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The severe type of ''unmada'' arising from ''sannipata'' (aggravation of all three ''doshas'') is caused by all the above etiological factors. It presents with all the above characters in mixed form and because of antagonistic therapeutic principles, it is difficult to treat and therefore should be rejected. [15]
 
The severe type of ''unmada'' arising from ''sannipata'' (aggravation of all three ''doshas'') is caused by all the above etiological factors. It presents with all the above characters in mixed form and because of antagonistic therapeutic principles, it is difficult to treat and therefore should be rejected. [15]
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==== Agantu unmada (exogenous type) ====
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==== ''Agantu unmada'' (exogenous type) ====
    
देवर्षिगन्धर्वपिशाचयक्षरक्षःपितॄणामभिधर्षणानि|  
 
देवर्षिगन्धर्वपिशाचयक्षरक्षःपितॄणामभिधर्षणानि|  
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dēvarṣigandharvapiśācayakṣarakṣaḥpitr̥̄ṇāmabhidharṣaṇāni|  
 
dēvarṣigandharvapiśācayakṣarakṣaḥpitr̥̄ṇāmabhidharṣaṇāni|  
 
āgantuhēturniyamavratādi mithyākr̥taṁ karma ca pūrvadēhē||16||
 
āgantuhēturniyamavratādi mithyākr̥taṁ karma ca pūrvadēhē||16||
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devarShigandharvapishAcayakSharakShaHpitRUNAmabhidharShaNAni|  
 
devarShigandharvapishAcayakSharakShaHpitRUNAmabhidharShaNAni|  
 
AgantuheturniyamavratAdi mithyAkRutaM karma ca pUrvadehe||16||
 
AgantuheturniyamavratAdi mithyAkRutaM karma ca pUrvadehe||16||
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Possession by the gods, sages, gandharvas (celestial choristers), pishachas (devils), yakshas (living supernatural being/spiritual apparition), rakshasas (demons) and pitru(forefathers/ancestors spirits); unmethodical performance of spiritual rituals & vows etc. and the deeds of past life are the causes of the exogenous type of unmada. (16)
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Possession by the gods, sages, ''gandharvas'' (celestial choristers), ''pishachas'' (devils), ''yakshas'' (living supernatural being/spiritual apparition), ''rakshasas'' (demons) and ''pitru''(forefathers/ancestors spirits); unmethodical performance of spiritual rituals and vows etc. and the deeds of past life are the causes of the exogenous type of ''unmada''. [16]
    
==== Signs of bhutonmada (affliction of evil spirits) ====
 
==== Signs of bhutonmada (affliction of evil spirits) ====