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Line 69: − O! Agnivesha, I shall describe separately the ‘‘signs and symptoms indicative of impending instantaneous death’’. The patient afflicted with these signs and symptoms does not survive. [3]+ − ==== List of signs of instantaneous death ====+ Line 307:
Line 307: − ==== Summary ====+ Line 326:
Line 326: − === Tattva Vimarsha / Fundamental Principles===+ Line 349:
Line 349: − ====Table 1: Signs of Impending Death1<ref> Transition to Death - End of Life Curriculum - Stanford University;+ − + Line 399:
Line 399: − === References ===+ − === Glossary === − − #सद्योमरणीयमिन्द्रियं- sadyōmaraṇīyamindriyaṁ - signs and symptoms indicative of impending/imminent instantaneous Death’’. − #सद्यस्तितिक्षतः - sadyastitikṣataḥ -‘‘signs and symptoms indicative of impending instantaneous Death’’ − #वाताष्ठीला- vātāṣṭhīlā- hard tumour caused by vitiated vata − #सुसंवृद्धा - susaṁvr̥ddhā - fully manifested − #तिष्ठन्ती -tiṣṭhantī -resides − #दारुणा- dāruṇā -severe − #हृदि - hr̥di- cardiac region − #तृष्णयाऽभिपरीतस्य -tr̥ṣṇayā'bhiparītasya- intense thirst − #पिण्डिके- piṇḍikē- calf muscles − #शिथिलीकृत्य- śithilīkr̥tya- laxity − #जिह्मीकृत्य च नासिकाम्-- jihmīkr̥tya ca nāsikām - irregularity in the structure of the nose − #विचरन् – vicaran- movement − #सद्यो मुष्णाति जीवितम्- sadyō muṣṇāti jīvitam − #भ्रुवौ – bhruvau- eye brows − #च्युते- cyutē- Drooping − #स्थानादन्तर्दाहश्च sthānādantardāhaśca – burning sensation in the body − #दारुण-dāruṇaḥ - excessive − #हिक्का -hikkā -hiccup. − क्षीणशोणितमांसस्य -kṣīṇaśōṇitamāṁsasya -diminution of blood and flesh - − वायुरूर्ध्वगतिश्चरन् – vāyurūrdhvagatiścaran -the abnormal vata moving upwards − मन्ये - manyē - carotid regions of the neck − गुदं- gudaṁ- anus − नाभिं - nābhiṁ - umbilicus − सहसाऽनिलः - sahasā'nilaḥ sudden aggravation of vata - − कृशस्य - kr̥śasya - weak − वङ्क्षणौ - vaṅkṣaṇau- groin region − गृह्णन् - gr̥hṇan - affliction − वितत्य – vitatya- Stretching − पर्शुकाग्राणि - parśukāgrāṇi - trips of ribs − गृहीत्वोरश्च - gr̥hītvōraśca - afflicting the chest − मारुतः - mārutaḥ- vata − स्तिमित- staimitya -as if covered with a wet cloth − हृदयं - hr̥dayaṁ - heart − चोभे cōbhē - both − गुदं -gudaṁ - anus − बली - balī -strongly − विशेषेण- viśēṣēṇa - special − श्वासं - śvāsaṁ - dyspnoea − नाभिं- nābhiṁ - umblicus − मूत्रं -mūtraṁ- urine − बस्तिशीर्षं - bastiśīrṣaṁ - kidneys − पुरीषं - purīṣaṁ - feces − प्रच्छिन्नं जनयञ्छूलं -pracchinnaṁ janayañchūlaṁ - production of cutting - pain − भिद्येते – bhidyētē –pricking pain − समन्ततः - samantataḥ - suffering − भिन्नं पुरीषं - bhinnaṁ purīṣaṁ -diarrhoea − आप्लुतं - āplutaṁ - pervaded − शरीरं - śarīraṁ -body − शोफितं - śōphitaṁ - swollen − वाताशोफेन - vātāśōphēna - sotharoga − देहिनः - dēhinaḥ - body − आमाशयसमुत्थाना – āmāśayasamutthānā - originated from stomach including the small-intestine − परिकर्तिका – parikartikā – cutting type of pain − पक्वाशयसमुत्थाना - pakvāśayasamutthānā originated from large intestine − पक्वाशय = pakvāśayam – large intestine − हत्वा सञ्ज्ञां – hatvā sañjñāṁ - loss of consciousness − कण्ठे - kaṇṭhē - the throat − घुर्घुरकं - ghurghurakaṁ - stertorious breathing (obstruction of breathing by kapha) − सद्यो - sadyō - acute − दन्ताः - dantāḥ - teeth − कर्दमदिग्धाभा - kardamadigdhābhā - adhered with mud − मुखं - mukhaṁ - face − चूर्णकसन्निभम् -cūrṇakasannibham - ashes and excessive perspiration − शिरोरोग - śirōrōga -headache − मोह - mōha - unconsciousness − दौर्बल्य - daurbalya - debility − कूजनैः - kūjanaiḥ - groaning sound from the throat − प्राणाञ्जहात्याशु prāṇāñjahātyāśu-kills individuals spontaneously − शकृद्भेदेन - śakr̥dbhēdēna - diarrhea/loose faecal matter − चातुरः - cāturaḥ - patient
no edit summary
<big>'''Abstract''' </big>
<big>'''Abstract''' </big>
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The chapter entitled [[Sadyomaraneeya]] deals with incurable complications of several diseases which can lead to a patient to an instantaneous death. It enlists some emergency conditions for intensive care. However the many signs and symptoms listed in this chapter are manageable now by advanced medical and surgical techniques. In ancient period of [[Charaka Samhita]], there was a no such modern techniques, the conditions were untreatable leading to death.
The chapter entitled [[Sadyomaraneeya]] deals with incurable complications of several diseases which can lead to a patient to an instantaneous death. It enlists some emergency conditions for intensive care. However the many signs and symptoms listed in this chapter are manageable now by advanced medical and surgical techniques. In ancient period of [[Charaka Samhita]], the conditions were not treatable and fatal.
'''Keywords''': Instantaneous death, fatal signs.
'''Keywords''': Instantaneous death, fatal signs.
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We shall now expound the chapter on the ‘‘signs and symptoms indicative of impending/imminent/ instantaneous death’’. Thus said Lord Atreya. [1-2]
We shall now expound the chapter "Sadyomaraneeya Indriya" (Signs of instant death and incurable complications of several diseases). Thus said Lord Atreya. [1-2]
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Oh Agnivesha! I shall describe separately the ‘‘signs and symptoms indicative of impending instantaneous death’’. The patient afflicted with these signs and symptoms does not survive. [3]
=== List of signs of instantaneous death ===
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Appearance of diarrhea in a patient having thirst, dyspnea, ''Shiroroga'' (headache), unconsciousness, debility and groaning sound from the throat are signs of the patient who will die soon. [20]
Appearance of diarrhea in a patient having thirst, dyspnea, ''Shiroroga'' (headache), unconsciousness, debility and groaning sound from the throat are signs of the patient who will die soon. [20]
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=== Summary ===
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The physician who perfectly comprehends these signs can very well anticipate the survival or death of the patient. [21]
The physician who perfectly comprehends these signs can very well anticipate the survival or death of the patient. [21]
== Tattva Vimarsha (Fundamental Principles) ==
*Excessively vitiated ''vata'' can cause immediate death.
*Excessively vitiated ''vata'' can cause immediate death.
The following signs are observed contemporarily that can be related with signs enlisted in this chapter.
The following signs are observed contemporarily that can be related with signs enlisted in this chapter.
===Table 1: Signs of Impending Death1<ref> Transition to Death - End of Life Curriculum - Stanford University;
http://endoflife.stanford.edu/M06_last48hr/signs_imp_death.htm </ref>====
http://endoflife.stanford.edu/M06_last48hr/signs_imp_death.htm </ref>===
{| class="wikitable"
{| class="wikitable"
! rowspan="1" style="background: lightyellow;"| Physiologic Changes
! rowspan="1" style="background: lightyellow;"| Physiologic Changes
|}
|}
== References ==
<references/>
<references/>
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