1. Psychosomatic disorders occur when mental stress or emotional factors negatively impact physical health. According to Unani medicine, disturbances in psychic faculties like the brain can lead to stress-related issues like depression. 2. Unani recognizes lifestyle factors like diet, exercise, sleep, and social support as essential to well-being. Imbalances in these "six essentials" as well as the temperament can contribute to psychosomatic disorders. 3. Treatment focuses on eliminating causes, correcting temperament imbalances, and strengthening the heart-mind connection. Approaches include dietary therapy, exercise, relaxation, and medications aimed at reducing stress symptoms.

1. Psychosomatic Disorders &
Unani Management
DR.SHAIKH NIKHAT, MD MEDICINE
RESEARCH OFFICER (UNANI)
REGIONAL RESARCH INSTITUTE OF UNANI MEDICINE ,
MUMBAI
CCRUM, MINISTRY OF AYUSH, NEW DELHI
drnikhat.unani@gmail.com

2. Meaning of Psychosomatic disorders
• Any physical illness
aggravated by a
mental factor
(emotions, stress or
internal conflict)

3. WHAT IS DEPRESSION?

4. DEFINITION
• Depression is a "whole-body" illness
• It involves your body, mood, and thoughts.
• It affects the way you eat and sleep, the way
you feel about yourself, and the way you
think about things.

5. WHAT IS STRESS?

6. Feel like you are Losing It?

7. Researchers define stress as
• Stress is the nonspecific response of the body
to any demand made upon it.
– Can be external or internal.
– May affect a person physically, mentally and/or
emotionally.

10. WHAT IS ANXIETY?

11. Researchers define Anxiety
disorders
• Everyone feels anxious .It’s a normal emotion.
• Many people feel nervous when faced with a
problem at work, before taking an important
decision.
• Anxiety disorders means such distress that it
interferes with your ability to lead a normal
life or

12. We all r suffering from Stress,
Depression, Anxiety
from childhood to old age

13. Factors responsible for the
psychosomatic disorders
• FAMILY
• FERINDS
• SCHOOL
• BUISNESS
• OFFICE WORK
• HOUSE HOLDING WORK
• MARIATAL / NON MARIATAL STATUS
• (LOTS OF ISSUES)

14. CAUSES OF PSYCHOSOMATIC DISEAS

15. Symptoms of psychosomatic
disorders
• Changes in Thinking
• Changes in feeling
• Changes in Behavior
• Changes in Physical Well-being (Diseases)

16. Symptoms of psychosomatic
disorders
• Sad, empty mood
• Anxious
• Irritable
• Short tempered
• Hopelessness / helpless
• Loss of interest
• Headaches
• Fatigue
• Decreased concentration
• Diminished memory
• Change in appetite
• Weight loss/gain
• Suicidal or morbid
thoughts
• Easily irritated
• Digestive disorders

17. Diagnoses for psychosomatic
disorders
(Key point)
1. intensity of the symptoms.
2. the duration of the symptoms.
3. the specific cause of the symptoms

18. MANAGING
STRESS BY
COUNSELING

19. • Focus on the present
• Cope With problems
• Time Management
• Take good care of yourself.
• Stop negative thoughts
• Speak up (Sharing)
• Do something you enjoy

21. Medication (Anti depression, anti
psychotic, anti anxiety, sedatives etc)

22. Adverse effects

23. Long term use of Anti psychotic
medicine
• Withdrawal symptoms
• Organ damaged
• Systemic illness

24. Under standing
Psychosomatic disease in
Unani system

25. Quwa (Forces / faculties)
• Quwwate nafsania
(psychic faculties) –
uzwe raees (epicenter) -
Brain
• Quwwate haivania
(vital faculties) –
uzwe raees (epicenter) -
Heart
• Quwwate tabiyya
(physical faculties) –
uzwe raees (epicenter) -
Liver

26. Quwat-e-Nafsaniya (psychic faculties)
• Brain is seat and center for Quwat-e-Nafsaniya
(psychic faculties),
• Quwat-e-Nafsaniya is concerned with intellectual,
sensory and motor functions of the body
• two main faculties
• quwae mudrikah (perceptive/ cognitive faculties)
• quwae muharrikah (motor faculties).

27. Quwae Mudrikah
(perceptive/ cognitive faculties)
internal
• Al hiss mushtarak (composite
sense)
• Al khayal (imagination)
• Al wahimah (apprehension)
• Al hafizah (reminiscence)
• Al mutasarrefah (ideation)
• Example (dosti aur dushmani)
external

28. • Any disturbances in these
faculties
• Specially Quwwate Nafsania
(psychic faculties)
and its subordinate faculties
responsible for
Infe-alat-e-Nasfasnia
(hamm-worries and
Ghamm –Sorrows)
leads to psychosomatic
disorders

29. (Infe-alat-e-Nasfasnia like
hamm aur gham ) = Stress
affects not only brain but
almost all vital organs (liver,
heart, stomach, spleen etc)
• Unani physicians says that
stress affects mainly to the
heart
• Becoz heart is the origin of
all faculties of the body.

30. Example of Heart & Brain
• Quwwate nafsania buys its matter
from roohe qalb or roohe haivaniya.
• then it matured in brain and becomes
roohe nafsaaniya (Psychic force)
• roohe nafsaaniya in a usable form for
quwate nafsaniya
• Since heart is the origin of all
faculties of the body.
• This may be the reason that in most
of psychiatric diseases cardiovascular
symptoms especially palpitation is
also present.

31. GIT related Complaints
• Some patients are coming with
Gastritis, diarrheas, Acidity
• Irritable bowel syndrome (IBS)
or spastic colon (chronic abdominal
pain, discomfort, bloating, and
alteration of bowel habits).
• Diarrhea or constipation
• As physicians we are treating
symptomatically

32. EFFECTS ON IMMUNE SYSTEM
• Recurrent infections,
• weight loss,
• Tuberculosis etc
• Treating by anti infectious medicine
, Anti bacterial, Anti viral etc
• Nut we should have to know why
this patient is suffering from
recurrent infections
• We know Cortisol levels are
inversely proportional to immunity.
• We have to find out stress – an
important cause.

33. EFFECTS ON CARDIOVASCULAR
SYSTEM
• Some patients present
with
• tachycardia,
• hypertension,
• hyperlipidemia,
• It may be due to High
cortisol level due to
stress.

34. Stress worsens may cause skin
conditions such as
• Some patients present
with
• Allergic reactions,
psoriasis, eczema, acne.
• We are treating these
conditions by local
medicines , ointments
etc.

35. • Unani scholars also says that
• Stress is reaction of people to the
problems
• Problems may be: the work, own
(personal), environment, surroundings.
• Reaction may be positive or negative,
More or less

36. • Reactions /respond of people to the particular
problems depend on the Mizaj of that person

40. Safravi & Saudavi Mizaj person’s
are prone for the PSD
Because Safra has hararat &
Yabusat (Heat & Dryness)
&
Sauda has Baroodat & Yabusat
(Cold & Dryness)
The common condition in
Psychosomatic diseases is
extreme level of dryness

41. Extreme Dryness is
common which leads to
Psychosomatic
Disorders
Extreme Cold &
Dryness (Sue Mizaj
Sauda)
Extreme Heat &
Dryness (Sue Mizaj
Safra)

42. Disturbances in Asbab-e-Sitta
Zarooriyah
Hawa-Muheet
(Atmospheric Air)
Makoolat wa
Mashroobat (Foods
& Drinks)
Harkatwa Sukoon-e-
Badni
(Physical Movements
& Rest)
Harkat wa Sukoon-e-
Nafsani
(Mental Movements
& Rest)
Noam wa Yaqza
(Sleep &
Wakefulness)
Ehtibas wa Istafragh
(Retention of
Essentials &
Excretion of Wastes).

43. Approach through Unani System
• Preventive measures: prevent health of a
healthy person
• Curative measures: treat the diseases person

44. As a preventive measures
• U have to adopts the healthy lifestyle
(Asbab Sitta Zarooriya)
• Ilaj Bil Ghiza
• Ilaj Bil Tadbeer
As a curative measures
•Elimination of the existing causes
•Correction of the Sue Mizaj
•Strengthening the heart and mind
•Ilaj Bil Dawa

45. U have to adopts the healthy lifestyle
(Asbab Sitta Zarooriya)
• Adaptive changes must be introduced to
make the patient comfortable and happy.

46. • living in clean, well ventilated house
• Sound Sleep
• Dress colors (specially wear green, whit - cooling
effects color)
• Visiting hill stations, parks, etc
• Viewing plays, movies etc.
• Hearing pleasant religious recitation.
• Being in the company of religious people,
• Listening to interesting stories
• Reading books,
• Participating in mentally challenging games, quiz
• Participating in competitions ,debates, etc.

47. There are certain prohibitions too
• Avoid living in small
congested houses,
• Avoid black red colors
• Over exertion, anxiety, worry,
starving, being lonely and
insomnia etc

48. DIET THERAPY (ILAJ BIL GHIZA )
• EAT TO BEAT STRESS
• Good nutrition (fruits, vegetables etc)
• Good diet plan (Breakfast, lunch & Dinner)
• Increasing ‘immune system enhancing’ nutrients
• Avoiding certain foods which is harmful to health:
• Tea, coffee, cocoa, energy drinks
• Fast foods
• Excessive Sugar
• Alcohol
• Soft drinks etc

49. Milk
• a glass of warm milk to reduce
stress.
• rich in calcium, complete diet
• Researchers have found calcium
can reduce muscle spasms and
soothe tension, reduced anxiety

50. All berries & Oranges
(strawberries, raspberries, and
blackberries)
• highest levels of an
antioxidant
• sharper cognition.
• Rich in vitamin C -helpful in
combating stress.
• Researchers studies shows
regular intake of vitamin C
reduces levels of cortisol

51. Almonds (Badaam)
• Rich source of vitamins
• Vitamin E to boost the
immune system
• Vitamin B sharp the
memory

52. Cashew - Kajoo
• It is great snacks
• Good source of zinc
• Research shows that low
levels of zinc produces
anxiety and depression.

53. Pistachios (Pista)
• Researches shows
that Pista may reduce
the stress
• Reduces Adrenaline
and raises blood
pressure

54. Avocados
• One of the best ways to
reduce high blood pressure
is to get enough potassium
• Sharp the memory
• Immunity boosting

55. Garlic (Lahsun)
• It is powerful antioxidants.
• Cleanser
• Its neutralize free radicals
(particles that damage our
cells, cause diseases)
• Main constituent is allicin
which reducing cholesterol,
heart disease and boost the
immune system etc.

56. Menthol (Pudina)
• It is also antioxidant
• Reduce stress and anxiety,
• Help in alertness (physically
and mentally)- Muharrik

57. Spinach (Palak)
• It is rich in magnesium
• If magnesium reduces , it may
trigger headaches, fatigue etc
• Magnesium helps regulate
cortisol levels.

58. Gourd (Karela)and cucumber (Kheera)
• Gourd and cucumber are
recommended for those
patients, who suffering from
chronic stress.
• Diuretics

59. Oily fish (Salmon)
• Keep cortisol and adrenaline in
control
• Omega-3 fatty acids, may
prevent from stress and protect
from heart disease.
• Study shows to eat fish at least
twice a week sharpen the
memory power.

61. Combat Stress Physically
• Exercise, Walking,
Playing etc
• Body releases
endorphins, which fight
the stress,”

62. Combat Stress Psychologically
(4 Golden rules)
• Erase any negative thoughts
• Adopt a positive attitude
• Listen to your emotions
• Relax your mind

63. REGIMENAL THERAPIES
• Munzij wa mushil
(purgation) therapy
• Takmeed, Tikor, Pashoya
(fomentation)
• Taareeq (Sweating)

64. NUTOOL (POURING OF OIL)
• It has psycho-neuro-
immunologic effects
• It releases Serotonin-(Anti
stress) key neurotransmitter for
feeling good
• it improve the cerebral
circulation,
• cerebral function,
• Anxiolysis
• It suppress of noradrenaline,

65. PHARMACO
THERAPY
(single drugs)

66. Malkangni (Celastrus paniculatus)

67. Matricaria recutita (Babuna)

68. Melissa officinalis (lemon balm)
Badranjboya

69. Brahmi (Bacopa monnieri)

70. Withania Somnifera,
(Asgand Nagoori ),Ashwagandha

71. Emblica officinalis (Amla)

72. Lactuca scariola (Tukhme Kahu)

73. Lavandula Stoechas ( Ustakhudoos)

74. COMPOUND FORMULATIONS
• Itrifalat (Itrifal ustukhuddos)
• Jawarishat (jawarish Jalinoos)
• Sharbat (Sharbat Ahmed shahi)
• Haboob (tablets) (Habbe Shifa)
• Inhalations (Sabzam)

75. Local Applications

77. Simple formula for healthy life

79. Follow the Unani principles and live a
healthy life
(mentally as well as physically)

80. Management of
psychosomatic disorders