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Impairment None (0) Questionable (0.5) Mild (1) Moderate (2) Severe (3)
Memory No memory loss or slight, Consistent, slight Moderate memory loss, Severe memory loss only Severe memory loss, only
inconstant, forgetfulness forgetfulness, partial more marked for recent highly learned material fragments remain
recollection of events events, defect interferes retained, new material
with every day activities rapidly lost
Orientation Fully oriented Fully oriented or slight Moderate difficulty with Severe difficulty with Oriented to person only
difficulty with time time relationships, oriented time relationship; usually
relationship for place at examination, disoriented in time, often
may have geographic to place
disorientation elsewhere
Judgment and Solves everyday problems Slight impairment to Moderate difficulty in Severely impaired in Unable to make judgment or
problem and handles business and solving problems, handling problems, handling problems, solve problems
financial affairs well, similarities, differences similarities, differences. similarities, differences.
judgment good in relation to Social judgment usually Social judgment usually
past performance maintained impaired
Community Independent function at Slight impairment in these Unable to function No pretense of No pretense of independent
affairs usual level in job, shopping, activities independently at these independent function function outside of the home,
volunteer and social groups activities though may stilloutside of the home, appears too ill to be taken to
be engaged in some appears appears well enough to be functions outside of family
normal to casual inspectiontaken to functions outside home
of family home
Home and office Life at home, office, Life at home, office, Mild but definite Only simple chores No significant function in
intellectual interests well intellectual interests impairment of function at preserved, very restricted home
maintained slightly impaired home, more difficult chores interests poorly
abandoned, more maintained
complicated hobbies and
interests abandoned
Personal care Fully capable of self care Fully capable of self care Needs prompting Requires assistance in Requires much help with
dressing, hygiene keeping personal care, personal
of personal effects incontinency
Note: CDR rating of 4 &5 are based on overall status, stage 4 indicates profound dementia and in stage 5 indicated terminal dementia
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AYURVEDIC METHODOLOGY OF CLINICAL EXAMINATION (MENTAL DISORDERS)
1. Sila (habits, etc.) 2. Chesta (Psychomotor activity)
i. Habits i. General motor activity
ii. Temperature ii. Speech
iii. Physiological functions iii. Facial expression
iv. Leisure time activity iv. Posture
3. Achara (conduct) 4. Manah (mind)
i. Personal standards i. Indriyabhigraha (perception and motor
control)
ii. Social standards ii. Manonigrahaha (mental control)
iii. Ooha (guess)
iv. Vicharana (tought)
5. Budhi (decision) 6. Smriti (Memory)
i. Ability to take quick decisions i. Ability to recall what is seen
ii. Ability to decide complex issues ii. Ability to recall what is heard
iii. Ability to recall what is experienced
7. Sanjnajnanam(orientation and responsiveness) 8. Bhakti (desire) Desire in relation to:
i. Orientation to i. Ahara (food)
(a) Desha (place) ii. Vyavaya (sex)
(b) kala (time) iii. Vesma (dress)
(c) Atmajnana (person) iv.Ranjanam
ii. Responsiveness to external stimuli v. Anya (others)
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“Unmadam punarmanobuddhi sanjnajnana smriti bhakti sheela chesta achara vibhramsam vidyat” – Ch.Nid.7 ch.
3
AYURVEDIC RESEAERCH UNIT AND ADVANCED CENTRE FOR AYURVEDA,
NIMHANS, BANGALORE
7. Chardhi (vomiting)
8. Alpaharam (undereating)
9. Bahubhuki (overeating)
4
(iii) Physiological Functions
1. Swedabahulya (excessive perspiration)
2. Trishnabahulya (excessive thirst)
3. Swasaturaha (dyspnoea)
4. Kasa (cough)
5. Naripriyata (desirous of women/sex)
6. Sadanam (weakness)
7. Ananane swayathu (oedema on the face)
8. Anya (others)____________________________________
(iv) Personal care
Preserved (0)/ not preserved (3) (0) (3)
1. Malopadigdhakshitva (eyes covered with mucosal discharge)
ornamental things)
6. Anya (others)_________________________________________
(v) Leisure time activity:
Normal (0)/ moderate abnormality (3)/gross abnormality (6)
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6. Abhidravanam (escaing)
(ii) Speech
Intact (0)/moderately changed (3)/grossly-changed (6) (0) (3) (6)
1. Satatam Giramutsargaha (continuous/excessive talk)
5. Anya (others)___________________________________
5. Aruna/Tamra/Haridra/Haritakshata (reddish/coppery/
yellowish/greenish eyes)
6. Nakhadi Shouklyam (pallor of nails, etc.)
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9. Dhamanitataha (having prominent veins)
Intact(0)/abnormal(3)
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Description:
(iii) Vicharah (thought)
Intact (0)/Mildly impaired (3)/Grossly-impaired (6) (0) (3) (6)
(a) Discriminative ability
Intact (0)/Mildly impaired (3)/Grossly-impaired (6) (0) (3) (6)
1. Ativelam Santapa (continuous causeless
mental distress)
2. Ayanairyanam (raiding on things which are neither
movable nor mounts)
3. Anya (others)___________________________________
(b) Indriyanirapekshayatharthajnanam (delusion)
Absent (0)/Present (3) (0) (3)
1. Himambunicayepicha Vahnishanki (doubting fire/
hotness in cool surroundings)
2. Aushnyam (feeling of hotness)
3. Anya (others)____________________________________
X. Budhi (decision)
4. Anya (others)____________________________________
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XI. Smriti (memory)
impairment (9)
impairment (9)
Description:
(d) Responsiveness:
Description
XIII. Bhakti (desire)
(9)
9
Absent (0) Present(3)
1. Ushnasevi (desirous of hot things)
5. Anya (others)_____________________________________________
SCORE
MANAH PAREEKSHA BEFORE TREATMENT AFTER TREATMENT
SEELA (habits,etc.)
(i) Habits
(ii) Temperament
(iii) Physiological functions
(iv) Personal care
(v) Leisure time activity
CHESTA (psychomotor activity)
10
control)
(ii) Manonigraha (mental control)
(iii) Vichara (thought)
BUDHI (decision)
SMRITI (memory)
SANJNAJNANAM (orientation
&responsiveness)
BHAKTI (desire)
TOTAL
APPENDIX
AYURVEDIC METHODOLOGY OF CLINICAL EXAMINATION (MENTAL DISORDERS)
1. Sila (habits, etc.)
i. Habits
ii. Temperature
iii. Physiological functions
iv. Leisure time activity personal cure
v. Leisure time activity
2. Chesta (Psychomotor activity)
i. General motor activity
ii. Speech
iii. Facial expression and posture
3. Achara (conduct)
i. Personal standards
ii. Social standards
4. Manah (mind)
i. Indriyabhigraha (perception and motor control0
ii. Manonigrahaha (mental control)
iii. Ooha (guess)
iv. Vicharana (tought)
5. Budhi (decision)
6. Smriti (Memory)
7. Sanjnajanana (orientation and responsiveness)
i. Orientation to
(a) Desha (place)
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(b) kala (time)
(c) Atmajnana (person)
ii. Responsiveness to external stimuli
8. Bhakti (desire)
Desire in relation to:
i. Ahara (food)
ii. Vyavaya (sex)
iii. Vesma (dress)
iv. Ranjanam (entertainment)
v. Anya (others)
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