Changes

===== ''Yuktivyapashraya  Chikitsa'' (rational treatment) =====

===== ''Yuktivyapashraya  Chikitsa'' (rational treatment) =====

The purification procedures prescribed in unmade are :(1) Nasya (2) Vamana (3) Virecana (4) Niruha basti (5) Anuvasana basti. Besides these five chief karmas, two other preparatory and axillary karmas are indicated i.e. snehana karma and swedana karmas. Snehana karmas are also carried out as shamana (pacification) therapy with low dose sneha. Especially in major psychiatric illness it is considered as a separate therapy. The other measures like pradeha, utsadana, abhyanga, dhuma, snehapana, etc. are also administered which stimulates the mind, intellect, memory and consciousness of the patient.  

The purification procedures prescribed in ''unmada'' are :(1) ''Nasya'' (2) ''Vamana'' (3) ''Virechana'' (4) ''Niruha basti'' (5) ''Anuvasana basti''. Besides these five chief ''karmas'', two other preparatory and axillary ''karmas'' are indicated i.e. ''snehana karma'' and ''swedana karmas''. ''Snehana karmas'' are also carried out as ''shamana'' (pacification) therapy with low dose ''sneha''. Especially in major psychiatric illness it is considered as a separate therapy. The other measures like ''pradeha, utsadana, abhyanga, dhuma, snehapana,'' etc. are also administered which stimulates the mind, intellect, memory and consciousness of the patient.  

Siravedha (venesection): Besides the above methods, surgical techniques like siravedha (venesection) are also advocated in the treatment of mental disorders and hysteria.  

 

In vataja unmada, snehapanam has to be done. If the passage of vayu is obstructed laxative along with sneha should be given. In kaphaja unmada, vamana must be done. In pittaja unmada, virechana must be done. After completing purification, samsarjana karma (lighter to heavier diet gradually) must be given. The purification of body also leads to blissful state of mind and sense organs.  

''Siravedha'' (venesection): Besides the above methods, surgical techniques like ''siravedha'' (venesection) are also advocated in the treatment of mental disorders and hysteria.  

Even after the body is cleansed, if the patient exhibits perversion of conduct, he should be given strong navanam, anjanam, taadanam.

 

Concept & rationale of ghrita- pana/ shamana sneha pana:

In ''vataja unmada, snehapana'' has to be done. If the passage of ''vayu'' is obstructed laxative along with ''sneha'' should be given. In ''kaphaja unmada, vamana'' must be done. In ''pittaja unmada, virechana'' must be done. After completing purification, ''samsarjana karma'' (lighter to heavier diet gradually) must be given. The purification of body also leads to blissful state of mind and sense organs.  

Snehapana is specially indicated in unmada. Shamana sneha includes the measures that bring down the increased doshas to normal stage without expelling them out and without disturbing balance of other normal doshas. The properties like sukshma, snigdha, picchila and manda operate pharmacologically to pacify unmada.  

 

Even after the body is cleansed, if the patient exhibits perversion of conduct, he should be given strong ''navanam, anjanam, taadanam.''

 

===== Concept and rationale of ''ghrita-pana/ shamana sneha pana'' =====

 

''Snehapana'' is specially indicated in ''unmada. Shamana sneha'' includes the measures that bring down the increased ''doshas'' to normal stage without expelling them out and without disturbing balance of other normal ''doshas''. The properties like ''sukshma, snigdha, picchila'' and ''manda'' operate pharmacologically to pacify ''unmada''.  

General guidelines for treatment for dosha dominant unmada:  

General guidelines for treatment for dosha dominant unmada: