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Thus, ends the tenth Chapter dealing with the treatment of ''apasmara'' in the section on therapeutics of Agnivesha's work as redacted by Charaka, and not being available, restored by Dridhabala. [69]
Thus, ends the tenth Chapter dealing with the treatment of ''apasmara'' in the section on therapeutics of Agnivesha's work as redacted by Charaka, and not being available, restored by Dridhabala. [69]
=== Tattva Vimarsha ===
=== ''Tattva Vimarsha'' ===
#''Apasmara'' is a disease in which faculties of mind like memory/consciousness, intellect and purest quality of mind are afflicted.
#Diet plays significant role in pathophysiology of psychiatric diseases.
#Improper and impure diet is considered to affect mental functions adversely leading to formation of background for disease. The dietary causative factors may act on gut-brain axis to affect the neuro-pathology in case of psychiatric diseases like ''apasmara''.
#When this afflicted person is confronted with distressful adverse situation including negative emotions like worries, passion, fright, anger, grief, anxieties, he suffers from ''apasmara''.
#The pathophysiology clearly indicates role of somatic imbalances and psychic disturbances as sequential events. The inter-communication between physical entities and psychological entities is very important for continuation of health. Consciousness flows through this co-ordination to make a person alive. Therefore, when this co-ordination is disturbed, it presents as disturbance of psychological faculties. The pathology of ''apasmara'' starts with vitiated ''dosha'' and ends into bewildered state of mind.
#Heart (center of consciousness and emotional intelligence) and brain (center of memory and logical intelligence) together form ''manovaha srotas'' (functional system of mind). The co-ordination of these two centers is important for normal functioning of mind. If this is afflicted, it leads to psychiatric diseases.
#Removal of obstruction of ''dosha'' in the heart-brain connection, channels and mind by strong purification therapies is management principle of ''apasmara''.
#''Basti'' (therapeutic enema) in ''vata'' dominant ''apasmara, virechana'' (therapeutic purgation) in ''pitta'' dominant ''apasmara'' and ''vamana'' (therapeutic emesis) in ''kapha'' dominant ''apasmara'' are specific therapies.
#''Ashwasana'' (assurance therapy) and psychological counseling are advised to remove psychological stressors that provoke ''apasmara vega''(episode).
=== Vidhi Vimarsha ===
=== Vidhi Vimarsha ===