Changes

If person having combination of dual type of activity of mind i.e. exaggerated (in form of tremor), and diminished activity (in form of stupor), simultaneously; is supposed to die within a month. These dual types of signs may indicate increased intracranial pressure (ICP) due to localized mass like hematoma, neoplasm, abscess, edema, infarction, obstruction in CSF circulation, diffuse brain edema (like encephalitis, meningitis, or diffuse head injury), thrombosis, or idiopathic intracranial hypertension.  

If person having combination of dual type of activity of mind i.e. exaggerated (in form of tremor), and diminished activity (in form of stupor), simultaneously; is supposed to die within a month. These dual types of signs may indicate increased intracranial pressure (ICP) due to localized mass like hematoma, neoplasm, abscess, edema, infarction, obstruction in CSF circulation, diffuse brain edema (like encephalitis, meningitis, or diffuse head injury), thrombosis, or idiopathic intracranial hypertension.  

Symptoms of raised ICP are altered mental state, lethargy, irritability, slow decision making and abnormal social behaviour. Ultimate result of the patho-physiology of such condition is stupor, coma and death. Rapidly rising ICP leads to syncope, seizures. These neurologic changes seen in increased ICP are mostly due to hypoxia and hyper apnoea. [10]

Symptoms of raised ICP are altered mental state, lethargy, irritability, slow decision making and abnormal social behavior. Ultimate result of the patho-physiology of such condition is stupor, coma and death. Rapidly rising ICP leads to syncope, seizures. These neurologic changes seen in increased ICP are mostly due to hypoxia and hyper apnea. [10]

 

If fecal matter or other excreta are mixed with ''ama'', it sinks straight in water due to its heaviness. Same concept is applied to other body discharge or ''dhatus'' too.  Fecal matter is the end product of digestion. Hence, if it sinks in water it shows incomplete or improper digestion of food. ''Shukra'' is the last ''dhatu'' and hence all ''dhatvagni'' contribute (directly or indirectly) in its formation. To sink ''shukra'' in water is indicative that the ''dhatu'' is in ''sama'' stage. To get dipped all the three i.e. feces, urine and semen shows impairment of ''jatharagni'' along with ''dhatvagni'' functions leading to qualitative mal-formation of all ''dhatus''. Such situation has been considered as fatal. [11]

Muscular wasting of hands and feet is a type of neurogenic muscular atrophy with poor prognosis.

Muscular wasting of hands and feet is a type of neurogenic muscular atrophy with poor prognosis.

Swelling over both extremities along with face is an indication of damage of two vital organ simultaneously   i.e. heart and kidney and hence survival of patient is difficult.[12]

Swelling over both extremities along with face is an indication of damage of two vital organ simultaneously i.e. heart and kidney and hence survival of patient is difficult.[12]

Appearance of blue lines occurs in various conditions. This may be indication of venous congestion due to heart, lungs and liver diseases, requiring attention while scaling the span of life. [13]

Appearance of blue lines occurs in various conditions. This may be indication of venous congestion due to heart, lungs and liver diseases, requiring attention while scaling the span of life. [13]

Immediate disappearance of manifested small pox subsequently develops acute toxemia and hence leads to death. [14]

Immediate disappearance of manifested small pox subsequently develops acute toxemia and hence leads to death. [14]

Combined manifestation of stiff neck along with inflamed throat & scrotum and swollen tongue is the condition of tertiary stage of syphilis when the person develops syphilitic meningitis (complication of untreated syphilis), is a life threatening condition.  [15]

Combined manifestation of stiff neck along with inflamed throat and scrotum and swollen tongue is the condition of tertiary stage of syphilis when the person develops syphilitic meningitis (complication of untreated syphilis), is a life threatening condition.  [15]

 

Visual (or even other sensorial) hallucinations are often part of the dying experience. Person may unknowingly involve in such activities with such illusions. This is the phase when the soul is getting ready to detach from the body and to travel for another world. The dying may turn their focus to “another world”, and thus may see (or feel other sensorial hallucination of) some unusual things, he may see or talk to such people who are already died. [18-19]

Visual (or even other sensorial) hallucinations are often part of the dying experience. Person may unknowingly involve in such activities with such illusions. This is the phase when the soul is getting ready to detach from the body and to travel for another world. The dying may turn their focus to “another world”, and thus may see (or feel other sensorial hallucination of) some unusual things, he may see or talk to such people who are already died. [18-19]

Days or hours before death, the dying person becomes less and less responsive to voice and touch and may not awaken. (Sometimes, quite unexpectedly, the person may appear well and even look as if he/she is going to recover. The person may be alert and talkative. But it does not mean that he is getting well; of course the time may be used as a “window of opportunity” to say what you need to say and have closure). [8] These all of sudden recovery changes are also signs of near death. [25]

Days or hours before death, the dying person becomes less and less responsive to voice and touch and may not awaken. (Sometimes, quite unexpectedly, the person may appear well and even look as if he/she is going to recover. The person may be alert and talkative. But it does not mean that he is getting well; of course the time may be used as a “window of opportunity” to say what you need to say and have closure). [8] These all of sudden recovery changes are also signs of near death. [25]

As per ancient classical texts, life span of everyone is fixed & pre decided, no one can add years to the life only quality of life can be improved with medications. Same thing is meant here that if death is the destiny of patient; desirable quality of medicine, human resource and all other things cannot survive the person.[27]

As per ancient classical texts, life span of everyone is fixed and pre-ordained. No one can add years to the life only quality of life can be improved with medications. The same thing is meant here when it is said that death is the destiny of patient and that desirable quality of medicine, human resource and all other things cannot make the person outlive his destined lifespan.[27]

=== Glossary ===

=== Glossary ===