Dr Manjunatha N, Dr Rajalakshmi M G
Vol. No. 21, Special Issue No 2 2026
Abstract:
Shodhana chikitsa is one of the most important treatment approaches in Ayurveda, aimed at removing deeply seated aggravated doshas from the body. Along with the sharira, the Manas plays a vital role in deciding the success of the shodhana. Hence, Manasopachara : proper mental care and psychological preparation of the patient, becomes an essential part of shodhana chikitsa. Acharya Charaka explains that Manas and sharira are closely connected and influence each other continuously, and disturbance in Manas can directly affect bodily functions. The conceptual understanding of Manasopachara is based on classical references from Acharya Charaka and Acharya Sushrutha, which explain the relationship between Manas and sharira, the role of Sattvabala, and the impact of emotions on treatment outcomes. The procedures like Vamana, Virecana, Basti, and Nasya were considered in understanding the need for psychological preparation before shodhana karma. Procedures like Vamana, Virecana, Basti, and Nasya often create fear, anxiety, hesitation, or lack of confidence in patients. If these mental states are not addressed, the patient may not cooperate properly, tolerate the procedure poorly, or develop complications. Acharya Sushrutha mentions that emotions such as fear, grief, and anger can disturb both sharirika and manasika doshas and delay healing. Acharya Charaka further emphasizes the importance of Sattvabala, stating that patients with strong mental strength respond better to treatments. By strengthening Manas, Manasopachara improves treatment acceptance, smooth execution of shodhana, and complete elimination of doshas. Thus, Manasopachara reflects healing that is achieved by caring for both the Manas and the sharira together. By addressing the psychological state of the patient through reassurance, gentle counselling, building trust, and removing fear, Manasopachara supports the successful administration of shodhana chikitsa and enhances overall therapeutic outcomes.
DOI: http://doi.org/10.37648/ijrmst.v21i02.022
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