“CONCEPTOFMANOVAHASROTOVI

KARAI
NGERI
ATRI
CS”
1
Dr
.Keer
tiRot
tiDr
.Poor
nimaB2

1
.P.
G.SCHOLAR,Dept
.ofRogani
danaevam vi
krut
ivi
gnyana,
Ayur
vedaMahavi
dyal
aya,Hubl
i
,di
str
ict
-Dhar
wad.
Kar
nat
aka.
2.Gui
de,Pr
ofessor
,Dept
.ofRogani
danaevum vi
krut
i
vi
gnyana,Ayur
vedaMahavi
dyal
aya,Hubl
i
,Di
str
ict
-Dhar
wad.
Kar
nat
aka.
*
Cor
respondi
ngaut
hor
,
Emai
l
-keer
ti
.r
ott
i71
4@gmai
l
.com
Ph.
No.
-9686352641
/8431
85431
2

ABSTRACT

Thedef
ini
tonofAyur
i vedai
tsel
fdenot
est
hati
tist
heknowl
edgeofvar
ious
aspect
sofl
i
fepr
ocesses,agei
ngbei
ngoneoft
hem.Ol
dagei
schar
act
eri
zedby
def
ici
tint
hephysi
cal
andpsychol
ogi
cal
funct
ioni
ng.I
nol
daget
her
eis
degener
ati
onofbodi
l
yor
gans.j
ustasphysi doshasvi
cal ti
atebody,si
mil
arl
y
doshasper
tai
ni omanasl
ngt ker
i ajasandt
amasvi
ti
atet
hemi
ndandsuchvi
ti
ati
on
oducesmanovi
pr kar
a.Becauseofi
sol
ati
onandpsychol
ogi
cal
dependencyol
d
agepeopl
ear
emor
epr
onef
ordepr
essi
onmani
a,l
ossofmemor
ypar
ti
cul
arl
yof
Al
zhei
mer
’st
ype,dement
ia,del
i
rium et
c.duet
ovar
iousf
act
orsaf
fect
ingt
hei
r
[1
]
mi
nd. oneshoul
dknowpsychol
ogi
cal
probl
emsi
nger
iat
ri
cst
oremovet
hecause
ofconcer
n.Her
eanef
for
thasbeent
ocompi
l
eal
lscat
ter
edmat
teraboutt
he
conceptofmanovahasr
otovi
kar
ainger
iat
ri
cs.

KEYWORDS:
Manovahasr
otovi
kar
a,Ger
iat
rcs,manas
i

1
I
NTRODUCTI
ON

‘Li
f nAyur
e’ i vedai
s‘Ayu’ whi
chi
sdef
inedasj
eevi
takal
aorl
i
fespan.I
tis
der
ivedf
rom t
her d“ungamanasheel
ootwor a” i
ndi
cat
ingi
tsnat
ureofmovi
ng
on.Accor
di oAchar
ngt yaChar
akaagehasbeendi
vi
dedi
ntot
hreepar
ts
Bal
yavast
ha( ,Madhyamavast
youngage) ha(
mi eage)andj
ddl eer
navast
ha(
old
[
2]
age)
. af
ter60year
sofageonei
scal
l d.Achar
edol yaSushr
utahasdescr
ibed
t
hataf
ter70year
sofageonei
scal
l
edol
d.hehasment
ionedj
ara(
agei
ng)under
Swabhavabal
apr
avr
it
tavyadhiwhi
chi
soft ypeskal
wot ajaorpar
ir
akshanakr
it
a
andakal
ajaorapar
ir
akshanakr
ia[3].Thr
t eemaj
orpr
obl
emsar
eencount
eredby
t
heagedpopul
ati
onl
i
keheal
thpr
obl
ems,f
inanci
alpr
obl
ems,soci
aland
psychol
ogi
cal
probl
ems.Senescencei
sthenor
mal
processofgr
owi
ngol
dwhi
l
e
t
heseni
l
ityr
efer
stot
heabnor
mal
stat
ewhi
chsomet
imessuper
venet
owar
dst
he
cl
oseofol
dli
fe.Thest
udyoft
hephysi
cal
andpsychol
ogi
cal
changeswhi
char
e
i
nci
dentt
ool
dagei
sknownasger
ont
ologywhi
l
eger
iat
ri
csi
sthest
udyoft
he
causeandmedi
cal
treat
mentofi
l
l-heal
thassoci
atedwi
thol
dage.I
nol
daget
her
e
i
spr
ogr
essi
vedi
minut
ionofdhat
u,st
r hofi
engt ndr
iya,powerofunder
standi
ng,
r
etai
ningandmemor
izi
ng,speechandanal
yzi
ngf
act
s.Depr
essi
on,bi
pol
ar
af
fect
ivedi
sor
der
,dyst
hymi
a,anxi
etydi
sor
der
s,del
usi
onal
disor
der
s,del
i
rium,
dement
ia,i
ntoxi
cat
ionorwi
thdr
awal
syndr
omes,mooddi
sor
der
sar
e
psychol
ogi
cal
disor
der
sobser
vedi dage.Er
nol sha,shoka,bhaya,manodwesha,
har
sha,vi
shada,abhyasuya,mat
sar
ya,kama,l
obha,i
ccha,dweshaar
e
manovi
kar
ainol
dagement
ionedbyAchar
yaChar
akaI
tisest
imat
edt
hatabout
50%-60% ofel
der
lyhavepsychi
atr
icdi
sor
der
s.Theexactpr
eval
enceoft
hese
di
sor
der
sinI
ndi
aisnotknownbutdepr
essi
oni
sbel
i
evedt
obet
hecommonest
di
sor
der
.Thepr
eval
encer
ateofment
aldi
sor
der
sint
heagedi
sar
ound89/
1000
popul
ati
on.near
ly4mi
l
li
onar
ement
all
yil
li
nIndi
a.Theover
all
preval
encer
ateof
psychi
atr
icmor
bidi
tyr
isesf
rom 71
.5% f
ort
hosebet
weent
heageof60and70,t
o
[
4]
1
24i
nthosei
nthei
r70s,and1
55i
nthoseovert
heageof80year
s.

2
MANOVAHASROTOVI
KARAI
NGERI
ATRI
CS

Di
seasescausedduet
oimpai
rmentofmanodoshai
er
: aj
asandt
amasar
ekeval
a
manovi
kar
as,f
ew di
seasesar
ecausedduet
oimpai
r hmanodoshaand
mentofbot
shar
ir
ikadoshas,al
thought
heypr
esentt
hemsel
vescl
i
nical
l
yasphysi
cal
il
lness
t
heyar
erel
i
evedonl
ywhencausat
ivef
act
ors,emot
ional
dist
urbancesar
erel
i
eved
t
hesecondi
ti
onsar
ecompar
edt
opsychosomat
ici
l
lness,t
heot
hervar
iet
yincl
udes
ment
aldi
sor
der
sthatar
ecausedduet
othepr
imar
yimpai
rmentofshar
ir
ika
doshasandsubsequenti vementofmanodoshaswhi
nvol chcanbecal
l
ed
[5]
ubhayat
makavi
kar
as.

Keval
amanovi
kar
a Psychosomat
ic Ubhayat
makavi
kar
a
di
sor
der
s Shar
( ir
aisi
nvol
vedi
nthe
Manasi
( sinvol
vedi
nthe begi
nni
ngl
atermanasi
s
begi
nni
ngl
atershar
ir
ais i
nvol
ved)
i
nvol
ved)
Kama Shokaj
ajwar
a Unmada
Lobha Kr
odhaj
ajwar
a At
atvabhi
nivesha
Maana Shokaj
aat
isar
a Mada
Shoka Dvi
sht
art
hayogaj
achar
di Sanyasa
Chi
nta Manasi
kaar
ochaka Vi
shaj
aunmada
Har
sha Kamaj
ajwar
a Tandr
a
Abhyasur
ya Bhayaj
aat
isar
a Apasmar
a
Kr
odha Shokaj
ashosha Apat
ant
raka
I
rsha Mur
cha
Mada Madat
yaya
Chi
tt
odvega Ni
dradhi
kya
Bhaya
Vi
shada

3
COMMONLYSEENMANOVAHASROTOVI
KARAI
NGERI
ATRI
CS

a)Vi
shada(
depr
essi
on)
:gr
iefi
sthenor
mal
responseofani
ndi
vi
dual
tot
he
l
ossofl
ovedobj
ectorper
son,l
ossofr
eput
ati
onorsel
f eem,vi
-est shadai
s
r
esul
toff
earoff
ail
ure

b)Chi
tt
odwega(
anxi
etyneur
osi
s):agener
ali
zedanxi
etydi
sor
deri
spr
esenti
fa
subj
ectexper
iencesunr
eal
i
sti
cwor
ryaboutt
woormor
eli
feci
rcumst
ances
f
oraper
iodofsi
xmont
hsormor
eal
ongwi
thatl
eastsi
xsympt
omsof
anxi
ety.

c)Samvi
bhr
ama(
per
sist
entdel
usi
onal
disor
der
):t
hedel
usi
onssuchas
del
usi
onofper
secut
ion,del
usi
onofl
oveandot
herabsenceofsi
gni
fi
cantor
per
sist
enthal
l
uci
nat
ions,absenceofor
gani
cment
aldi
sor
der
s
schi
zophr
eni
aandmooddi
sor
der
s.

d)Kr
odha:i
tisaf
eat
ureofr
ajogunaandi
spr
oducedei
therduet
o
aggr
avat
ionofvat
aorpi
tt
adosha.Angeri
spr
oducedwhenonecoul
dnot
acqui
ret
hedesi
redoneandsammohaf
oll
owsi
t

e)Gadodvega(
Hypochondr
iasi
s):per
sist
entpr
eoccupat
ionwi
thaf
earor
bel
i
efofhavi
ngoneormor
eser
iousdi
seasesbasedonper
sonsown
i
nter
pret
ati
onofnor
mal
bodyf
unct
ionorami
norphysi
cal
abnor
mal
i
ty.On
exami
nat
iont
hesepeopl
edonotpossessanydi
seaseorsi
gni
fi
cant
abnor
mal
i
ty.

) Manogr
f ant
hi(
obsessi
vecompul
si
vedi
sor
der
):t
het
erm obsessi
onr
efer
sto
aper
sist
entr
ecur
renti
dea,t
hought
,feel
i
ngori
mpul
se.Acompul
si
oni
sa
char
act
eri
zedbyt
hepr
esenceofobsessi
ont
hatl
eadst
ocompul
si
ont
hat
t
hepat
ientr
ecogni
zesasmor
bidand of
teni
nvai
n.

g)Bhaya(
fear
):i
tisr
elat ot
edt amogunaandaggr esvat
avat aguna,t
hisbhaya
f
ormsi
mpor
tantcausat
ivef
act
orf
ormanypsychosi
s

h)Smr
it
inasha(
Dement
ia)
:iti
sachr
oni
cment
aldi
sor
derchar
act
eri
zedby
i
mpai
rmentofi
ntel
l
ect
ual
funct
ions,memor
y,det
eri
orat
ionofper
sonal
i
ty

4
 wi
thl
ackofper
sonal
car
eandi
nter
per
sonal
rel
ati
onshi
p,i
mpai
rmentof
j
udgementandi
mpul
secont
rol
andabst
ractt
hinki
ng.

NI
DANAFORMANOVAHASROTOVI
KARAI
NGERI
ATRI
CS

a)Asat
myendr
iyar
thasamyoga(
nonhomol
ogat
econt
actofsenses)
,
Pr
agnyapar
adha(
vol
i
tat
ional
transgr on)andPar
essi inama(
changesi
n
season)havebeenconsi
der
edundert
hreet
ypesofgener
alet
iol
ogi
cal
f
act
orsf
ort
hedi
seasepr
oduct
ion.Thesameni
danahol
dsgoodf
or
[
6]
manovi
kar
ainger
iat
ri
csaswel
l
.

b)I
nol
daget
her
ewi
l
lbeat
iyoga,ayogai
nrel
ati oi
ont ndr
iya,ar
tha,kar
maand
kal
a,kar
macompr
isesact
ivi
tyofspeech,mi
ndandbodywi
thr
efer
encet
o
[
7]
manasgi
vi
ngwayt
ofear
,gr
ief
,anger
,gr
eed,i
nfat
uat
ion,envyet
c.

c)I
nol
daget
her
eispr
esenceofemot
ional
dist
ur kekr
bancesl
i odha,shoka,
[
8]
bhaya,har
sha,l
obhaet
c.whi
char
edi
ff
er ndsofmanovi
entki kar
a.

d)Accr
ual
ofundesi
redobj
ect
sandnotget
ti
ngdesi
redonesi
sal
socausef
or
manovi
kar
ainger
iat
ri
cs.

e) Var
iousf
unct
ionsofsat
wa(
mana)l
kemanoni
i yamana,manopr
erana,
har
sha,ut
saha,pr
ayat
na,buddhi
,medha,abhi
manaet
c.ar
eal
soaf
fect
ed
i
nol
dageduet easedsat
odecr wabal
awhi
chaddsupdi
ff
erentki
ndsof
manovi
kar
as.

f
)InAsht
angaHr
idayat
hever
ychapt
erdi ngvegadhar
scussi anai
snamedas
Roganut
padani
yaadhyayasi
gni
fyi
ngt
hei
mpor
tanceofvegadhar
anaasa
vyadhihet
uespeci
all
yi ngvat
ncausi avyadhiandal
somanovi
kar
awhi
chi
s
[9]
concer
ndur
ingol
dage.

g)Ahi
taahar
acausi
ngmanovi
kar
ainger
iat
ri eanashana(
csar ayuhr
asakar
a),
r
ukshasat
myaandekasat
myaahar
a(al
paayushi
),pi
ppal
iat
isevana
(
tri
doshapr
akopa)
,kshar
aat
isevana(
kesha,akshi
,pumsat
vaghat
a),

5
 at
il
avanasevana(
akal
akhal
i
tyapal
i
tyaval
i
),navashal
idhanyasevana
[1
0]
(
abhi
shyandi
).

h)Par
adar
abhi
gamana(
anayushya)
,at
imai
thuna(
kshayaj
anyar
oga)
,
r
athakshobha(
sar
vadehavyadhi
),di
waswapna(
shl
eshmaj
avi
kar
a),
at
ichankr
amana(
adhodehavi
kar
as)
,uchai
rbhashana(
urdhwadehavi
kar
as)
,
at
yasana(
madhyadehavi
kar
as)
,hi
nami
thyayogaofi
ndr
iya
(
aindr
iyi
kavyadhi
),mai
thunai
nbal
aandvr
iddha(
ayuhr
asa)
,at
ivyayama
(
kasa,j
war
a,char
di)
,at
ij
agar
ana,adwa,hasya,bhashya(
mar
ana)
,
ushnambusechanaonshi
ra(
kesha,chakshudour
bal
ya)
,
vi
shamangachesht
a,ar
kal
okana,
bhar
avahana,
exposur
etopur
ovat
a,at
apa,
[
11]
r
ajat
ushar
aandpar
ushaani
l
a(t
ri
doshakopa)
.

i
) Accor
di oachar
ngt yaVagbhat
aTher
eissequent
ial
lossofmanaatt
heage
of81
-90year
sandaccor
di oachar
ngt yaShar
angadhar
ather
eissequent
ial
ossofmanaandbuddhiatt
l heageof81
-90.

j
) Thepr
obl
emsassoci
atedwi
thagei
ngmayal
sol
eadt
ohi
ghr
anki
ng
st
ressor
sofagei
ngi
ncl
udi
ngacut
eandchr
oni
cmedi
cal
il
lness,concomi
tant
useoft
her
apeut
icdr
ugs,medi
cal
il
lnessconnot
esphysi
cal
lossand
changesi
nbodyi
mage,butt
hel
ossofj
obcar
ri
eswi
thi
tlossoff
inanci
al
r
esour
ces,soci
alst
atusandmostofsoci
alnet
wor
k,t
hel
ossof
cont
empor
ize t
hroughdeat
h,i
l
lnessandmi
grat
ionbr
ingspsychol
ogi
cal
depr
ivat
ionofani
nti
mat
eobj
ect
,inaddi
ti
ont
olosi
ngmostoft
hei
rwor
ldl
y
possessi
onandsoci
alsuppor
ttheyal
sol
oset
hei
rpr
ivacyandt
hei
rsenseof
[1
2]
sel
f-wor
th.

k)I
nol
daget
her
eisoj
akshayawhi
chl omanobal
eadst aheenat
acausi
ng
[
13]
manovahasr
otodusht
ivi
kar
a.

6
SAMPRAPTIOFMANOVAHASROTOVI
KARAI
NGERI
ATRI
CS

i
nol
daget
her
eisI
ncr nvat
easei adosha(
raj
obahul
ya)
,vi
ti
atonofpi
i tt
adosha,
di
minut
ionofkaphadosha

Vi
shamagni
,dhat
wagni
mandyaandf
ormat
ionofama

Rasadhat
uisnotf
ormedpr
oper
ly,f
unct
ionofpr
eenanat
or hedhat
estoft usi
s
notper
for
med

Resul
ti
ngi
nsequent
ial
weakeni
ngofal
ldhat
us(
dhat
ukshaya)

Shar
ir
ikaandmanasi
kavyadhi
kshamat
waoroj
akshaya

vyat
hit
endr
iya(
impai
redsenseor
gansandmot
oror
gans)

manobal
ahi
nat
a(decr
easedment
alabi
l
it ossofmanoni
y)andl yamana

vi
ti
atonofr
i ajat
amadoshasi
nmanascausi
ngmanovahasr
otovi
kar
a

AYURVEDI
CAPPROACHOFPREVENTI
VECAREI
NGERI
ATRI
CS

a)Hi
tachar
yaandr
atr
ichar
yapal
ana

b)Ri
tuchar
yapal
ana

c)Swast
hvr
it
tapal
ana

d)Achar
arasayana

e)Sadvr
it
tapal
ana

f
)Ini
ti
atonofr
i asayanat
her npar
apyi ihaniavast
hai
:eear
li
ert
han40pl
usage
orayubal
f aPusht
iandswast
yat
a

CONCLUSI
ON

Agei
ngi
sgr
owi
ng,i
toccupi
est
het
otal
li
fespananddoesnotoccurasmer
ely
t
hef
inal
stageofl
i
fe.I
nthi
ssensewest
udyt
heagedt
olear
nnotonl
yabout
t
hef
inal
phaseofl
i
febutl
ear
naboutt
hephysi
ologi
cal
progr
essand
psychol
ogi
cal
changesi
nbodyasawhol
e.Thewor
ldheal
thor
gani
zat
ion

7
(
WHO)ver
yappr
opr
iat
elydecl
aredt
hecal
endaryear1
999ast
heyearof
el
der
lypeopl
e,t
heseni
orci
ti
zens,t
ofocusont
hegr
owi
ngpr
obl
emsofagei
ng
peopl
e.I
nt extofj
hecont araj
anyavi
kar
as,vat
adoshai
spr
edomi
nantl
eadi
ngt
o
i
ncr nr
easei aj
ogunaaswel
last
her
eisdepl
eti noj
oni asandsat
waoft
he
vr
iddhasubmer
ginghi
mindi
ff
erentmanovi
kar
a.Apai
rofshoeswhi
chhave
sof
tenedandcr
ossedovert
ime,f
unct
ionr
easonabl
ywel
lhowevert
her
eis
i
nfi
nit
esi
mal
l
ysmal
lmar
ginbef
oreacr
eesebecomeacr
ackandl
etswat
eri
n
(
ananal
ogyf
orphysi
ologyandpat
hol
ogy)
.Thechi
efai
m ofger
iat
ri
csi
sto
“Addl
i
fet
oyear
s” r
athert
han“year
stol
i
fe”,i
fpr
event
ivecar
eist
aken
pr
oper
ly,i
tispossi
blet
oachi
evet
hisgoal dmanovahasr
andavoi otovi
kar
ain
ger
iat
ri
csasmuchaspossi
ble.Thet
remendouspot
ent
ial
inAyur
vedamaybe
t
appedf
ort
hebenef
itoft
heger
iat
ri
cpat
ient
’sdayt
odaypr
obl
emsonal
ong
-t
erm basi
s,t
her
ebyof
fer
inggr
eat
erandmor
evi
abl
e“scope” f
or
“ger
iat
ri
4444csi
nAyur
veda” i
nthef
utur
e,l
etnobl
ethought
sfl
ow f
rom ever
y
di
rect
ion.

REFERENCES

) Manaspsychi
1 atyofAyur
r vedabyDr
.Pedapr
oluSr
ini
vasaRao,Banar
as
Ayur
vedaser
ies35,ChowkhambaSanskr
itser
iesof
fi
ceVar
anasi
.Pg.
145.

2)Char
akaSamhi
ta,Vi
manast
hanavol
.2t
extwi
thEngl
i
sht
ransl
ati
onand
cr
it
ical
exposi
tonbasedonchakr
i apanidat
ta’sAyur
vedadi
pika,byR.
K.
Shar
mabhagwandash,chowkhambaSanskr
itser
iesof
fi
ceVar
anasi
,
pg.
277.

3)Sushr
utaSamhi
ta,sut
rast
hanavol
.1t
extwi
thEngl
i
sht
ransl
ati
on,not
es,
appendecesandi
ndexbyPr
of.
K.R.Sr
ikant
hMur
thy,Chaukhambha
Or
ient
ali
aVar
anasi
,Pg.
8.

4)Ger
iat
ri
ccar
e,at
ext
bookofger
iat
ri
csandger
ont
ology,t
hir
dedi
ti
on
edi
tedbyO.
P.Shar
ma,Vi
vabooksNew
Del
hi/
Mumbai
/Chennai
/Kol
kat
a/Bangal
ore/
Hyder
abad/
Kochi
.Pg.
450.

5)Manaspsychi
atyofAyur
r vedabyDr
.Pedapr
oluSr
ini
vasaRao,Banar
as

8
 Ayur
vedaser
ies35,ChowkhambaSanskr
itser
iesof
fi
ceVar
anasi
.Pg.
29.

6)Char
akaSamhi
ta,Shar
ir
ast
hanavol
.2t
extwi
thEngl
i
sht
ransl
ati
onand
cr
it
ical
exposi
tonbasedonchakr
i apanidat
ta’sAyur
vedadi
pika,byR.
K.
Shar
mabhagwandash,chowkhambaSanskr
itser
iesof
fi
ceVar
anasi
,
pg.
186.

7)Char
akaSamhi
ta,Sut
rast
hanavol
.1
textwi
thEngl
i
sht
ransl
ati
onand
cr
it
ical
exposi
tonbasedonchakr
i apanidat
ta’sAyur
vedadi
pika,byR.
K.
Shar
mabhagwandash,chowkhambaSanskr
itser
iesof
fi
ceVar
anasi
,
pg.
39.

8)Sushr
utaSamhi
ta,sut
rast
hanavol
.1t
extwi
thEngl
i
sht
ransl
ati
on,not
es,
appendecesandi
ndexbyPr
of.
K.R.Sr
ikant
hMur
thy,Chaukhambha
Or
ient
ali
aVar
anasi
,pg.
8.

9)Asht
angaHr
idayam,sut
rast
hanavol
.1t
extwi
thEngl
i
sht
ransl
ati
on,not
es,
Appendi
xindi
cesbyPr
of.
K.R.Sr
ikant
hMur
thy,ChowkhambaKr
ishnadas
academyVar
anasi
,pg.
45.

1
0)Ger
iat
ri nAyur
csi vedabyDr
.Sur
eshBabu,ChoukhambhaOr
ient
ali
a
Var
anasiPg.
63.

1
1)Ger
iat
ri nAyur
csi vedabyDr
.Sur
eshBabu,ChoukhambhaOr
ient
ali
a
Var
anasiPg.
64.

1
2)Ger
iat
ri
ccar
e,at
ext
bookofger
iat
ri
csandger
ont
ology,t
hir
dedi
ti
on
edi
tedbyO.
P.Shar
ma,Vi
vabooksNew
Del
hi/
Mumbai
/Chennai
/Kol
kat
a/Bangal
ore/
Hyder
abad/
Kochi
.Pg.
50.

1
3)Vyadhi
kshamat
vaekadhyayabyDr
.B.
K.Dvi
vedi
,Chowkhamba
Kr
ishnadasAcademyVar
anasiPg.
13.

9
1
0