Manic episode – Short duration Management through Uttamamatra Snehapana Followed by Virecana- A case report
Anju Chandran, Vinod R
Manic episode, Unmada, Young mania rating scale, Ayurveda
Mania or manic episode is defined as a distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least one week (less if hospitalization is necessary) and consisting of three or more of the symptoms like inflated self-esteem, grandiosity, the flight of ideas, increased talkativeness, distractibility etc1. Life time prevalence of bipolar disorder is approximately 1%. The prevalence of bipolar disorder is similar in males and females. The life time prevalence of mania is much higher. The usual treatment that given in this condition are emergency measures like ECT, high dose antipsychotics & mood stabilizers and it may cause sudden and long-term side effects like headache, memory problem and coronary artery disease2. Ayurveda psychiatry categorized this disease under Unmada. Unmada is mada (intoxication) of mind produced by dosa (vata, pitta and kapha along with manasa dosa rajas and tamas) moving in wrong path. In an individual with unmada vibhrama condition of the eight factors namely mano, budhi, samja jana, smriti, bhakti, sheela, cheshta and achara can seen3. A 23 year old female patient attended the Ayurvedic psychiatric OPD at Government Ayurveda Research Institute for mental Diseases (GARIM) 1 year back. She had increased speech, sometime irrelevant, increased anger, decreased sleep, irritability etc. and first episode occurred when she was 13 years old. As per the patient she had no complaints and said that difficulty in concentrating and understanding things,and there is no need to take medicine at all. This case was diagnosed as Unmada and considering dosa predominance and present complaint, protocol with Uttamamatra Snehapana followed by Abhyanga with Ushmasweda and Virecana was performed. The selected protocol was effective on assessment with Young Mania Rating Scale and highlights the role of Ayurvedic treatment management in Manic episode.
Article Details
Unique Paper ID: 152961

Publication Volume & Issue: Volume 8, Issue 5

Page(s): 95 - 99
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