Epilepsy is the most important neurological disorder which can produce psychiatric symptoms. Conventional antiepileptic drugs in the management of epilepsy intend to reduce the seizures but have no role in the management of psychiatric aspects of the disease. In Ayurvedic literature, 'Apasmara' has been mentioned as a psychosomatic disorder and ghrta has been held in high esteem for its beneficial effects in apasmara. Hence the present study was undertaken to estimate the prevalence of psychiatric symptoms in patients of apasmara and also to assess the effect of 'Maha Kalyanaka Ghrta' on those psychiatric symptoms. A total of 20 cases of apasmara were registered, among them 8 patients had symptoms related to one or more psychiatric components. To those 8 patients 'Maha Kalyanaka Ghrta' was administered for 90 days. The study showed that personality impairment was most predominant psychiatric symptom observed in patients of apasmara followed by symptoms related to anxiety. 'Maha Kalyanaka Ghrta' had very good effect in reducing the psychiatric symptoms by 57.22 % and 60.69 % at the end of 45 and 90 days of treatment respectively.

Examination plays an important role in the diagnosis of a disease. In ancient times the method of examination was by the usage of trividha pariksha, dasha vidha pariksha and also ashta sthana pariksha. Ashta sthana pariksha represents both the clinical assessment as well as the laboratory investigations of those times. Among the ashta sthana pariksha, mutra pariksha is one which proves to be an important aid in diagnosis as well as assessing the prognosis of a disease. The taila bindu pariksha which is a part of the mutra pariksha helps in assessing the prognosis of a disease and hence the present study was undertaken to revalidate the same. Kamala is a clinical condition characterised by peeta mutrata. Hence the study was under taken on a single group of 30 patients of kamala to evaluate the prognosis by Taila bindu pariksha. The urine samples collected from the patients were subjected for tailabindu pariksha. The relation of peetamutrata and peetanetrata with the nature of spread, direction of spread, shapes formed by the oil drop was assessed for determining the prognosis of the disease. Peeta netrata in relation with nature of spread, direction of spread and shape of spread was significant P value is 0.038, 0.001 and 0.001 respectively. The findings with respect to the nature of spread, direction of spread, patterns created by the spread of oil drop in majority of the patients matched with the description given in classical literature of Ayurveda