Arya Ravindra
a Comprehensive Epilepsy Center, Division of Neurology , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
J Hist Neurosci. 2018 Jan-Mar;27(1):56-71. doi: 10.1080/0964704X.2017.1358039. Epub 2017 Sep 6.
This article discusses etiology, pathogenesis, symptoms, and treatment of epilepsy, as described in Charaka Samhitā (translation: Charaka's Compendium) and Sushruta Samhitā, the two core texts of Ayurveda, an ancient system of medicine. Ayurveda emphasized amnesia and loss of consciousness as core features of epileptic seizures (Sanskrit: apasmar; translation: apa negation, smaran memory) and recognized that seizures occur due to a disturbance in brain function or flow of "humors" to the brain. Semiology of various seizure types was well described. Epilepsy was attributed to both internal and multiple exogenous factors. Treatment of epilepsy with formulations of naturally occurring substances, their compounding and use, is described in remarkable detail. Lifestyle modifications to protect people with epilepsy are also documented. Cognitive comorbidities of epilepsy were recognized. Although none of the Ayurveda formulations have any empirical evidence supporting their safety or efficacy in the treatment of epilepsy, studies are needed to generate relevant evidence, to recognize their hazards, and to integrate traditional and complementary systems of medicine with modern health care in an informed and safe manner.
本文讨论了癫痫的病因、发病机制、症状及治疗，这些内容在阿育吠陀（一种古老的医学体系）的两部核心典籍《阇罗迦集》（翻译：阇罗迦纲要）和《妙闻集》中有记载。阿育吠陀强调失忆和意识丧失是癫痫发作的核心特征（梵语：apasmar；翻译：apa否定，smaran记忆），并认识到癫痫发作是由于脑功能紊乱或“体液”流向大脑所致。各种发作类型的症状学有详尽描述。癫痫归因于内在和多种外在因素。文中详细描述了使用天然物质配方、其调配及应用来治疗癫痫。还记录了为保护癫痫患者而进行的生活方式调整。癫痫的认知共病也得到了认识。尽管没有任何阿育吠陀配方有任何实证证据支持其在治疗癫痫方面的安全性或有效性，但仍需要开展研究以产生相关证据，识别其危害，并以明智且安全的方式将传统和补充医学体系与现代医疗保健相结合。
