Unmada Chikitsa: Difference between revisions

|data6 = Tripathi J.S., [[Yogesh Deole|Deole Y. S.]]

|data8  = Baghel M.S., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

<p style="text-align:justify;">[[Unmada Chikitsa]] describes the management of ''unmada'' (insanity). The approach to the management of individual types of ''unmada'' have been elaborately described. The uniqueness of the chapter lies in the broad description of all three forms of therapies described in Ayurvedic System  i.e. ''yukti-vyapashraya'' (rational treatment) to ''daiva- vyapashraya'' ( spiritual therapy) and ''sattvavajaya chikitsa'' (psychotherapy) for the management. Apart from these three types, the fourth type of therapy, called ''upayabhipluta'' (consolation, mental support) ''chikitsa'', which incorporates a variety of non–pharmacological methods of treatment has also been described. ''Unmada'' is the only disease entity in the entire classical Ayurvedic literature, which requires such an extensive and broad spectrum of management principles, techniques, drugs, counseling, psychotherapy and therapeutic modalities, which are to be judiciously utilized by the clinicians based on their  specific indications and the state of the disease. <br/>

By the above causative factors, the [[dosha]] get vitiated in the person possessing low level of [[sattva]] guna (weak minded people) in turn vitiate [[hridaya]] ([[mind]]), which is seat of intellect. There from the channels carrying mental factors ([[manovaha srotas]]), quickly delude the mind of the person. [5]

*'''''[[Pitta]]'' dominance''': ''[[Snehana]], [[swedana]], rechana, [[raktamokshana]], samsarjana, shirovirechana, sheeta, madhura, laghu annapana''.

*'''''[[Kapha]]'' dominance''': ''Sneha, sweda, [[vamana]], rechana, shirovirechana, samsarjana, shirobasti, abhyanga, dhupana, anjana, dhuma, parisechana, pradeha, dhmapana.''

'''Medicines''': ''Shrigaladiyoga, lashunadighrita, katu taila, brahmyadi varti''.

#[[Dhairya]] (sustaining courage in adverse conditions)  

#[[Smruti]] (good memories)

#[[Samadhi]] (meditation and contemplation).

[[Manovaha srotas]] can be understood as the channels conducting various factors that regulate behavior. Vitiation of these [[srotas]] at different levels produce abnormal behavioral patterns thereby bringing about the psychological & behavioural symptoms of unmada vis-à-vis psychosis. A number of formulations, treatment modalities, procedures and therapeutic techniques have been described with predominance of lipid predominant dosage forms esp. ghritas & tailas, which seems to be so formulated as to exert maximum effect on neural tissue by increasing bio-availability of formulation by increased ability to cross blood –brain barrier. All the preventive measures mentioned by Acharyas are aimed at bestowing relaxation and mental balance, which are the basic prerequisites of a sound mind. It may be mentioned here that sharira shuddhi is needed before attaining manasika shuddhi.