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→Predominance of dosha and affliction of dhatu
After listening to Agnivesha, Lord Punarvasu, the most prudent among the sages was very delighted and made ultimate and conclusive statement. “In fact there are many diseases which can kill a patient. But none of the diseases is as lethal as ''shwasa'' and ''hikka'' as they can cause immediate death. The person suffering from any other disease can also get eventually afflicted with enormously painful ''hikka'' and ''shwasa'' at the time of death.”[3-7]
After listening to Agnivesha, Lord Punarvasu, the most prudent among the sages was very delighted and made ultimate and conclusive statement. “In fact there are many diseases which can kill a patient. But none of the diseases is as lethal as ''shwasa'' and ''hikka'' as they can cause immediate death. The person suffering from any other disease can also get eventually afflicted with enormously painful ''hikka'' and ''shwasa'' at the time of death.”[3-7]
=== Predominance of ''dosha'' and affliction of ''dhatu'' ===
=== Predominance of [[dosha]] and affliction of [[dhatu]] ===
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''Hikka'' and ''shwasa'' are mainly ''kapha'' and ''vata'' dominant in nature. They originate at the site of ''pitta'' (upper part of stomach). This results in further depletion of ''dhatus'' like ''rasa'' situated in heart. Hence generally they are extremely difficult to treat. After getting afflicted with this disease, if one indulges in unwholesome regimens, then disease gets aggravated and results in death just as from fatal snake venom. [8-9]
''Hikka'' and ''shwasa'' are mainly [[kapha]] and [[vata]] dominant in nature. They originate at the site of [[pitta]] (upper part of stomach). This results in further depletion of [[dhatu]] like [[rasa dhatu]] situated in heart. Hence generally they are extremely difficult to treat. After getting afflicted with this disease, if one indulges in unwholesome regimens, then disease gets aggravated and results in death just as from fatal snake venom. [8-9]
=== Etiological factors ===
=== Etiological factors ===