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Introduction

Neurosis is physio - psychological disorder that interferes with quality of life without disturbing individual’s perception to reality. Psychosis on the other hand, is psychological disorder affecting individual’s perception to reality and it interferes with their ability to function in a social context [2]. Autonomic nervous system dysfunction is associated with depression and anxiety. According to Ayurveda, Hruday and Dash Dhamanya are Rasa vaha strotas sthan. Also, sthan of Man (mind) is Hruday. Dushti lakshanas of Rasa vaha strotas are similar to anxiety neurosis disease [3]. This will definitely help in treating such psychological disorders with Ayurvedic perspective. Today it is becoming need of time to establish parallel line of treatment along with CBT (Cognitive Behavioural Therapy), as no of neurosis patients are increasing day by day. Lack of awareness or acceptance results in many health issues affecting working efficiency too [4].

Aim and Objectives-

Aim- Aim of the study is to evaluate similarities between sign and symptoms of Neurosis patients to Rasavaha and Manovaha strotas dushti lakshanas with observational study.

Objectives- Objectives of the study were

1. To review literature of Neurosis and Rasa-Mano vaha strotas.
2. To evaluate similarity between sign and symptoms of Neurosis with Ayurvedic perspective.

Material and Method-

Study is conducted as follows-

1. Literature review-

1. Neurosis –

Causes – Stress is one of the main reasons [5].

Feature - Tachycardia, elevated blood pressure, Shivering -twitching over the body, Muscular tension or weakness, Forgetfulness, Insomnia or intrrupted sleep, Pain in the intestine, General depression, Poor concentration, no appetite, Tremors, Dream of physical torture, feels inadequate to meet any Emergency, afraid of committing any mistakes, Irritability, morbid fear, low self-esteem etc [6].

1. Rasavaha strotas dushti hetu & lakshan – In Charak Samhita Sutrastha and Vimansthan Rasa vaha strotas dushti hetu and lakshan are given [7].
2. Manovaha strrotas dushti hetu, lakshana – In Charak Samhita Indriyasthan, Chikitsasthan references of Mano vaha strotas dushti lakshans are given [8].

1. Observational study-

This study has been carried out as follows –

1. • Screening of 300 women was done.
   • They are middle aged (25-50 years) and working women.
   • This study has been carried out between October 2021-January2022
   • For this study, three societies were selected.
   • Questionnaire as per Hamilton Anxiety scale was designed.
   • Questionnaire was circulated to participating women via mobile message.
   • Telecommunication was done whenever needed.
   • A Clinical Psychiatrics help was taken for differential and final diagnosis.
   • Collected data is tabulated for further analysis, observation and result.
2. Criteria for patient selection –

• Middle age, married, working women were selected.
• Daily working for 8 hrs (service or business) were selected for study.
• Women working on weekend (Sunday), night duty workers were excluded.
• Women carrying pregnancy, other major systemic disorders like HTN, DM, and Thyroid etc were excluded during differential diagnosis.
• Women below 25 years and above 50 years excluded.
• Women diagnosed with Neurosis were included.

Discussion

1. Questionnaire

Name-                                                                                           Occupation-

Age-                                                                                                Address-

Please fill following questionnaire completely. Put a check in the space to the right that describes how much that symptom/problem has bothered you during the past two weeks.

0=not present 1=sometimes present                              2=moderately present

3=always present but can tolerate                   4=always present and difficult to tolerate

In present study, Bhay Prachiti, Swapna Prachiti and Low self-esteem these three symptoms which are not given in Rasavaha strotas dusthi lakshana and can be correlated to Manovaha strotas. But they are not dushti lakshana. Increased Raj and Tam Guna of Manas is the reason for these lakshana.

Result –

•  Screening of total 300 working women from three societies was done.
•  Of which 50 women showed mild to severe range of Neurosis symptoms as per scale.
•  Observations show that majority of diagnosed cases having symptoms similar to Rasavaha stotas dushti lakshana.

Conclusion

• It can be concluded that sign and symptoms seen in subjects suffering from Anxiety Neurosis patients are similar to Rasavaha strotas dushti lakshanas but not to Manovaha strotas dushti lakshanas.
•  Also difference between psychosis and neurosis is given in our Samhitas along with their treatment will definitely add benefits in treating these cases.

Future scope for the study-

•  CBT - Psychotherapy, counseling and symptomatic treatment are options for neurosis and psychosis.
•  With Ayurvedic perspective, pathophysiology of neurotic diseases can be elaborated which will help for treatment.
•  Clinical manifestation of this data is important to evaluate exact benefits of Ayurveda treatment.