Viddhakarma- A Novel Approach in the Management of Vishad (Depression): A Case Report

Abstract

Depression is a common psychological disorder, mostly affecting females of middle age group due to various psychosocial factors. Though modern medication is available but with limitations such as dependency, adverse effects and variable patient compliance. In contrast Viddhakarma, an ancient Ayurvedic Parasurgical procedure which gives marked relief in psychosomatic disorders without any side effects and which is cost effective also. As depression is long lasting condition or chronic in nature and Viddhakarma may give rapid symptomatic relief, particularly in distressing cognitive symptoms. In this case report, a 55-year-female  having complaints of overthinking, insomnia, negative thoughts, panic attacks, guilt, self-blame, crying, low self-confidence and loss of interest in daily activities was diagnosed with depressive disorder according to the ICD-10 criteria and sought Ayurvedic management  at  OPD level. The depression shows resemblance with Vishad. Viddhakarma therapy was initiated, and by the end of the treatment significant improvement was seen in subjective parameters like Hamilton Depression Scale. The patient reported improved sleep quality and a more positive outlook towards life. The Hamilton depression scale score was reduced to 3 from 25. This case report suggests that Viddhakarma may provide significant relief in psychological conditions such as depression and can be considered a potential therapeutic modality in its management.