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'''Principles of Diagnosis and Management of medical emergencies in Ayurveda'''

'''Principles of Diagnosis and Management of medical emergencies in Ayurveda'''

 

(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>

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{{Infobox

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)

* 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)==

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)