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106 bytes added ,  16:42, 9 December 2017
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पन्नरूपीयेन्द्रियोपक्रमः
 
पन्नरूपीयेन्द्रियोपक्रमः
अथातः पन्नरूपीयमिन्द्रियं व्याख्यास्यामः||१||  
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अथातः पन्नरूपीयमिन्द्रियं व्याख्यास्यामः||१||
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इति ह स्माह भगवानात्रेयः||२||  
 
इति ह स्माह भगवानात्रेयः||२||  
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athātaḥ pannarūpīyamindriyaṁ vyākhyāsyāmaḥ||1||  
 
athātaḥ pannarūpīyamindriyaṁ vyākhyāsyāmaḥ||1||  
 
iti ha smāha bhagavānātrēyaḥ||2||
 
iti ha smāha bhagavānātrēyaḥ||2||
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iti ha smAha bhagavAnAtreyaH||2||  
 
iti ha smAha bhagavAnAtreyaH||2||  
 
Now we shall expound the chapter on the signs of imminent death as indicated by the distortion of the image reflected in the pupil.[1-2]
 
Now we shall expound the chapter on the signs of imminent death as indicated by the distortion of the image reflected in the pupil.[1-2]
Loss of shadow image in eyes:
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==== Loss of shadow image in eyes ====
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दृष्ट्यां यस्य विजानीयात् पन्नरूपां कुमारिकाम्|  
 
दृष्ट्यां यस्य विजानीयात् पन्नरूपां कुमारिकाम्|  
 
प्रतिच्छायामयीमक्ष्णोर्नैनमिच्छेच्चिकित्सितुम्||३||  
 
प्रतिच्छायामयीमक्ष्णोर्नैनमिच्छेच्चिकित्सितुम्||३||  
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The condition in which loss of shadow image is observed in the pupil (eyes) of the patient, should be discarded for treatment.[3]
 
The condition in which loss of shadow image is observed in the pupil (eyes) of the patient, should be discarded for treatment.[3]
Features of fatal prognosis as per shadows:
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 +
==== Features of fatal prognosis as per shadows ====
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ज्योत्स्नायामातपे दीपे सलिलादर्शयोरपि|  
 
ज्योत्स्नायामातपे दीपे सलिलादर्शयोरपि|  
 
अङ्गेषु विकृता यस्य च्छाया प्रेतस्तथैव  सः||४||  
 
अङ्गेषु विकृता यस्य च्छाया प्रेतस्तथैव  सः||४||  
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The term sansthana  means shape which may be symmetrical or asymmetrical.
 
The term sansthana  means shape which may be symmetrical or asymmetrical.
 
Measurement is of three kinds namely short, medium, and large The image reflected in water, mirror,  etc., corresponding to the measurement and shape of the body of the individual is known as praticchhaya which is nothing but reflected shadow based on the colour and lustre of the individual.[8-9]
 
Measurement is of three kinds namely short, medium, and large The image reflected in water, mirror,  etc., corresponding to the measurement and shape of the body of the individual is known as praticchhaya which is nothing but reflected shadow based on the colour and lustre of the individual.[8-9]
Features of Shadow of Pancha-Mahabhuta:
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==== Features of Shadow of Pancha-Mahabhuta ====
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खादीनां पञ्च पञ्चानां छाया विविधलक्षणाः|  
 
खादीनां पञ्च पञ्चानां छाया विविधलक्षणाः|  
 
नाभसी निर्मला नीला सस्नेहा सप्रभेव च||१०||  
 
नाभसी निर्मला नीला सस्नेहा सप्रभेव च||१०||  
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All varieties of  lustre are constituted of tejas bhoota. They are classified as seven type’s namely red, yellow, white, brown, green, pale yellowish and black. Of them which are emanative, unctuous, and dense are auspicious and those others which are dry, dirty and thin are inauspicious.[14-15]
 
All varieties of  lustre are constituted of tejas bhoota. They are classified as seven type’s namely red, yellow, white, brown, green, pale yellowish and black. Of them which are emanative, unctuous, and dense are auspicious and those others which are dry, dirty and thin are inauspicious.[14-15]
Difference in Cchhaya (shadow) and Prabha(lustre):
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==== Difference between Chhaya (shadow) and Prabha(lustre) ====
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वर्णमाक्रामति च्छाया भास्तु  वर्णप्रकाशिनी|  
 
वर्णमाक्रामति च्छाया भास्तु  वर्णप्रकाशिनी|  
 
आसन्ना लक्ष्यते च्छाया भाः प्रकृष्टा  प्रकाशते||१६||  
 
आसन्ना लक्ष्यते च्छाया भाः प्रकृष्टा  प्रकाशते||१६||  
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nRuNAM shubhAshubhotpattiM kAle chAyAprabhAshrayAH||17||  
 
nRuNAM shubhAshubhotpattiM kAle chAyAprabhAshrayAH||17||  
   −
The shadow decreases the complexion of the body whereas the lustre illuminates.. The shadow can be observed from nearby whereas  lustre illuminates from a distance. There is nothing devoid of lustre or shadow. Certain distinctive features of the shadow and the lustre when mature indicates emergence of inauspicious or auspicious  results in relation to human beings. [16-17]   
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The shadow decreases the complexion of the body whereas the lustre illuminates.. The shadow can be observed from nearby whereas  lustre illuminates from a distance. There is nothing devoid of lustre or shadow. Certain distinctive features of the shadow and the lustre when mature indicates emergence of inauspicious or auspicious  results in relation to human beings. [16-17]  
Fatal signs:
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==== Fatal signs ====
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कामलाऽक्ष्णोर्मुखं पूर्णं शङ्खयोर्मुक्तमांसता|  
 
कामलाऽक्ष्णोर्मुखं पूर्णं शङ्खयोर्मुक्तमांसता|  
 
सन्त्रासश्चोष्णगात्रत्वं  यस्य तं परिवर्जयेत्||१८||  
 
सन्त्रासश्चोष्णगात्रत्वं  यस्य तं परिवर्जयेत्||१८||  
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saMsRuShTA vyAdhayo yasya pratilomAnulomagAH|  
 
saMsRuShTA vyAdhayo yasya pratilomAnulomagAH|  
 
vyApannA grahaNI prAyaH so~ardhamAsaM na jIvati||20||  
 
vyApannA grahaNI prAyaH so~ardhamAsaM na jIvati||20||  
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Patient who is suffering from Kamala, swelling of face, wasting in temples and terrifying appearance with high fever such patient should be discarded for management.
 
Patient who is suffering from Kamala, swelling of face, wasting in temples and terrifying appearance with high fever such patient should be discarded for management.
 
Patient who faints again and again while being lifted from bed cannot survive for a week.
 
Patient who faints again and again while being lifted from bed cannot survive for a week.
 
The patient afflicted with multiple doshas having movements  in upward, downward both directions along with disordered Grahani          (Duodenum and Small intestine) cannot survive for longer than for a fortnight.[18-20]
 
The patient afflicted with multiple doshas having movements  in upward, downward both directions along with disordered Grahani          (Duodenum and Small intestine) cannot survive for longer than for a fortnight.[18-20]
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उपरुद्धस्य रोगेण कर्शितस्याल्पमश्नतः|  
 
उपरुद्धस्य रोगेण कर्शितस्याल्पमश्नतः|  
 
बहु मूत्रपुरीषं स्याद्यस्य तं परिवर्जयेत्||२१||  
 
बहु मूत्रपुरीषं स्याद्यस्य तं परिवर्जयेत्||२१||  
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UrdhvaM ca yaH prashvasiti shleShmaNA cAbhibhUyate|  
 
UrdhvaM ca yaH prashvasiti shleShmaNA cAbhibhUyate|  
 
hInavarNabalAhAro yo naro na sa jIvati||26||
 
hInavarNabalAhAro yo naro na sa jIvati||26||
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Consumption of little quantity of food by emaciated person but excretes large amount of urine and stool should be discarded for management.  
 
Consumption of little quantity of food by emaciated person but excretes large amount of urine and stool should be discarded for management.  
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If patient is suffering from shallow respiration with irregular twitching in the body is said to be severe fatal condition like almost dead.
 
If patient is suffering from shallow respiration with irregular twitching in the body is said to be severe fatal condition like almost dead.
 
Person who is suffering from respiratory distress with abundance of kapha along with diminution of complexion, strength and less intake of food will not survive for longer.[21-26]
 
Person who is suffering from respiratory distress with abundance of kapha along with diminution of complexion, strength and less intake of food will not survive for longer.[21-26]
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ऊर्ध्वाग्रे नयने यस्य मन्ये  चारतकम्पने|  
 
ऊर्ध्वाग्रे नयने यस्य मन्ये  चारतकम्पने|  
 
बलहीनः पिपासार्तः शुष्कास्यो न स जीवति||२७||  
 
बलहीनः पिपासार्तः शुष्कास्यो न स जीवति||२७||  
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Whose penis is excessively long along with pendulous testicles or vice versa, such signs are indicative of death of a patient immediately.
 
Whose penis is excessively long along with pendulous testicles or vice versa, such signs are indicative of death of a patient immediately.
 
In emaciated individual whose muscles are excessively undergone wasting with remnants of skin and bone does not survive more than one month.[27-31]
 
In emaciated individual whose muscles are excessively undergone wasting with remnants of skin and bone does not survive more than one month.[27-31]
Summary:
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==== Summary ====
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तत्र श्लोकः-  
 
तत्र श्लोकः-  
 
इदं लिङ्गमरिष्टाख्यमनेकमभिजज्ञिवान्|  
 
इदं लिङ्गमरिष्टाख्यमनेकमभिजज्ञिवान्|  
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idaM li~ggamariShTAkhyamanekamabhijaj~jivAn|  
 
idaM li~ggamariShTAkhyamanekamabhijaj~jivAn|  
 
AyurvedavidityAkhyAM labhate kushalo janaH||32||
 
AyurvedavidityAkhyAM labhate kushalo janaH||32||
  To summarize
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Who is well versed with the observation of above signs and symptoms which indicates imminent death, is entitled to be known as intelligent physician. [32]
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To summarize:
Tattva vimarsha:
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Who is well versed with the observation of above signs and symptoms which indicates imminent death, is entitled to be known as intelligent physician. [32]
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=== ''Tattva Vimarsha'' ===
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• Shadow image in Pupils, changes in complexion and luster should be examined to assess prognosis.  
 
• Shadow image in Pupils, changes in complexion and luster should be examined to assess prognosis.  
 
• Perception of distorted images of body parts or their absence are ominous signs.
 
• Perception of distorted images of body parts or their absence are ominous signs.
   −
Vidhi Vimarsha:
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=== ''Vidhi Vimarsha'' ===
    
Role of Pancha-mahabhuta in complexion and luster:
 
Role of Pancha-mahabhuta in complexion and luster:
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6. As cardiac output and intravascular volume decrease at the end of life, there will be evidence of diminished peripheral blood perfusion. Tachycardia, hypotension, peripheral cooling, peripheral and central cyanosis, and mottling of the skin (livedo reticularis) are expected. Venous blood may pool along dependent skin surfaces. Urine output falls as perfusion of the kidneys diminishes.  
 
6. As cardiac output and intravascular volume decrease at the end of life, there will be evidence of diminished peripheral blood perfusion. Tachycardia, hypotension, peripheral cooling, peripheral and central cyanosis, and mottling of the skin (livedo reticularis) are expected. Venous blood may pool along dependent skin surfaces. Urine output falls as perfusion of the kidneys diminishes.  
   −
In parapsychology and many forms of spiritual practice, an aura is a field of subtle, luminous radiation surrounding a person or object (like the halo oraureola in religious art).
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In parapsychology and many forms of spiritual practice, an aura is a field of subtle, luminous radiation surrounding a person or object (like the halo oraureola in religious art).
Glossary  
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 +
=== Glossary ===
 
पन्नरूपीय                                                  Destruction/loss of images                                                                                                                                                                च्छाया                                                        Complexion
 
पन्नरूपीय                                                  Destruction/loss of images                                                                                                                                                                च्छाया                                                        Complexion
 
प्रतिच्छाया                                                    Shadow
 
प्रतिच्छाया                                                    Shadow