ROLE OF PANCHAKARMA IN MENTAL HEALTH.pptx

role of panchakarma in mental health

1. ROLE OF PANCHAKARMA IN MENTAL HEALTH Dr Sreelakshmy Changath Assistant Professor Dept. of Kayachikitsa MIAMS

2. Mental Health is Vital for the growth and productivity of every society and for a healthy and happy life. Mental health issues has become a major challenge for global development. Acc. To WHO:- “Mental Health is a state of well-being in which the individual realizes his or her own abilities”, can cope up with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his/ her community.”

3. Stigma and discrimination  Silent suffering

4. Mental Health in Ayurveda Concept of Mana Due to its varied functionality Mana in ancient Vedic literature has different names line Mana , Chitta , Ubhayindriya , Anthakaran , Satav . Mana and Bhuddhi (Intelligence) Mana is regulator of; Dhee -Concentration. Dhriti -Retention Smiriti - Recollection memory These are basic requirements of Learned memory, rational thinking and new ideas: Foundation of functioning of mana is systematic recollection of sequences of events of learned memory for purposeful actions.

5. “ Prasannamanah ”- One of the keys to good health समदोषः [ १ ] समाग्निश्च समधातुमलक्रियः | प्रसन्नात्मेन्द्रियमनाः स्वस्थ इत्यभिधीयते || ( Su.Su . 15/41)

6. The Mental health and ill health शरीरं सत्त्वसञ्ज्ञं च व्याधीनामाश्रयो मतः| ( Ch.Su.1/55 ) अत्र च परस्परशब्देन शारीराणां शारीरेण, मानसानां मानसेन, शारीराणां मानसेन, मानसानां शारीरेण चानुबन्धो ज्ञेयः || ( Chakrapani on Ch. Vi 6/8)

7. Concept of Manasa Roga Ayurveda highlights Mano-roga patients have three disease factors; Alpasattva - Inadequate mental development leading to proneness. Malapradhushta - Precipitating etiology. Buddhiniwas hridya pradushti - Disturbed intelligence and psyche.

8. Primary psychological disorders Mixed Psychiatric disorders Kama (Lust) Unmada (psychosis) Krodha (Anger) Apasmara (convulsive diseases) Lobha (Greed) Atattvabhinivesa (Obsession) Moha (Delusion) Klama ( Neuresthenia ) Irsya (Jealousy) Apatantraka (Hysteria) Mana (Pride) Bhrama (vertigo) Mada (Euphoria) Tandra (Drowsiness) Shoka (sorrow, grief) Mada-Murccha-sanyasa (Comas) cinta (Anxiety) Madatyaya (Alcoholism) Udvega (Neurosis) Bhaya (fear), Harsa (Happiness).

9. Panchakarma -Unique treatment modality of Ayurveda Chikitsa Daivavyapashraya Yuktivyapashraya Sattvavajaya PANCHAKARMA

10. Panchakarma for Manasa swastya (Mental health) Abhyanga , Shiroabhyanga , Nasya , Dhoomapana , Matrabasti etc. comes under Panchakarma and can be done daily for Manasa swasthya Rakshanartha . अभ्यङ्गमाचरेन्नित्यं, स जराश्रमवातहा| दृष्टिप्रसादपुष्ट्यायुःस्वप्नसुत्वक्त्वदार्ढ्यकृत्|| IIA.Hr Su2/8 II इन्द्रियाणि प्रसीदन्ति सुत्वग्भवति चाननम् | निद्रालाभः सुखं च स्यान्मूर्ध्नि तैलनिषेवणात्|| II Ch.Su5/83II सर्वेन्द्रियाणां वैमल्यं बलं भवति चाधिकम्| न चास्य रोगाः सहसा प्रभवन्त्यूर्ध्वजत्रुजाः|| IICh . Su 5/62II धूमपानात् प्रशाम्यन्ति बलं भवति चाधिकम्|| शिरोरुहकपालानामिन्द्रियाणां स्वरस्य च| II Ch. Su 5/31II

11. Panchakarma For Mental illness . …. “ इन्द्रियाणि मनोबुद्धिर्वर्णश्चास्य प्रसीदति| ” IICh.Su16/18II Unmada is a major psychiatric disorder among all psychiatric illnesses described in Ayurveda . Benefits of Panchakarma treatments have been explained by Charakacharya in Unmada chikitsa . …..“ हृदिन्द्रियशिरःकोष्ठे संशुद्धे वमनादिभिः| मनःप्रसादमाप्नोति स्मृतिं सञ्ज्ञां च विन्दति|| ” IICh.Chi 9/ 28II

12. Basti Karma for Mental illness तैलं ददात्याशु मनःप्रसादं वीर्यं बलं वर्णमथाग्निपुष्टिम् || IICh.Si 1/30.II Vata dosha restrains and impels the mental activities.( नियन्ता प्रणेता च मनसः, ) and Basti Chikitsa is the main treatment for Vata Dosha ( बस्तिर्वातहराणां ).

13. Action of Basti through ENS Basti acting over the receptors of ENS stimulate CNS causing secretion of required hormones or other chemicals. ENS works in synergetic with CNS Stimulation with Basti  Activation of concerned part of CNS which precipitates result accordingly

14. Nasya karma for Mental illness तद्ध्युत्तमाङ्गमनुप्रविश्य मुञ्जादीषिकामिवासक्तां केवलं विकारकरं दोषमपकर्षति||२२|| …. IICh.Si 2/22II The adjacent Nerves called terminal nerves which runs along the olfactory are connected with limbic system of brain including hypothalamus. This limbic system is also connected with the behavioural aspect of human beings, besides control over endocrine secretions. Thus certain drugs administered through the nose may have an impact on immediate psychological functions by acting on the limbic system through olfactory nerves.

15. Shirodhara for Mental illness Shirodhara induces a relaxed state of awareness that results in dynamic psycho-somatic balance. It increases stability in speech and mind ( Dhatunam Sthairyam vakmanaso -( Sa.Dha.Ka ), prevents disturbed sleep ( jagratsukham ). The Dhara dravya which is falling on head increases the intensity of A-brain waves and decreases brain cortisone and adrenaline levels . The two neurotransmitters- Serotonin and Norepinephrine , are probably normalised by Shirodhara , which regulates a wide variety of neuropsychological process along with sleep.

16. Abhyanga for Mental illness Abhyanga ,( oil massage) which is one among Dinacharya also have psychological effects. Charaka has mentioned that Vayu dominates in Sparshanendriya ( स्पर्शनेऽभ्यधिको वायुः स्पर्शनं च त्वगाश्रितम्| ( Ch.Su 5/87 ) and I ndriyas are in close contact with Manas . so one should follow it regularly . Massage can lower the psychoemotional and somatic arousal such as anxiety and tension.

17. Conclusion Mental Health is an integral part of health. Panchakarma being the unique treatment modality of Ayurveda plays an important role in promoting mental health as well as curing mental illnesses. Ayurveda has emphasized on inter-relationship between mental and physical diseases. Acharya Charaka has opined that Manas and Sharira along with Indriyas are the Adhisthana of Vedana . वेदनानामधिष्ठानं मनो देहश्च सेन्द्रियः| IICh.Sh.1/136II It is therefore evident that Ayurvedic concept of disease is both mental as well as physical where Panchakarma purifies the tissues at very deep level and is the ultimate mind-body healing treatment.

18. References Agnivesha , Charaka Samhita , Acharya Harischandra Kushavaha , vol I and II, Chaukambha Orientalia , Varanasi, 2012. Sushrut , Sushruta Samhita of Dr Anant Rama Sharma, Vol , I,, Chaukambha Subharati Prakashan , Varanasi, 2013. Vaghbhat , Ashtanga Hridaya of Dr . T. Sreekumar , Vol I and II, 2008. Prof. Ajay Kumar Sharma,Sattvavajaya chikitsa in Ayurveda , Chaukambha Visvabharati , Varanasi. Bende Yogita , Pawan Lekurwale , et.al, International Journal Of Ayurvedic Medicine, 2015 . National Mental Health Survey of India , 2015- 2016: Prevalence, Pattern and Outcomes.

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