The Triumph of Modern Science

We live in the golden age of medical science. In just a single century, we have rewritten the destiny of our species.

We have turned deadly infections into manageable troubles with the help of antibiotics. We have mapped the human genome, peered inside the living brain with MRI scans, and developed surgical interventions, ranging from from organ transplants to robotic microsurgery. These would have seemed like magic to our ancestors.

We have successfully doubled the average life expectancy. We have mastered the art of acute care. If you have a trauma, a severe infection, or a surgical emergency, there is no better time in history to be alive than right now.

The Modern Paradox: Comfort Without Contentment

Yet, as we stand on top of this mountain of achievement, we face an uncomfortable paradox: We have conquered many diseases, but we have lost our health.

Industrialization promised to liberate us. Washing machines, automobiles, and computers were designed to handle our physical labour, thus leaving us free to enjoy life. But there were hidden trade-offs.

• Physical trade-off: By outsourcing physical exertion to machines, we kicked movement out of our lives. We have become biologically stagnant. Our bodies, naturally designed for movement, are now trapped in chairs and cars.
• Mental trade-off: While our bodies became sedentary, our minds went into overdrive. The technology that saved us time made us addicted to technology the entire time by misusing algorithms. We are now “always on,” hooked to notifications, email, and a 24-hour news cycle.

The Result:

1. We exchanged physical fatigue (which promotes sleep) for mental exhaustion (which destroys sleep).
2. We exchanged the dangers of the jungle for the long-term, low-grade stress of the modern concrete jungle.

Why Are We So Stressed?

If life is easier now, why is anxiety at an all-time high?

The answer lies in the mismatch between our biology and our environment. Our “fight or flight” system was designed for occasional, life-threatening bursts of adrenaline… like running from a predator, such as a tiger or a bear. Today, that same system is triggered hundreds of times a day by traffic jams, deadlines, and social media likes.

We are swimming in a toxic cocktail of cortisol and adrenaline, not because we are in danger, but because we are over-stimulated.

Modern medicine is brilliant at treating the consequence of this lifestyle, by giving us calcium-channel-blockers for hypertension, statins for cholesterol, and anxiolytics for stress. But it does not address the root cause: the loss of our internal rhythm.

We have excellent “Sickness Care,” but we are struggling with true “Health Care.”

Looking Back to Move Forward

To solve a problem that modern life created, we perhaps need to look at a manual written before modern life existed. This is not about rejecting science; it is about integrating it with the timeless wisdom of ancient Indian tradition.

The ancient seers (Rishis) did not have MRIs, but they had a profound understanding of the “inner instrument” (antahkarana). They understood that health is not just the absence of disease; it is the harmonious balance of mind, body, and spirit.

They recognized that the external world will always be chaotic. Therefore, the only way to find health is to cultivate an internal stability that the world cannot disturb.

The Ancient Tools: Satva, Rajas, and Tamas

How do we diagnose the “spirit” in a way that relates to our physical health? The ancient texts offer us a powerful framework: the Trigunas (the three fundamental qualities of nature).

When we apply these to modern clinical reality, the picture becomes very clear:

1. Tamas (Inertia, Darkness, Stagnation)

• The Ancient View: The force of heaviness and resistance.
• The Modern Reality: This explains our sedentary and tired bodies. Metabolic syndrome, obesity, lethargy, and “brain fog” are all manifestations of high tamas nature.

2. Rajas (Activity, Turbulence, Passion)

• The Ancient View: The force of movement and desire.
• The Modern Reality: This explains our modern minds. Anxiety, “hustle culture,” insomnia, and sympathetic nervous system overdrive are classic signs of the unchecked rajas nature.

3. Satva (Balance, Clarity, Light)

• The Ancient View: The state of harmony and knowledge.
• The Modern Reality: This is homeostasis. It is the state where our body functions optimally including immunity, hormones are balanced, and the mind is calm yet alert.

The Prescription

Here is the diagnosis of the modern human condition:

We are living in a dangerous combination of Physical Tamas (sedentary bodies) and Mental Rajas (anxious minds).

The result is a total collapse of Satva… the state of healing.

In this new series, Medicine & Meaning, we will strip away the complexity of these concepts. We will explore how moving from Tamas and Rajas toward Satva is not just a spiritual goal. It is a medical necessity for lowering inflammation, regulating hormones, and reclaiming the quality of life we have traded away.

Welcome to the journey where modern medicine meets ancient wisdom.

Shashikiran Umakanth

Dr. Shashikiran Umakanth (MBBS, MD, FRCP Edin.) is the Professor & Head of Internal Medicine at Dr. TMA Pai Hospital, Udupi, under the Manipal Academy of Higher Education (MAHE). While he has contributed to nearly 100 scientific publications in the academic world, he writes on MEDiscuss out of a passion to simplify complex medical science for public awareness.