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Key Words: Rakta, rakta visravana, sanyasa sangyavahi srotas, vegetative state, sadyahphalaakriyaah, sangyaprabodhanam, pure blood, blood vitiating factors, coma, syncope, intoxication, drug addiction.  

Key Words: Rakta, rakta visravana, sanyasa sangyavahi srotas, vegetative state, sadyahphalaakriyaah, sangyaprabodhanam, pure blood, blood vitiating factors, coma, syncope, intoxication, drug addiction.  

Introduction:  

Introduction:  

In the previous chapters of Yojana chatushka (tetrad on management protocol), procedures for the management of disorders caused due to vitiation of three doshas were described. In continuation, the present chapter describes the management principles of disorders due to shonita (blood) vitiation. Formation of pure blood is very important for survival because blood is vital for sustaining life [1,2]. Origin, development, and survival of the body depend on blood [3]. Various etiological factors for vitiation of rakta have been explained in this treatise. Vitiated rakta causes various diseases e.g. stomatitis, redness in the eye, etc. If cold (or hot) and rough (or unctuous) dravyas are used for treatment without response, raktaja vikara (blood disorder) should be the reason. The line of treatment for raktaja vikara constitutes courses of treatment for rakta pitta (i.e., prescribed for cases of vitiated pitta such as purgation and fasting, along with bloodletting). The physical appearance of pure blood has been described to be of golden colors, like red lotus, firefly, lakh (laksha), the fruit of gunja (Abrus precatorius Linn.). Any deviation from these could be explained to be due to vikaras or disorders. Some of the prominent blood-related disorders such as mada (intoxication), murchcha (syncope) and sanyasa (coma) have therefore been described in this chapter. Their etiopathogenesis, types, symptoms and grades of severity - in this sequence -  have been explained, along with some suggested courses of treatment. In the case of mada and murchha, purificatory measures (panchakarma) have been suggested, while for sanyasa, an emergency treatment (aattyaika chikitsa) should be followed.

In the previous chapters of Yojana chatushka (tetrad on management protocol), procedures for the management of disorders caused due to vitiation of three doshas were described. In continuation, the present chapter describes the management principles of disorders due to shonita (blood) vitiation. Formation of pure blood is very important for survival because blood is vital for sustaining life [1,2]. Origin, development, and survival of the body depend on blood [3]. Various etiological factors for vitiation of rakta have been explained in this treatise. Vitiated rakta causes various diseases e.g. stomatitis, redness in the eye, etc. If cold (or hot) and rough (or unctuous) dravyas are used for treatment without response, raktaja vikara (blood disorder) should be the reason. The line of treatment for raktaja vikara constitutes courses of treatment for rakta pitta (i.e., prescribed for cases of vitiated pitta such as purgation and fasting, along with bloodletting). The physical appearance of pure blood has been described to be of golden colors, like red lotus, firefly, lakh (laksha), the fruit of gunja (Abrus precatorius Linn.). Any deviation from these could be explained to be due to vikaras or disorders. Some of the prominent blood-related disorders such as mada (intoxication), murchcha (syncope) and sanyasa (coma) have therefore been described in this chapter. Their etiopathogenesis, types, symptoms and grades of severity - in this sequence -  have been explained, along with some suggested courses of treatment. In the case of mada and murchha, purificatory measures ([[Panchakarma]]) have been suggested, while for sanyasa, an emergency treatment (aattyaika chikitsa) should be followed.

The chapter:

The chapter:

• Murchha is a transient loss of consciousness with prodromal visual hallucinations specific to vata, pitta, and kapha. [35-41]

• Murchha is a transient loss of consciousness with prodromal visual hallucinations specific to vata, pitta, and kapha. [35-41]

• Mada and murchha are mostly self-limiting conditions in which spontaneous recovery occurs most of the time. Sanyasa requires intensive care management. [42-53]

• Mada and murchha are mostly self-limiting conditions in which spontaneous recovery occurs most of the time. Sanyasa requires intensive care management. [42-53]

• Purification of channels through panchakarma is indicated before administration of drugs.[54-58]

• Purification of channels through [[Panchakarma]] is indicated before administration of drugs.[54-58]

   Vidhi  vimarsha:

   Vidhi  vimarsha: