Management of Schizophrenia in Ayurveda- A Case Report
DOI:
https://doi.org/10.48165/Keywords:
Schizophrenia, Ayurveda, PANSS, egative symptoms, Kaphaja UnmadaAbstract
Schizophrenia is unarguably one of the most devastating mental illnesses. It often strikes early in life, and onset can signal the presence of an irreversible vulnerability toward psychosis that creates a lifetime of anguish and burden for patients and their loved ones. Symptoms of Schizophrenia are similar to that of Unmada mentioned in Ayurveda classics. This article deals with a case of Schizophrenia which was diagnosed as Kaphaja Unmada- Pithaanubandha according to diagnostic principles of Ayurveda. The patient is having general presentation that suggests the presence of negative symptoms, including signs such as communication difficulties, flat affect, limited emotion, social inactivity, low motivation, and retarded psychomotor activity along with some positive symptoms. She was administered with Dhaara, Snehapaana, Virechana, Vasthi and Nasya during 45 days of Inpatient management along with internal medications. The Positive and Negative Syndrome Scale (PANSS) was used to evaluate the efficacy of treatment. Total two assessments were carried out before treatment and after completion of 45 days of treatment. The results were promising and worth detailing, and the negative symptoms got complete relief on PANSS. Panchakarma procedures along with internal Ayurvedic medicines provided promising results for successful tapering of antipsychotic medication and also for better management of Schizophrenia along with improved life quality of the patient. The case report stresses the role of Ayurveda treatment modalities in managing similar psychiatric conditions
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References
Galderisi S, Mucci A, Buchanan RW, Arango C. Negative symptoms of schizophrenia: new developments and unanswered research questions. Lancet Psychiatry,2018;5:664–677. doi:10.1016/S2215-0366(18)30050-6
Kirkpatrick B, Buchanan RW, Ross DE, Carpenter WT Jr. A separate disease within the syndrome of schizophrenia. Arch Gen Psychiatry. 2001;58(2):165– 171. doi:10.1001/archpsyc.58.2.165
Milev P, Ho BC, Arndt S, Andreasen NC. Predictive values of neurocognition and negative symptoms on functional outcome in schizophrenia: a longitudinal
first-episode study with 7-year follow-up. Am J Psychiatry. 2005;162(3):495–506. doi:10.1176/appi.ajp.162.3.495
Carbon M, Correll CU. Thinking and acting beyond the positive: the role of the cognitive and negative symptoms in schizophrenia. CNS Spectr: 2014;19 Suppl 1:38–52;quiz 35–37, 53. doi:10.1017/S1092852914000601
Correll CU, Schooler NR. Negative Symptoms in Schizophrenia: A Review and Clinical Guide for Recognition, Assessment, and Treatment. Neuropsychiatr Dis Treat: 2020 Feb 21;16:519-534. doi: 10.2147/NDT.S225643. PMID: 32110026; PMCID: PMC7041437.
WHO The ICD-10 Classification of Mental and Behavioural Disorders. New Delhi: AITBS Publishers and Distributors Indian Edition: 2007 (p.86-89)
Kay S. R., The Positive and Negative Syndrome Scale (PANSS): Rationale and standardisation. 7he British Journal of Psychiatry, 155(Suppl 7), 1989.pp.59-65.
Srikanthamurthy K R editor. (2012): Vgbhata's A_tngahrdayam Kalpasiddhisthna (trans English). (6th ed., p. 542-543.2/21-23.)Varanasi:Chowkhambha Krishnadas Academy.
Varier PS. Chikitsa sangraha Department of publications Arya Vaidya Sala.29th edition 2015:p 151 10. Velayudha K. Sahasrayogam vaidyapriya vyaghyana.1st ed.Modern offset Printers, Sivakasi: 2017:p366
Srikandamoorthi KR editor.Vagbhatas astanga sangraha chikithsa stana (trans Eng) 6thed: varanasi: Chaukhamba Orientalia 2016:pp.21-42
Bhiṣagācarya HV editor. AṣṭaṅgaHṟdayam composed by Vāgbhaṭa with commentaries of Arunadatta and Hemādri .10th ed.Varanasi: Choukhambha Orientalia; 2011;803.
Sharma RK , Bhagwan Dash editor Caraka Samhita Cikitsa sthana (trans English). Varanasi: Chowkhambha Sanskrit Series Office. 2014: pp.35- 41.
Shastri AD Ayurvedacharya, Rajeshwardatta Shastri editor. Bhaishajya ratnaavali 18th ed. Chaukhambha Publications Varanasi.2005.pp.1086
Bhiṣagācarya HV, editor. Aṣṭaṅga Hṟdaya composed by Vāgbhaṭa with commentaries of Arunadatta and Hemādri .10th ed.Varanasi: Choukhambha Orientalia; 2011; 383
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Volume 2.Chaukhamba Orientalia Reprint Edition 2010:p33
Sastry JLN.Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Volume 2.Chaukhamba Orientalia Reprint Edition 2010:p152
Bhiṣagācarya HV editor. AṣṭaṅgaHṟdayam composed by Vāgbhaṭa with commentaries of Arunadatta and Hemādri .10th ed.Varanasi: Choukhambha Orientalia; 2011;p 804
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol. 2.Chaukhamba Orientalia Reprint Edition 2010:p 150
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol. 2.Chaukhamba Orientalia Reprint Edition 2010:p 334
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol. 2.Chaukhamba Orientalia Reprint Edition 2010:p 98
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol.2.Chaukhamba Orientalia Reprint Edition 2010:p 307
Sastry. JLN Illustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol.2.Chaukhamba Orientalia Reprint Edition 2010:p 454
Sastry. JLN llustrated Dravya guna vijnana:Study of the Essential Plants in Ayurveda Vol.2.Chaukhamba Orientalia Reprint Edition 2010:p 964
Srikandamoorthi KR editor.Vagbhatas astanga sangraha chikithsa stana (trans Eng) 3rd. 2000:p.70/19-24 varanasi: Chaukhamba Orientalia
Sharma RK, Bhagwan Dash editor. Caraka Samhita Cikitssthna (trans English).2014 p.410.9/5.Varanasi: Chowkhambha Sanskrit Series Office
Ācarya VYT, editor, Carakasaṃhita by Agnives’a with the Āyurveda Dīpika Commentary. Varanasi: Chaukhamba Sanskrit Sansthan; 2017; p.79
Sreekumar T.Astangahrdaya Sutrasthana-I, Vol I Dvividhopakramaniyam, 14/4. Publication department Harisree Hospital; 2011.p.328
Sreekumar T.Astangahrdaya Sutrasthana-I, Vol I Dvividhopakramaniyam, 14/4. Publication department Harisree Hospital; 2011.p.329
Sreekumar T.Astangahrdaya Sutrasthana-I, Vol II Vamanavirechana vidhi, 18/58. Publication department Harisree Hospital; 2011.p.7
Sreekumar T. Astangahrdaya Sutrasthana-I, Vol II Vamanavirechana vidhi, 18/1. Publication department Harisree Hospital; 2011.p.58
Murthy K, Vagbhata, Ashtanga Hridayam, with Sarvangasundara of Arunadatta and Ayurveda Rasayana Tika of Hemadri, Chaukhambha Orientalia, Varanasi, 2011,Pp:743.
Bhiṣagācarya HY, editor. Aṣṭaṅga Hṟdaya composed by Vāgbhaṭa with commentaries of Arunadatta and Hemādri .10th ed.Varanasi: Choukhambha Orientalia; 2011; 225.
Correll CU, Schooler NR. Negative Symptoms in Schizophrenia: A Review and Clinical Guide for Recognition, Assessment, and Treatment. Neuropsychiatr Dis Treat. 2020 Feb 21;16:519-534. doi: 10.2147/NDT.S225643. PMID: 32110026; PMCID: PMC7041437.