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==== ''Sharira dosha'' vitiation ====

==== ''Sharira dosha'' vitiation ====

The second important factor is imbalance of ''doshas'' at the somatic level. There are three terms used to indicate the state of ''doshas'' which predisposes apasmara:

The second important factor is imbalance of ''doshas'' at the somatic level. There are three terms used to indicate the state of ''[[dosha]]s'' which predisposes apasmara:

*First is ''udbhranta'' (moving upwards in vitiated state). The upward direction of flow of ''doshas'' may indicate the pathway of apasmara from the heart to the brain. The pathology starts from the abode of consciousness i.e. heart, spreading upwards afflicting sense organs. In [[Chikitsa Sthana]], the term ''vibhranta'' is used to denote this condition.  

*First is ''udbhranta'' (moving upwards in vitiated state). The upward direction of flow of ''[[dosha]]s'' may indicate the pathway of apasmara from the heart to the brain. The pathology starts from the abode of consciousness i.e. heart, spreading upwards afflicting sense organs. In [[Chikitsa Sthana]], the term ''vibhranta'' is used to denote this condition.  

*The second state is ''vishama'', meaning a state of disequilibrium. Imbalanced ''doshas'' create a favorable environment for apasmara. *The third state is ''bahu'' (excessive), meaning that the imbalance is excessive enough to affect the brain-mind system. This suggests that the ''doshas'' are in an aggravated state of imbalance and predispose to the disease. The condition also points towards manifestation of apasmara as a result of other somatic disease pathologies.

*The second state is ''vishama'', meaning a state of disequilibrium. Imbalanced ''[[dosha]]s'' create a favorable environment for apasmara. *The third state is ''bahu'' (excessive), meaning that the imbalance is excessive enough to affect the brain-mind system. This suggests that the ''[[dosha]]s'' are in an aggravated state of imbalance and predispose to the disease. The condition also points towards manifestation of apasmara as a result of other somatic disease pathologies.

The disease condition is a result of combination of the above states of ''doshas'' with the ''rajas-tamas'' affliction. These are ''sanchaya'' (accumulation), ''prakopa'' (aggravation) and ''prasara'' (spread) stages of the disease - important somatic factors for causation of apasmara.

The disease condition is a result of combination of the above states of ''[[dosha]]s'' with the ''rajas-tamas'' affliction. These are ''sanchaya'' (accumulation), ''prakopa'' (aggravation) and ''prasara'' (spread) stages of the disease - important somatic factors for causation of apasmara.

The cumulative presentation suggests the psychosomatic nature of the disease where the psyche and soma are equally involved in the pathogenesis. This is important while treating apasmara, because this indicates that only administering anti-epileptic drugs is not enough in treating apasmara. The treatment of underlying psychological factors shall also be given due emphasis.

The cumulative presentation suggests the psychosomatic nature of the disease where the psyche and soma are equally involved in the pathogenesis. This is important while treating apasmara, because this indicates that only administering anti-epileptic drugs is not enough in treating apasmara. The treatment of underlying psychological factors shall also be given due emphasis.