Manas 2015 ppt.

THE ROLE OF KNOWLEDGE OF MANAS
IN THE MANAGEMENT OF UNMADA ROGA
Dr. ABDUL SUKKUR M

Introduction
 Ayurveda is the life science for the long life expectancy.
 The body is said to be healthy only with
physical and psychic health.
 Combination of Trividhaushadha is essential
in planning treatments.
 Satvaavajaya treatment holds higher among
the Trividhaushadha in psychic disorders.
 In Mano vikaara (psychic disorders) -
consolement and consideration play as better treatment.
 The management of Unmaada Roga – a psychiatric
derangement, needs proper knowledge of Manas.
34/30/2020

The knowledge of
Manas
• Manas – Ateendriya , Ubhayendriya
• Manyate - jnayate anena iti manaha
– to think, to analyze
• Satwa - synonym of Manas, Cheta
• ‘Satobhavah (Sat +Tva)-Sattvam ’- being
existent (Shabda Kalpa Druma)
• ‘Gunaha Sattvam Rajastamaha ’
(Amarakosha)
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The knowledge of Manas
 Sthaana of Manas
• Hridaya (Cha. Su. 30/4) (Su. Sha. 4/34) (A.Hr. Sha. 4/13)
• Shira (Cha. Su. 17/12)
 Arthas of Manas
• A) Indriya Saapeksha Karma – Karma with Indriyas
• B) Indriya Nirapeksha Karma – Karma without Indriyas
eg- Smriti, Moksha, Yoga, etc.
 Karma of Manas
A) Indriyaabhigraha , B) Svasya nigraha
 Vishayas of Manas
Chintya, Vichaarya, Oohya, Dhyeya, Sankalpya
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The knowledge of Manas
 Gunas of Manas
 Anutva , Ekatva (Cha. Sha. 1/19)
 Satva, Rajas, Tamas (A. Sa. Su. 1)
 Faculties Related with Manas
 Dhee, Dhriti, Smriti (Cha. Sha. 1)
 Trividha Oushadha
 Daiva vyapaashraya
 Yukti vyapaashraya
 Satvaavajaya (Cha. Su. 11)
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Unmaada Roga
 Meaning Of Unmaada –
समुद्भ्रमं बुद्भ्धिमनःस्मृतिनामुन्मादमागन्िुतनजोत्थमाहुः
Perversion; get perverted. (Cha. Chi. 9/8)
 Etiology –
विरुद्भ्िदुष्टाशुधिभोजनातन प्रघर्षणं देिगुरुद्भ्विजानाम ् ।
उन्मादहेिुभषयहर्षपूिो मनोो॓ऽभभघािो विर्माश्ि िेष्टाः ॥ (Cha. Chi. 9/4)
 Signs and Symptoms –
िीविरमः सत्त्िपरिप्लिश्ि पयाषकु ला दृष्ष्टििीििा ि ।
अबद्भ्ििाक्तत्िं हृदयं ि शून्यं सामान्यमुन्मादगदस्य भलङ्गम ् ॥(Cha. Chi. 9/6)
Intellectual confusion, fickleness of mind, unsteadiness of the vision,
impatience, incoherent speech, a sensation of vacuum.
 Pathogenesis –
िैिल्पसत्िस्य मलाः प्रदुष्टा बुद्भ्िेतनषिासं हृदयं प्रदूष्य ।
स्रोिांस्यधिष्ठाय मनोिहातन प्रमोहयन्याशु निस्य िेिः ॥ (Cha. Chi. 9/5)
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Psychiatry
 Psychiatry : (by German Dr.Johann Reil)
• Psyche-mind, iartos-treatment
It is a branch of medicine concerned with the study, diagnosis,
treatment and prevention of disorders of mind.
 Signs and Symptoms – Disturbances of
Mood, Cognition and Conation (Psychomotor activity).
 Disturbances can be related with –
Thinking (- of Thought, Stream, Abnormal content, Possession)
Perception, Memory, Intelligence, Consciousness, Orientation,
Attention & Concentration, Insight, etc.
Delerium syndrome, producing visual hallucination, disturbed
thinking, mood changes, insomnia.
also due to generalised metabolic disturbances
Dementia syndrome, characterized by decline of cognition,
memory, thinking, intellect, personality.
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Schizophrenia
 Schizophrenia – (by Eugene Bleuler) splitting of emotion, thought & behaviour.
 Emil Kraeplin – as dementia praerox ( intellectual deterioration with early onset)
• Schizo – Split; Phrenum – Mind
 Types – Catatonic, Paranoid, Herbephrenic, Simple
 Etiology – Heredity, Personality (Schizoid trait)
 Family Background – Social factors, Biochemical, Neuropathology, Stress
 Clinical Features – Disturbance of Thinking, Delusions, Disturbances of affect,
Disturbances of perception, Motor disturbances, Cognitive disturbances
 Other Clinical Features – Mental functions such as consciousness, Orientation,
Memory and Intelligence are fully preserved; but
Reasoning, Judgement and Insight are impaired.
 Schizophrenia is a serious psychiatric disorder.
 Course – some cases may recover fully;
others show remissions & exacerbations;
a few deteriorate gradually & progressively.
 Personality Disorders – develop as primary phenomena from early life.
 Mood Disorders (MD) – is a persistant change in mood remains sad;
In Mania – mood is elevated and cheerful.
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Management Of
Manovikaara
• manaso jnaanavijnaanadhairyasmrutisamaadhibhihi
(Cha. Su. 1/58)
need spiritual-sculptural knowledge, patience, memory, meditation
• dheedhairyaatmaadivijnaanam manodoshaushadham param
(A.Hr.Su.1/26)
Dhee (discrimination), Dhairya (courage or strong will), Aatmaadi
Vijnaanam (knowledge of soul,etc.) are ideal therapies for the psychic
disorders
• satvaavajaya punarahitebhyo arthebhyo manonigraha
(Cha.Su.11/54)
Satvaavajaya is an approach which prevents the impairment of intellect,
patience, and memory and brings them back to normal state. There by all
the measures are included under Satvaavajaya i.e. Jnaanam, Vijnaanam,
Dhairya, Smriti, Harshana, Aashwaasana,etc. Satvaavajaya literally means
overcoming of mind or victory over mind or control of mind.
104/30/2020

Management of Unmaada
Roga
 Management Principle –
• Satvaavajaya Chikitsa –
इष्ट द्रव्यविनाशात्तु मनो यस्योपहन्यिे ।
िस्य ित्सदृशप्राष्प्ि सान्त्िाश्िासैः शमं नयेि् ॥ (Cha. Chi. 9/85)
• Daivavyapaashraya Chikitsa – (Cha. Chi. 9/92-94)
रुद्रस्य प्रमथा पूजा ; बभल - sacrifices, मङ्गल – mantras, होम – offerings
• Yuktivyapaashraya Chikitsa –
कामशोकभयक्रोिहर्ेष्याषलोभसंभिान् ।
पिस्पिप्रतिद्भ्िन्द्भ्िैिेभभिेि शमं नयेि् ॥ (Cha. Chi. 9/86)
- exposure of the patient to mutually contradictory psychic factors will
cure the ailment
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Conclusion
 The knowledge of Mind and its functions is essential
for the better management of psychic disorders.
 The planning of treatment for psychic disorders should be
by the combination of Trividha oushadha.
Daivavyapashraya, Yuktivyapashraya and Satvaavajaya
treatments hold equal role.
 The psychic derangement may be caused by many reasons.
Identification of such reasons and considering its opposite
aspects is ideal in managing any disease, especially in
psychic disorder.
 Counselling as consolations and mental assurances proved
its role in curing psychic disorders.
124/30/2020

References
 Charaka Samhita – Sutra Sthana 1, 11;
Chikitsa Sthana 9
 Ashtanga Hrudaya – Sutra Sthana 1
 Text Book of Medicine by K V Krishna Das, 5th Edition,
Pg. 1466; p.1398, 1407, 1410
134/30/2020

Manas 2015 ppt.

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Manas 2015 ppt.