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*When both the lips become bluish like ripe fruits of ''jambu'', this is a clear indication of death. As per modern science this condition is similar to central cyanosis. It is directly due to ''Vata Pratilomata'' (reverse direction of ''Vata'') in different organs. The main ''Srotas'' involved are ''Rasavaha srotas'' and ''Raktavaha Srotas.''
 
*When both the lips become bluish like ripe fruits of ''jambu'', this is a clear indication of death. As per modern science this condition is similar to central cyanosis. It is directly due to ''Vata Pratilomata'' (reverse direction of ''Vata'') in different organs. The main ''Srotas'' involved are ''Rasavaha srotas'' and ''Raktavaha Srotas.''
 
*Abnormal voices:
 
*Abnormal voices:
**In sannipatha jwara  - swarasada [low pitched voice] is a lakshana.
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**In ''sannipatha jwara'' - ''swarasada'' (low pitched voice) is a ''lakshana''.
**In kshathaja kasa  - paravatha ivaakoojan (cooing sound like that of a pigeon comes out of  the throat)
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**In ''kshathaja kasa'' - ''paravatha ivaakoojan'' (cooing sound like that of a pigeon comes out of  the throat)
**In  Apatantraka –kapota iva koojan ( make sound like a pigeon).
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**In  ''Apatantraka –kapota iva koojan'' ( make sound like a pigeon).
 
**In Tetanus  -sudden death occurs due to laryngeal spasm .
 
**In Tetanus  -sudden death occurs due to laryngeal spasm .
 
**Dysphonia—Disturbance of phonation due to disturbance in vocal cords. Strained, harsh, low pitched voice, nasal voice.
 
**Dysphonia—Disturbance of phonation due to disturbance in vocal cords. Strained, harsh, low pitched voice, nasal voice.
 
**In laryngeal tumors like supra glottic cancer  and glottis cancer hoarseness of voice is a late symptom.
 
**In laryngeal tumors like supra glottic cancer  and glottis cancer hoarseness of voice is a late symptom.
 
In fact the abnormal changes in color and voice of the patient reflect serious changes in the physiology. Deep seated pathologies of cardio vascular system, Respiratory system, endocrine system often presents with color changes. Central and peripheral cyanosis represents certain death causing conditions. Similarly lesions in the central nervous system can lead to changes in the voice. Dysarthria, Dysphasia and Dysphonia shows underlining pathologies which may become fatal. In short this chapter highlights the events related with major systems in the body which can cause death.
 
In fact the abnormal changes in color and voice of the patient reflect serious changes in the physiology. Deep seated pathologies of cardio vascular system, Respiratory system, endocrine system often presents with color changes. Central and peripheral cyanosis represents certain death causing conditions. Similarly lesions in the central nervous system can lead to changes in the voice. Dysarthria, Dysphasia and Dysphonia shows underlining pathologies which may become fatal. In short this chapter highlights the events related with major systems in the body which can cause death.