| VASTU
AND HOSPITAL COMPLEXES |
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| Over the
last few years, we have seen the gradual rise and awareness in the subject of Vastu not
only in India but also in other parts of the globe. Let us see how the great science of
Vastu helps in alleviating people's sufferings by adapting the principles of Vastu to the
construction of a hospital complex. |
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| Surgery
in Ancient India |
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| In
ancient India, medicine had acquired the highest degree of proficiency. Indian medicine
(Ayurveda) dealt with the subject in totality, as a whole. It described the structure of
the body, its organs, its ligaments, muscles, vessels and tissues. Their materia medica
contained resourceful processes of preparation with detailed instructions for the
management and categorization of medicines. A great deal of attention was devoted to
cleanliness and sanitation, diet and regimen of the body. |
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| The
main distinction of modern allopathic medicine is surgery. Ancient Hindus excelled in
surgery too. The ancient medical men beginning from the great Dhanawantri (whose
prescriptions were said to be infallible). Sushruta, Charaka and others down the line were
bold and skilful in their surgery. They conducted amputations, arrested bleedings by
pressure, bandage or boiling oil, performed operations in the abdomen and uterus, curved
harnia, fistula and piles, set broken bones and dislocations and could deftly remove
foreign substances from the body. The great surgeon Sushruta is said to have advised
dissection of dead bodies to a student of surgery and stressed the importance of knowledge
gained from experiment and observation. |
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| The
ancient medical men of India were the first to establish hospitals and for the centuries,
they were the only ones to maintain them. Speaking about a hospital in Pataliputra (of
King Chandragupta II), a Chinese traveler Fa Hein tells us that all poor and helpless
patients that came there were taken excellent care of. Food and medicine were provided
according to their needs and a doctor was in constant attendance. |
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| Modern Hospital |
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| Coming
down to the modern age, why is a hospital needed? A hospital is needed to provide health
care to the people, both preventive and curative. As it provides a very essential service,
the hospital and its staff have to efficiently and consciously work to prevent disease,
restore health and alleviate the malady. |
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The
hospital is a organization that has to function as a group of teams. The teams can be
broadly classified as :
1). Patient care team consisting of doctors, nurses, pharmacists, medico-social workers
and dieticians,
2). Investigative team consisting of lab technicians, radiology technicians, nurses,
pathologists, micro-biologists,
bio-chemists and radiologists and
3). Supportive team consisting of maintenance and house-keeping staff, transport staff,
aides and helpers. |
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| Basically,
each hospital has two departments --- one for outpatients and the other, for inpatients.
The outpatient department is defined as a regular part of the hospital with scheduled part
of working with medical and other staff to provide care for patients who are not
registered as inpatients. |
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| The
outpatients services can be preventive. Promotive, curative, follow-up and rehabilitative.
The OPD also includes family welfare services, health, medical, para-medical and nursing
services. |
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| The
inpatient department is defined as another part of the hospital, which allows the patients
to stay in the hospital, which allows the patients to stay in the hospital for days
together with medical and other staff providing total care for the patients. |
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| The
operation theatres, major and minor, are important segments of a hospital. These have to
be segregated from other departments. It is necessary to understand the concept of
protective, dirt-free, aseptic and disposal zones. |
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| Other
blocks consist of premature units (neo-natals and nursing new-borns) and pharmacy (for
medicine providing). Apart from these, a hospital needs to have laboratories, which
consist of clinical pathology, micro-biology, bio-chemistry, hematology and
histo-pathology sections. Here, provision for waiting rooms and toilets have to be made.
They also need radiology (X-ray rooms etc.) departments. Of course, due provision for a
central Sterile Supply Department (CSSD), casualty, power stations (generator rooms),
kitchen/canteen,stores, laundry, workshops, garages, mortuary, residential campus and
community center can be made. |
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| Application of Vastu |
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| The
planning begins with locating a proper site. The basic considerations, of course, will be
to select the site near main roads. This way, the accessibility to the hospital will be
good. North-east sites are ideal for hospitals. But if corner sites are not available East
and North-facing sites are recommended. Many a time, there are also not available and you
may be forced to go in for a West or South facing site. A West-facing site may be
preferred to South-facing one. Do not despair if you get a South-facing site. Vastu can be
applied judiciously to get the sites the needed balance. Proper orientation to the
cardinal directions is definitely recommended. A site that has all sites equal, would be
ideal. In a square, all the primary elements of nature --- udaka (water), gagana (space),
pavana(air), dahana(agni) and prithvi (earth) are well balanced. If a rectangular site is
selected, a length not more than twice the breadth may be chosen. |
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| Once
the site is selected, the planning of the structure begins. Allow a minimum of one-ninth
of the site free on all four sites. This can be used for movement of traffic, trolleys and
stretchers. This one-ninth relates to the Paisacha or non-habitable zone of the site. |
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| Let
us begin the assumption that the hospital has ground plus three floors with a basement. |
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Manasara
has spoken of different heights for different breadths. Different heights called variously
as Santika (height=width), Paushtika (height = 1 1/4 times the width), Jayada (height = 1
1/2 times the width), Sarvakamika or Dhanada (height = 1 3/4 times the breadth) and
Adbhuta (height = twice the breadth) are described. Different breadth measurements in
terms of Hasta (cubits) are given based on which we can design a building.
The basement can be for car and other vehicle parking. |
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| The
ground floor (Fig. 1) can consist of the chairman's room, pharmacy, reception, the
casualty (or emergency) department and the minor operation theatre, the ECG, audiometry,
X-ray and physiotherapy rooms, the consultation rooms, the laundry, the kitchen/canteen,
the clinical lab, the ultrasound room, the generator and plant room, the laundry, toilets
and, of course, the staircase and elevators (lifts). |
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| Figure
1 |
The chairman's and other director's offices, the clinical lab and ultrasound can be in the
nairutya (South - west), dakshina (South) and Pashchima (West) sectors. Canteens,
kitchens, generator and plant rooms can be in the agneya (South - east) sector. The
elevators/staircases, laundry and toilets can be in the vayuvya (North - west)
sector of the structure. The central from the North to South and East to West
corresponding to 1/9th of the length (or width) can be kept open for fast and free
movement of stretchers, wheel chairs, trolleys, doctors and patients. |
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| As the
casualty and the minor operation theatres are immediate necessities, these can be in the
easanya (North - east) of the building for entry into them with ease. |
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| Coming into the
first floor (Fig. 2), the hospital can house the operation theatres (both major and
minor), the intensive care unit, the post - operative ward and recovery room, the central
Sterile Supplies Department (CSSD), the operation theatre store, changing rooms/toilets
for men and women, washing/scrubbing area, the endoscopy and the minor OPD procedures. |
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| The intensive care
units can be in the South - west and the South sectors, the CSSD and the changing rooms
can be in the East and South - sectors. The major/minor operation theatres and the post -
operative and recovery rooms can be in the North and North-east sectors, the endoscopy
room and the minor OPD procedures, the men/women changing rooms and toilets can be in the
West, North and North-west sectors. The scrubbing and washing areas, the pantry and linen
cupboards and the CSSD can be in the South and South - east sectors. |
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| Figure
2 |
In the second floor (Fig. 3), the hospital can house the patient's single and double wards
and the nurse's dormitories. The chairman's room and the double wards can be in the
South, West and South - west sectors, the single wards can be in the North - east, the
nurses' dormitories in the North, canteens and kitchens in the South-east, and toilets and
laundry in the North - west sector. |
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| Figure
3 |
The third floor can have the conference rooms having close circuit TV network for watching
live operations in the North, East and North - east sectors and the incinerators used for
disposing of waste and infected material can be in the South - west sector. The male and
the female toilets can be in the North - west sector and the South - west and the South
sectors can be strengthened with a rock garden such that it slopes to the North/East. |
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| Figure
4 |
Importance of Sleeping Positions |
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| The
patients cots can be placed such that their heads are to the South. This way, the magnetic
energies coming from the various sides and the polarity induced in the body vibe with each
other to maintain a balanced blood circulation in the body, thereby strengthening the
healing and curative properties of the body. |
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| Our
ancients have found out scientifically that sleeping with the heads towards the South will
enable one to go with nature and draw the maximum positive energies from the cosmos to
keep one fit and healthy. That they were past masters in known and unknown physical and
other sciences is clearly understood by the fact that the sleeping direction is correlated
with the physical science of magnetism and electricity. The great sage Garga is said have
said that one should lie with his head placed southward if he wanted to live long. Sage
Markandeya says that one is strong and lives long by placing one's head to the South. |
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| When the
eastern part of the earth is heated, its western part remains cold. Consequently, the
thermal electricity generated by the sun travels over the surface of the earth from East
to West. The earth thereby becomes magnetized and its geographical North Pole, which is to
the right hand side of the direction of the current, becomes the magnetic North Pole and
its geographical South Pole being on the left - hand side of the same current becomes the
magnetic South Pole. |
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| The
earth is a magnet and this is evident by placing a compass needle that invariably points
to the North and South Poles. It has also been proved by experiments that the human body
is a magnetiseable object and that it contains a large percentage of iron in the
blood that circulates all through the body. As our feet are always in touch with the
Northern Hemisphere of the earth, which exhibits the properties of north polarity, south
polarity is induced in out feet and consequently north polarity is induced in the head. |
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| The body
will have stable health if the head is placed to the south, thereby preserving the natural
polarity of the body. On the otherhand, when the head is placed to the north, there is
repulsion between the two like poles of the body and the earth, blood circulation is
affected and disease sets in. |
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| Our
ancients who were men of great scientific and spiritual wisdom, have handled over
treasures down the period. As intelligent people, we just need to make use of these gems
and pearls that have come down to us on a platter and use it with grace and dignity for
betterment of mankind at large. |
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