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Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 6-13

Gandharva grahonmada: Bipolar disorder with obsessive-compulsive disorder/mania?


Department of Kayachikitsa, Parul Institute of Ayurveda, Parul University, Vadodara, Gujarat, India

Correspondence Address:
Dr. Kshama Gupta
Department of Kayachikitsa, Parul Institute of Ayurveda, Parul University, Vadodara, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijny.ijoyppp_17_17

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Gandharva grahonmada (GG) is one among 18 types of bhootonmada or grahonmada. Bhootonmada comprises a vast category of psychiatric problems which are assumed to be caused by affliction of evil spirits or super natural powers or extra terrestrial forces or idiopathic factors. The present study aims at better understanding of GG and its clinical applicability to the present day psychiatry practice. GG is characterized by Chandam/Teekshnam (anger/aggressiveness/irritability/hostility/violence), Saahasikam (risk taking behaviour/agitation/increased psychomotor activity), Gambheera and Adhrushya (grandiosity /agitation), Nrutyantam, gaayantam, mukha vaadyaani kurvantam (dancing, singing and playing music), Pulina vanaantaropasevi, hrishtaatma, prahasati, haasya kathaanuyogam (engaged in pleasurable activities/euphoria), Snaana, maalya, anulepana, dhoopa, gandha ratim (flamboyant appearance / obsessive compulsive symptoms), Shringaara leelaabhiratim (hyper sexuality), Rakta vastram (wearing red colour garments), Paana ratim (alcohol abuse), Svaachaaram (virtuous conduct), Chaaru chaalpa shabdam and alpa vyavahaaram (hypomania/mixed episode/mania with depressive symptoms) etc features. These features of GG show similarity with mania or hypomania or bipolar disorder (BD) comorbid with obsessive compulsive disorder (OCD). Samrambha grahonmada and hasana grahonmada are two subtypes of GG which also resembles with mania. 'Samrambha grahonmada' resembles with 'irritable/aggressive mania' whereas 'hasana grahonmada' denotes 'grandiose / elated mania'.


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