Abstract

*Dr. Mansoor Ahmad, Dr. Vikrant Sharma

ABSTRACT

Introduction: Chittodwega, described in Ayurvedic texts as a Manasika Vikar arising predominantly from Vata vitiation along with Raja Guna aggravation, aligns closely with the modern concept of anxiety disorder. Globally, anxiety disorders affect approximately 264 million individuals, with a steady rise attributed to excessive academic, professional, and social pressures.  Ayurveda recognises such mental disturbances as a disruption of Manovaha Srotas, especially influenced by Prana Vata, resulting in restlessness, palpitations, apprehension, and disturbed sleep. Materials & Methods: A 34-year-old female presented with persistent worry, palpitations, trembling, restlessness, difficulty concentrating, and disturbed sleep for six months. Assessment was done using classical Ayurvedic parameters (Vata predominance, Rajoguna aggravation, Mano-Vaha Srotodushti Lakshanas) and the Hamilton Anxiety Rating Scale (HAM-A). Treatment protocol included Yashtimadhu ghrita, Brahmi Vati, Sarasvatyarishtha, Shiro abhyanga (sesame oil), Shirodhara, Satvajaya Chikitsa and mild Nidana Parivarjana for Manas-Dosha pacification. Duration: 4 weeks. Results: Significant improvement was observed in worry levels, palpitations, sleep quality, calmness and thought clarity. HAM-A scores reduced markedly. The patient reported a sense of mental stability, emotional ease, and enhanced coping ability. No adverse effects were noted. Discussion: The response noted may reflect autonomic stabilization and reduced sympathetic over activity induced by Ayurvedic interventions, contributing to improved emotional control. Conclusion: This case demonstrated the effectiveness of Ayurveda in reducing symptoms of Chittodwega. Ayurvedic protocols may serve as a safe, holistic, and effective approach in managing anxiety-related conditions.