The document presents the concept of Trividha Chikitsa in treating Manasa Roga, emphasizing the importance of mental health in Ayurvedic medicine. It outlines three therapeutic approaches: Daivavyapashraya, Yuktivyapashraya, and Satvavajaya, detailing their modalities and modes of action. The conclusion highlights that the integration of spiritual therapy, drug therapy, and psychotherapy promotes overall health and well-being.

1. Welcome

2. Trividha Chikitsa in
Manasa roga
PRESENTER - DR SOUMYA P
2ND YEAR PG SCHOLAR DEPARTMENT OF
KAYACHIKITSA
BVVS AMCH BAGALKOT

3. Contents
 Introduction
 Importance of Manas
 Daivavyapashraya Chikitsa
 Yuktivyapashraya Chikitsa
 Satvavajaya Chikitsa
 Mode of action of Trividha Chikitsa
 Conclusion
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4. Introduction
 A/ c WHO
 Health is is defined as state of complete physical mental and social well-
being and not merely an absence of disease or infirmity.
 Ayurveda emphasizes its treatment in three aspects such as
daivavyapashraya , yuktivyapashraya and satvavajaya
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5. Importance of Manas
Samadosha samagnischa samadhatu malakriya prasannatmendriya mana
svastha ityabidiyate !
Dvividam rogam sharirikam manasikam !
Pathyam manasaha hitam!
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6. Trividha chikitsa
Acharya charaka divided chikitsa mainly into 3 types:
 Reference : Cha Sutra 11 /54
1. Daivavyapashraya
2. Yuktivyapashraya
3. Satvavajaya
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7. Daivavyapashraya chikitsa
 Mantra
 Aushadha
 Mani
 Mangala- Bali
 Upahara
 Homa
 Niyama
 Prayaschita
 Upavasa
 Svastyayana
 Pranipata
 Yatragamana
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8. Derivation
Atharvaveda derives - it is a sort of Divine therapy.
Daiva - faith , celestial ,belonging to Divine, to action of past life
Vyapashraya - to depending on
This therapy exhaust evil act of past .
It is concerning with all unknown circumstances , which is
beyond purview of reasoning ,
Hence called as spiritual therapy .
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9. Modalities and mode of action
 Mantra : energy based sounds , boosts positive waves and
energy and removing negative thoughts from mind
 Mani - constant touch to skin acts on dushta Graham
 Homa - gruta. Guggulu , chandana purifies environment
 Mangala- Bali:- satisfaction
 Uaphara- gives happiness to mind. Acts as tarpana
 upavasa - control sense organs and mind
 Svastyayana - punya and mangalakara
 Pranipata - dhukha shamana
 Yatragamana- pressure points activates nerves
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10. Applied aspect
 Agantuja unmada - siddha mantra is explained in
charaka chikitsa 9 / 33
 Vishama jvara -sahadevi mula dharan explain in charaka
chikitsa 3
 Bhoota grah bada :-Dasha pushpa dharana
 Balagrah - brahmi, jeevak ,vachha acts as immuno
boosters
 Rajayakshma :Homa is advised (cha chi 8/189)
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11. Yukti vyapashraya
 .....punarahara aushadha dravayanam yojana!
 Cha chi 11/ 54
 Yukti - refers to Union connection reasoning .
 application of reason to diagnose and treat disease based on
rational thinking of purposeful employment of drug /method of
treatment
 A/c Charaka - judicious use of ahaara and oushadha according to
proper use plan or yojana.
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12. Mode of action
 Ahara patya
 Pathyam manasaha hitam
 Godhum ,mudga ,shali,shatadouta ghrita,navanita,purana
ghrita,jgangala pashu pakshi mamsa ,kusmanda
phala,phatola,ashwa mootra,ganga Jala ,nareekela jhala
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13. Applied aspect
 Smriti kshaya - Kumari asava , suvarna bhasma ,sarsvati
arishta
 Buddhi mandhya - rajat bhasma , vanga bhasma ,
kalyanaka ghrita
 Unmada apasmar - Shiva gutika , bhrami grita , Mukta
pisti
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14. Satvajaya
 It is a non pharmacological approach equivalent to modern
psychotherapy
 Word satwa - is Manas
 Avajaya- to over come /conquer
 Aims at control of mind by restraining The mind from desire
for wholesome objects
 .......stavajaya punaha ahitebhyo arthebhyo Mano nighraha /
Cha chi 11/54
 Ahita - unwholesome
 Artha - asatmendriyartaha samyoga as a cause for disease
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15. Mode of action of satvavajaya chikitsa
 Mano nighraha - control of mind
 Rigveda - controlling mind / compared with binding of
yoke with a strap
 By regulating the thought process (chintya)
 By analysing the thought and ideas (vicharya)
 Bhai channeling the presumption with logical reasoning
 By polishing the objective by concentration on it
 By proper guidance and advice for taking right decision
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16. Psychological supportive
techniques
 Jvara - ashvasana , harshana , iccha
 Madatyaya - harshana kriya
 Hikka - trasana , vismapana , vismarana,
 Bhayaja atisra - ashvasan
 Chardi - manonukulavakya harshana
 Unmada - ashvsana
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17. Applied aspect of trividha chikitsa
 Assurance ashvasan
 Pratidwandi chikitsa replacement of emotion
 Regulation of thought process chintya
 Retraining of ideas
 Channeling of presumption
 Correction of objective and ideas
 Proper guidance and advice for taking
 Proper control of
 Fear or psychotherapy psycho shop therapy
 Adravya bhuta chikitsa
 Shamans chikitsa
 Shoshana chikitsa
 Helps to promote gnanna vigyan by improving the Driti and smriti that is why
avoiding pradnyaparad
 Prevents impairment of intellect patience of memories and brings back the normalcy
of memory.
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18. Conclusion
 Trividha chikitsa a combination of spiritual therapy and
drug therapy and psychotherapy does helpful in healing
mind body and soul
 Thus the perfect balance of mind body and soul is
considered as complete health in Ayurveda
 Trividha chikitsa has major role in maintaining mental
health and physical health !.
 Hence ayurveda provides better treatment modalities in
controlling and curing manasa roga .
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19. Take home message
" Be kind to your mind"
 PAUSE.
 TAKE BREAKS
 MAKE TIME
 REACH OUT
 SEEK HELP
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