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2) Examination Fear.
3) Satvavajaya Chikitsa.
?
Aims and Objectives
a) Rig-Veda –Pisacha.
b) Yajur-Veda – Shivasankalpa Sutra.
c) Atharvana-Veda – Manasikabhavas.
SAMHITA PERIOD
Review of Bhaya
‘Bhayam Parmastrsahah’
b) Apamana Bhaya -.
d) Vyadhi Bhaya -
g) Vyaghradi Bhaya.
h) Jalatraasa
i) Anagata Bhaya
Poorvaroopa of Bhaya
a) Chirakari Vyadhi.
b) Vata Dosha.
Roopa -
1) Vishada
2) Bhita
3) Svedavepathumaan
4) Trastha
5) Shuskashyavavakrah
Samprapti
Nidana Sevana (Exam fear) Mano Dosha Kopa Sharirika Dosha Kopa
Raja, Tama Vata, Pitta, Kapha
Bhayaa
Samprapti Ghataka:
1. Dosha – Manas – Raja, Tama
Shareera – Vata – Prana,
Udana & Vyana
Pitta – Sadhaka
Kapha – Tarpaka
2. Dushya –Rasadi Sarvadhatu
3. Agni – Jatharagni – Manda, Vishama
4. Srotas – Manovaha, Sarvasrotodushti
5. Srotodushti - Atipravrtti
6. Udbhava Sthana - Hrdaya
7. Sanchara Sthana - Manovaha Srotas/ Sarva
Shareera
8. Adhishthana - Manovaha Srotas
9. Vyakta Sthana – Manas and Shareera
10. Sadhya Sadhyata – Krcchra Sadhya
vyadhi
11. Roga Swabhava - Ashukaritva
12. Upadrava - Manovikara/ Shareera Vikara
Concept of exam fear
Causes of Exam Fear-
1) Negative thoughts.
3) Comparison.
4)Lack of confidence.
7) Lack of confidence.
8) Study environment.
Symptoms
1) Fear of loosing control or going crazy.
2) Loss of memory.
3) Fear of failure.
4) Profuse sweating.
5) Feeling of Choking.
6) Insomnia.
7) Nausea or abdominal discomfort.
8) Feeling Dizzy, unsteady, light headed or
faint.
9) Palpitation, beating heart, or accelerated
heart rate.
10) Chills or hot flushes.
11) Paresthesia
12) Sensation of shortness of breath or
smothering.
Complications of Exam Fear
1) Failure in the exams.
2) Avoidance of exams.
3) Discontinuing of the studies.
4) Mental and physical illness.
5) Suicidal tendency.
Concept of Satvavajaya
ChikitsaChikitsa
Satvavajaya
2) Vignyana.
3) Dhairya.
4) Smriti.
5) Samadhi.
Bhaya and Satvavajaya
Chikitsa
1)Rational persuasion –
c) Dharaniya Vega
.
2))Methods based on the deeper
understanding
Atma Janna- who I am, what is beneficial to me
Desha Janna – Society, his responsibility towards it.
Kula Janna – Family and his relationship between
them.
Kala Janna – Season, Pathya, Apathya during this
time.
Bala Janna – Strength
Shakti Janna – Capacity
3) Samadhi (Mental equanimity) –
Exclusion criteria:
1. Students suffering from other psychiatric
and organic diseases
Method of Satvavajaya Chikitsa:
The Satvavajaya Chikitsa was designed
depending upon the cause of the fear in the
students. The students were interrogated in
detail for knowing the cause of the fear, and
then they were given the Satvavajaya in the
for of Dhairya and Ashwaasana Chikitsa for
45 mins, in a calm and peaceful room, twice
in a week for three weeks.
Assessment criteria:
Assessment of the patients of the patients will
be done on the basis of-
a) Self assessable questions were prepared
for the assessment.
b) All the symptoms were given suitable
score for the assessment of results. Total
effect of the treatment will be considered as
complete remission, marked improvement,
and unchanged.
c) Diagnosis and improvement in signs and
symptoms of the condition according to
Hamilton’s scale of anxiety.
HAMILTON ANXIETY RATING SCALE:
1)Anxious mood
2)Tension
3)Fears
4)Insomnia
5)Intellectual (Cognitive)
6)Depressed mood
7)Somatic (Muscular)
8)Somatic (Sensory)
9)Cardiovascular Symptoms
10)Respiratory symptoms
11)Gastrointestinal Symptoms
12)Genitourinary Symptoms
13)Autonomic Symptoms
14)Behavior at interview
Signs and symptoms mentioned in Hamilton scale
were assessed by adopting the following scoring
system:
Degree of anxiety &
Feeling of 25 83.3
choking
Insomnia 23 76.6
Nausea or 17 56.6
abdominal
discomfort
Feeling dizzy 24 80
Palpitation 29 96.6
Chills 29 96.6
Paresthesia 20 66.6
Shortness of 28 93.3
breath
Effect of Satvavajaya Chikitsa on
signs and symptoms of Bhaya
( Examination fear)
2.5
1.5
A.T.
1 B.T
0.5
0
Fe.O.Los L.O.Mem Fe.O.Fal
Cardinal signs and symptoms No. of patients %
Loss of memory 27 90
Insomnia 23 76.6
Feeling dizzy 24 80
Palpitation 29 96.6
Chills 29 96.6
Paresthesia 20 66.6
1.5
1 A.T.
B.T
0.5
0
Pro.Sw . Fe.O.Ch. Insom n
2
1.5
1 B.T.
A.T.
0.5
0
Nau.Ab.Ds Fe l.Dizz Palp.
2
1.5
1 B.T.
B.T.
0.5
0
Chills Pare s t Shor.O.Br.
Effect of Satvavajaya
Chikitsa Hamilton Anxiety
rating Scale
Numb B.T. A.T. % 0f S.D. S.E. T P
er of relief Value Value
patient
s
30 32.86 18 45.23 5.89 1.52 9.76 <0.001
Overall effect of Satvavajaya Chikitsa on 30 patients of Bhaya
Complete
remission
Marked
improvement
Moderate
improvement
Mild improvement
Unchanged
Discussion
1) Bhaya is one of Manasika Vikara. In the
manifestation of Bhaya, both Vata and Manas play
an important role. As Vata and Manas are inter-
dependent, so if one gets vitiated it also affects
other adversely.
2) Acharya Charaka advices Ashwasana and
Harshana Chikitsa for the Mnanagement of the
Bhaya. So for this study Satvavajaya Chikitsa was
given to 30 students who were suffering from the
Fear of the Examinations
Summary and conclusion
Annexure