Management of Dementia (Smriti Bhramsha) Through a Holistic Treatment Protocol: A Case Study D.S. Yahathugoda Visiting Lecturer, Faculty of Indigenous Medicine, Gampaha Wickramarachchi University of Indigenous Medicine, Yakkala, Sri Lanka http://orcid.org/0009-0004-1275-5141 J.M.A.S.B. Jayasinghe Ayurveda Medical Practitioner, Gampaha Medical Centre, Malabe, Sri Lanka http://orcid.org/0009-0009-5469-6430 S.S. Hettige Ayurveda and Traditional Psychiatrist, Managing Director, Manasa Ayurveda Hospital, Neelammahara, Boralesgamuwa, Sri Lanka http://orcid.org/0009-0001-5391-4063 DOI: https://doi.org/10.70805/ija-care.v9i4.834 Abstract Dementia is a syndrome of acquired intellectual impairment in which impairment of memory is the essential feature with associated impairment of cognition. Alzheimer’s Dementia is the commonest type of Dementia in worldwide and the most frequent neurodegenerative disorders in the world. More than 60% people in worldwide are having Dementia conditions. According to Ayurveda, Smriti Bhramsha is the most related psychological disorder. It is mentioned in texts as Smriti Bhramsha is occurred due to derangement of Rajas and Tamas doshas (psychic humors) and Thridosha, mainly Kapha dosha (physical humors). In this case report a 57 years old female patient having severe memory and cognitive impairment with a history of thyroid dysfunction and Lithium intoxication. The management composed of Shirodhara (dripping medicated oil on forehead), Shiropichu (oil packs on head), Nasya (Nasal drop), Vireka (medicate purgation), Hisa gellum (head pack), Pinda sweda (foementation) with internal medicines which are specific to Neelammahara tradition along with several Acupuncture and Homeopathy treatments for 03 months. Results were assessed using Mini Mental Status Examination (MMSE) and Clinical Dementia Rating (CDR) Scale and both revealed 90% progression. The patient has shown a significant improvement in her memory and cognition with no adverse effects and it can be concluded that the followed treatment protocol is successful in the management of Smriti Bhramsha. pdf Published 2025-12-14 Issue Vol 9 No 4 (2025): October-December 2025 Section Case Reports This work is licensed under a Creative Commons Attribution 4.0 International License.
