Ayurveda Management of Bipolar Affective Disorder –A Case Study
Keywords:Bipolar affective disorder, HAM A Scale, HAM D Scale, Āyurveda, Srotośodhana
Bipolar Affective disorder (BPAD) earlier known as manic depressive psychosis (MDP) is a major psychiatric disorder all around the world, which is mainly characterized by frequent and recurrent episodes of mania, hypomania, and depression. A majority of complete aetiology or pathogenesis of BPAD is unknown. As per Ayurveda, Bipolar affective Disorder shows symptoms as mentioned in unmada. In unmada, there is significant impairment in the domains of manas, buddhi, samjnajnana, smrti, bhakti, sila, cesta, as well as acara.Many of the nidanamentioned in unmada like virudha, dussta, asuci bhojana, bhaya, mano abhighata, visama cestacan be identified as the triggering factors in Bipolar affective Disorder. A 18 year old female presented inthe OPD with increased worries especially in the evening, hopelessness regarding her future, increased anger and sadness, occasional impulsivity , symptoms can be merely correlated with kaphajonmada with anubandha of pitta. Internally she was given medicines to manage her depression and anxiety. She was also advised procedures like Takrapanafollowed by uttamamatra snehapanawas done as a sodhana therapy following Abhyankar and usma sweda. Thereafter virecana, nasya sirodhara and talapotichil. During this time she was also subjected to meditation and counselling techniques as well.The patient responded satisfactorily to the treatment and her symptoms improved significantly. There was marked reduction in her pessimistic attitude. HAM D scale score before treatment was 21 while it reduced to 10 after treatment. Also the HAM a scale score before treatment was 15 while it reduced to 8 after treatment.