Ayurvedic Management of PSYCHO-SOMATIC DISEASES Print
Written by Dr. Kousik Das Mahapatra   

A cross culture body language is used to express “distress increasingly”. In fact in healthy states of minds also overtakes the verbal language. So obviously this inherently learned behavior comes to be used in states of disease & sickness. The term PSYCHIC has frequently been used. Since prevalence of such disorders has come to recognition and their Psycho-socio-biological correlates came to be studied in detailed terms such as neurotic, neurotism & neurotic disorders appeared.

 

Epidemiological surveys conducted at various centers across the country reveal alarming indices. In Medical, Surgical, G&O, Pediatrics & Primary Health Care figures up to 54%. This takes a heavy toll on the state exchequer as well as Man, money & material power. Owing to non-understanding & misunderstanding-these morbid patients are being exploited at the hands of medical & paramedical staffs.
This disorder usually begins in second and third decade of life and is much more common in females. In the first degree, relatives of the patient are also become sufferer in later stage.
The Psycho-somatic disorders are characterized by repeated presentation with physical symptoms which do not have any physical basis, and a persistent request for investigation and treatment despite repeated assurances by the treating doctors. There are multiple somatic symptoms in the absence of any physical disorders; the symptoms are recurrent & chronic of many years duration; at least 2 yrs needed for diagnosis. The symptoms are vague, presented in a dramatic manner and involve multiple organ systems. The common symptoms are- chest pain, heaviness of pericardium, high BP, abdominal pain, belching, nausea, vomiting, regurgitation, Skin reactions (numbness, soreness, itching, tingling, burning senses), sexual & menstrual complaints (menorrhagia, dysmenorrohea, dyspareunia and erectile dysfunction).
There is frequent change of treating physician. Attention seeking behavior is invariably present, Persistent refusal to accept the advice or reassurance that there is no physical explanation for the symptoms. Some degree of social & family functioning is attributable to the nature of symptoms & behavior.
There exists with persistent preoccupation with a fear or belief of having one or more serious diseases based on person’s own interpretation of merely normal body function. It might present as a symptom of Depressive illness. Drug therapy has very limited role except treating underlying Depression. The part of psychotherapies is very important here.
Irritable Bowel Syndrome (IBS):-Another symptom is called by large variety of names, like Spastic colitis, Nervous diarrhea, Mucus colitis, Colon neurosis etc. The principal abnormality is colon mobility which is modified by psychosocial factors. It is characterized by abdominal pain, discomfort, alteration of bowel habits and incomplete evacuation.        
After proper diagnosis and evaluation Mukta pishti, Akik pishti & other specified drugs to be prescribed to improve the psychological sophistication of the patient. Then specific psychotherapies (Cognitive Behavioral Therapy, Supportive, 
Emotive and Confrontation Psychotherapy) are to be done.
Female Patients go through Premenstrual Syndromes: - It is found at the 2nd phase of menstrual cycle i.e. after a few days of ovulation, reach peak about 4-5 days before menstruation and disappears usually around menstruation. The symptoms are irritability, anxiety, depression, crying spells, restlessness, and loss of appetite, headache and pedal edema, swelling of breast and weight gain due to water retention. The psycho-social causes are encompassing education, expectations and attitudes towards menstruation and feminin changes.
     Here drug therapy is necessary. Diuretics like Punarnava mandur along with moderate anxiolytic (Brahmi) are very helpful. Psychotherapy has also a prospective role. In resistant Mukta Pishti along with Manikya Bhasm gives good effect.
This is a very common clinical syndrome which is often missed, particularly when not present in its full blown form. The syndrome is characterized by a habit of hyperventilation which becomes particularly marked in presence of a psycho-social stress or any emotional upheaval. It is characterized by excessive fatigue, chest pain, headache, palpitation, sweating and a feeling of lightheadedness in milder form, in severe from spasm, paraesthesia and loss of consciousness.
     Relaxation therapies viz. Yoga and hypnosis is very helpful rather than medication. Sometimes treatment of underlying anxiety is necessary to treat.
Persistent Somatoform Pain disorder: - It was previously called as psychogenic pain disorder. In persistent and severe cases there is distressing pain. This pain is grossly in excess of what is expected from physical findings and inconsistent with the anatomical distribution of nervous system. The affected person often assumes a ’sick role’. Abuse and dependence on analgesics, minor tranquilizer is common, particularly when the course is chronic. It is common in female rather the male subject. The patient usually refuses psychiatric intervention. Drug therapy should be avoided as the risk of iatrogenic drug abuse is high. A supportive relationship with a physician will prevent doctor-shopping and provide relief. 

 

Case 1: 28 yrs male married pt, oldest of 3 siblings from a poor socio-cultural background, was suffering from problems like Indigestion, loose & hard stool, gaseousness, acidity for 3 years.
Shivakshar pacana churn, Mukta, Kamdudha, MahaShankha Vati, and Chitrakadi Vati along with initially supportive Psychotherapy and later on CBT blended with Confrontation psychotherapy was given after 3 months of treatment patient is cured now.
Case 2: 35 yrs old businessman of a high middle class family, younger of 6 siblings, was suffering from chest pain, hypertension, and heaviness of chest for 2 years. He has been treated with Tab. Smriti (DAV) (Anxiolytic) for 3 months, along with CBT & Directive Psychotherapy (16 sessions). All problems settle down in 4 months.
Case 3: 15 yrs old girl of 10th standard was suffering from black headed marks with severe itching at night generally for 2 & ½ yrs. She was treated by several dermatologists as Lichen planus.
Mukta pisti with 8 sessions of CBT was given and normal skin came in 2 months after
Case 4: 30 yrs habitual alcoholic, unmarried male patient, youngest of 3 brothers from a poor socio-cultural background was suffering from pain of shoulder, head, chest, abdomen and back for 2 yrs. He was taking alcohol for relief in the pain. Mukta pisti, Maha Shankha vati with Psychodynamic Behavioral Therapy of 6 sessions relieved him in one month.
 
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DAV's Ayurveda for Holistic Health
ISSN 2348-6910 Volume - 1 , Issue: 28 , September 2015

Home arrow July 2008 arrow Ayurvedic Management of PSYCHO-SOMATIC DISEASES

Editorial Board

Chief Patron
Shri Punam Suri
President, DAV College Managing Committee,
New Delhi.

Patron
Dr. S. K. Sama
Vice President, DAV College Managing Committee,
New Delhi.

Chief Editor
Dr. Raj Kumar Sharma
Principal, Dayanand Ayurvedic College,
Jalandhar.
Ph: +91-9814204443

Editor
Dr. Sanjeev Sood
Ph. : +91-9814004142

Executive Editor
Dr. Anup K. Gakkhar

Executive Manager (circulation)
Dr. Anil Gakkhar

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