YOGAPOORNAVIDYA

Yoga Therapy

    

Introduction

        Science and technology have revolutionized the life style of man. Increased standard of living has brought great comfort to mankind. Within a short period of about 100 years, the modern medicine with its scientific approach and research has been able to unravel many mysteries, which were out of reach for mankind over generations.

    

        Along with this developments, the modern man becoming submerged by a world full of contradiction with large number of problems and recurrent crisis. Among these are the destorations of values, the corruption of mankind, endless social problems. Drug consumption and abuses, stress, mental and physical ailment are increased in high rate.

    

        Today the major killer (after accident) is heart attack. The modern day diseases are the so-called psycho-somatic diseases (stress-induced) like Heart attack, Hypertension, Diabetes mellitus, and Asthma etc. The medical science has recognized that in these modern diseases STRESS plays a major role.

    

Stress is a response to a demanding situation on the human physiology Stresses are of two types.

    

            1. Physical stress like accidents, infection, etc.

            2. Psychological stress, which can occur independently or as a reaction of the excitement stress.

                For example anxiety, fear, tension, hatred, anger excitement, emotional conflicts etc.

    

        The modern man suffers more psychological stress than the physical stress. He is trying to live a successful life as per the expectation and norms of the society and is continually challenged with rapidly accumulating stresses. In this fast moving social set up, with high standard of living and innumerable changes, the individual have no time to look back and think about what is happening to his body and mind. This accumulated stress for prolonged period leads him to the so-called stress induced disorders, like heart attacks, high blood pressure, Diabetes, Asthma, Back pain and other psychological problems.

    

        A change in attitude and life style is necessary to help the individual to come out these hazards and to cope with the future. Traditional yoga philosophy, regards human being an indivisible entity, the root cause of the ailment of stress. Through the various therapeutical of yoga one can pluck-out this root cause and can provide health and harmony. The approaches of these techniques are Holistic and Integration of the yogic concept of human body providing physical, mental, social and spiritual health.

    

Yogic Concept of Human Body:

    

        According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity.

    

        As per the yogic tradition and Taittiriya Upanishadic principles, there are five sheaths of existence of man. The sheaths are called 'Kosha'. Which means layers of existence. The five layers (Pancha Kosha) are:

                            1. Annamaya Kosha                -                Physical Body

                            2. Pranamaya Kosha               -                Pranic body

                            3. Manomaya Kosha                -                Mind Body

                            4. Vijnanamaya Kosha             -                Intellect Body

                            5. Anandamaya Kosha             -                Bliss body

    

1. Annamaya Kosha (Physical Body)

        The first and the grossest sheath is the physical frame, which we all are familiar, is called Annamaya Kosha. It is the physical body with its biological function and predominantly material needs and wants. This physical body is made of solid matter consisting of Pancha Bhutas, the five elements (Earth, Water, fire, air and space).

    

2. Pranamaya Kosha (Pranic Body)

        The second subtle sheath (Kosha) is the 'Pranamaya Kosha' featured by the predominance of prana, the life force. In this sheath, the prana flows through the invisible channels called 'Nadis'. The vital energy (prana) flows continuously in each and every cell. The balanced of prana on right proportion keeps the cells healthy.

    

3. Manomaya Kosha (Mind Body)

        Subtler to the prana is the mind, the thinking aspect called Manomaya. This sheath is the abode of thoughts, emotions, desires, likes and dislikes, etc. Conflicts arising in the Manomaya Kosha are called Aadhi (Stress). A chronic worry, tension or anxiety, leads to-habitual imbalances at Manomaya Kosha. This over a period of time percolates into the Pranamaya Kosha and settles in one organ of the Annamaya Kosha manifesting of psychosomatic disorders.

    

4. Vijnamaya Kosha (Intellect Body)

        Vijnanamaya Kosha is the sheath of knowledge and wisdom. It is the discriminating faculty of the mind. This is the concept library that guides the Manomaya Kosha. This 'conscience', which is highly evolved in human beings, differentiates man from animals. This sheath is firm and there is no waver.

    

5. Anandamaya Kosha (Bliss Body)

        In Anandamaya Kosha, the subtlest sheath of the human existence, the person is established in internal bliss. This forms the basic and stuff and core of every individual. This is alertful inner silence. Every one touches this state whenever he is happy. A yogi is a person who can dwell in that state of Anandamaya Kosha without an object, for example good music for the ears, to reach this deep silence.

    

Principles of Yogic Management

        We have already seen the five Koshas, among the give Koshas, Anamaya is the grossest one. All the other Koshas are subtler in their sequence and the Anandamaya Kosha is the subtlest one. An individual needs proper balance of all the five Koshas to be in a state of complete health.

    

        According to the principles of yogic management the disturbance occurs in the Manomaya Kosha (mental body) due to the interaction with the world. This disturbance in Manomaya Kosha is called Adhi (Stress). This stress disturbs the balance of prana in the pranamaya Kosha (Pranic Body) and finally manifest as a disease in the Anamaya Kosha, the physical body. Due to this ailment the individual become unhappy and low in the intellectual caliber. Thus he becomes completely ill health and imbalance in all the five layers of existence.

    

Yogic Management provides various techniques to bring back the balance of each Koshas. The Techniques are as follows:

                1.  Annamaya Kosha    -                Asanas, Kriyas, Diet & relaxation

                2.  Pranamaya Kosha    -                Pranayama practices

                3.  Manomaya Kosha    -                Meditation and devotional sessions

                4.  Vijnanamaya Kosha    -                Notional correction through counseling

                5.  Anandamaya Kosha    -              Practice of joy in all circumstance and work in relaxation (Karma Yoga).

    

        The integrated approach of yoga uses Asanas, Kriyas and yogic diet that belongs to Annamaya Kosha, Pranayama for Pranamaya Kosha, meditation and devotional session that belongs to Manomaya Kosha, notional correction to get the right understanding of the purpose and priorities, at Vijnanamaya Kosha, working in relaxation and living life in fullness and bliss under all circumstances at the Anandamaya Kosha level. Using of all these practices is essential to bring about total cure of a stress-induced ailment. Thus, by the yogic techniques, can bring health, harmony and peace to the suffering humanity.

    

ASTHMA

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        Asthma is a lung disorder characterized by hyper irritability of the airways to a variety of stimuli. The prevalence is worldwide. The disease is broadly classified into two categories.

                1.Allergic asthma often associated with a positive history of wheezing, urticaria, eczema, etc., and a positive test to skin antigens.

                2.Idiosyncratic asthma with no positive history but symptoms developing after and initial upper respiratory infection.

    

YOGIC MANAGEMENT

    

        Yoga is a very useful in the treatment of asthma as it primarily works by stabilizing the autonomous nervous systems. According to yoga, quietitude in the body always stabilizes irritable responses. The parasympathetic tone is in excess in asthma, yogic practices always help balance the autonomic tone by raising the sympathetic. It is possible to change the very responsiveness of the body. Asanas helps to ease the congestion in the lungs. This promotes relaxation of smooth muscle and better oxygenation. Constant practice is required to change the sensitivity of the body.

    

        Standing poses can be practiced. Back bends are very helpful to open the frontal lungs and relax the bronchial muscle. The cells lining the bronchial tree are soothed by the improved blood flow and breathing mechanics of back bends. The sympathetic system being stimulated, the bronchi dilate. Constrictive activity is reduced with the lowered parasympathetic tone.

    

        Forward bends are useful during an attack, but the requirement varies from person to person. The posterior lungs are made to open out or supported and rested, to the secretions squeezed out and the nervous tone altered, receiving the stress on the lungs. Inverted poses condition the lungs for exertion of a particular kind. They flush the lungs free of accumulated the lungs for exertion of a particular healing the irritated areas. The circulation of the bronchial tree has to be soothed and refreshed to prevent an allergic response.

    

Diabetes Mellitus

    

        Diabetes is a metabolic disease in which primary problem is the defective utilization of sugar by the body. Dietary sugars and starch are broken down to glucose by the process of digestion and this glucose is the major fuel for the various processes, organs and cells of the body.

    

        Glucose metabolism is under the control of the hormone insulin, which is secreted by the pancreas, a large gland behind the stomach. When the glands becomes stressed or exhausted, the hormone insulin becomes deficient in quantity or sensitivity. As a result, the blood sugar level becomes high and uncontrolled.

    

Yogic Management

    

        Yoga is ideally suited for both types of Diabetes Mellitus. In Insulin Dependent Diabetes Mellitus, asanas helps to prevent an increase in insulin requirement over the years. In NIDDM, asanas help to normalize blood sugar due to the high intensity workout. Yogic exercises can either be high or low intensity, depending on the clinical condition. A young active diabetic can be made to practice very intense asanas in a dynamic manner, which will increase the cellular activity of the muscle, which needs more sugar. The advanced asanas require a lot of energy and this helps normalize blood sugar. But, if the person is obese, asana practice is difficult and it is easier to reduce weight by other means and then take up yoga.

    

        The single advantage of the asana system is that the internal organs, which are directly affected by the geometric shape of the asana itself. Even elderly Capillary changes are easily prevented by yoga as the action is on the vessel wall.

    

        Yoga is microcellular in its action. As the internal organs are massaged, sensitivity to insulin and uptake of sugar are enhanced. Twisting poses squeeze the intestines and massage them. Hence, stagnation of colonic contents due to autonomic dysfunction cannot occur. Asanas also pressurize the pancreas in an effort to improve the secretary status. The massage of pancreas by forward bends and twisting helps to release more insulin in response to food.

    

        Backward bends, being very strenuous, help to reduce blood sugar. Backbends improve blood supply to all abdominal and pelvic organs. This ensures healthy cellular integrity and due to the massage no deposits are formed. Forward bends increase the gastric fire and help healthy digestion of food. This prevents fluctuations of sugar levels in a diabetic. Burning up of excess sugar is promoted by the stimulation of gastric fire.

    

        It is very useful for all complications of the diabetic state, particularly cardiac autonomic dysfunction, retinopathy and peripheral arterial occlusive conditions.

    

OBESITY

    

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        Obesity is one of the most common disorders in medical practice and among the most frustrating and difficult to manage. Little progress has been made in its treatment in the last 25 years, yet major changes have been understood about its causes and its implications for health.

    

        Obesity is defined as an excess of adipose tissue. The exact criterion for how much is too much is controversial. When greater quantities of energy (in the form of food) enter the body than are expended, the body weight increases. Excess energy input occurs only during the development phase of obesity, and once a person has become obsess, all that is required of him to remain obese is that his energy input equals his energy output must be greater than the input. Indeed, studies of obese persons, once they have become obese, show that their intake of food is almost exactly the same as that of person with normal weight.

    

        Rate of feeding is normally regulated in proportion to the nutrient stores in the body. When the stores begin to approach an optimal level in a normal person, feeding is automatically reduced to prevent over storage. However, in many obese persons this is not true; for feeding does not slacken until body weight is far above normal. Therefore, in effect, obesity is often caused by an abnormality of the feeding regulatory mechanism. This can result from either psychogenic factors that effect the regulation or actual abnormalities of the hypothalamus itself.

    

YOGIC MANAGEMENT

    

        In yoga theraphy, we do practice asanas not only for the sake of burning extra calories, but also to develop body awareness, to understand the language of our body, the way it works, and what suits it best. From this understanding, we can modify or adjust our diet and lifestyle to suit the needs of our body and mind. Even though the aim of yoga is not just reduction of weight, this is bound to happen as an outcome of our increased self-awareness.

    

        Suyra Namaskar (Salutation to the Sun) is most important for the treatment of obesity. Surya Namaskar is a complete practice itself because it is a combination of asana, Pranayama, mantra and meditation. This practice has unique influence on the endocrine and nervous system, helping to correct metabolic imbalance that cause and perpetuate obesity. Being a dynamic practice, it is also an excellent exercise equated to cycling, jogging or swimming.

    

        The best asanas for obesity are the Pawanamuktasana series for the digestive system, which help to remove extra fat from the abdomen, hips and thighs and activate the energy in the lower pranic centres. These practices are very good for strengthening the abdominal muscles, which are usually very flaccid in the obese patient. It also helps to burn the extra fat tissue of the momentum, which is fold of peritoneum, in the abdomen, very rich in fat tissue.

    

        The practices from the Shakthi Bandha series are also effective in reducing obesity. Kriyas like Jaladhauti, Shankha Prakshalana, etc and Asanas like Halasana, Paschimottansana, Dhanurasana, Sarvangasana, Matsyasana, Padahastasana, Yogamudra massage the abdominal organs and help to eliminate manipura chakra, the source of willpower and self-assertiveness, (which is often weak in the obese patient) and that governs all our metabolic processes.

    

        The pranayama practices recommended for obesity are also the more dynamic forms, which stimulate the metabolism. They include: bhastrika, kapalabhati and suryabheda, which are performed along with balancing practices like nadi shodhan and ujjayi. Sheetali and sheetakari are relaxing, cooling practices like nadi shodhan different hypothalamic centers, which give control over thirst and the feeling of satisfaction with healthy quantities and qualities of food.

    

CORONARY HEART DISEASE

    

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        Coronary heart disease is the commonest cause of the cardiocascular disability and death. This pathological state includes “Arteriosclerotic Coronary Artery Disease” and “Ischemic heart disease”.

    

        The heart functions as the pumping station for the supply of blood to the whole body, whereas ‘Coronary arteries”, which come out of the aorta, supply the blood and feed the heart muscles themselves. The main coronary arteries lie on the surface of the heart and small arteries penetrate into the cardiac muscle mass. The ‘left coronary artery” supplies mainly the anterior part of the left ventricle, whereas the ‘right coronary artery” supplies most of the left ventricles. The resting coronary blood flows in the human being averages approximately 225 ml per minute, which is about 4 to 5 percentage of the total cardiac output. During extra work period the heart increases its cardiac output as much as four to five folds and it pumps the blood against a higher under severe conditions may increase as six to eight folds. The coronary blood flow also increases four to five folds to supply the extra nutrients needed by the heart.

    

        Coronary Heart Disease is a condition in which the heart muscle receives an inadequate amount of blood because of an interruption of its blood supply. Depending on the degree of interruption, symptoms can range from a mild chest pain to a full- scale heart attack. Generally, the symptoms manifest themselves when there is about a 75 percent narrowing of coronary artery lumen. The underlying causes of this disease are many and varied. Two of the principle ones are “atherosclerosis” and Coronary artery spasm”.

    

YOGIC MANAGEMENT

    

        Yoga insists that prevention is better than cure. Asanas relieve anginal pain very quickly. Asanas and Pranayama practiced regularly keep CHD at bay, each of the different practices contributing in its own way.

    

        When the process of atherosclerosis advances, the blood vessels are narrowed beyond a critical degree. So strokes, heart attacks and malfunctioning of all the organs are occurred. Thus, the elasticity of the blood vessels is lost and pressure rises in the blood vessels. Asanas maintain the elasticity of tissues and prevent changes in pressure.

    

        Yoga is the wonderful solution to all circulatory problems. It works by keeping the two gates of the body- the circulatory system and the respiratory system clean. Regional circulation (blood flow to each organ) reduces, as one grows older.

    

HYPERTENSION

    

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        Hypertension, or high blood pressure, is the most common disease affecting the heart and blood vessels. There is an agreement at large that a blood pressure of 120/80 is normal in a healthy adult. Borderline high blood pressure is defined as diastolic pressure between 85 and 90, mild high blood pressure is diastolic pressure between 91 and 104, and moderate high blood pressure is diastolic pressure between 105. Serve high blood pressure is diastolic pressure of 116 or higher, isolated systolic hypertension is systolic pressure greater than 160 in those whose diastolic pressure is less than 90.

    

YOGIC MANAGEMENT

    

        Yoga is an excellent means of treating high blood pressure. As hypertension begins in the mind, yoga is of prime value. However, weight loss is essential. Yoga can be practices side by side with weight-reducing exercise, as yoga weight can prevent vascular complications due to its massaging effect on the artery. Asanas make the arteries and capillaries, elastic and allowing more blood to flow into various areas, resulting in better relaxation of those tissues.

    

        The sympathetic nervous system is always set on a higher level of charges Hypertensive. By the practice of yoga the tone of sympathetic discharge is brought down.

    

        Shavasana relaxation is like sleep. It is conscious sleep. In sleep the nervous system recoups itself, the same happens in yoga. There is yet another differences in sleep the subconscious mind is still active and the nerves are still tense. In yoga every part of the nervous system is kept passive and the relaxation of the nerves far better.

        The state of nerves in a hypertensive is one of overuse and decrease excitability. Excitability means the ability to transmit an impulse. In a hypertensive the nerves are exhausted and overstrained. As the excitability of the nerve inversely proportional to the degree of activity, yoga restores the elasticity of the nervous system. A proper sleep patterns is essential for all, particularly for hypertension patient. The delicate biorhythm is the body, which influences the neuro-endocrine circuit, should never by upset.

    

ARTHRITIS

    

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        The term ‘Arthritis’ has, been used for the diseases of the joints. Arthritis is a group of different diseases related with bone joints (articulations). It includes inflammatory and degenerative condition, which affects joints. Clinically arthritis is characterized by inflammation, associated with pain and stiffness in the adjoining areas of the joint including muscles. The most common of them are Rheumatoid arthritis, Osteoarthritis and Gouty arthritis.

    

Rheumatoid Arthritis

    

        Rheumatoid arthritis is a chronic systemic inflammatory disease of unknown cause. In this disease the body attacks tissues and particularly cartilage and linings of joints. It is characterized by inflammation of the joint, swelling pain and loss of function. Usually this form occurs bilaterally, if left knee is affected, the right knee may also be affected, although usually not to the same degree.

    

YOGIC MANAGEMENT

    

        According to yogic concepts, joints kept healthy in terms of blood circulating (which means good flexibility) will remain healthy. The swelling takes a long time to disappear, but the pain reduces earlier. In the management, the patient must be instructed to bear a lot of pain in the early stage of loosening the joints if they are initially very frozen. To help tide over the pain, analgesics are helpful. Once joint nerves occur so far as joint manifestations are concerned. Of all the arthritic disorders, rheumatoid arthritis is the most painful. But results are sure and long lasting. Some of the movements are to be done several times a day to ensure fast belief.

    

        The capacity of the patient to bear pain while exercising in the initial phase decides the end result. Improved haemodynamics of the joint prevent bone loss, heal the cartilage and help regrowth; Synovial thickening can also be reduced by regular practice. The asanas recommended for gouty and rheumatoid arthritis is all standing asanas, head and shoulder standing asanas, virasana, and all sitting asanas.

    

        Twisting poses, back bends and inversions are all needed to prevent organ damage. Regular practice prevents both systemic and joint manifestations of the disease. Yoga also tones up the inner organs by helping to flush out the excess uric acid. It is no exaggeration to say that a practitioner of yoga never suffers from these disorders.

    

        In the yogic management of osteoarthritis by various asanas practices, can pull the joint surface apart. This is far more rational in approach. In contrast to the solely extension exercises prescribed for the joints. Both extension and flexion movements are given in yoga to thin down the synovial membrane and give rest to the joint.

    

        Asanas provide traction during movement, to increase the joint space. In due time, the pain disappears and the joint become healthy. If the joints have already used when the patient starts yoga, all that can be achieved is a little reduction of pain. The earlier use of yoga in steoarthritis, the better the result. Once certain flexibility is achieved, the patient can practice all possible asanas.

    

        In Gouty arthritis yoga can be used for relieving joint pathology and other systemic manifestations. If the joints are well used, pain is reduced and cartilage damage is less in the long run. Yoga is ideal as the joints can be massaged in a methodical manner.

    

BACK PAIN

    

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        Backache is one of the most common disorders today. It is estimated that between 50 and 60% of the population will suffer from an incident of acute or more long-term back pain at some stage of life.

    

        Inspite of magnitude of the problem, a simple effective cure for backache has proven elusive to modern medical science. Yoga offers a simple, effective and permanent cure for back pain sufferers who have resigned themselves to a life of pain with in a few days or weeks after adopting a simple daily yoga program. Furthermore, the patients suffering from disc prolapse and intervertebral disc prolapse equally beneficial by yoga.

    

G. Low Back Pain

    

        This is a very common disorder in today’s world. Nine out of ten persons have had atleast one episode of low back pain in their lives. The human being is an erect species and this is erroneously thought to be a predisposing factor.

    

YOGIC MANAGEMENT

    

        Depending on the clinical condition and age group of the patient, the nature of the body with regard to flexibility and rigidity, recovery can be expected in the four weeks. Thereafter, the patient should continue to practice yoga with discontinuance, as the condition may recur. This does not mean that the situation is incurable, but in order to prevent degeneration and de-conditioning of muscles, which occur rapidly with lack of regular exercise, maintenance of therapy is essential.

    

        All standing poses are very useful to contract, stretch and strengthen the spinal muscles and to relieve pain. The patient must learn not to overstretch or under stretch the muscles, neither is conductive to the health of the spine.

    

        What is needed to relieve pain is full flexibility in forward bends. Well performed, standing poses, seated twisting poses, back bends etc. Initially the exercises are used to gently stretch the muscle under pain, which is generally constricted. Hence the exercises work like traction, which creates space. Later, after a certain range of movement is achieved, both contraction and extension of the muscles are necessary.

    

LUMBAR DISC PROLAPSE

    

        A prolapsed disc is a problem where the intervertabal disc is forced to out of the annulus fibrosis due to mechanical forces, increasing interadiscal pressure or rise in tension at many other anatomical points along the spinal column. The incidence of this problem has been rising steadily and, today, every three out of five human beings have had an episode of slipped disc.

    

YOGIC MANAGEMENT

    

        All Standing asanas elongate the muscles of the spine. Lateral bending asanas like trikonasana and parsvakonasana are very useful in lateral disc prolapse where the disc can be massaged. The compensatory spinal tilt can be removed only by these poses.

    

        The length of the spinal muscles and ligaments is increased as the poses act like traction. Hence relief occurs, as the congested area is provided space. Lateral bending and rotational asanas provide excellent relief.

    

        Lateral bends are the only means to remove the asymmetrical tilt of the spin. Rotational poses like parivrtta trikonasana and parivrtta parsvakoasana are very effective in posterior-lateral prolapse.

    

        The calculated stretching of the inter-vertebral joints gives relief from pain as pressure on the disc is reduced and the spasm of the nerves, muscles and ligaments released. It also improves blood supply to the injured area and allows better healing. Vascular edema is diminished due to the space created by the forward stretch. The Muscles and the ligaments become soft and elastic, improving ligament and muscle tone. This prevents recurrent problems and future prolepses at a different level.

    

SYMPTOMS

    

        The most common symptoms is low back pain. The symptoms can date from early-life childhood, teenage or young adulthood. The patient can suffer from pressure on the lumbar nerve root and suffer sciatica or inability to walk for some distance, claudicating pain. The terminal part of the spinal cord can be caught in the displaced angle and the patient can suffer an acute inability to move the legs. In severe cases the nerves innervating the bladder can be pressurized leading to difficulty in maturation. This is a situation, which needs immediate surgery. It may be possible that more women than men suffer symptoms. The reason could be the softening effect on the ligaments of the spine by the hormonal changes of pregnancy.

    

YOGIC MANAGEMENT

    

        In forward stretches, the lumbosacral region is pushed upward and backward. This can be felt as one performs the pose. All standing poses are good for the listhetic patient as the upward lift of the spinal muscles serve to provide a vertical pull of the spine (in the direction of the head) and this capacity when used every day prevents downward and forward slippage of the spine. Practicing Paschimottasana is very beneficial.

    

        Seated twists, which make the spinal muscles convex like, ardhasana matsyendrasana are valuable to relieve pain. Inversions can be safely practiced. Balancing poses are invaluable due to the compressive forces, which make the spinal muscles convex.

    

SCOLIOSIS

    

        Scoliosis is a lateral deformity of the spine. But it is always combines with a rational component and hence it is incorrect to call it a purely problem. The structural may be permanent if not attended to at once. There are five main types of scoliosis.

    

INTRODUCTION TO YOGA AND PSYCHOLOGICAL PROBLEMS

        Modern psychology has two distinct periods pre-Freudian and post Freudian. The in born, subconscious and unconscious impressions bring about the personally traits in everyone. Freud recommended free vent to these tendencies for better living as he, as a psychiatrist, had found most of his patients suffer from suppressions. Eric Berne was the forerunner of TA movement (Transactional Analysis) in which he warited us to recognize the child, parent and adult behaviour and act the adult way. Gesdtaly Therapy and Dynamic psychiatry, the latest includes the principle of a close relation between the healer and the healed (very similar to Guru-Sishya parampara). Keeping in tune with the merging holistic approach in modern science and medicine, psychology also has evolved from a linear model to quantum model and now turning holistic.

    

ANXIETY

    

        Anxiety is a distress or uneasiness of mind caused by apprehension of danger or misfortune. It is a state of anticipation of something unpleasant about to happen, accompanied by a feeling of inner tension, and somatic manifestation such as tense muscles, sweating etc.

    

        Anxiety is the body’s response to fear. It plays a valuable role in the preservation. The fear of the consequences often prevents us from the unnecessary risks. Anxiety as a disorder results from the fear response becomes out of proportion to the actual risk. Anxiety disorders involve excessive, levels of negative emotions, such as fear, worry, nervousness, and tension and the anxiety feelings occur involuntarily despite the best attempts to avoid them.

    

        Anxiety is often seen as a triggering of the fight r flight reaction, causing excess adrenaline to be produced by the adrenal glands, which in turn produces other hormones (Catecholamine) that effect various parts of the body, such as heartbeat and respiration.

    

        Anxiety in moderate amounts is a normal part of living. In sports optimization performance is achieved when pre-contest anxiety is in the middle range, neither too high nor too low. The same is true of occupational or academic performance.

    

YOGIC MANAGEMENT

    

        Yogic Techniques could be useful in the management of anxiety disorders to the yogic management, we have focus mainly t o the mental as well as intellectual layers of the patients as this is a physic originated disorder. Anxiety disorders are the result of the imbalance in the brain functions, leads to imbalance in the understand the reality. The unwanted, unrealistic notion and blockages in the intellectual level can be removed by yogic techniques. The practice of Suryanamaskar and asanas keeps the body in the very relaxed stage. The pranayama practices lower the dominance of sympathetic nervous system. Especially Nadishuddhi pranayama and chanting helps a lot in the management of anxiety. Meditation is an important factor. Through the practice of meditation one can calm down his mind and thereby self realize his problems.

    

        The chanting of mantras (Japa an Ajapa) in any form divert the mind from the unwanted thoughts, fears etc. By the regular practices of the yogic techniques the levels anxiety can be reduced.

    

NEUROSIS

    

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        The incidence of neuroses in the general population is reported to be 5-10% and is one the most commonly encountered psychiatric disorder. It indicates minor psychiatric disorder, where only a segment of the personality is involved. Neurotic disorders are not due to any physical lesion or impairment and are often precipitated by environmental stresses. The etiology of neuroses may be considered in the areas of body and mind. Constitutional and biological factors are of obvious relevance to emotional disorders. Neuroticism level is related to the functioning of the autonomic nervous system. Psychogenic factors do play a major role in the causation and are to be explored in the person’s childhood, personal interactions etc. There is general agreement that the effect of anxiety is the basic component in all types of neuroses. The way in which the patient experiences such anxiety determines the clinical form of the neurotic reaction, which the patient will display. Anxiety can be regarded as a signal and the neurotic symptoms is an attempt to suppress the anxiety (repression) in a maladaptive way.

    

YOGIC MANAGEMENT

    

        It is clear from the study of the above neurotic disorders that yoga therapy can be used as a very efficacious tool for management of neuroses. Research into the area has already been initiated and its efficacy has been satisfactorily demonstrated in anxiety neuroses and depressive neuroses. Studies show that regular practice of these yogic practices can correct the over activity of the sympathetic nervous system and bring about parasympathetic dominance, which helps to conserve and preserve energy. Analysis if happiness at Vijnanmaya level can shatter ignorance and notional corrections are made. Mental agitations and emotional fluctuations can be corrected by thought culture and emotional culture (dharana, dhyana, prayers and bhajans). By encouraging the emotion of bhakthi and seva (devotion and service) egocentricity and preoccupation with the self can be gradually dissolved.

    

DEPRESSION

    

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        Depression is a condition of general emotional dejections and withdraws greater sadness more prolonged than that warranted by any objective reasons. Depression is a quiet disorder that lurks deep in the individuals. It is a disorder that can originate from any negative event in person’s situation.

    

        Depression affects the way we feel about ourselves, and affects the body thoughts and our mood. Major depression will interface with the normal abilities of life, as in work, sleeping and ordinary activities. This is a crippling struggle, which can happen perhaps one time, or may flare up more often in one’s lifespan.

    

YOGIC MANAGEMENT

    

        Detailed instructions and demonstration of yoga practices intended to relieve depression by strengthening physiological functions, expanding awareness and helping to develop a positive mental attitude.

    

        Asanas are important in balancing the physical body the endocrine and on a more subtle level, the chakras and prana in the body. Surya namaskar a great benefit for all anxiety states because it works to balance the entire and endocrine system. Ardha chakrasana,, ushtrasana, the trikonasana charkrasana and dhanurasana work on the adrenals the shakti bandha spinal twists also helps.

    

Phobia

    

        A phobia can be defined as a persistent and irrational fear or dread, hatred or aversion for a specific object, activity or situation, resulting in a compelling desire to avoid the anxiety-inducing stimulus. The individual recognizes the fear as excessive and unreasonable. For example, people are extremely fearful of height. Closed spaces, snakes or spiders, provided there is no objective danger and their distress is sufficient to disrupt their lives, the label phobia is likely to be applied to their avoidance and fear. While the normal person may feel apprehensive at all the sight of snake, the snake-phobic person will show intense anxiety, along with its usual physiological signs, increased heart rate, sweating and so on.

    

YOGIC MANAGEMENT

    

        Meditations, yoga nidra and yogasanas are key practices in the management of phobic anxiety. Yoga is not designed primarily as a theraphy, but to bring us to greater awareness and clam, even to transformation. Yoga teaches us to change the inner environment so that all our fears, anxieties and miseries will gradually lessen. Meditation can bring some spaciousness into that inner cage. An important aspect of the practices of yoga is self-acceptance. Phobic anxiety is characterized by fear of one’s own nature and by a denial of what we are actually feeling, in other words by tension. Phobics often go to great lengths to hide their fears from others, and indeed, many phobas are related to anxiety about how others will perceive reflecting our sel-hatred.

    

        The practice of antara Mauna, ‘inner silence’ allows us to watch the mind without judgment, allowing all thoughts to come to the mind and accepting all our experience as internally caused. ‘External’ conditions, such as sounds, are brought into the inner experience and we learn to observe or habitual reactions. AntarMaunas is beneficial technique to use when the mind becomes disturbed by the situation, since the reaction, rather than being pushed way of avoided; with fear, dread hatred or aversion; is steadily observed, we face the fear. Japa is also recommended for anxiety. This practice, which involves the repetition of a mantra so that it becomes spontaneous, effectively takes the attention from the situation which has triggered the anxiety.

    

FATIGUE

    

        Fatigue is an illness affecting the muscles, brain and nervous system. Now more widely recognized, the medical profession calls CFS, Chronic Fatigue Syndrome. As well as physical and mental fatigue being part of the illness, the interia resulting from lack of exercise results in added fatigue.

    

        Chronic fatigue, induced and maintained by stress is a common feature of modern life. Unlike the fatigue created by intense physical work from which one soon recover with a good rest, chronic fatigue is generalized and ordinary forms of rest bring little respite.

    

YOGIC MANAGEMENT

    

        Yoga is for Chronic Fatigue Syndrome. Yoga’s gentle stretching does not consume too much energy, so the participants feel refreshed after the exercise. This is important because the victims of CFS are already on a deficit for energy. A daily routine that combines 5 minutes of the complete breath exercise, 10 to 20 minutes of meditation and three or four yoga poses are recommended. The poses all push more oxygen through the system and release muscle tension. The meditation wills helps to conserve energy and build self-confidence.

    

        Yoga is not meant for just physical well-being alone. Yoga is a surefire step to regain mental balance and overcome the consequences of fatigue. Methods for relaxation, meditation, breathing and correct diets are the essential aspects of the Yoga package for chronic fatigue syndrome.

    

        Yoga practices intended to strengthen all physiological functions, enhance the energy level, reduce fatigue, and promote mental alertness.

    

        The yogic practices are postures (asana), breathing techniques(Pranayama), energy locks (Bandha), internal cleansing methods(kriya), psychic gesture (mudra), relaxation and meditation, and self-massage.

    

        Practicing yoga techniques rather than exercise is an obviously more preferable and successful approach for the body, mind and emotions. In people whose physical ability is limited, yoga can offer relaxation, visualization, meditation, pranayama and emotional culturing.

    

NERVOUSNESS

    

        Nervous exhaustion as a clinical entity is rare. Mainly characterized by fatigue some degree of anxiety is also usually present, and the relative importance of each has to be assessed. One feeling highly excitable and uneasiness feature it. It manifests under severe stress.

    

        The patient complains of tiredness, lack of concentration irritability, feelings of pressure in the head, and other subjective symptoms for which you can find no organic cause.

    

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