psychosomatic disorders in unani system by dr. shaikh nikhat
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Psychosomatic Disorders & Unani Management
DR.SHAIKH NIKHAT, MD MEDICINERESEARCH OFFICER (UNANI)
REGIONAL RESARCH INSTITUTE OF UNANI MEDICINE , MUMBAICCRUM, MINISTRY OF AYUSH, NEW DELHI
drnikhat.unani@gmail.com
Meaning of Psychosomatic disorders
• Any physical illness aggravated by a mental factor (emotions, stress or internal conflict)
WHAT IS DEPRESSION?
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.
WHAT IS STRESS?
Feel like you are Losing It?
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.
WHAT IS ANXIETY?
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
We all r suffering from Stress, Depression, Anxiety
from childhood to old age
Factors responsible for the psychosomatic disorders
• FAMILY• FERINDS• SCHOOL• BUISNESS • OFFICE WORK• HOUSE HOLDING WORK• MARIATAL / NON MARIATAL STATUS • (LOTS OF ISSUES)
CAUSES OF PSYCHOSOMATIC DISEAS
Symptoms of psychosomatic disorders
• Changes in Thinking• Changes in feeling• Changes in Behavior• Changes in Physical Well-being (Diseases)
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
Diagnoses for psychosomatic disorders
(Key point)
1. intensity of the symptoms.2. the duration of the symptoms.3. the specific cause of the symptoms
MANAGING STRESS BYCOUNSELING
• Focus on the present• Cope With problems• Time Management• Take good care of yourself.• Stop negative thoughts • Speak up (Sharing)• Do something you enjoy
Medication (Anti depression, anti psychotic, anti anxiety, sedatives etc)
Adverse effects
Long term use of Anti psychotic medicine
• Withdrawal symptoms• Organ damaged• Systemic illness
Under standing Psychosomatic disease in
Unani system
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
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).
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
• 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
(Infe-alat-e-Nasfasnia like hamm aur gham ) = Stressaffects 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.
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.
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
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.
EFFECTS ON CARDIOVASCULAR SYSTEM
• Some patients present with
• tachycardia,• hypertension,• hyperlipidemia, • It may be due to High
cortisol level due to stress.
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.
• 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
• Reactions /respond of people to the particular problems depend on the Mizaj of that person
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
Extreme Dryness is common which
leads to Psychosomatic
Disorders
Extreme Cold & Dryness (Sue
Mizaj Sauda)
Extreme Heat & Dryness (Sue
Mizaj Safra)
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)
Approach through Unani System
• Preventive measures: prevent health of a healthy person
• Curative measures: treat the diseases person
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
U have to adopts the healthy lifestyle (Asbab Sitta Zarooriya)
• Adaptive changes must be introduced to make the patient comfortable and happy.
• 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.
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
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
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
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
Almonds (Badaam)
• Rich source of vitamins• Vitamin E to boost the
immune system• Vitamin B sharp the
memory
Cashew - Kajoo
• It is great snacks• Good source of zinc• Research shows that low
levels of zinc produces anxiety and depression.
Pistachios (Pista)
• Researches shows that Pista may reduce the stress
• Reduces Adrenaline and raises blood pressure
Avocados
• One of the best ways to reduce high blood pressure is to get enough potassium
• Sharp the memory• Immunity boosting
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.
Menthol (Pudina)
• It is also antioxidant• Reduce stress and anxiety,• Help in alertness (physically
and mentally)- Muharrik
Spinach (Palak)
• It is rich in magnesium • If magnesium reduces , it may
trigger headaches, fatigue etc• Magnesium helps regulate
cortisol levels.
Gourd (Karela)and cucumber (Kheera)
• Gourd and cucumber are recommended for those patients, who suffering from chronic stress.
• Diuretics
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.
Combat Stress Physically
• Exercise, Walking, Playing etc
• Body releases endorphins, which fight the stress,”
Combat Stress Psychologically(4 Golden rules)
• Erase any negative thoughts • Adopt a positive attitude • Listen to your emotions • Relax your mind
REGIMENAL THERAPIES • Munzij wa mushil
(purgation) therapy• Takmeed, Tikor, Pashoya
(fomentation) • Taareeq (Sweating)
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,
PHARMACO THERAPY
(single drugs)
Malkangni (Celastrus paniculatus)
Matricaria recutita (Babuna)
Melissa officinalis (lemon balm) Badranjboya
Brahmi (Bacopa monnieri)
Withania Somnifera, (Asgand Nagoori ),Ashwagandha
Emblica officinalis (Amla)
Lactuca scariola (Tukhme Kahu)
Lavandula Stoechas ( Ustakhudoos)
COMPOUND FORMULATIONS
• Itrifalat (Itrifal ustukhuddos)• Jawarishat (jawarish Jalinoos)• Sharbat (Sharbat Ahmed shahi)• Haboob (tablets) (Habbe Shifa)• Inhalations (Sabzam)
Local Applications
Simple formula for healthy life
Follow the Unani principles and live a healthy life
(mentally as well as physically)
Management of psychosomatic disorders
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