Introduction: Chittodvega has not been described as an individual clinical disease in Ayurvedic treatises, but references to Chittodvega are scattered throughout the classics. Primary psychological conditions caused purely by manas Doshas, i.e., Rajas and Tamas, include Kama, Krodha, Lobha, Moha, Bhaya, Irshya, and Chittodvega. Chittodvega, by its symptomatology, shows much resemblance to the symptoms of generalized anxiety disorder. Varmam refers to the vital points present all over the body. According to the Siddha system of medicine, pressure given on these Varmam points under specific control for a specific time and duration cures several diseases. Material and Method: It was a randomized, open, standard, controlled, clinical, interventional trial on 30 human subjects. Patients were divided into 2 groups, one with Varmam therapy with Ksheerbala Tailam application and the other with only Varmam therapy. The total duration of therapy is 35 days with 2 follow-ups on every 7th day. There are 28 Varmam points located in the region from the top of the head to the neck, out of which 10 are used in the study for the management of Chittodvega. Results: After assessing the parameters of assessment criteria after treatment, as well as comparing the effect of therapy in the patients of Chittodvega, group B has a better effect than group A, which includes Varmam stimulation along with Ksheerbala Tailam. Conclusion: Varmam therapy is effective in the management of Chittodvega with respect to generalized anxiety disorder.
