Therapeutic evaluation of jaladhara and sankhapushpi in the treatment of chittodvega a clinical perspective a single case study

Background: Chittodvega, a condition comparable to anxiety disorder, is characterized by restlessness, fear, palpitations, and disturbed sleep. It is considered a Manasika Vikara resulting from vitiation of Rajasa and Tamasa Gunas and is associated with imbalance in Manovaha Srotas. Ayurveda advocates the use of Medhya drugs and relaxation therapies to restore mental equilibrium. Jaladhara, a form of Shirodhara using medicated water, and Sankhapushpi, a potent Medhya Rasayana, are traditionally used in the management of such psychological conditions. Objective: To evaluate the therapeutic effect of Jaladhara and Sankhapushpi in the clinical management of Chittodvega. Methods: A 29 year old female patient presented with complaints of excessive worry, nervousness, palpitations, lack of concentration, and insomnia. She was diagnosed with Chittodvega on the basis of Ayurvedic examination and clinical symptoms. Jaladhara was administered using decoction of Brahmi and Tagara for 14 days continuously for 45 minutes daily. Sankhapushpi syrup was given in a dose of 10 ml twice daily with water for 30 days. Assessment was done using standard clinical parameters including Hamilton Anxiety Rating Scale and Ayurvedic mental status scoring at baseline, day 14, and day 30. Results: There was a significant reduction in anxiety symptoms. The Hamilton Anxiety Score reduced from 30 at baseline to 18 on day 14 and to 9 on day 30. Subjective improvement was noted in mental calmness, clarity of thought, sleep quality, and emotional stability. No adverse effects were reported during or after the treatment. Conclusion: Jaladhara combined with Sankhapushpi showed promising results in the management of Chittodvega by alleviating symptoms and improving mental well being. This case supports the integration of classical Ayurvedic therapies in addressing anxiety related conditions and highlights the need for larger controlled studies.