Emergency medicine in Ayurveda: Difference between revisions
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{{#seo:Emergency medicine in Ayurveda | {{#seo:Emergency medicine in Ayurveda | ||
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'''Principles of Diagnosis and Management of medical emergencies in Ayurveda''' | '''Principles of Diagnosis and Management of medical emergencies in Ayurveda''' | ||
<p style="text-align:justify;"> | |||
(This article is based on a lecture delivered by Dr. Upendra Dixit, Chief consultant, Dixit Ayurveda, Goa, India., in Prof.M.S.Baghel Memorial Lecture Series on October 09, 2021.) | (This article is based on a lecture delivered by Dr. Upendra Dixit, Chief consultant, Dixit Ayurveda, Goa, India., in Prof.M.S.Baghel Memorial Lecture Series on October 09, 2021.) </p> | ||
{{Infobox | {{Infobox | ||
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|label3 = Reviewers | |label3 = Reviewers | ||
|data3 = Basisht G.<sup>2</sup> | |data3 = [[Gopal Basisht|Basisht G.]]<sup>2</sup> | ||
|label4 = Editors | |label4 = Editors | ||
|data4 = Deole Y.S.<sup>2</sup>,Basisht G.<sup>2</sup> | |data4 = [[Yogesh Deole|Deole Y.S.]]<sup>2</sup>, [[Gopal Basisht|Basisht G.]]<sup>2</sup> | ||
|label5 = Affiliations | |label5 = Affiliations | ||
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|data6 = carakasamhita@gmail.com | |data6 = carakasamhita@gmail.com | ||
|label7 = Date of first publication: | |label7 = Publisher | ||
| | |data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India | ||
|label8 = Date of first publication: | |||
|data8 = December 10, 2021 | |||
| | |label9 = DOI | ||
| | |data9 = 10.47468/CSNE.2021.e01.s09.076 | ||
}} | }} | ||
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==References of emergency conditions in Ayurveda texts== | ==References of emergency conditions in Ayurveda texts== | ||
<div style='text-align:justify;'> | <div style='text-align:justify;'> | ||
The word ‘atyaya’ | The word ‘atyaya’ denotes destruction or death. [Chakrapani, Cha.Sa. [[Sharira Sthana]] 1/50] [Dalhana, Su.Sa. Sharira Sthana 10/19-20].<ref name=SU>Sushruta. Sushruta Samhita. Edited by Jadavaji Trikamji Aacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref> The word ‘atyayika’ denotes the quickest possible treatment done to protect life without any delay. [Dallhana, Su.Sa. Sharira Sthana. 8/5]<ref name=SU /> [Hemadri A.Hr.Sutra Sthana 2/33]<ref name=AH /> Therefore, the medicines to be used in medical emergencies shall be ready with the physician for first aid emergency treatment, even if the patient is to be referred to higher critical care centers. | ||
The word niratyaya explains how diet, various activities, and treatments can be performed in such a safe way that complications leading to severe consequences and emergencies can be prevented. | The word niratyaya explains how diet, various activities, and treatments can be performed in such a safe way that complications leading to severe consequences and emergencies can be prevented. | ||
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From all textual references, it can be understood that certain factors cause most emergencies. They are as below: | From all textual references, it can be understood that certain factors cause most emergencies. They are as below: | ||
*Marma (vital organs) | *[[Marma|Marma (vital organs)]] | ||
*[[Rakta]] (blood) | *[[Rakta]] (blood) | ||
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* Status of consciousness and orientation | * Status of consciousness and orientation | ||
==Consequences of the affliction of marma == | ==Consequences of the affliction of [[Marma|marma]] == | ||
Injury to different vital structures (marma) can have various consequences. Certain marma called 'sadyopranahara marma’ can lead to death instantaneously or within a week. General signs and symptoms can guide about injury to marma, and accordingly the patient can be cared for. The clinical features are numbness of the body (deha supti), heaviness, confusional state, desire of cold things, excess perspiration, syncope, vomiting, dyspnoea, [A. Sa. Sharira sthana 7/47]<ref name=AS/> | Injury to different vital structures ([[Marma|marma]]) can have various consequences. Certain [[Marma|marma]] called 'sadyopranahara marma’ can lead to death instantaneously or within a week. General signs and symptoms can guide about injury to [[Marma|marma]], and accordingly the patient can be cared for. The clinical features are numbness of the body (deha supti), heaviness, confusional state, desire of cold things, excess perspiration, syncope, vomiting, dyspnoea, [A. Sa. Sharira sthana 7/47]<ref name=AS/> | ||
Injury to marma causes vasodilatation and profuse bleeding. This may lead to death. [A.Hr.Sharira Sthana 4/65]<ref name= AH/> | Injury to [[Marma|marma]] causes vasodilatation and profuse bleeding. This may lead to death. [A.Hr.Sharira Sthana 4/65]<ref name= AH/> | ||
==Clinical assessment - Nadi (pulse examination)== | ==Clinical assessment - Nadi (pulse examination)== | ||
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The principles of management of emergency conditions include: | The principles of management of emergency conditions include: | ||
* Protecting prana and marma (vital organs and structures) especially heart, brain, and urinary system | * Protecting prana and [[Marma|marma]] (vital organs and structures) especially heart, brain, and urinary system | ||
* Use of antidotes or medicines used in poisoning (agada) | * Use of antidotes or medicines used in poisoning (agada) | ||