Manaso Jnanavijnanadhairyasmritisamadhibhihi": Therapeutic Efficacy of Sattvavajaya Chikitsa in the Management of Manas Roga - A Comprehensive Review

Abstract

The global rise in mental health disorders exposes the limits of conventional pharmacological treatments, bringing about a need for holistic, non-pharmacological alternatives. Ayurveda, the ancient Indian science of life, provides a bio-psycho-spiritual framework for mental health (Manas Swasthya), with Sattvavajaya Chikitsa (Ayurveda psychotherapy) at its core.

In Ayurveda, Manas Roga refers to conditions affecting the mind, a key aspect of health, which are influenced by the three doshas (Vata, Pitta, Kapha) and the Manasdosha (Sattva, Rajas, Tamas). Mental disorders are attributed to dosha imbalances, unhealthy lifestyles, stress, trauma, or disrupted body-mind harmony. Acharya Charaka (Charaka Samhita, SutraSthana 1:58) prescribes five therapeutic measures: Jnana (spiritual knowledge), Vijnana (scriptural/scientific knowledge), Dhairya (fortitude/patience), Smriti (memory/recall), and Samadhi (concentration/meditation). This report analyzes these components through integrating classical texts, clinical studies, and modern psychology, and reviews their functions in managing disorders such as Vishada (Depression), Chittodvega (Anxiety), and Prajnaparadha (Intellectual Blasphemy). Later sections will outline practical protocols demonstrating how Sattvavajaya can be applied stepwise in clinical settings, providing practitioners with actionable knowledge. It also suggests an integrative model combining Ayurveda principles with Cognitive Behavioural Therapy (CBT) and Rational Emotive Behaviour Therapy (REBT) for a comprehensive approach to mental health care.