Dr.Daksha RathodMD (AYU)

Dept of PanchakarmaGJ Patel Institute of Ayurvedic studies and Research

New Vallabh Vidhyanagar, Anand, Gujarat

Introduction: In era of rat-race and cut-throat competition, we and

society are under the influence of Rajas.

Excessive travelling,

over consumption of stimulates like tea and coffee

preoccupied mind

have depressing effect on smooth functioning of the brain.

Everyone occasionally feels depressed, but these feelings are usually fleeting and pass within a couple of days. When a person has a Manasroga,

it interferes with daily life &

normal functioning and

causes pain for both the person with the disorder and those who care about him or her.

Manas Roga

Patterns of abnormal behaviour

Psychological sign &

symptoms

Cognativedysfunction

&

Behaviouralchanges

Satva

SharirAtma

Ayurvedacategorizes

diseases into two main types i.e.

Physical

[ those affecting the body ]

Mental [psychological

those affecting the mind].

Classification of Manas roga

For example- Lobha (Greed), Moha (infatuation), Kāma(lust),Krodha (anger),Irshyā(competitive tendency),Dvesha(envy),Mātsarya(Jealousy), Bhaya(Fear),Śoka(sorrow), Harshya(ecstasy),Vishāda (dejection, Sadness), Asuyā(Jealousy),Dainya(Miserable state)

2) Diseases with mental origin and predominantly showing physical Symptoms.

1) Unmada2) Apasmar3) Atatvabhinimesh4) Bhayaj sokhaj atisar5) Kamaj sokhaj jvara6) Nidranash

1)Diseases which have primarily mental origin and predominantly show mental symptoms are Kevala Manasika Rogas.

c) Diseases with physical origin and showing mental symptoms.

1) Atatvābhinivesha2) Mada

d) Diseases with primarily physical origin and predominantly physical symptoms

1)Mūrcchā,2) Sanyāsa

e) Diseases with primarily idiopathic origin &predominantly mental and physical

symptomsĀgantuja Unmāda, Grahabādhā & Upagraha, Pisāca, Bhūta

SAMPRAPTI GHTAKA OF Manovaha Strotodusti Mano dosha : Tamas & Rajas

Sharir dosha: Vata – Prana, Udana & VyanaPitta – SadhakaKapha – Avalambaka

Srotas : Manovaha Srotas Udbhava sthana : Manas & Manovaha strotas Vyakti sthana : Manas, Sarva sharira, Indriya Agni : Vishama , Manda Ojas: Kshaya Manas Bhava : Dhairya, Dhriti, Buddhi, Smriti Sadhya-asadhyata : Yapya & Kricchra sadhya (depending upon severity & situation) Upadrava: can produce several diseases related to psychosomatic disorders.

Basti is the most important therapy among Panchakarma due to its multifaceted effects.

Pitta

Vata

Kapha

Pitta and Kapha are dependent on Vata, as it governs their functions as well.

Basti is not only best for Vata disorders it also is equally effective in correcting the morbid Pitta, Kapha and Rakta.

Basti Chikitsa Vata

Pitta

Kapha

Rakta

Charaka has considered, Basti therapy as half of thetreatment of all the disease, while some authors consider itas the complete remedy for all the ailments.

Basti is given as a route of administration of the drugscausing multiple actions, which acts locally on largeintestine as well as systematically on the body tissue.

In Basti treatment, we can use a number of medicines asper the need of the disease, a person and type of Bastiselected.

Purpose :-

Previously lot of work has been done on Nasya,Shirodhara and other Saman therapies in themanagement of Manasvyadhi.

Charakacharya has mentioned the effect of Basti onthe whole body including Manas & Buddhi.

Here is an attempt to review the outcome of BastiChikitsa in Manas Vyadhi.

References of basti chikitsa in manovyadhidescribed by acharaya charaka

उन्माद चिकित्सा सूत्र - निरूहम स्िेहबस्स्ि च शिरसच विरेचम ।िि् कुरयार्ध्थदोषम िेषाां भूयस््म्माचरेि।1 [च ची- 9 /27]

अतत्वभिननवेश चिकित्सा सूत्र - स्िेह्सस्िेदोपपन्नन्नम िां सांिोर्धय िामिददशभ् । कृ्सांसजथिां मेर्धये अन्निपािे उपाचरेि।।2 [च ची 10/61 ]

अऩस्मार चिकित्सा सूत्र - सिथि् सुवििदुस्य स्यगाश्राशसिस्य च। अपस्मारविमोिा्थ योगाि सांिमिािछृणु।।3

[च ची 10/16] हपूषर्थ कुड़िों द्िी गुणार्थ िणृयिह क्षऺरौदकशसद्र्् ऺीरहिषेो मर्रु्िृिैऱ ऱिण

युक्ि: सिाांग। विस्ििृिाि रक्ि सकि िीण मूत्र स्त्री खेददिदहिो िािहरो बुध्धी मेधाअस्नि बाऱजििश्रच। ।4

[च सी 12/17-7 ]

Increasing Medha, Budhdhi, Jatharagni & Bala

In 4th sloka Acharya charaka has mentioned the importance ofHapushadi Yapana Basti for increasing Medha, Budhdhi,Jatharagni & Bala. Hapushadi Yapan Basti is beneficial formutrakruch, vatasamnarth, budhdhivardhaka, medhavardhakaand for increasing bala4.

Hapushyadi Basti Medha

Budhdhi

Jathragni

Bala

•Manovaha stroto dusti occurs by both manasika andsharirik dosha.In sharirik dosha vata ,pitta and kapha doshaare involved but vata is mainly responsible.

• Manasika dosha

• Sharirika doshaManovaha strotodusti

• Pitta dosha

• Kapha doshaVata Dosha

In Charak Samhita Vatakalakaliya Adhyaya, Vata Karmasare mentioned..

Taking manah to its respective site

Controlling

Helps sensory organs in grasping their

respective functions

Vata

Vata is mainly responsible for Manovaha Stroto Dusti so byadopting basti chikitsa we can give direct treatment .

VataManovahastroto dusti

Basti Pakvashaya Vata sthana

Basti

SharirikDosha

Dusti

Vata

Pitta

Kapha

Manasika

Dosha

Dusti

Raja

Tama

Probable Mode of action of Basti Chikitsa

By Absoption Mechanism

By System Biology Concept

By Neural Stimulation Mechanism

By Excretory Mechanism

1)By Absoption Mechanism

Hyper Osmosis

Takes place

From colon cell to lumen

Absorption of endotoxins

Irritant of large intestine due to irritant property

of drug

Elimination

2)By System Biology ConceptDrug is administered through anal region

It gets absorbed in intestinal mucosa

Lipid Soluble

Passive Diffusion

Water soluble

Active diffusion

By Neural Stimulation Mechanism

Panchmahabhuta

ManaSharirika

Dosha

Manasik dosha arises due to vitiation of

Sharirik Dosha

Vata,Pitta ,Kapha-Route cause of all sharirik vyadhi

• Enthusiasm

• Mainly responsible for activity of Mind.

• Controller ,stimulator of mindVata

• Activities of brain

• Generation of intelligence Pitta

• Intelligence

• Will PowerKapha

Niruh basti lodged in the colon, by its potency, draws morbiddoshas from all over the body just as the sun situated in thesky absorbs all the moisture from the earth. And only morbidmatter gets eliminated by niruh basti from the body like as apiece of cloth soaked in the water mixed with the powder ofkusumbha(a vegetable dye ) sucks up only the pigments.

Anuvasan basti plays role just as a tree irrigated with waterat the root produces blue leaves, becomes beautiful withtender leaves and during the course of time grows to produceflowers and fruits. Similarly, a person becomes young andbeautiful with procreative power by the administration ofanuvasana.

Conclusion According to classics basti has a special effect on manovaha

strotas.

There are direct reference in classics regarding effect ofbasti chikitsa in manas vyadhi.

Both sharirik dosha vata ,pitta, kapha and manasik dosharaja,tama are responsible for manifestation of manovyadhi so by adopting basti chikitsa, sharirik andmanasik doshadusti can be treated effectively .

Thus Basti is potent in curing many of the diseases. Vipaka&

Prabhava of dravyas which we use for basti chikitsa, collectively

useful in improving the brain function, and memory.

In Ayurveda all cognitive functions are correlated to Dhi,

Dhrti and Smriti.

We can add several drugs in the basti, which are highly

effective in Manas vyadhi chikitsa.

This review is an attempt to highlight the role of Bastitherapy in the management of Manasvyadhi. This canbe further validated through clinical trials.

References:

1)Charak samhita vol.1,Chaukhambha bharatiacademy,.varanasi 2005.

2)Charak samhita vol 2,Chaukhambha bharatiacademy,Varanasi 2005

3)Sushrut Samhita volume 1,edi.by Ambika data shashtri,Chaukhambha Sanskrit sansthan,2007.

4)Astanga Hrdayam ,chowkhamba krishnadasacademic,Varanasi,edi kridhnadas,reprint 2011.

5) A Comparative clinical trial on the role of Panchakarmatherapy and Unmada Gajankusha Rasa in the cases ofmajor depressive disorder vis-à-vis kaphaja Unmada

Acknowledgement

PRINCIPAL &DEPARTMENT OF PANCHKARMA

GJPATEL AYURVEDIC STUDIES AND RESERCH CENTRE COLLAGE

GULABKUVARBA AYURVEDA COLLAGE AND GAU , JAMNAGAR