{"id":4467,"date":"2023-11-15T14:32:17","date_gmt":"2023-11-15T09:02:17","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=4467"},"modified":"2024-09-05T15:50:29","modified_gmt":"2024-09-05T10:20:29","slug":"lecture-note-ayurvedic-management-of-psychiatric-disorders-part-2","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=4467","title":{"rendered":"Lecture Note: Ayurvedic Management of Psychiatric Disorders (Part-2)"},"content":{"rendered":"

Ayurvedic Management of Psychiatric Disorders
\n<\/strong>Part-2<\/span><\/span><\/h2>\n

Prof. Muralidhara Sharma<\/strong><\/p>\n

Transcript by<\/strong>
\nDr. Swati Sharma<\/span>
\n<\/strong>Senior resident, Dept of Kriya Sharir, IMS BHU
\nand Dr. Varsha More<\/strong><\/span><\/p>\n

based on the lecture available at-<\/strong>Ayurvedic Management of Psychiatric Disorders<\/strong><\/a><\/span><\/p>\n

Diagnostic and Statistical Manual of Mental disorders<\/strong><\/p>\n

\u00a0Earlier the classification of psychiatric disorders was quite simple. They were categorized into two categories. Neurosis and psycho. Neurosis is generally considered as minor illness where a person is aware that he has an illness, whereas psychosis is that conditions where the person doesn’t know that he has an illness but has the illness. And then we have the sub categories like anxiety disorder and so on.\u00a0 But the present-day method of diagnosis is depending upon the DSM model. The DSM is Diagnostic Statistical Manual of Mental Disorders, published by Americans Psychiatric Association and under this, the psychiatric conditions are grouped or categorized under these headings\u2019 neurodevelopmental disorders, Schizophrenia and so on. The whole detail is not an important issue, but we have to be aware that the method of the diagnosis of grouping these disorders are these categories.\u00a0 For the present regular clinical practice, it’s not necessary that we will be seeing all these varieties of the cases. But we will be seeing a majority of these conditions in the clinical practice and how we can plan and how you just deal with these issues in the clinical practice.<\/p>\n

Of course, the diagnosis or the standard protocol for diagnosing of psychiatric disorders is also given in ICD classification. But ICD coding classification in significantly different from DSM classification. So, when it comes to the question of legal issues, we will be having many confusing areas or grey areas whether it has the DSM to be followed or ICD. But popular in psychiatric disorders DSM is generally followed as such.<\/p>\n

Ayurvedic approach on the mental illness<\/strong><\/p>\n

Now coming to the Ayurvedic point of view, how the mental illness is assessed from Ayurvedic point of view. Ayurvedic approach on the mental illness is based upon the doshas. Rajas and Tamas are considered to be the doshas which are affect the mind or manas as we have Vata Pitta Kapha are related to the body. General rule for managing manas roga is a person is made to be aware.<\/p>\n

\u0935\u093e\u092f\u0941\u0903 \u092a\u093f\u0924\u094d\u0924\u0902 \u0915\u092b\u0936\u094d\u091a\u094b\u0915\u094d\u0924\u0903 \u0936\u093e\u0930\u0940\u0930\u094b \u0926\u094b\u0937\u0938\u0919\u094d\u0917\u094d\u0930\u0939\u0903|<\/strong><\/span>
\n\u092e\u093e\u0928\u0938\u0903 \u092a\u0941\u0928\u0930\u0941\u0926\u094d\u0926\u093f\u0937\u094d\u091f\u094b \u0930\u091c\u0936\u094d\u091a \u0924\u092e \u090f\u0935 \u091a||<\/span>
\nCh.Su 1\/ 57||<\/strong><\/p>\n

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\n\u092e\u093e\u0928\u0938\u094b \u091c\u094d\u091e\u093e\u0928\u0935\u093f\u091c\u094d\u091e\u093e\u0928\u0927\u0948\u0930\u094d\u092f\u0938\u094d\u092e\u0943\u0924\u093f\u0938\u092e\u093e\u0927\u093f\u092d\u093f\u0903||<\/span>
\nCh.Su1\/58<\/strong><\/p>\n

In case of mental illness Ayurveda does not mention about the pharmacological or drug intervention in general. Rather non- pharmacological treatment that the person is made aware of surroundings Gyana (knowledge has to be given) Dhairya (Consolation or counseling) or Samadhi (meditation) can be given. This should not be confused with Daiv-vyapasharya chikitsa. Daiv-vyapasharya chikitsa is a part of treatment for the sharir vyadhi. There is a confusion that Daiv-vyapasharya chikitsa (practicing devotion worship and similar other practices) they are considered as a sort of psychiatric treatment generally. But Ayurveda doesn\u2019t accept that as a psychiatric treatment but the basic issue of psychiatric treatment is about counselling, where you are making two approaches philosophical approach as well as personal approach. In general what we have to do for having a healthy mind is \u201cveganam aavidharnam\u2026\u2026\u201d Su. Chi. 28.\u00a0\u00a0 i.e. the vega dharana or voluntary controlling certain reflexes has to be avoided for both healthy mind and body.<\/p>\n

\u0906\u092f\u0941\u0937\u094d\u092f\u0902 \u092d\u094b\u091c\u0928\u0902 \u091c\u0940\u0930\u094d\u0923\u0947 \u0935\u0947\u0917\u093e\u0928\u093e\u0902 \u091a\u093e\u0935\u093f\u0927\u093e\u0930\u0923\u092e\u094d |<\/strong><\/span>
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\nSu Chi 28\/28<\/strong><\/p>\n

The food should be of good quality. There is a direct relationship between the food and mind. Rajas and Tamas are for classification of Ahara. So, if you take Rajas and Tamas Ahara, it will directly affect your mind. So mental health is directly related to the food and is also related to lifestyle where Vega Vidharana also have impact upon the mind.Brahamcharya is perceiving the knowledge. Ahimsa is not hurting others. Sahasanaam cha vardhanam\u2026\u2026.never go beyond your capacity. These are the basic essential to maintain the mental health asset.<\/p>\n

The mental causes of mental disorders as mentioned in Charak is<\/p>\n

\u092d\u092f\u0936\u094b\u0915\u0915\u094d\u0930\u094b\u0927\u0932\u094b\u092d\u092e\u094b\u0939\u092e\u093e\u0928\u0947\u0930\u094d\u0937\u094d\u092f\u093e\u092e\u093f\u0925\u094d\u092f\u093e\u0926\u0930\u094d\u0936\u0928\u093e\u0926\u093f\u0930\u094d\u092e\u093e\u0928\u0938\u094b \u092e\u093f\u0925\u094d\u092f\u093e\u092f\u094b\u0917\u0903||<\/strong><\/span>
\nCh . Su 11\/39<\/strong><\/p>\n

\u0905\u092d\u093f\u0926\u094d\u0930\u094b\u0939\u093e\u0928\u0943\u0924\u0935\u091a\u0928\u092e\u094d, \u0905\u0928\u0943\u0924\u0935\u091a\u0928\u093e\u0924\u094d \u0915\u093e\u092e\u0915\u094d\u0930\u094b\u0927\u092e\u093e\u0928\u0926\u094d\u0935\u0947\u0937\u092a\u093e\u0930\u0941\u0937\u094d\u092f\u093e\u092d\u093f\u0918\u093e\u0924\u092d\u092f\u0924\u093e\u092a\u0936\u094b\u0915\u091a\u093f\u0928\u094d\u0924\u094b\u0926\u094d\u0935\u0947\u0917\u093e\u0926\u092f\u0903 \u092a\u094d\u0930\u0935\u0943\u0924\u094d\u0924\u093e\u0903|<\/strong><\/span>
\nCha Vi. 3\/24<\/strong><\/p>\n

\u201cBhayashokalobhmaanmohairshaya\u2026\u2026\u2026\u2026\u2026 Different sorts of strong emotions are the causes of Manas roga and they are the mithya yoga for the manas. Or it could be Abhidhroha anritvachanam\u2026\u2026\u2026\u2026..it may be just harming others or lying.\u00a0 These also are the causes of mansik vyadhi like chintna udvega aadi pravrittah\u2026\u2026.<\/p>\n

Somatization of psychiatric illness or otherwise?<\/strong><\/p>\n

\u00a0Now there is another controversial issue. In the present day condition, very popular word in use is psychosomatic disorders. So in general there is one view or very popular view that a psychiatric disorder in a due course of time becomes somatic and it then leads to a physical illness. In other way, physical illness leads to psychiatric illness is not established fact in contemporary medicine system. Though, it\u2019s although know that any patient having a physical illness would have some impact on mind and majority of the prescriptions which we see in clinical practice would have either anxiolytic or anti-depressant or a sedative as the prescription. And that becomes one of the issues in the clinical issue in the practical clinical conditions that we deal with. Whereas from Ayurvedic point of view, the basic idea in majority of the conditions, what Charak says is \u201cShariro jayatepurvam dehe\u2026\u2026\u2026.\u201d<\/p>\n

\u0936\u093e\u0930\u0940\u0930\u094b \u091c\u093e\u092f\u0924\u0947 \u092a\u0942\u0930\u094d\u0935\u0902 \u0926\u0947\u0939\u0947, \u092e\u0928\u0938\u093f \u092e\u093e\u0928\u0938\u0903|
\n<\/strong>\u0935\u0948\u091a\u093f\u0924\u094d\u0924\u094d\u092f\u092e\u0930\u0924\u093f\u0930\u094d\u0917\u094d\u0932\u093e\u0928\u093f\u0930\u094d\u092e\u0928\u0938\u0938\u094d\u0924\u093e\u092a\u0932\u0915\u094d\u0937\u0923\u092e\u094d||
\n<\/strong><\/span>\u0907\u0928\u094d\u0926\u094d\u0930\u093f\u092f\u093e\u0923\u093e\u0902 \u091a \u0935\u0948\u0915\u0943\u0924\u094d\u092f\u0902 \u091c\u094d\u091e\u0947\u092f\u0902 \u0938\u0928\u094d\u0924\u093e\u092a\u0932\u0915\u094d\u0937\u0923\u092e\u094d|<\/span>
\nCh.chi 3\/36,37<\/strong><\/p>\n

\u00a0So initially it is Sharir vyadhi and then later it may become Manasik vyadhi. i.e. the somatic illness can result in a Mansik illness. Or a physical illness can also be presented as psychiatric symptoms like in case of the Jwara.<\/p>\n

\u090b\u0924\u094d\u0935\u0939\u094b\u0930\u093e\u0924\u094d\u0930\u0926\u094b\u0937\u093e\u0923\u093e\u0902\u00a0 \u092e\u0928\u0938\u0936\u094d\u091a \u092c\u0932\u093e\u092c\u0932\u093e\u0924\u094d|<\/strong><\/span>
\n\u0915\u093e\u0932\u092e\u0930\u094d\u0925\u0935\u0936\u093e\u091a\u094d\u091a\u0948\u0935 \u091c\u094d\u0935\u0930\u0938\u094d\u0924\u0902 \u0924\u0902 \u092a\u094d\u0930\u092a\u0926\u094d\u092f\u0924\u0947||<\/strong><\/span>
\nCh. Chi 3\/75<\/p>\n

The jwara could be present due to Manasashchabalaabalat\u2026\u2026.. A weakness of mind can result in jwara in due course of time. There are examples present in the texts which are closely related between the mind and the body.<\/p>\n

Somatization<\/strong><\/p>\n

\u0905\u0924\u0940\u0935 \u091a\u093f\u0928\u094d\u0924\u0928\u093e\u091a\u094d\u091a\u0948\u0935 \u0936\u094b\u0915\u093e\u0924\u094d\u0915\u094d\u0930\u094b\u0927\u093e\u0926\u094d\u092d\u092f\u093e\u0924\u094d\u0924\u0925\u093e||<\/strong><\/span>
\nCh. Chi 30\/181<\/p>\n

Dhatukshaya could take place due to aberrations of mental activities like aativ chintanat chaaevshokkrodha bhayastatha\u2026\u2026\u2026like too much of worrying, anger, shock etc are certain conditions. A healthy body is dependent on healthy thoughts and attitude along with other physical activity.<\/p>\n

Cause of Ama production<\/strong><\/p>\n

\u0928 \u091a \u0916\u0932\u0941 \u0915\u0947\u0935\u0932\u092e\u0924\u093f\u092e\u093e\u0924\u094d\u0930\u092e\u0947\u0935\u093e\u0939\u093e\u0930\u0930\u093e\u0936\u093f\u092e\u093e\u092e\u092a\u094d\u0930\u0926\u094b\u0937\u0915\u0930\u092e\u093f\u091a\u094d\u091b\u0928\u094d\u0924\u093f \u0905\u092a\u093f \u0924\u0941 \u0916\u0932\u0941 \u0917\u0941\u0930\u0941\u0930\u0942\u0915\u094d\u0937\u0936\u0940\u0924\u0936\u0941\u0937\u094d\u0915\u0926\u094d\u0935\u093f\u0937\u094d\u091f\u0935\u093f\u0937\u094d\u091f\u092e\u094d\u092d\u093f\u0935\u093f\u0926\u093e\u0939\u094d\u092f\u0936\u0941\u091a\u093f\u0935\u093f\u0930\u0941\u0926\u094d\u0927\u093e\u0928\u093e\u092e\u0915\u093e\u0932\u0947\u091a\u093e\u0928\u094d\u0928\u092a\u093e\u0928\u093e\u0928\u093e\u092e\u0941\u092a\u0938\u0947\u0935\u0928\u0902, \u0915\u093e\u092e\u0915\u094d\u0930\u094b\u0927\u0932\u094b\u092d\u092e\u094b\u0939\u0947\u0930\u094d\u0937\u094d\u092f\u093e\u0939\u094d\u0930\u0940\u0936\u094b\u0915\u092e\u093e\u0928\u094b\u0926\u094d\u0935\u0947\u0917\u092d\u092f\u094b\u092a\u0924\u092a\u094d\u0924\u092e\u0928\u0938\u093e \u0935\u093e \u092f\u0926\u0928\u094d\u0928\u092a\u093e\u0928\u092e\u0941\u092a\u092f\u0941\u091c\u094d\u092f\u0924\u0947, \u0924\u0926\u092a\u094d\u092f\u093e\u092e\u092e\u0947\u0935 \u092a\u094d\u0930\u0926\u0942\u0937\u092f\u0924\u093f||<\/strong><\/span>
\nCh. Vi 2\/8<\/p>\n

Like \u2026.kamakrodha\u2026\u2026\u2026..during food intake can leads to Aama awastha. So the healthy thoughts are considered to be the primary for health asset.<\/p>\n

Secret of health<\/strong><\/p>\n

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\nCh. Su.7\/53,54<\/p>\n

\u201cPragyaapradha\u201d that is considered to be the most important cause of all the diseases is directly related to mind. And hence to maintain a proper health the clue given in Ayurveda is tyaga pragyaapradah\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026. i.e. the pragyapradha has to be avoided and you need to regulate sensory organs of the body and control them (indiriyaupshama) ,you have to keep in mind about the whole social conditions (smriti) and be aware of the atma kala desh and sadvritasyaanuvartanam. That is about the basic secret of health. So health is dependent on the status of mind. The relevance of mind is very much highlighted and at times given more importance than body to have a health asset. A strong healthy person should have a strong healthy mind along with strong healthy body.<\/p>\n

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Cha Sha 5\/12<\/p>\n

Ability to tolerate all these variation in the surroundings like excess of thirst, hunger etc are related with healthy body. Also healthy mind is the way for attaining salvation. That\u2019s about the theory portion of health and mind in Ayurveda.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ayurvedic Management of Psychiatric Disorders Part-2 Prof. Muralidhara Sharma Transcript by Dr. Swati Sharma Senior resident, Dept of Kriya Sharir, IMS BHU and Dr. Varsha More based on the lecture available at-Ayurvedic Management of Psychiatric Disorders Diagnostic and Statistical Manual of Mental disorders \u00a0Earlier the classification of psychiatric disorders was quite simple. They were categorized […]<\/p>\n","protected":false},"author":336,"featured_media":4468,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[740,34,70,55],"tags":[],"class_list":["post-4467","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dr-swati-sharma","category-kaya-chikitsa","category-prof-muralidhara-sharma","category-text"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t