A SURVEY - INFLUENCE OF PSYCHIC FACTORS IN GASTRO INTESTINAL UPSET

Abstract

In Ayurvedic classics the basic approach to the concept of health is essentially psychosomatic in nature. Manasikbhava (Psychic factors) plays an important role in etiopathogenesis and symptomatology of psychic and psychosomatic disease conditions. Psychic factors – Kama (desire), Krodha (anger), Shoka (grief), Bhaya (fear), Irshya (envy) etc. within physiological limit can be defined as Manasikbhava whereas crossing the physiological limit these are termed as Manasikvikara or Psychic disorders. Patients with different Gastro Intestinal symptoms evaluated by psychological factors (Manasikbhava) described in Charak Samhita Vimansthan and Modern Parameter like Brief psychiatry Rating Scale, Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale. Significant number of patients defi-nitely has complaint of symptoms related to stress such as 77.33% patients with increase negative emotions like Shoka and Chinta. 100% patients were somatic concern and have so-matic GIT symptoms. 96.67% were having anxious mood, tension and insomnia whereas 93.33% have depressed mood. These patients may need counselling or psychological therapy rather than dietary advice and medicine which merely mask the symptoms.