Citation

Tubaki BR, Chandake S, Sarhyal A. J. Ayurveda Integr. Med. 2021; 12(2): 378-383.

Copyright

(Copyright © 2021, Medknow Publications)

DOI

10.1016/j.jaim.2021.03.012

PMID

unavailable

Abstract

Major Depressive disorder (MDD) is a chronic, episodic disorder which manifests with disturbance in mood, interest, cognition and vegetative symptoms. It has major impact on the quality of life of the patients, by affecting their physical, mental, personal, social, and spiritual wellbeing. Vishada and avasada represents minor depressive episodes and MDD can be equated to Kaphaja Unmada. Current case presented with sadness, worthlessness, helplessness, death wishes, disturbed sleep and was diagnosed as MDD as per DSM V criteria. Ayurveda diagnosis was Kaphaja Unmada involving kapha-dominant vata and tama dosha. Mental examination revealed derangement of mana (mind), buddhi (intellect), smruti (memory), bhakti (desire), sheela (temperament), chesta (psychomotor activity) and achara (conduct) components. Patient was Avara Satwa. Management was planned with integrative treatment comprising of Yukti vypasharaya (pharmacological), Satwawajaya (counselling) and daiwivyapashraya (spiritual-based techniques). Management was with snehapana (internal oleation), virechana (gut cleansing), sarvanga abhyanga (massage of whole body with medicated oil) followed by bashpa sweda (steam therapy to whole body), shirodhara (dripping of medicated oil on fore head), shiropichu (transcranial drug administration by placing cotton pad dipped in medicated oil), katibasti (holding of medicated oil in well-prepared from dough), satwavajaya chikitsa, and daiwi vyapashraya chikitsa. Conventional psychopharmacological interventions taken since last year were tapered and discontinued. Treatment continued for 352 days which included 13 days of hospitalized treatment and follow-ups. Intervention outcome showed reduction in Hamilton depression Rating scores from 31 to 6. Patient's self-assessed worry reduced from 16 h/day to 2 h/day, self-assessed daily relaxed state improved from ½ hour/day to 14 h/day. Patient showed complete remission by 180th day of intervention. Improvements sustained even during the non-interventional observation period. Thus, the Ayurvedic integrative management showed efficacy in management of MDD. © 2021 The Authors

Language: en

Keywords

adult; human; counseling; domestic violence; female; case report; insomnia; psychotherapy; helplessness; suicide attempt; major depression; treatment outcome; disease severity; conduct disorder; sleep deprivation; fatigue; treatment planning; clinical article; serotonin uptake inhibitor; unclassified drug; human relation; priority journal; headache; cognitive therapy; middle aged; psychopharmacology; electroconvulsive therapy; massage; benzodiazepine derivative; psychomotor disorder; family therapy; follow up; drug withdrawal; lorazepam; tinnitus; phototherapy; remission; vagus nerve stimulation; temperament; psychosocial withdrawal; physical abuse; intellectual impairment; drug dose reduction; memory disorder; transcranial magnetic stimulation; Article; treatment duration; spiritual healing; evening dosage; bedtime dosage; ayurvedic drug; interpersonal psychotherapy; DSM-5; sadness; Ayurveda; cognitive behavioral therapy; Hamilton Depression Rating Scale; patient worry; amitriptyline plus chlordiazepoxide; aswagandha plus jatamamsi kwatha; bashpa sweda; daiwivyapashraya chikitsa; Kaphaja unmada; katibasti; mahakalyanaka ghrita; Major Depressive Disorder; manasamitravataka; Panchakarma; saraswatachurna; saraswatarishta; sarvanga abhyanga; satwavajaya chikitsa; Satwawajaya (Ayurveda psychotherapy); self-concept assessment; shirodhara; shiropichu; shiropichu plus balaashwagandha taila; snehapana; unmadagajakesari rasa; virechana