Changes

*The objective of cure in ''unmada'' includes blissful feeling (in perception) of sense objects and also of intellect, self and mind along with normalcy of tissue elements (''dhatus'') are  the signs of having recovered from ''unmada''.

*The objective of cure in ''unmada'' includes blissful feeling (in perception) of sense objects and also of intellect, self and mind along with normalcy of tissue elements (''dhatus'') are  the signs of having recovered from ''unmada''.

=== Vidhi Vimarsha ===

=== ''Vidhi Vimarsha'' ===

Similar conditions observed in contemporary psychiatry:

==== Similar conditions observed in contemporary psychiatry ====

Nija unmada (endogenous psychoses):

 

1.Vata dominant unmada is similar to excited catatonic type of schizophrenia and is acute form of schizophrenia. These patients present with the symptoms of catatonic excitement with general symptoms of unmada. It is produced due to vitiation of vata along with rajas and tamas doshas. Due to excess of rajas and vata, catatonic exitement occurs.

===== ''Nija unmada'' (endogenous psychoses) =====

2. The pitta dominant unmada is similar to maniac psychosis. The patients and mania, show a generalised functional overactivity or increased psychomotor activity, excitability of mood, constant movement, increased talkativeness, aggressive behaviour, irritability as the prominent symptoms.  

 

3. The Features of kaphaja unmada resemble closely with stuporous catatonic schizophrenia and major depressive disorder and thus they can be correlated.  

#''Vata'' dominant ''unmada'' is similar to excited catatonic type of schizophrenia and is acute form of schizophrenia. These patients present with the symptoms of catatonic excitement with general symptoms of ''unmada''. It is produced due to vitiation of ''vata'' along with ''rajas'' and ''tamas doshas''. Due to excess of ''rajas'' and ''vata'', catatonic excitement occurs.

4. There are clinical conditions in which alternating phases of depression and mania, known as bipolar disorders or maniac depressive psychosis. Similarly, there are forms of schizophrenia, in which excited catatonia and stuporous catatonia are alternatively present (periodic catatonia). These conditions, based upon particular doshic combination in the pathogenesis, as indicated by kapha is arrgavated along with pitta.  

#The ''pitta'' dominant ''unmada'' is similar to maniac psychosis. The patients and mania, show a generalised functional overactivity or increased psychomotor activity, excitability of mood, constant movement, increased talkativeness, aggressive behavior, irritability as the prominent symptoms.  

5. All types of chronic, incapacitating psychotic conditions are included under the category of sannipatik / tridoshaja unmada. Hebephrenic schizophrenia, chronic schizophrenia and residual schizophrenia come under this category, again the difference being predominance of the doshas involved in the psychopathogenesis.

#The Features of ''kaphaja unmada'' resemble closely with stuporous catatonic schizophrenia and major depressive disorder and thus they can be correlated.  

#There are clinical conditions in which alternating phases of depression and mania, known as bipolar disorders or maniac depressive psychosis. Similarly, there are forms of schizophrenia, in which excited catatonia and stuporous catatonia are alternatively present (periodic catatonia). These conditions, based upon particular ''doshic'' combination in the pathogenesis, as indicated by ''kapha'' is aggravated along with ''pitta''.  

#All types of chronic, incapacitating psychotic conditions are included under the category of ''sannipatika / tridoshaja unmada''. Hebephrenic schizophrenia, chronic schizophrenia and residual schizophrenia come under this category, again the difference being predominance of the ''doshas'' involved in the psychopathogenesis.

Agantuja unmada (exogenous psychoses):

Agantuja unmada (exogenous psychoses):