Post on 05-Feb-2023
MANAGEMENT OF OBSESSIVE COMPULSIVE DISORDER THROUGH AYURVED AND YOGA
Presented By
Guided By
P.G. DEPT. OF DRAVYAGUNA NIA JAIPUR
INTRODUCTION:
Obsessive Compulsive Disorder (OCD) is an anxiety
disorder characterized by uncontrollable unwanted
thoughts and repetitive, ritualized behaviors one feels
compelled to perform.
Obsessions are involuntary, seemingly uncontrollable
thoughts, images, or impulses that occur over and over
again in one’s mind.
Conti….
Compulsions are behaviors or rituals that one feels
driven to act out again and again. Usually, compulsions
are performed in an attempt to make obsessions go away.
In fact, the obsessive thoughts usually come back
stronger. And the compulsive behaviors often end up
causing anxiety themselves as they become more
demanding and time-consuming.
A few examples of compulsions are: cleaning,
repeating, ordering, arranging, checking, mental
compulsions.
The possible cause of OCD is the abnormally low levels of
serotonin.
Family history: having family members with the disorder can
increase the risk of development of OCD.
Environmental factors: brain injuries, infections etc.
Stressful life events.
ETIOPATHOGENESIS:
CORELATION WITH AYURVEDA:
OCD can be correlated with Attavabhinivesh.
It can be due to unhealthy diet, veg vidharana etc. leading to
tridosh prakopa & raj tama pravritti.
Channels affected- buddhivaha srotas
Cardinal features- impairement of intellect (buddhi bhrama).
It is also called Mahagad.
In World: Recently it has been found that 2-3% of people have OCD.
In India: 2,44,96,623 are affected by OCD.
It strikes men and women in roughly equal numbers and usually appears in childhood; adolescence, or early adulthood.
OCD is highly prevalent and more prevalent than the schizophrenia and bipolar disorder.
Conti….
Selective serotonin reuptake inhibitors (SSRIs), tricyclic
antidepressants, benzodiazepines are used for OCD
treatment.
But they have metabolic side effects & are habit forming.
So to find out Ayurvedic treatment and Yoga therapy
which can prove to be beneficial in OCD without
producing any metabolic side effect or habit making is the
purpose of this study.
METHODS:
Review of Ayurvedic literature, research papers, journals for-
1. OCD
2. Attavabhinivesh
3. Ayurvedic herbs
4. Concerned Yoga therapy & meditation
Ayurvedic herbs for OCD:
Mandukparni:
Latin name: Centella asiatica (Linn.) urban
Family: Umbelliferae
Habit: slender herbaceous creeper
Ras – tikta, anuras- kashaya, vipak- madhur, virya- sheet, guna-laghu, prabhav- medhya, kapha pitta shamak.
Chemical constituents: hydrocotyline, asiaticoside,vallerine
Pharmacological action: the alcoholic extract & glycoside shows mild tranquilising effect. It improves mental fatigue rate. It improves general ability & behavioural pattern. Centella asiatica has anxiolytic activity in humans.
Parts used: whole plants and leaves.
CONTI…..
Jatamansi:
Latin name: Nordustachys jatamansi DC.
Family: Valerianaceae
Habit: shrub
Guna –laghu,snigdha, rasa-tikta, madhur, kashaya, vipaka-katu, virya-sheet, prabhav- bhootghna, manasdosh har & tridosh har
Chemical constituents: volatile oils, jatamansik, jatamansone
Pharmacological action: nervine tonic, sedative. It directly acts on manas dosha.
Parts used: root
Brahmi:
Latin name: Bacopa monnieri (Linn.) Pennel
Family: Scrophulariaceae
Habit: creeping herb
Guna-laghu, rasa-tikta, vipaka-katu, virya- ushana, prabhav- medhya, kapha vata shamak
Chemical constituents: Brahmin, herpestin alkaloid, hersaponin, betulic acid, stigmasterol
Pharmacological action: hersaponin, mainly exhibits sedative action. bacosides showed anxiolytic activity in animals. It also shows GABA-ergic activity. Brahmi not only enhances memory, it also shows anti stress effect.
Parts used: panchang
Shankhpushpi:
Latin name: Convolvulus pluricaulis Chois
Family: Convolvulaceae
Habit: shrub
Guna- snigdha, pichhil, rasa- tikta, vipak- madhur, virya- sheet, prabhav-
medhya, vata pitta shamak
Chemical constituents: shankhpushpin alkaloid
Pharmacological action: it acts as nervine tonic and has medhya property. It
also pacifies vata pitta, so it will lower down raja tama pravritti. The herb
induces a feeling of calm and peace, good sleep and a relief in anxiety,
stresses, mental fatigue, producing a significant reduction in the level of
anxiety, neuroticism arising due to various levels of stresses. The herb
appears to produce its action by modulation of neurochemistry of the brain.
Parts used: whole plant
Kushmand:
Latin name: Benincasa hispida(Thunb.)
Family: Cucurbitaceae
Habit: climber
Guna-laghu, snigdha, rasa-madhur, vipak- madhur, virya-sheet,
prabhav medhya, tridosh shamak
Chemical constituents-cucurbitine, resin, protein, vitelline,
sugar, alkaloids, seed contains fixed oils.
Pharmacological action: brain tonic, improves memory.
Methanolic extract of Benincasa hispida fruit exhibited anti-
compulsive effect.
Parts used: fruit, seeds, seed oil
Guduchi:
Latin name: Tinospora cordifolia Willd.
Family: Menispermeaceae
Habit: climber
Guna- guru, snigdha, rasa-tikta kashaya,
vipaka-madhur, virya-ushna, tridosh har
Chemical constituents: berberine, giloin, starch,
magnoflorine,tinosporide
Pharmacological action: it is a medhya rasayan &
pacifies tridosh.
Parts used: kaand
Yashtimadhu:
Latin name: Glycirrhiza glabra Linn.
Family: Paplionaceae
Habit : perennial herb
Guna- guru snigdha, rasa- madhur, vipaka-
madhur, virya- sheet, vata pitta shamak
Chemical constituents: glycirrhizine, isoliquirine,
liquritine, asparagines
Pharmacological action: it is a medhya rasayan. Due to its sheet
virya, guru snigdha guna & pacification of vata pitta property,
it will lower down raja tama pravritti. It is a nervine tonic also.
Parts used: root
Yoga & meditation:
Some of yoga & Asan which can help in OCD patients are:
Kundalini yoga, Shanmukhi
mudra, Pranayam, Bhastrika, Shirsasan, Shavasan, Meditation
.
Yogic meditation, asanas and relaxation techniques depend on
breath control.
During periods of intense anxiety, breathing becomes
shallow, restricted and rapid; rapid breathing exacerbates
nervous agitation and anxiety.
Pranayama, or yogic breathing exercises, deepen and slow the
breath to calm the nerves and soothe anxiety.
With regular yoga practice, OCD patients can manage anxiety
with breath control.
Conclusion:
In Ayuveda, OCD is to related with Attavabhinivesh.
Acharya caraka describes various treatments forattavabhinivesh like snehan, svedan, panchkarma &shaman chikitsa. In shaman chikitsa, carakaprescribes use of aashvasan karma which is actuallybehavioural therapy.
Caraka recommends to use of medhya drugs & rasayanfor attavabhinivesh chikitsa as these drugs have directeffect on brain & psychological disorders.
Medha is term used to denote acuity of mind. Most ofthe medicine are explained under this group, found usedin Ayurvedic psychiatry.
Under rasayana group of medicine a separate subgroup isdealt for promoting the acuity of mind (medhyarasayana) which have drugs like Mandookparni,Yashimadhu, Guduchi and Shankhapushpi.
Besides these, other drugs have also medhya propertylike Kooshmanda & Jyotishmati etc. These drugs areadvised in obsessive psychosis (Atatva abhinivesh).
Yoga meditation can help OCD patients learn to
recognize obsessive thought patterns, a key
component of cognitive behavioral therapy.
Yoga asanas and relaxation techniques provide
anxiety relief.
Asanas strengthen and stretch the muscles to
relieve stress and tension.
Yoga therapy can reduce intrusive thoughts and
compulsive behaviors, making obsessive-
compulsive disorder a much more livable
condition.