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Line 221: − + + + − avyaktaM lakShaNaM teShAM pUrvarUpamiti smRutam ||19|| + − + + + Line 237:
Line 242: − sa~gkocaH parvaNAM stambho bhedo~asthnAM parvaNAmapi ||20|| + Line 254:
Line 259: − + − + + + Line 263:
Line 270: + + − − − Sarvanga kupita vata (vitiation all over body): Line 275:
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→Etiopathology
रूक्षशीताल्पलघ्वन्नव्यवायातिप्रजागरैः |
रूक्षशीताल्पलघ्वन्नव्यवायातिप्रजागरैः |
विषमादुपचाराच्च दोषासृक्स्रवणादति ||१५||
विषमादुपचाराच्च दोषासृक्स्रवणादति ||१५||
लङ्घनप्लवनात्यध्वव्यायामातिविचेष्टितैः |
लङ्घनप्लवनात्यध्वव्यायामातिविचेष्टितैः |
धातूनां सङ्क्षयाच्चिन्ताशोकरोगातिकर्षणात् ||१६||
धातूनां सङ्क्षयाच्चिन्ताशोकरोगातिकर्षणात् ||१६||
karōti vividhān vyādhīn sarvāṅgaikāṅgasaṁśritān|19|
karōti vividhān vyādhīn sarvāṅgaikāṅgasaṁśritān|19|
Due to intake of dry, cold, deficient and light food; excessive sex and sleeplessness; improper treatments; expelling of dosha or blood letting; by excessive fasting, swimming, walking, exercising, and physical activity; depletion of tissue elements; worrying, grief, debilitating diseases; usage of uncomfortable beds or seats; anger, day sleep or even with fright; suppression of natural urges, indigestion, trauma, abstaining from food; injury to vital areas, falling from swift moving elephant, camel or horse etc. vata is aggravated. This gets filled in the vacuous channels in the body and leads to various generalized or localized disorders. (15-19)
Due to intake of dry, cold, deficient and light food; excessive sex and sleeplessness; improper treatments; expelling of dosha or blood letting; by excessive fasting, swimming, walking, exercising, and physical activity; depletion of tissue elements; worrying, grief, debilitating diseases; usage of uncomfortable beds or seats; anger, day sleep or even with fright; suppression of natural urges, indigestion, trauma, abstaining from food; injury to vital areas, falling from swift moving elephant, camel or horse etc. vata is aggravated. This gets filled in the vacuous channels in the body and leads to various generalized or localized disorders. (15-19)
Premonitory symptoms:
==== Premonitory symptoms ====
अव्यक्तं लक्षणं तेषां पूर्वरूपमिति स्मृतम् ||१९||
अव्यक्तं लक्षणं तेषां पूर्वरूपमिति स्मृतम् ||१९||
आत्मरूपं तु तद्व्यक्तमपायो लघुता पुनः |२०|
आत्मरूपं तु तद्व्यक्तमपायो लघुता पुनः |२०|
avyaktaM lakShaNaM teShAM pUrvarUpamiti smRutam ||19||
AtmarUpaM tu tadvyaktamapAyo laghutA punaH |20|
AtmarUpaM tu tadvyaktamapAyo laghutA punaH |20|
avyaktaṁ lakṣaṇaṁ tēṣāṁ pūrvarūpamiti smr̥tam||19||
avyaktaṁ lakṣaṇaṁ tēṣāṁ pūrvarūpamiti smr̥tam||19||
ātmarūpaṁ tu tadvyaktamapāyō laghutā punaḥ|20|
ātmarūpaṁ tu tadvyaktamapāyō laghutā punaḥ|20|
Indistinct manifestation of the diseases are considered as prodromal symptoms.When the cardinal feature is clearly manifested, it is called as symptom, while the lessening of features are indicative of cure. (19-20)
Indistinct manifestation of the diseases are considered as prodromal symptoms.When the cardinal feature is clearly manifested, it is called as symptom, while the lessening of features are indicative of cure. (19-20)
General signs and symptoms of vata vitiation:
==== General signs and symptoms of vata vitiation ====
सङ्कोचः पर्वणां स्तम्भो भेदोऽस्थ्नां पर्वणामपि ||२०||
सङ्कोचः पर्वणां स्तम्भो भेदोऽस्थ्नां पर्वणामपि ||२०||
लोमहर्षः प्रलापश्च पाणिपृष्ठशिरोग्रहः |
लोमहर्षः प्रलापश्च पाणिपृष्ठशिरोग्रहः |
एवंविधानि रूपाणि करोति कुपितोऽनिलः ||२३||
एवंविधानि रूपाणि करोति कुपितोऽनिलः ||२३||
हेतुस्थानविशेषाच्च भवेद्रोगविशेषकृत् |२४|
हेतुस्थानविशेषाच्च भवेद्रोगविशेषकृत् |२४|
sa~gkocaH parvaNAM stambho bhedo~asthnAM parvaNAmapi ||20||
lomaharShaH pralApashca pANipRuShThashirograhaH |
lomaharShaH pralApashca pANipRuShThashirograhaH |
khA~jjyapA~ggulyakubjatvaM shoSho~a~ggAnAmanidratA ||21||
khA~jjyapA~ggulyakubjatvaM shoSho~a~ggAnAmanidratA ||21||
hētusthānaviśēṣācca bhavēdrōgaviśēṣakr̥t|24|
hētusthānaviśēṣācca bhavēdrōgaviśēṣakr̥t|24|
Vitiated vāta causes various symptoms like contractures, joint stiffness, splitting of bones and joints, horripilation, delirium, spasticity of hands, back and neck; limping, paraplegia, hunch back; organ atrophy, insomnia, intrauterine death of embryo and fetus, diminishing sperms and menstruation fasciculation, generalized numbness, twitches of head, nose, eyes, supraclavicular part and neck; splitting, pricking or aching type of pains; convulsions, loss of consciousness, fatigue etc. Different specific diseases of vāta are caused by specificity in etiological factors and site of affliction. (20-24)
Vitiated vāta causes various symptoms like contractures, joint stiffness, splitting of bones and joints, horripilation, delirium, spasticity of hands, back and neck; limping, paraplegia, hunch back; organ atrophy, insomnia, intrauterine death of embryo and fetus, diminishing sperms and menstruation fasciculation, generalized numbness, twitches of head, nose, eyes, supraclavicular part and neck; splitting, pricking or aching type of pains; convulsions, loss of consciousness, fatigue etc. Different specific diseases of vāta are caused by specificity in etiological factors and site of affliction. (20-24)
Clinical features of vitiation of vata at different sites:
Koshthashirta vata (vitiation at gastro intestinal tract):
==== Clinical features of vitiation of vata at different sites ====
===== Koshthashirta vata (vitiation at gastro intestinal tract) =====
तत्र कोष्ठाश्रिते दुष्टे निग्रहो मूत्रवर्चसोः ||२४||
तत्र कोष्ठाश्रिते दुष्टे निग्रहो मूत्रवर्चसोः ||२४||
ब्रध्नहृद्रोगगुल्मार्शःपार्श्वशूलं च मारुते |
ब्रध्नहृद्रोगगुल्मार्शःपार्श्वशूलं च मारुते |
bradhnahr̥drōgagulmārśaḥpārśvaśūlaṁ ca mārutē|
bradhnahr̥drōgagulmārśaḥpārśvaśūlaṁ ca mārutē|
When vitiated vāta is located in gastro intestinal tract or in abdomen it leads to urinary retention and constipation, intestinal and epigastric discomforts, gulma, piles and pain in flanks.(24)
When vitiated vāta is located in gastro intestinal tract or in abdomen it leads to urinary retention and constipation, intestinal and epigastric discomforts, gulma, piles and pain in flanks.(24)
===== Sarvanga kupita vata (vitiation all over body) =====
सर्वाङ्गुकुपिते वाते गात्रस्फुरणभञ्जने ||२५||
सर्वाङ्गुकुपिते वाते गात्रस्फुरणभञ्जने ||२५||
वेदनाभिः परीतश्च स्फुटन्तीवास्य सन्धयः |
वेदनाभिः परीतश्च स्फुटन्तीवास्य सन्धयः |
vēdanābhiḥ parītaśca sphuṭantīvāsya sandhayaḥ|
vēdanābhiḥ parītaśca sphuṭantīvāsya sandhayaḥ|
When vitiated vāta is located all over the body, it produces generalized fasciculation and breaking pain; different types of pain and the generalized joint crepitus. (25)
When vitiated vāta is located all over the body, it produces generalized fasciculation and breaking pain; different types of pain and the generalized joint crepitus. (25)
Guda sthita vata (vitiation at anus):
===== Guda sthita vata (vitiation at anus) =====
ग्रहो विण्मूत्रवातानां शूलाध्मानाश्मशर्कराः ||२६||
ग्रहो विण्मूत्रवातानां शूलाध्मानाश्मशर्कराः ||२६||
जङ्घोरुत्रिकपात्पृष्ठरोगशोषौ गुदस्थिते |
जङ्घोरुत्रिकपात्पृष्ठरोगशोषौ गुदस्थिते |
When vitiated vāta is located in anus, it leads to retention of feces, urine and flatus; colicky pain, flatulence, renal calculi, micro-calculi; diseases with atrophy in calf, thigh, pelvis, and the back.(26)
When vitiated vāta is located in anus, it leads to retention of feces, urine and flatus; colicky pain, flatulence, renal calculi, micro-calculi; diseases with atrophy in calf, thigh, pelvis, and the back.(26)
Amashaya sthita vata (vitiation at stomach):
===== Amashaya sthita vata (vitiation at stomach) =====
हृन्नाभिपार्श्वोदररुक्तृष्णोद्गारविसूचिकाः ||२७||
हृन्नाभिपार्श्वोदररुक्तृष्णोद्गारविसूचिकाः ||२७||
कासः कण्ठास्यशोषश्च श्वासश्चामाशयस्थिते |
कासः कण्ठास्यशोषश्च श्वासश्चामाशयस्थिते |