (ATSM) & its inclusion in health care delivery system in India and accordingly prepared & presented several scientific documents.
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