adravya chikitsa- treatment without medicines that include psychotherapy , mantras , other healing factors

1. WELCOME

2. Adravya chikitsa, its application in clinical
practice
By
Dr.Chaithra Rao
PG Scholar
Dept. of PG Studies in Dravyaguna
SDMCA, Udupi

3. चिचित्सा
द्रव्यभूत अद्रव्यभूत

4. • एतच्चैव भेषजमङ्गभेदादपि द्पवपवधं- द्रव्यभूतमः, अद्रव्यभूतं च…
• अङ्गभेदाददत्यादद | अङ्गं शरीरं स्वरूपमिति यावि्; िेन
स्वरूपभेदाददत्यर्थः | द्रव्यभूिं द्रव्यरूपि् एविद्रव्यरूपि्|
च.पव.- ८/८७ - chakrapani
Based on swaroopa ,
1. which are dravyarupa
2. which are not dravyarupa
अद्रव्य चिकित्सा aims at –
• physical, mental and spiritual well-being.
• to treat the diseases of body, mind and soul.
• here, no internal medicine as such is not administered.

5. Different methods of
Adravya chikitsa

6. दैवव्यपाश्रय चिकित्सा
Derived from अर्वथवेद.
Word “दैव” here has different meanings.
 दैविदृष्टं िद्वव्यपाश्रयं- िच्ि यददृष्टजननेन व्याचिप्रत्यनीिं
िन्त्रादद |
ि.सू-११/५४-िक्रपाणि
That which is not seen.
 तनददथष्टं दैवशब्देन ििथ यि् पौवथदेदििि्|
िेिुस्िदपप िालेन रोगािािुपलभ्यिे||
ि.शा- १/११६
acts of past life and their dispositions .
 देवाः सुराः सुरयोनयश्ि देवेष्वचििॄ त्ययद्वविथिे िदचिदैपविि् ।
divine or celestial .

7.  Acharya Charaka says-
• नैव देवा न गन्त्िवाथ न पपशािा न राक्षसाः| न िान्त्ये स्वयिक्ललष्टिुपक्ललश्नक्न्त्ि
िानवि ् ||
ि.तन.-७/१९
• प्रज्ञापरािाि् सम्भूिे व्यािौ ििथज आत्िनः| नामभशंसेद्वबुिो देवान्त्न पपिॄन्त्नापप
राक्षसान् ||
आत्िानिेव िन्त्येि ििाथरं सुखदुःखयोः| िस्िाच्रेयस्िरं िागं प्रतिपद्वयेि नो रसेि्||
ि.तन.-७/२१,२२
• अर दैवव्यपाश्रयिादावुलििाशुव्याचििरत्वेन |
 Acharya Chakrapani (c.su-11/54) opines that it works faster compared to other
treatment modalities. Hence Acharya Charaka has mentioned दैवव्यपाश्रय
चिकित्सा as the 1st method of treatment .
 converting the incredible, imperishable omnipresent cosmic energy into
individual psycho-intellectual energy so that adversities can be surpassed is the
aim of daiva vyapasharaya chikitsa.

8. DIFFERENT METHODS OF दैवव्यपाश्रय चिकित्सा
• तत्र दैवव्यिाश्रयं-
मन्त्त्रौषधधमणिमङ्गलबल्युिहारहोमनियमप्रायश्चचत्तोिवासस्वस््ययिप्रणििातगमिादद
च.सू-११/५४
• तयोः साधिानि- मन्त्त्रौषधधमणिमङ्गलबल्युिहारहोमनियमव्रतप्रायश्चचत्तोिवास
स्वस््ययिप्रणििातगमिादीनि||
च.नि-७/१७
• मन्त्त्रौषधधमणिमङ्गलबल्युिहारहोमनियमप्रायश्चचत्तोिवासस्वस््ययिप्रणििातगमिाद्याः क्रिया
इष्टयचच प्रयोज्येरि ्
च.पव-३/३६
मन्त्त्र – incantation स्वस््ययि- hymns
औषधध – wearing herbs प्रणििात – prostration
मणि – wearing jewels व्रत – vows
मङ्गल – auspicious rites उिवास – fasting
बलल – sacrifices गमि – piligrimage
उिहार- oblations प्रायश्चचत- atonement
होम – religious rites नियम – restraint

9.  िन्त्र :
• for inducing normal delivery (c.sha-8/8)
• better progeny (c.sha- 8/39 and yoga.ratna-8-10)
• for producing adequate lactation (su.sha-10/30-31)
• vishnusahasranama in jwara
• agantuja unmada – chanting lord Rudra
• skandagraha- bathing with water that is purified by gayathri mantra
• before giving the medicine for vamana karma
• chanting mantras along with the administartion of drug –िक्न्त्रि ििुसपपथ
along with सारीव
• before collecting drugs– like सॊिलि

10.  तनयि
• religious observances conductive to cleanliness and self control.
 प्रायक्श्िि
• atonement of the evil deeds done in the past , knowingly or unknowingly.
उपवास
• total or partial abstinence from intake of food as a method of purification
of mind and body.
प्रणिपाि
• bowing infront of the deity, or elders or gurus as a symbol of humility,
submission and surrender
• प्रणिपािो देवादीनां शारीरो निस्िारः|
गिन
• visiting sacred piligrimages and offering prayers to the gods at distant
places- serves by promoting pious thinking, change of climate and physical
exercise to the body.
• गिनं पवदूरदेवाददगिनि ्|

11. िङ्गल
 rites that are performed for the well being of the individuals
ििीनािोषिीनां ि िङ्गल्यानां पवषस्य ि||
िारिादगदानां ि सेवनान्त्न भवेज्जज्जवरः|
ि.चि.-३/३०९
 स्वस्त्ययन
o prayers done for peace and swasti with hymns taken from vedas (shanti
mantra) for universal peace. Diseases caused by cosmic powers like stars,
planets will be pacified by shanti mantras.
o Benefits :
 Immediate effect, painless procedure.
 brings back confidence based on faith.
 Derive power and bliss from omnipresent cosmic energy and also deep
within the inner levels of consciousness .
 by upavasa, there is ignition of jataragni, panchabhutagni, dhatvagni etc

12. अद्रव्यभूि चिकित्सा
िर यदद्रव्यभूिं िदुपायामभप्लुिि् |
Treatment done by उिाय or using things which are अमूतत.
उिायो िाम -
भयदर्तिपवस्माििपवस्मारिक्षोभिहषतिभ्सतिवधबन्त्धस्वप्िसंवाहिाददरमूतो
भावपवर्ेषो यथोकताः लसद््युिायाचचोिायालभप्लुता इनत |
च. पव - ८/८७
भयदशथन - inducing fear वि – beating up
पवस्िापन - surprising बन्त्ि - tieing up
पवस्िारि – memorizing स्वप्न – inducing sleep
क्षोभि – inducing shock संवािन – massage
िषथि – excitement
भत्सथन – scolding, threatening

13.  भयदशथन by physical and psychological methods .
देहदुःखभयेभ्यो दह िरं प्रािभयं स्मृतम ्|
च.धच- ९/८४
Fear of death is more terrible than fear of physical agony.
 inducing excitement by पवस्िापन and िषथि to remove the
fear, depression etc
 सिेिोद्धृतदंष्रेि दान्त्तैः लसंहैगतजैचच तम्| त्रासयेच्छस्त्रहस्तैवात तस्करैः र्त्रुलभस्तथा
अथवा राजिुरुषा बदहिी्वा सुसंयतम्| त्रासयेयुवतधेिैिं तजतयन्त्तो िृिाज्ञया ||
च.धच- ९/८२-८३
Showing untoothed snakes, lions, elephants, terrifying with
criminals , with fearful weapons, ताडि (beating), बन्त्धि,
गॄहबन्त्धि (confinement to a dark room ) .

14. Psychoshock therapy
• Electroconvulsive therapy (ECT) - done under general anesthesia
• small electric currents are passed through the brain, triggering a brief
seizure to cause changes in brain chemistry.
Done in cases of –
• severe depression
• treatment resistant
• mania
• catatonia
• dementia

15. सत्वावजय चिकित्सा
• SUBJUGATION OF MIND”
• सत्त्वावजयःपुनरदििेभ्योऽर्ेभ्यो िनोतनग्रिः|
ि .सू -११/५४
• सत्त्वावजयो दह दृष्टद्वारोिकारी युश्कतव्यिाश्रये, तथाऽदृष्टद्वारोिकारी तु
दैवव्यिाश्रये प्रपवर्नत| अत एवोकतं युश्कतव्यिाश्रयव्याकरिे- चेष्टाचच
दृष्टफला इनत| चेष्टार्ब्देि मिचचेष्टाऽपि सत्त्वावजयलक्षिा गृययते|
च.पव-८/८७ commentary
• अदििेभ्यः सदार्ेभ्यॊ िनॊतनग्रिि िर्ा ।
िीिैयाथत्िादद पवज्ञानं सत्वावजयिुच्यिे ॥
आ.सौ.-२/१७०
• िानसो ज्ञानपवज्ञानिैयथस्िृतिसिाचिमभः||
ि.सू.- १/५८
• िीिैयाथत्िाददपवज्ञानं िनोदोषौषिं परि ्||
अष्टांग.ह्रु.-1/26

16. Restraining
mind from
desire of
unwholesome
objects
Directing
mind towards
wholesome
objects
Promotion of dhi,
dhriti, smriti, jnana
सत्वावजय चिकित्सा

17.  िी (बुद्वचि / intellect ) :
 िीबुथद्वचिः यया दििादििपववेिः |
 तत्र धीबुतद्धधबातयया्याश््मकािां भावािां दहतादहतिररच्छेदपवभागकाररिी |
अचटा.हॄ-१/२६ commentary
the intellect normally views the things in their right perspective and to
differentiate things and make judgement .
eg: अत्वालभनिवेर् – patient cant distinguish between नि्य and अनि्य, दहत and
अदहत.
 िॄति (patience ): restraining mind from अदहत to avoid धॄनतभ्रंर्.
 िैयथ(willpower/valour) :
 धैयं िृतिश्िेिसः श्स्थर्वमचािलम ्, येि प्रनतपषद्धेषु ि प्रवततते, दहतेषु च ि सीदनत|
 धैयं दुःखसित्वं, येि दहतसेविमदहत्यागः|
अचटा.हॄ-१/२६ commentary
stability of mind to do the right thing avoiding the wrong ideas
“अभीरुत” is regarded as one of the qualities of a good patient .
eg: भयज अनतसार
 स्िॄति (memory) : “अिुभूतथत स्मरिं”
स्मॄनत भ्रंर् is one of the main features in अिस्मार

18. • िनोतनग्रि : अदिि अर्थ तनग्रि
Techniques of controlling the mind
According to Acharya Charaka, Patanjali Yoga sutra and
Muktikopanishad
1. अभ्यास– दििोपसेवन – adopting healthy practices
2. वैराग्यं – अदिि अनुपसेवन – withdrawal from unwholesome practices
3. सािुसंचगि – िद्वपवध्यासेवा – association with the virtuous and pious
4. प्राितनरोिः – वायुतनग्रि – balancing and regulating the prana
5. अध्यात्िपवध्या – आत्िाददज्ञान - acquiring knowledge about self
DIMENSIONS OF सत्वावजय चिकित्सा

19. अभ्यास( constant practice )
िर क्स्र्िॊ यत्नॊ अभ्यासः ।
यॊ.सू-१/१२
स िु दीर्थिाल नैरन्त्ियथसत्िारसेपविो दॄढभूमि ।
यो.सू - १/१४
वैराग्यं ( detachment)
“वसनपररत्याग”
Eg:
उचििाददििाद्विीिान् क्रिशो पवरिेन्त्नरः| दििं क्रिेि सेवेि क्रिश्िारोपददश्यिे||
प्रक्षेपापिये िाभ्यां क्रिः पादांमशिो भवेि्| एिान्त्िरं ििश्िोध्वं द्वव्यन्त्िरं ्यन्त्िरं िर्ा||
- gradual withdrawal from the ahitakara and gradual practice of hitakara in relation to
ahara, vihara, and also psychological disorders.
सािुसंचगि (association with the enlightened ones)
• िानसं प्रति भैषज्जयं त्ररवगथस्यान्त्ववेक्षिि्|
िद्वपवद्वयसेवा पवज्ञानिात्िादीनां ि सवथशः||
• while explaining sadvritta –
• सुिुखाः सवथभूिानां प्रशान्त्िाः शंमसिव्रिाः|
सेव्याः सन्त्िागथवलिारः पुण्यश्रविदशथनाः||

20. प्राितनरोिः( enhancement of prana)
Pranayama , a process brings about the integration and enhancement of prana
shakthi.
Acharya sushrutha has advocated pranayama in the treatment of hikka .
आध्यात्ि पवध्या :
• प्रपवश्याध्यात्ििात्िज्ञः स्वे ज्ञाने पयथवक्स्र्िः||
सवथरावदििज्ञानः सवथभावान् परीक्षिे|
ि.शा- ३/२१
• आत्िपवज्ञानं योगाभ्याससिाचिना परिात्िस्वरूपपवज्ञानि्|
• आत्िाददपवज्ञानं आत्िादयः आत्िदेशिालास्िेषां पवज्ञानिीदृशोऽििीदृशे देशे ईदृशे
िाले व्यविरािीति ज्ञानं, येन दििसेवनस्यापवच्छेदः|
अश्टा.हॄ-१/२६ commentary
Spiritual wisdom that involves mind control, attainment of knowledge
undisturbed in all situations enabling one to examine the things in all aspects.

21.  आचवासि : assurance, cheering, consolation, encouragement .
Eg: ज्जवर caused by िाि शोि भय it is managed by आश्वासन,
providing the desired object and िषथि.
 सान्त््वि :pacification, appeasement
 दाि : gratification by gift to appease the patient or substitution of a lost item.
 प्रसादि : purification, cleaning , calming
 All these treatment modalities are told in unmada
chikitsa by Acharya Charaka & Acharya Sushrutha.

22. PSYCHOTHERAPY
o Treatment of problems of an emotional nature by psychological means in
which a trained person establishes a professional relationship with the
patient in (1) removing, modifying, or retarding existing symptoms, (2)
mediating disturbed patterns of behavior, and (3) promoting positive
personality growth and development.
o types and methods of psychotherapy:
 psychoanalysis
 psychodyanmic approach
 behaviour therapy : systemic desensitization,
gradual exposure
 humanistic therapy
 cognitive therapy
 cognitive-behavioural therapy (CBT)
 family & group therapy

23. अग्र्य औषचि
• व्यायािः स्र्ैयथिरािां शोिः शोषिानां
• सङ्िल्पो वृष्यािां पुक्ष्टःस्वप्निरािाि ्
• िषथः प्रीिनानां तनवृपतः पुक्ष्टिरािां
नैक्ष्टिी चिकित्सा
• तनष्ठा अत्यन्त्िदुःखिोक्षो िोक्षरूपः, िदर्ं भूिा नैक्ष्ठिी|
पवनोपिामिति िृष्िां पवना, िृष्िाशून्त्या प्रवृपति्क्षाला भविीत्यर्थः||
च.र्ा-१/८६-९२-commentary
• Absolute eradication of दुःख attained by the elimination of desire(उिधा)
which are root cause of all miseries. Elimination of desires lead to
eradication of all miseries.
• आिार रसायन
• स्यवादद , अिोधं, अदहंसक, प्रर्ान्त्तं, पप्रयवाददिम ्, जिर्ौचिरं, धीरं,
दािनि्यं, तिश्स्विम ्…..
च.धच.१/३०

24. • तनदानपररवजथन चिकित्सा :
(a) सद्ववृत पालन
(b) सम्यि् वेगिारि and उदीरि
(C) Following the आिार पवशेषायिन
• सद्ववृत :
• This is code of conduct for आरोग्यor balanced condition of body and इश्न्त्द्रय
पवजय.
1. Ethical /व्यावहाररक सद्वृत्त
2. Social or सामाश्जक सद्वृत्त
3. Mental or मािलसक सद्वृत्त
4. Moral or धालमतक सद्वृत्त
5. Physical or र्ारीररक सद्वृत्त
They are the principles of right conduct that are applicable to all people of all
times and all places. Practicing these principles gives balance and peace to the
mind.

25. योग
 योगो मोक्ष प्रवततकः |
 it is धचत्त प्रसादि.

28. DHYANA

29. • MODERN DAY PRACTICES
• Pranic healing:
 based on 2 laws
 involves 6 steps
• Reiki :
 Palm healing

30. Importance of adravya chikitsa and its
application in modern day
• Meeting the demands of modern day.
• Maintaining the health.
• phobia towards medicine
• importance of दैवव्यपाश्रय चिकित्सा
1. gayatri mantra – tuned mind, intuition, in depression and anxiety
2. aditya hrudaya- drishti karaka, prana kartha, praja karta, ritu karta
3. vishnusahasranama- in fever
4. indrakshi storam – TB, epilepsy, fever
5.mantras for garbhadana
6. narasimha kavacham- infertility
• प्रणिपाि - humility, increse of satwika guna, awakening of anahata chakra
• प्रायक्श्िि - tapas, daana, confession, japa that allows seeker to get rid of
ignorance.

31.  उपवास - लंर्निर उपवासः। by अरुिदत – jataragni vriddhi, ama pachana,
shodhana.
 Adravya chikitsa told by Acharya Charaka – unmaada, cases of schizophrenia,
psychosis, depression etc
 role of सत्वावजय चिकित्सा in-
a) Prementsrual syndrome:- anxiety, depression, panic attack, mood swings etc…
1. Internet-based cognitive behavioural self-help for premenstrual syndrome: study
protocol for a randomised controlled trial.
2. The Effects of Mindfulness-Based Cognitive Therapy on Depression and Anxiety in
Women with Premenstrual Syndrome.
b) Geriatric disorders:- low self esteem, near to death, poverty
1. Common Themes and Issues in Geriatric Psychotherapy
2. The Growing Role of Psychotherapy in the Elderly
c) IBS:- stress, emotional problems
1. therapeutic studies by satwavajaya chikitsa in the management of iriitable bowel
syndrome.
d) In cases of carcinoma:-
1. in preliminary stages
2. in terminal stages

32. • role of music therapy :- mantra chikitsa, in HTN,
insomnia, tranquilizer
1. role of music therapy as a non pharmacological
therapy in the management of psycho- somatic
diseases.
• role of yoga :- HTN,DM,stress, anxiety, depression,
obesity, CVD, asthma, endocrinal disorers.