The prevalence of psychiatric disorder in the community is of such magnitude that every doctor must be able to carryout psychiatric assessment. The range of presenting problems in patients with psychiatric disorders is wide. Many patients with emotional disturbance may present, not with overt psychiatric symptoms, but with more respectable physical symptoms. In some patients physical and psychiatric illness may co-exist. There may be a direct causal relationship between the two, as in the Unmada rogi who have Arochaka getting Panduroga. On the other hand, physical & psychiatric illness may be unrelated, as in the patient of Apasmara in whom Madhumeha may also co-exist. In addition, every patient’s reaction to his illness will be influenced by his emotional state and this will itself affect the cause of the illness. Therefore the necessity to know the psychosomatic condition increases when we start to understand the underlying pathogenesis of all psychosomatic diseases which are the individual reaction and variable perception depending upon the Satva bala and that also give and the special attention to understand psychic constitution which are sixteen in number, seven of satvika, six of Rajas and three of tamasa prakriti.
For the understanding of the somatic diseases as the knowledge of sharira is essential, the Mano-vichaya is required to know the manasaroga.
However, Manas is Atindriya and it’s action is either observable or inferable. Manas which is a non-material component of the body is composed of three substance specific mixture which are Satva, Rajas and Tamas. They are triguna or parama padarthas. They have the characteristic of being promotive for knowledge and thinking, rational thinking and permission for allowing the existance of opposite qualities. The dominance of Satva makes one of intelligently active and not ruling over others by any means. The dominance of Rajas is notable when one has tendency to supercede others by all means and more maneuvering for achieving desired. The dominance of Tamas causes least efforts and curiosity but prefers to be in stage of unawareness and effortlessness. Not to bother of ignorance and not to make any efforts is the characteristic of Tamas.
Curiosity, efforts to satisfy the curiosity and-detachment are three features or every living being. This is due to qualities of Satva, Rajas and Tamas, herited by that individual. There should be efforts to understand the dominance of one triguna. The expression of disease will be modified according to dominance, i.e. Guru Vyadhita and Laghuvyadhita of Pravara and Avara Satva respectively. Therefore, the recognition of existance and dominance of anyone of omni-substance is essential and it is possible to note the behavioural and psychological manifestations for the evaluation of manas-roga and dominance of specific guna/dosha.
BEHAVIOURAL AND PSYCHOLOGICAL MANIFESTATION OF TRIGUNA:
Efforts for more
existence of Almighty,
Straight forward dealing
Prompt to learn, Serious,
Of good memory, intellect,
of pain & pleasure,
of sense organs,
Atheism, more sleep