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A multiple case study of practitioners and patients in the ayurvedic treatment of anxiety disorder.

机译：阿育吠陀治疗焦虑症的从业者和患者的多案例研究。

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摘要

Anxiety disorder is primarily treated in the United States by allopathy employing medication and psychotherapy. However, there is evidence that consumers are increasingly seeking treatment by Complementary and Alternative Medicine, which refers to modalities that differ from allopathy. Ayurveda, extensively practiced in India, is considered alternative medicine in the United States and not well understood. The purpose of this study was to raise awareness of Ayurveda by explicating the process followed by U.S.-based Ayurvedic practitioners to treat anxiety disorder. Ayurvedic medicine defines an individual to be encased in five sheaths or kosas, highlighting aspects of body, mind, and spirit. Physical constitution is described in terms of doshas (vata, pitta, kapha), which can be roughly translated as force or fault. Force implies energy and fault implies an imbalance that leads to dis-ease. Mental constitution is defined in terms of gunas (sattva, rajas and tamas). Practitioners treat patients to restore balance rather than treat symptoms or medical conditions.;This dissertation study employed exploratory-descriptive case study research methods. One-on-one interviews with three Ayurvedic practitioners, using semi-structured questions, provided information on their background and perspectives on Ayurveda, anxiety disorder and clinical practice. Retrospective analysis of three past clients described the process employed to diagnose and treat anxiety disorders. Additionally, observation of a clinic session between a practitioner and a client enabled deeper understanding of the process. Data were analyzed and main themes elucidated using the long-table approach.;Results showed the three practitioners to have varied backgrounds but predominantly similar perspectives on Ayurveda and anxiety disorders. The three clients were diagnosed with doshic imbalances and prevalence of tamas and/or rajas gunas, resulting in anxiety. All three clients were treated with herbs, exercise, meditation and changes to diet and lifestyle. Additionally, one client was treated by panchakarma (therapeutic cleansing process), pranayama (breath exercises) and subtle therapies. As patients restored balance, they reported freedom from symptoms of anxiety.;This study is the first descriptive exploration of Ayurveda as practiced in the United States, specifically for the treatment of anxiety. It is groundbreaking because it provides a model for future research on Ayurveda practice in the United States.
机译：在美国，焦虑症主要通过使用药物和心理疗法的同种疗法来治疗。但是，有证据表明，消费者越来越多地寻求补充和替代医学的治疗，这是指不同于同种疗法的治疗方式。在印度广泛使用的阿育吠陀在美国被认为是替代药物，人们对此并不了解。这项研究的目的是通过介绍美国驻阿育吠陀医生从业者治疗焦虑症的过程，来提高对阿育吠陀的认识。阿育吠陀医学定义了一个被包裹在五个鞘或科萨斯中的人，突出了身体，思想和精神的各个方面。物理结构用dosha（瓦塔，皮塔，kapha）来描述，可以大致解释为力或断层。力量意味着能量，而断层则意味着导致疾病的不平衡。心理构成是根据古纳语（sattva，rajas和tamas）定义的。从业者对待患者是为了恢复平衡，而不是治疗症状或病情。本论文研究采用探索性描述性案例研究方法。使用半结构化问题与三位印度草药医生进行了一对一的访谈，提供了有关他们对印度草药，焦虑症和临床实践的背景和观点的信息。对过去三位客户的回顾性分析描述了用于诊断和治疗焦虑症的过程。另外，观察从业者和客户之间的临床会话可以使人们对过程有更深入的了解。结果分析表明，这三名从业者背景各异，但对阿育吠陀和焦虑症的看法主要相似。这三名客户被诊断出患有多西奇失调，并且患上了tamas和/或rajas gunas，从而导致焦虑。所有三个客户都接受了草药，运动，冥想以及饮食和生活方式的改变。此外，还对一名客户进行了panchakarma（治疗性清洁过程），pranayama（呼吸运动）和微妙的疗法的治疗。随着患者恢复平衡，他们报告称摆脱了焦虑症状。本研究是在美国进行的首次针对印度草药的描述性探索，专门用于治疗焦虑症。它之所以具有开创性，是因为它为美国阿育吠陀实践的未来研究提供了模型。

著录项

  • 作者

    Rao, Prema R.;

  • 作者单位

    Saybrook University.;

  • 授予单位 Saybrook University.;
  • 学科 Health Sciences Alternative Medicine.;Health Sciences Mental Health.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2008
  • 页码 311 p.
  • 总页数 311
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 整形外科学（修复外科学）;
  • 关键词

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