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Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 59-66

Pitru grahonmada: Vitamin B12 deficiency-induced neuropsychiatric manifestations?


Department of Kayachikitsa, R.B. Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh, India

Correspondence Address:
Dr. Kshama Gupta
Department of Kayachikitsa, R.B. Ayurvedic Medical College and Hospital, Agra, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijny.ijoyppp_16_20

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Unmada” is a broad psychopathological entity of Ayurveda that includes various psychiatric and neuropsychiatric conditions. Pitru grahonmada (PG) is one among 18 types of bhutonmada or grahonmada, and it is caused by affliction of “pitru graha” (an evil spirit or super natural power or extraterrestrial force or an idiopathic factor). Previous studies have established the similarity between grahonmadas and different psychiatric and neuropsychiatric conditions. No studies have been conducted on PG till date. The aim and objective of the present study is to explore PG with the help of contemporary psychiatric literature. Ayurvedic literature related to PG has been collected from major classical Ayurvedic texts and from their commentaries. PG is characterized by features such as “Aprasanna drishtim and Apashyantam” (vision loss or abnormalities), “Chala netra pakshmaanaam” (abnormal eye movements), “Shankitekshanam” (suspicious looks), “Apasavya vastram” (confusion or memory loss or disorientation), “Deena vadanam” (depression), “Anannabhilasha or Arochaka or Avipaaka or Alpaagni or Manda paavaka” (various gastrointestinal tract abnormalities), “Pratihata vaacham or Skhalat vaacham” (speech abnormalities), “Nidraalu” (excessive sleepiness), “Samsushka taalukam” (oral manifestations of Vitamin B12 deficiency), “Shaantaatma” (catatonia or depression or reduced psycho-motor activity) and “Tila, guda, maamsa, and paayasa priyam” (cravings for sugar and meat). These features of PG have shown striking similarity with Vitamin B12 deficiency-induced neuropsychiatric conditions. PG has shown similarity with various neuropsychiatric manifestations induced by Vitamin B12 deficiency which needs to be established by further studies.


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