Changes

Symptoms of ''gambhira vatashonita'' are – edema in the involved parts of the body, stiffness of joints, hardness of the part, severe pain inside, the color of the part involved becomes either blackish or coppery. There is burning sensation, pricking pain, fasciculation and finally the part become inflamed and ulcerated. When [[vata]] reaches sandhi, [[asthi dhatu]] and [[majja dhatu]] (joints, bones and bone marrow) it causes severe pain and burning sensation. The forcefully moving [[vayu]] having reached the joints causes cutting nature of pain whereby making them crooked, produces limping or lameness while moving all over the body. When the symptoms of both types – ''uttana'' and ''gambhira'' are present in a patient, it should be considered as ''ubhayashrita'' (superficial and deep both). [21–23]

Symptoms of ''gambhira vatashonita'' are – edema in the involved parts of the body, stiffness of joints, hardness of the part, severe pain inside, the color of the part involved becomes either blackish or coppery. There is burning sensation, pricking pain, fasciculation and finally the part become inflamed and ulcerated. When [[vata]] reaches sandhi, [[asthi dhatu]] and [[majja dhatu]] (joints, bones and bone marrow) it causes severe pain and burning sensation. The forcefully moving [[vayu]] having reached the joints causes cutting nature of pain whereby making them crooked, produces limping or lameness while moving all over the body. When the symptoms of both types – ''uttana'' and ''gambhira'' are present in a patient, it should be considered as ''ubhayashrita'' (superficial and deep both). [21–23]

=== Differential features as per ''dosha'' dominance ===

=== Differential features as per [[dosha]] dominance ===

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Now listen the clinical features found in predominance of vata, rakta, pitta, kapha or in combination of two or all three dosha.

Now listen the clinical features found in predominance of [[vata]], [[rakta]], [[pitta]], [[kapha]] or in combination of two or all three [[dosha]].

If vata is predominant, there is sirayama (stretching sensation in sira or veins), pain, fasciculation, pricking pain, swollen part becomes blackish , dry , increasing and decreasing grayish hue, constrictions of dhamani (arteries, ligaments) of fingers, stiffness of body parts and intense pain, constriction, stiffness and hatred to cold by the patient. These are the symptoms of vata predominance.

If [[vata]] is predominant, there is sirayama (stretching sensation in sira or veins), pain, fasciculation, pricking pain, swollen part becomes blackish , dry , increasing and decreasing grayish hue, constrictions of dhamani (arteries, ligaments) of fingers, stiffness of body parts and intense pain, constriction, stiffness and hatred to cold by the patient. These are the symptoms of [[vata]] predominance.

If rakta is predominant, there is swelling, severe pain of pricking nature, tingling sensation, colour of part of skin becomes coppery, not diminished by application of either unctuous or dry substances associated with itching and moistening over the part.

If [[rakta]] is predominant, there is swelling, severe pain of pricking nature, tingling sensation, colour of part of skin becomes coppery, not diminished by application of either unctuous or dry substances associated with itching and moistening over the part.

If pitta is predominant, there is burning sensation over the part, pain, fainting, perspiration, thirst, narcosis, giddiness, redness of the part affected, pain of tearing nature, inflammation and atrophy of the part.

If [[pitta]] is predominant, there is burning sensation over the part, pain, fainting, perspiration, thirst, narcosis, giddiness, redness of the part affected, pain of tearing nature, inflammation and atrophy of the part.

If kapha is predominant there is feeling of wetness of the skin, heaviness, unctuousness, numbness and mild pain.

If [[kapha]] is predominant there is feeling of wetness of the skin, heaviness, unctuousness, numbness and mild pain.

When there is predominance of two dosha or all three dosha there will be combination of symptoms and etiological factors as well. [24–29]

When there is predominance of two [[dosha]] or all three [[dosha]] there will be combination of symptoms and etiological factors as well. [24–29]

=== Prognosis ===

=== Prognosis ===