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→(Chikitsa Sthana Chapter 10, Chapter on the Management of Apasmara)
==([[Chikitsa Sthana]] Chapter 10, Chapter on the Management of Apasmara) ==
==([[Chikitsa Sthana]] Chapter 10, Chapter on the Management of Apasmara) ==
Abstract
=== Abstract ===
The tenth chapter deals with specific features of types of apasmara and its management. In continuation with the earlier explanation about causative factors, pathophysiology and clinical features described in Apasmara Nidana chapter in nidana section, further precise definition of apasmara is described in this chapter.
The tenth chapter deals with specific features of types of apasmara and its management. In continuation with the earlier explanation about causative factors, pathophysiology and clinical features described in Apasmara Nidana chapter in nidana section, further precise definition of apasmara is described in this chapter.
Specific features of dominance of vata, pitta and kapha doshas are explained and involvement of exogenous factors is mentioned. Management of apasmara depending on the predominance of doshas, influence of agantu (exogenous) factors are explained. Special preparations like panchagavya ghrita, mahapanchagavya ghrita, jeevaneeya ghrita, various preparations for nasal administrations etc are given.
Specific features of dominance of vata, pitta and kapha doshas are explained and involvement of exogenous factors is mentioned. Management of apasmara depending on the predominance of doshas, influence of agantu (exogenous) factors are explained. Special preparations like panchagavya ghrita, mahapanchagavya ghrita, jeevaneeya ghrita, various preparations for nasal administrations etc are given.
Etiological factors, pathogenesis, features and management of an important disease called atattwabhinivesha (a disease of perversion of intellect) are narrated. Importance of rasayana (rejuvenation) and protection of patient of unmada and apasmara are also emphasised.
Etiological factors, pathogenesis, features and management of an important disease called atattwabhinivesha (a disease of perversion of intellect) are narrated. Importance of rasayana (rejuvenation) and protection of patient of unmada and apasmara are also emphasised.
Introduction
'''Keywords''': Apasmara, memory, consciousness, epilepsy, atattwabhinivesha, unmada.
=== Introduction ===
All psychiatric and psycho-somatic diseases find their roots in the two chapters of unmada and apasmara. These diseases are caused by similar etiological factors and both manifest as manasika vikara (psychiatric diseases). Therefore these two chapters are placed in succession. Mana [mind], buddhi [intellect], and smruti [memory] are integral parts combined with aatma [self] in understanding Ayurvedic psychiatry. The series of pathological events that take place to occlude consciousness in heart and loss of memory is distinctive feature of apasmara. As mentioned earlier in Apasmara Nidana, first the aggravation of doshas at somatic level occurs by improper and impure/foul food and excess affliction of negative emotions like worries, passion, fright, anger, grief etc at psychic level. The disease precipitates in the form of paroxysmal attack, then the negative psychological emotions occlude the consciousness at heart and thereafter leading to loss of memory.
All psychiatric and psycho-somatic diseases find their roots in the two chapters of unmada and apasmara. These diseases are caused by similar etiological factors and both manifest as manasika vikara (psychiatric diseases). Therefore these two chapters are placed in succession. Mana [mind], buddhi [intellect], and smruti [memory] are integral parts combined with aatma [self] in understanding Ayurvedic psychiatry. The series of pathological events that take place to occlude consciousness in heart and loss of memory is distinctive feature of apasmara. As mentioned earlier in Apasmara Nidana, first the aggravation of doshas at somatic level occurs by improper and impure/foul food and excess affliction of negative emotions like worries, passion, fright, anger, grief etc at psychic level. The disease precipitates in the form of paroxysmal attack, then the negative psychological emotions occlude the consciousness at heart and thereafter leading to loss of memory.
There is always a possibility of food contamination as a causative factor for epilepsy. Case of endrin-laced taquitos causing seizures in the US is an example of food contamination causing epileptic seizures. In the same way balance between sattva, rajas and tamas is important by avoiding the stressors that precipitate the apasmara attack. Various animal products like ghee processed with medicinal herbs are utilized for medicine preparation.
There is always a possibility of food contamination as a causative factor for epilepsy. Case of endrin-laced taquitos causing seizures in the US is an example of food contamination causing epileptic seizures. In the same way balance between sattva, rajas and tamas is important by avoiding the stressors that precipitate the apasmara attack. Various animal products like ghee processed with medicinal herbs are utilized for medicine preparation.