Success Case of How I treated Depression and Indigestion with Ayurveda and Yoga
Total years in practice: 1
The World Health Organization defines depression as a common mental disorder, with clinical features as depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy and power of concentration . According to WHO, depression is expected to account for more lost years of healthy life than any other disease by 2030, except for HIV/AIDS . The ‘Diagnostic and Statistical Manual of Mental Disorders – V’ describes symptoms of Major Depressive Disorder (MDD) as: a depressed mood, suicidal ideation, fatigue or loss of energy, psychomotor agitation, and insomnia, persisting for most of the day, nearly every day for a period of two weeks. In Ayurveda, “Prasannatmendriya manah” is quoted as definition of health. Different factors which affect mental health are wrong behavior related to Kaya, Vaak and Manas.
Depression has become an unwanted companion casting a shadow on every aspect of our lives. It remains as a social stigma in terms of prevalence and suffering, dysfunction, morbidity and economic burden.
Clinically as per symptoms, depression is correlated with vishada, avasada, manodhukhaja unmada and kaphaja unmada.
A 28 years female client presented with following complaints:
Generalized Diet issues
Constipated hard stools
Lethargy & generalized weakness in the body
Diminished ability to concentrate
Tearfulness without any reason and over-eating.
HOW CAN AYURVEDA BE A BOON FOR SUCH CASES IN TREATING DEPRESSION WITH THE USE OF HERBS & PANCHAKARMA PROCEDURES.
See this case of depression as to how I treated my patient with optimum use of herbs, diet, yoga and Ayurvedic therapies.
Trauma or stress in personal or professional life
Pessimistic personality with low esteem
Certain medical ailments have depression as add on feature such as Parkinson's disease, cancer, schizophrenia etc.
Side effect of certain medications such as steroids, anti-hypertensive drugs, etc.
Psychological disorders such as anxiety disorder, eating disorders etc.
Ayurveda mentions the following causes for depression:
Lack of coordination between Dhi (learning), Dhriti (retention) and Smriti (long term memory)
Imbalance of prana shakti
Pragyapradha (violation of natural ethics)
As per our classical references, the causative factor in mental disease (mano-vikara) is mainly an increase and imbalance in the mansika doshas i.e. ‘Rajas’ and ‘Tamas’. These two states are described to ‘Icchha ‘(Desire) and ‘Dwesh’ (Repulsion) which are mainly triggered by stress. Imbalance of rajas and aggravation of tamas at the psychic level are important pathological factors. Imbalances of the three doshas are representative of different cognitive and somatic symptoms:
Vitiation: destroys mental sense and gives rise to grief
Manifestation: anxiety and hyperactivity
Vitiation: mental states of excessive fear, lust and grief
Manifestation: passivity and lethargy
Vitiation: lethargy, anxiety and in-discrimination
Manifestation: strong emotions, anger.
Disturbed sleep, eating patterns
Weight gain/loss issues
Feeling of low esteem
Short temper, a feeling of anxiety
Tearfulness for no reason, an unrealistic sense of failure
Vitamin B deficiency
Metabolic disease as diabetes
AYURVEDIC MANAGEMENT APPROACH:
LINE OF TREATMENT
Snehapana(internal oelation) : Kalyanak ghrita 10ml with saindhav for 5 days , for early oelation process , empty stomach.
Sarvang abhyang : Full body massage with ksheerbala oil followed by sarvang swedana (full body steaming)
Nasya : Brihana nasya with puarana ghrita ( old cow ghee) in a dose of 4 drops in each nostril for 5 days.
Shirodhara : With medicated oil ( Chandanadi tail+ Ksheer Bala tailam ) for first 3 days , then ksheerdhara/jaladhara for 40 min daily for 8 days .
Shiro-abhyang : Head massage with Brahmi oil mixed in almond oil daily .
YOGIC PRACTICE SEQUENCE FOLLOWED:
Sookshma vyayama (warming up exercise)
Deep relaxation technique
Sattvic mantra chanting
Talk therapy: words and nurturance, primarily focusing on cognitive behavioral therapy, which strives to bring awareness of thoughts, feelings
Daily talking to loved ones for at least half an hour
Drinking copper charged water in the morning
Pen down thoughts before going to bed
Practice making friends or association with new people
Improvement in her mood
Concentration is improved
Interested in job and professional outcomes
Normal deep sleep pattern achieved
CONTENTS OF ORAL MEDICATION WITH THEIR PROPERTIES:
Medhya drugs promote mental development and act as mental rejuvenator. Medhya drugs for manovsada with their action and chemical constituents:
Rasa Guna Virya Vipaka Karma
Acts on anxiety Menhancer
Jyothishmathi( Celastrus paniculatus)
Improves the cognitive abilities
Induces natural sleep
( Acorus Calamus)
Promotes restorative sleep
Tikta katu madhur
Brain Tonic and increases the circulation into CNS
significantly improving learning ability and memory.
Sankhapushpa (Convolvulus pluricaulis)
Hydroxy cinnamic acid
In vivo study noted higher cholinergic function after oral administration of Clitoria Ternatea, Suggesting the mechanism for memory enhancement is via Acetylcholine.
Benefits of Medhya herbs:
Medhya herbs in particular and they do not have a broad-spectrum action. As per Acharya Shusruta, the benefits derived from Medhya herbs and their applied aspects are listed below.
1.Shruta Nigadi (Power of retention after hearing once)
2. Smrutiman (Endowed with good memory)
3. Grantham Ipsitam utpadayati (Develops enthusiasm in reading habit)
4. Nastam cha Pradurbhavati (Power to recollect the forgotten)
5. Dvirucchaaritam shatamapi avadharayati (Capable of retaining words spoken only twice)
DIET & LIFESTYLE :
FOODS TO AVOID
FOODS IN FAVOUR
Whole milk, cream, desi ghee, butter etc
Sweet of all kinds like puddings etc
Cream, chocolate, cakes, cookies etc
Organ meats like kidney, brain, mutton etc
Egg yolk, liver
Deep fried foods
Mayonnaise sauce, white sauce
Dry fruits except almonds, walnuts
Alcohol and aerated drinks
Pickles in oils
(small amounts) coconut oil
Wheat flour with bran or multi grains flour
Chicken, fish, egg white
Green leafy vegetables
Soup & vegetable juices
Jamun / black plum
Sprouted fenugreek seeds
Oats, museli , wheat flakes
Soya milk (natural flour)
Flax seed 2 tsp
World Health Organization. The world health report. 2001, Mental Health: New Understanding, New Hope. Geneva. 2001.
DSM-V: diagnostic and statistical manual of mental disorders (5th ed.), American Psychiatric Association, Washington, D.C. (2013), pp. 161-271
Charak samhita with Ayurveda Dipika Commentary of Chakrapni Dutta, Ed. Yadavji Trikarma ji Acharya , Chaukhmba Surbharti Prakashan, Varanasi, Charak Samhita Shareer sthana Chapter 1 Verse 100-103