Ayurveda Management of Schizophrenia – A Case Report
Keywords:
Schizophrenia, PANSS, AyurvedaAbstract
Introduction- Schizophrenia is a complex, chronic mental health disorder characterized by an array of symptoms, including delusions, hallucinations, disorganized speech or behavior and impaired cognitive ability. Schizophrenia is a lifelong condition, but treatment can help manage the symptoms. Case description- A 28 year old female presented in the OPD with headache, disturbed sleep, increased anger and feeling sadness, more in the evening, since 5 months. Detailed interrogation with her mother revealed that she had irritability, increased anger, disturbed sleep and impulsivity. On mental status examination, she was found to have restricted mood and affect in addition to somatic passivity. The case was diagnosed as Schizophrenia, based on the diagnostic criteria mentioned in International Classification of Diseases 10th revision. As per the Ayurveda clinical examination, the case can be considered as Sannipathika Unmaada with PittaVata predominance. Management - The case was managed in the Inpatient department. Internal medicines were given to address the symptoms along with procedures like takrapana followed by uttamamatra snehapana, abhyanga ushmasweda and virechana. Thereafter Nasya, Thalam, Sirodhara And Dhoopana was done. Yoga and pranayama along with Smriti meditation was also done. Result Significant improvement were noted in Positive and Negative Syndrome Scale (PANSS) score after treatment.
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Patel, K. R., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: overview and treatment options. P & T : a peer-reviewed journal for formulary management, 39(9), 638–645.
.Benjamin James Sadock, Virginia Alcott Sadock. Kaplan & Sadock’s Synopsis of Psychiatry-Behavioral Sciences /Clinical psychiatry.11th ed. Lippincott Williams & Wilkins; 2015; p.301.
John MC, Grath Sukanta, Saha David et al. Schizophrenia: A Concise Overview of Incidence, Prevalence, and Mortality. Epidemiologic Reviews. 1 November 2008; 30 (1): p. 67–76.
Sharma R.K , Charaka Samhita Sūtrasthāna (trans English). 1/42.Varanasi: Chowkhambha Sanskrit Series Office.2014.pp.25
Sharma R.K Caraka Samhita Nidānsthāna(trans English). 7/5.Varanasi: Chowkhambha Sanskrit Series Office.2012.pp.89
WHO The ICD 10 Classification of Mental and Behavioural Disorders. New Delhi: AITBS Indian Edition 2007 (p.86-89)
Kay, S. R., Opler, L. A., & Lindenmayer, J.-P. (1989). The Positive and Negative Syndrome Scale (PANSS): Rationale and standardisation. The British Journal of
Psychiatry, 155(Suppl 7), 1989. 59–65.
Sharma R.K Caraka Samhita Cikitsāsthāna (trans English).9/10, 12,14.Varanasi: Chowkhambha Sanskrit Series Office. 2014.pp.411
Srikanthamurthy K R editor. Vāgbhata’s Aşţāngahṛdayam Cikitsāsthāna (trans English).1/55- 58.Varanasi: Chowkhambha Krishnadas Academy.2012.pp.183
Srikanthamurthy K R editor: Vāgbhata’s Aşţāngahṛdayam Cikitsāsthāna (trans English).(4th ed., 21/58.) Varanasi: Chowkhambha Krishnadas Academy.2000.pp.508
Sharma P: Dravyagunavijnan Volume 2.Varanasi: Chaukhambha Bharti Academy.2006.pp.253-256 12.Shastry J.L.N.: Illustrated Dravyaguna vijnana Volume 2. (2nd ed. , p 334 – 336) Varanasi: Chaukhambha Orientalia.2005.pp.334-336
Pandey,Ethnomedicinal potential of Sarcostemma acidum in different regions in India. Asian Journal of Pharmaceutical and Clinical Research.2018. 11. 10. 22159/ajpcr.2018.v11i5.24887.
Sharma R.K Caraka Samhita Cikitsāsthāna (trans English). 7/140-143.Varanasi: Chowkhambha Sanskrit Series Office. 2014.pp.354
Srikanthamurthy K R Vāgbhata’s A şţāngahṛdayam Cikitsāsthāna (trans English).6th ed.14/34.Varanasi: Chowkhambha Krishnadas Academy.2012.pp.406. 16. Sharma R.K Caraka Samhita Cikitsāsthāna (trans English).9/35-41 Varanasi: Chowkhambha Sanskrit Series Office. 2014.pp.424
Srikanthamurthy K R, Vāgbhata’s Aşţāngahṛdayam Śārīrsthāna (trans English). 6th ed.2/47-52. Varanasi:Chowkhambha Krishnadas Academy.2012.pp287
Srikanthamurthy K R. Vāgbhata’s Aşţāngahṛdayam Kalpasiddhisthāna (trans English). 6th ed., 2/21- 23.)Varanasi:Chowkhambha Krishnadas Academy.2012.pp.542-543
Srikanthamurthy K R. Vāgbhata’s Aşţāngahṛdayam Kalpasiddhisthāna (trans English). 6th ed., 2/21- 23.)Varanasi:Chowkhambha Krishnadas Academy.2012.pp.542-543
Sahasrayogam Sujana priyavyakhyanam : Alappuzha: Vidyarambham Publishers. Tailaprakaranam 2016. p.188 21. Srikanthamurthy K R. Vāgbhata’s Aşţāngahṛdayam Sūtrasthāna (trans English). 6th ed..6/160. Varanasi: Chowkhambha Krishnadas Academy.2012.pp.190 22. Sharma R.K Caraka Samhita Cikitsāsthāna (trans English). 7/140-143.Varanasi: Chowkhambha Sanskrit
Series Office. 2014.pp.43
Priyavrat Sharma P. Dravyagunavijnan Volume 2 Varanasi: Chaukhambha Bharti Academy.2006.pp.572- 275
Sharma P Dravyagunavijnan Volume 2 Varanasi: Chaukhambha Bharti Academy.2006.pp.162-165 25. Sharma P.Dravyagunavijnan Volume 2.Varanasi: Chaukhambha Bharti Academy.2006.pp.537-539 26.Sharma P. Dravyagunavijnan Volume 2.Varanasi: Chaukhambha Bharti Academy.2006.pp.31-34 27.Sharma P. Dravyagunavijnan Volume 2.Varanasi: Chaukhambha Bharti Academy2006.pp.28-31 28.Sharma RK,: Caraka Samhita Cikitsāsthāna (trans English).9/5.Varanasi: Chowkhambha Sanskrit Series Office. 2014.pp.410
Sreekumar T.Ashtanga Hrdaya of Vaghbhata. 3th (Edn.), Harisree Hospital, Thrissur: 2011;1: 128.5/38-39. 30. T.P.S. Probable Mode of Action of Kalyanaka Ghrita in Unmada (Insanity) Based on Analysis of Rasa Panchaka of Ingredients – A Review. International Journal of Ayurveda And Pharma Research, 2019. 7(2) 31. T.P.S. Probable Mode of Action of Kalyanaka Ghrita in Unmada (Insanity) Based on Analysis of Rasa Panchaka of Ingredients – A Review. International Journal of Ayurveda And Pharma Research, 2019.7(2)
Banks W. A. Characteristics of compounds that cross the blood-brain barrier. BMC neurology, 2009 9 Suppl 1(Suppl 1), S3. https://doi.org/10.1186/1471-2377-9-S1- S3
Srikanthamurthy K R;Vāgbhata’s Aşţāngahṛdayam Sūtrasthāna (trans English). 6th ed., 18/58. Varanasi: Chowkhambha Krishnadas Academy.2012.pp.237 34. Srikanthamurthy K R: Vāgbhata’s Aşţāngahṛdayam Sūtrasthāna (trans English). 6th ed.,.20/37-38. Varanasi: Chowkhambha Krishnadas Academy.2012.p.263 35. Lokhande S, Patil S, Chogule A, Patil V. Probable Mode Of Action Of Nasya–an Overview. 2009 9 Suppl 1(Suppl 1), S3
Pokharel S, Sharma AK. Evaluation of Insomrid tablet and Shirodhara in the management of Anidra (Insomnia). Ayu. 2010 Jan;31(1):40.
Uebaba K, Xu FH, Ogawa H, Tatsuse T, Wang BH, Hisajima T, Venkatraman S. Psychoneuroimmunologic effects of Ayurvedic oil-dripping treatment. The journal of alternative and complementary medicine. 2008 Dec 1;14(10):1189-98.
Ashwini PK, The role of Dhupana in manasika roga with special reference to Jatadi varthi in positive symptoms of schizophrenia – A single group clinical trial(AB design (2019).
