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When ''vata'' get localised in the ''manya'' (neck), lateral aspect of the neck and gets spread into the internal vessels, it causes ''manyastambha'' otherwise named as ''antarayam'' (Emprosthotonus). So the neck becomes convulsed inward and the lateral aspect becomes very stiff, the teeth get clenched with salivation, contraction of the back muscles and the head is stiff; yawning and lock jaw; these are the symptoms of ''antarayam''. Thus ''antarayam'' is explained. [43-45]
 
When ''vata'' get localised in the ''manya'' (neck), lateral aspect of the neck and gets spread into the internal vessels, it causes ''manyastambha'' otherwise named as ''antarayam'' (Emprosthotonus). So the neck becomes convulsed inward and the lateral aspect becomes very stiff, the teeth get clenched with salivation, contraction of the back muscles and the head is stiff; yawning and lock jaw; these are the symptoms of ''antarayam''. Thus ''antarayam'' is explained. [43-45]
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==== Bahirayama(ophisthotonous) ====
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==== ''Bahirayama''(ophisthotonous) ====
    
...बहिरायाम उच्यते) ||४५||  
 
...बहिरायाम उच्यते) ||४५||  
 +
 
पृष्ठमन्याश्रिता बाह्याः शोषयित्वा सिरा बली |  
 
पृष्ठमन्याश्रिता बाह्याः शोषयित्वा सिरा बली |  
 
वायुः कुर्याद्धनुस्तम्भं बहिरायामसञ्ज्ञकम् ||४६||  
 
वायुः कुर्याद्धनुस्तम्भं बहिरायामसञ्ज्ञकम् ||४६||  
 +
 
चापवन्नाम्यमानस्य पृष्ठतो नीयते शिरः |  
 
चापवन्नाम्यमानस्य पृष्ठतो नीयते शिरः |  
 
उर उत्क्षिप्यते मन्या स्तब्धा ग्रीवाऽवमृद्यते ||४७||  
 
उर उत्क्षिप्यते मन्या स्तब्धा ग्रीवाऽवमृद्यते ||४७||  
 +
 
दन्तानां दशनं जृम्भा लालास्रावश्च वाग्ग्रहः |  
 
दन्तानां दशनं जृम्भा लालास्रावश्च वाग्ग्रहः |  
 
जातवेगो निहन्त्येष वैकल्यं वा प्रयच्छति ||४८||
 
जातवेगो निहन्त्येष वैकल्यं वा प्रयच्छति ||४८||
 +
 
...bahirAyAma ucyate) ||45||  
 
...bahirAyAma ucyate) ||45||  
 +
 
pRuShThamanyAshritA bAhyAH shoShayitvA sirā balI |  
 
pRuShThamanyAshritA bAhyAH shoShayitvA sirā balI |  
 
Vāyu H kuryAddhanustambhaM bahirAyAmasa~jj~jakam ||46||  
 
Vāyu H kuryAddhanustambhaM bahirAyAmasa~jj~jakam ||46||  
 +
 
cApavannAmyamAnasya pRuShThato nIyate shiraH |  
 
cApavannAmyamAnasya pRuShThato nIyate shiraH |  
 
ura utkShipyate manyA stabdhA grIvA~avamRudyate ||47||  
 
ura utkShipyate manyA stabdhA grIvA~avamRudyate ||47||  
 +
 
dantAnAM dashanaM jRumbhA lAlAsrAvashca vAggrahaH |  
 
dantAnAM dashanaM jRumbhA lAlAsrAvashca vAggrahaH |  
 
jAtavego nihantyeSha vaikalyaM vA prayacchati ||48||
 
jAtavego nihantyeSha vaikalyaM vA prayacchati ||48||
 +
 
...bahirāyāma ucyatē)||45||
 
...bahirāyāma ucyatē)||45||
 +
 
pr̥ṣṭhamanyāśritā bāhyāḥ śōṣayitvā sirā balī|  
 
pr̥ṣṭhamanyāśritā bāhyāḥ śōṣayitvā sirā balī|  
 
vāyuḥ kuryāddhanustambhaṁ bahirāyāmasañjñakam||46||  
 
vāyuḥ kuryāddhanustambhaṁ bahirāyāmasañjñakam||46||  
 +
 
cāpavannāmyamānasya pr̥ṣṭhatō nīyatē śiraḥ|  
 
cāpavannāmyamānasya pr̥ṣṭhatō nīyatē śiraḥ|  
 
ura utkṣipyatē manyā stabdhā grīvā'vamr̥dyatē||47||  
 
ura utkṣipyatē manyā stabdhā grīvā'vamr̥dyatē||47||  
 +
 
dantānāṁ daśanaṁ jr̥mbhā lālāsrāvaśca vāggrahaḥ|  
 
dantānāṁ daśanaṁ jr̥mbhā lālāsrāvaśca vāggrahaḥ|  
 
jātavēgō nihantyēṣa vaikalyaṁ vā prayacchati||48||  
 
jātavēgō nihantyēṣa vaikalyaṁ vā prayacchati||48||  
   −
Bahirāyāma, will now be described. The potently provoked vāta, on getting localized in the posterior and lateral of the neck and constricting external vessels, causes bow leg like rigidity of the body which is called as bahirāyāma (ophisthotonous).
+
''Bahirayama'', will now be described. The potently provoked ''vata'', on getting localized in the posterior and lateral of the neck and constricting external vessels, causes bow leg like rigidity of the body which is called as ''bahirayama'' (ophisthotonous).
As the body being bent like a bow, the head gets retracted almost touching his back and his chest is thrown forward, the sides of the neck become rigid and the neck in total get compressed along with clenching of teeth, salivation and aphasia. The attack may lead to death of the patient or deformity.(46-48)
+
 
 +
As the body being bent like a bow, the head gets retracted almost touching his back and his chest is thrown forward, the sides of the neck become rigid and the neck in total get compressed along with clenching of teeth, salivation and aphasia. The attack may lead to death of the patient or deformity.[46-48]
    
==== Hanugraha (lock jaw) ====
 
==== Hanugraha (lock jaw) ====