BASTI KARMA AND SHIRODHARA IN VISHADA/ DEPRESSION

1. Presenter: Under The Guidance Of :
Dr. Madhu Ranjan Dr. Prakash Paltye
1st year PG Scholar Associate Professor
Panchakarma Dept Panchakarma Dept
ASHWINI AYURVEDIC MEDICAL COLLEGE, TUMKUR

3.  DEPRESSION, a common but yet very serious
illness.
 In this present era of intensely competitive
culture unrealistic academic, social and family
expectation can create a strong sense of
rejection and strain on emotional and
psychological balance.

5.  विशाद= मनोिशाद= स्िकार्य अक्षमत्ि
(शब्दकल्पद्रुम, िचस्पत्र्म)
i.e. inability of mind to perform its routine
function.
 असिद्धिभर्ात विवििेशु कमेशु अप्रव्रवि विशाद
(डल्हण)
i.e. a condition originated from apprehension of
failure, resulting in incapability of mind and body
to function properly with significant reduction in
activity.

6.  Depression is a state of low mood and
aversion to activity that can affect a person’s
thought, behavior, feelings and sense of
well-being.
 Everybody occasionally feels down but these
feeling subsides in couple of days.
 Depressed mood on daily basis for minimum
duration of 2 weeks

7.  प्रग्र्ापराि
 अिातमेन्द्रद्रर्ार्य िम्र्ोग
 पररणाम
 हीन ित्ि, रजि and तमि मानसिक प्रकृ तत
 Vishaada/manovasada as “VATANANATMAJA
VIKARA” by Acharya Charaka.
 Explained under Manasika Vikara by Acharya
Sushruta.

8. हीन सत्व+वात+ पित्त+रजस+तमस प्रकृ तत
प्रग्यिराध, मनोभिघात, पवषसेवन, अततव्यवाय.. तनदान सेवन
प्रकोपित
शारररक दोष मानभसक दोष
जाठराग्ग्न प्रकोि ह्रदय प्रवेश
रसादद धातु प्रकोि vitiated manas
Manifestation of somatic vitiated dosha spreads over the body
symp like tremor etc. through manovaha srotas
मनोपवभ्रम बुद्धधपवभ्रम चेष्टापवभ्रम
विषाद

9. र्ुक्तव्र्पाश्रर्ं ित्िािजर्श्च।
तत्र दैिव्र्पाश्रर्ं...
(च. िू. २६/३१)
र्ुन्द्क्तव्र्पाश्रर् (PHARMACOLOGICAL TREATMENT)
ित्िािजर् (PSYCHOTHERAPY)
दैिव्र्पाश्रर् (SPIRITUAL THERAPY)

10. शाखागत: कोष्ठगताश्च रोगा ममोर्धिय
ििायिर्िाअरगजाश्च।
र्े िन्द्रत तेषां न हह कन्द्श्चदरर्ो िार्ो: परं जरमतन
हेतुरन्द्स्त ...
तस्मात धचककत्िाियसमतत ब्रुिन्द्रत ििाय धचककत्िामवप
बन्द्स्तमेके
(च. सि.१/३८-३९)
बन्द्स्तिायते च वपिे च कफे रक्ते च शस्र्ते।
िंिगे िन्द्रनपाते च बन्द्स्तरेि हहत: िदा
(िु.धच.३५/६)

11. Basti for Manasika vikara:
 Sarsawata ghrita Anuvasana basti
 Brahmi ghrita Anuvasana basti
 Kalyanaka ghrita Anuvasana basti
 Mahakalyanaka ghrita Anuvasana basti
 Hinguvachadi ghrita Anuvasana basti
Ideal dosage: 1 pala/day
 Madhu-tailika basti (Niruha Basti)
 Yapana basti (Niruha Basti)

12. सिद्िार्यको िचा हहरगु कररजो देिदारु च ६९
मन्द्रजष्ठा त्रत्रफला श्िेता कटभीत्िक कतुत्रत्रकम।
िमांशातन वप्रर्ंगुश्च सशरीषो रजनीद्िर्म ७०
बस्तमूत्रेण वपष्टोअर्मगद: पानमंजनम।....
(च.धच.९/६९-७२)
 Madhu- 148 gm
 Saindhava- 12 gm
 Sneha- Jyotishmati taila/ Brahmi Taila-100ml
 Kalka- vacha kalka churna- 30 gms
 Kwatha- Siddharatha agada kwatha churna-125 gms
reduced to- 280 ml
Total- 560-600ml

13. आपाद तल मूियस्र्ान दोषान पक्िाशर् न्द्स्र्त:।
िीर्ेण बन्द्स्तरादिे स्िस्र्ो अको भूरिातनि
(च.सि.७/६४)
मूलं गुदं शरीरस्र् सिरास्तत्र प्रततन्द्ष्ठता:।
ििं शरीरं पुष्णन्द्रत मूिायनं र्ािदाधश्रता:
(पराशरे)

14.  Meditative effect on mind and body.
 Relaxation and reduces stress.
 Reduces trachycardia and lower sympathetic
tone .
 Fascilitate proper binding of Indriya and
Vishaya.

15.  PATIENT NAME: Devaraj Y K
 Age: 36 years/ M
 IPD no:1123/17
 DOA:17/3/2017
DOD:25/3/2017
 CHIEF COMPLAINT:
Sleeplessness, headache, restlessness and
mood swings since 4-5 months.
ASSOCIATE COMPLAINTS:
Gastritis since 2 months.
H/O chronic alcoholism since 2-3 years.

16. Advised:
 Matra basti with Kalyanaka Ghrita- 1pala/day
 Takradhara(Himasagar Taila and Brahmi Taila)
for Sthanika Abhyangartha
 Taladharana with Vacha and Jatamamsi
churna
For 1 week.
Along with above procedure oral medicines
also prescribed as Srikhandasava, Brahmi
vati, Manasa syrup.

17. After receiving the course of treatment patient
got clinically improved:
 Sound sleep
 Free from restlessness
 Free from anxiety
 Headache reduced.
 Tremors of hands reduced.
It’s a small study where it showed significant
result. Further more/ large group study is
needed to evaluate more efficacy and its
significance.

18. CONCLUSION:
Hence Basti and Shirodhara is effective in
Vishada condition. Cost effectiveness, highly
non- invasive techniques and least toxic side
effects are the best aspects of these
treatment methodology that makes it
successful in properly managing stress and
stress related disorders.

19.  Charaka samhita chikitsa sthana 8th chapter.
 Charak samhita siddhi sthana 1st chapter.
 Charak samhita siddhi sthana 7th chapter.
 Textbook of panchakarma by Dr. B.A.Lohith chapter 6th basti
page no 265-332.
 Textbook of Kayachikitsa 3rd part by professor Ajay Kumar
Sharma chapter 11 page no 565.
 http://www.webmed.com/depression/guide.
 Review article published in international research journal of
pahrmacy on topic “ ANXIETY AND DEPRESSIVE ILLNESS: CURSE
TO METROPOLITIAN CITIES AND ROLE OF AYURVEDA” BY DR.
KAJARIA DIVYA AND CHANDOLA H.M.
 www.ncbi.nlm.nih.gov
 Timesofindia.indiatimes.com>articleshow.