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{{#seo:Emergency medicine in Ayurveda

{{#seo:Emergency medicine in Ayurveda

|title=

|title=

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|keywords= Principles, diagnosis,management, medical emergencies, life-threatening condition, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, alternative medicine, complementary medicine

|keywords= Principles, diagnosis, management, medical emergencies, life-threatening condition, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, alternative medicine, complementary medicine, Upendra Dixit, atyayika chikitsa, 

|description= Principles of diagnosis and management of medical emergencies in Ayurveda are described.   

|description= Principles of diagnosis and management of medical emergencies in Ayurveda are described.   

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|data6 = carakasamhita@gmail.com

|data6 = carakasamhita@gmail.com

|label7 = Date of first publication:

|label7 = Publisher

|data7 = December 10, 2021

|data7 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India

|label8 = DOI

|label8 = Date of first publication:

|data8 = Under process

 

|label9 = DOI

|data9 = 10.47468/CSNE.2021.e01.s09.076

}}

}}

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)

* Dehydration status – can be understood from the clinical features of affection of channels of transportation and transformation of udaka (udakavaha srotasa). [Cha.Sa.[[Vimana Sthana]] 5/8]

* Dehydration status – can be understood from the clinical features of affection of channels of transportation and transformation of udaka (udakavaha srotasa). [Cha.Sa.[[Vimana Sthana]] 5/8]

* Consequences of excessive emesis and purgation  (atiyoga of vamana and virechana) are described showing emergency conditions. Effects ranging from mild degrees like dryness in the throat to severe effects like dilatation of pupil as precursor to death are described. [A.Sa.Sutra Sthana 27/20]

* Consequences of excessive emesis and purgation  (atiyoga of vamana and virechana) are described showing emergency conditions. Effects ranging from mild degrees like dryness in the throat to severe effects like dilatation of pupil as precursor to death are described. [A.Sa.Sutra Sthana 27/20]<ref name=AS />

* 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]

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]

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)==

==Medical ethics in critical conditions==

==Medical ethics in critical conditions==

   

   

The patient on the death bed may not survive due to his predestined life span. However, the physician shall treat the patient till the last breath with a hope of life. Proper consent shall be taken from the close relatives of the patient after informing them of details about the critical condition. [A.Sa.Sha.7/75]  

The patient on the death bed may not survive due to his predestined life span. However, the physician shall treat the patient till the last breath with a hope of life. Proper consent shall be taken from the close relatives of the patient after informing them of details about the critical condition. [A.Sa.Sharira Sthana 7/75] <ref name=AS />

==Management of emergency conditions==

==Management of emergency conditions==

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)

==Importance of food==  

==Importance of food==  

Food plays an essential role in maintaining vitality in critical conditions. If the food is not given as per the digestive capacity ([[agni]]) of the patient, then it leads to the formation of toxic metabolites ([[ama]]). This further blocks the channels of transportation of nutrients ([[srotasa]]) and worsens the condition. Therefore, easy-to-digest food like green gram soup (mudga yusha) is advisable to be given in critical cases. The wholesome food that is suitable to the patient and helpful in treating underlying disease conditions is advised.

Food plays an essential role in maintaining vitality in critical conditions. If the food is not given as per the digestive capacity ([[agni]]) of the patient, then it leads to the formation of toxic metabolites ([[ama]]). This further blocks the channels of transportation of nutrients ([[srotas]]) and worsens the condition. Therefore, easy-to-digest food like green gram soup (mudga yusha) is advisable to be given in critical cases. The wholesome food that is suitable to the patient and helpful in treating underlying disease conditions is advised.

==Experience-based evidence ==  

==Experience-based evidence ==  

There is a wide scope of research on the role of Ayurveda medicines in the treatment of critical and medical emergency conditions. It can be helpful to provide a safe, cost-effective, and better solution to extend life with a higher survival chance.

There is a wide scope of research on the role of Ayurveda medicines in the treatment of critical and medical emergency conditions. It can be helpful to provide a safe, cost-effective, and better solution to extend life with a higher survival chance.

==References==

==References==