Changes

== Introduction ==

== Introduction ==

<div style="text-align:justify;">

<div style="text-align:justify;">

While describing the qualities of an ideal ''bhishaja'' (physician) it has been stated that he should be friendly, and compassionate to the patients, should have devotion and love for treating the curable diseases and should not treat the untreatable ones. [Cha.Sa.[[Sutra Sthana]]9/26]  During the Samhita period, many diseases were incurable because of lack of treatments available at that time. Now, large number of diseases can be controlled and gives longer productive life to patients by providing emergency and intensive  care treatments. That is why during that time it was important to determine the prognosis in terms of curability or incurability of diseases. Physicians did not treat incurable patients especially terminally ill patients. A set of symptoms and signs of terminally ill patients was identified called ''Arishta lakshanas''. With the rising high cost of healthcare especially the end of life care, knowledge and recognition of these signs and symptoms have become more relevant during the current times.  

While describing the qualities of an ideal ''bhishaja'' (physician) it has been stated that he should be friendly, and compassionate to the patients, should have devotion and love for treating the curable diseases and should not treat the untreatable ones. [Cha.Sa.[[Sutra Sthana]]9/26]  During the Samhita period, many diseases were incurable because of lack of treatments available at that time. Now, large number of diseases can be controlled and gives longer productive life to patients by providing emergency and intensive  care treatments. That is why during that time it was important to determine the prognosis in terms of curability or incurability of diseases. Physicians did not treat incurable patients especially terminally ill patients. A set of symptoms and signs of terminally ill patients was identified called ''[[Arishta]] lakshanas''. With the rising high cost of healthcare especially the end of life care, knowledge and recognition of these signs and symptoms have become more relevant during the current times.  

After describing fatal signs regarding complexion and voice, diagnosed by visual and auditory senses respectively, the present chapter describes signs to be examined by gustatory and olfactory senses.

After describing fatal signs regarding complexion and voice, diagnosed by visual and auditory senses respectively, the present chapter describes signs to be examined by gustatory and olfactory senses.

== Tattva Vimarsha(Fundamental Principles) ==

== Tattva Vimarsha(Fundamental Principles) ==

*Death doesn’t occur without showing ''Arishta'' (fatal signs). One shall always be free from ''Prajnaparadha'' (intellectual errors) to identify and diagnose these signs correctly. [5-6]

*Death doesn’t occur without showing ''Arishta'' (fatal signs). One shall always be free from ''[[Prajnaparadha]]'' (intellectual errors) to identify and diagnose these signs correctly. [5-6]

*''Arishta'' related to ''Gandha - Pitta'' is primarily responsible factor for all odors as it has ''visra gandha''. When ''pitta'' reaches the ''twak'' or skin and exerts its ''visra gandha'' by ''bhrajaka pitta'', it’s  odor is of sweat and sebum ???. In this way we can derive the cause and effect. All these verses describe how the various smells (both good as well as bad odors) emitted by the body of an individual without any appreciable causes denote the impending death of the person within a year.  

*''Arishta'' related to ''Gandha - [[Pitta]]'' is primarily responsible factor for all odors as it has ''visra gandha''. When ''[[pitta]]'' reaches the ''twak'' or skin and exerts its ''visra gandha'' by ''bhrajaka pitta'', it’s  odor is of sweat and sebum ???. In this way we can derive the cause and effect. All these verses describe how the various smells (both good as well as bad odors) emitted by the body of an individual without any appreciable causes denote the impending death of the person within a year.  

== Vidhi Vimarsha (Applied Inferences) ==

== Vidhi Vimarsha (Applied Inferences) ==