Role of Dincharya, Shamana Aushadhi in Managing Psychosomatic Disorder Chittodavega: A Clinical Case Report

Khushi Agrawal; Yogesh Yadav; Yashwant Tambekar

Role of Dincharya, Shamana Aushadhi in Managing Psychosomatic Disorder Chittodavega: A Clinical Case Report

Author(s)	Khushi Agrawal, Dr. Yogesh Yadav, Yashwant Tambekar
Country	India
Abstract	Anxiety disorder associated with disturbed sleep and circadian disruption is increasingly prevalent among healthcare professionals exposed to continuous night duty and irregular lifestyle patterns. From an Ayurvedic perspective, such anxiety can be correlated with the Manasa Roga Chittodvega, primarily caused by Vata Dosha vitiation with predominance of Rajo Guna, leading to dysfunction of Manovaha Srotas and manifestations such as excessive worry, insomnia, palpitations, and mental restlessness. This case report presents a 28-year-old female staff nurse with moderate to severe anxiety (Hamilton Anxiety Rating Scale score 27) following prolonged night shifts and sleep deprivation, who sought non-pharmacological, holistic management after incomplete and temporary relief with allopathic medication. An integrative Ayurvedic protocol was implemented for two months, comprising correction of Dinacharya with emphasis on sleep hygiene and early awakening, Yogasana and Pranayama (Shavasana, Surya Namaskar, Bhramari Pranayama), and Shamana Chikitsa with Brahmi Ghrita at bedtime and Ashwagandha Arishta after meals, followed by one month of lifestyle-based follow-up without internal medication. Progressive reductions in HAM-A scores were observed: 22 on Day 30, 17 on Day 60, and 15 on Day 90, indicating substantial and sustained improvement in both psychological and somatic symptoms, including anxious mood, fearfulness, autonomic symptoms, and cognitive distress, along with better sleep quality and daytime functioning. The findings suggest that this holistic regimen effectively pacified Vata, restored circadian alignment, enhanced mental resilience, and maintained therapeutic gains without dependency on pharmacotherapy. This case highlights the potential of an integrative Ayurvedic approach combining Dinacharya, Yogic practices, and targeted Shamana Aushadhi as a safe, sustainable option for managing anxiety disorders related to occupational stress and sleep disruption, while underscoring the need for larger controlled studies to standardize such protocols.
Keywords	Chittodvega, anxiety disorder, Dinacharya, Brahmi Ghrita, Ashwagandha Arishta.
Field	Medical / Pharmacy
Published In	Volume 8, Issue 2, March-April 2026
Published On	2026-03-09

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Role of Dincharya, Shamana Aushadhi in Managing Psychosomatic Disorder Chittodavega: A Clinical Case Report

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