Changes

In some patients of epilepsy, exogenous factors are secondarily involved and in such cases signs and symptoms are manifested over and above those of the ''doshas'' (endogenous factors). Such patients should be treated on the lines suggested for exogenous types of ''unmada'' (insanity) (refer to Chapter 9 of this section, i.e., [[Unmada Chikitsa]]).[53].

In some patients of epilepsy, exogenous factors are secondarily involved and in such cases signs and symptoms are manifested over and above those of the ''doshas'' (endogenous factors). Such patients should be treated on the lines suggested for exogenous types of ''unmada'' (insanity) (refer to Chapter 9 of this section, i.e., [[Unmada Chikitsa]]).[53].

==== Mahagada chikitsa [management of atattvabhinivesha] ====

==== ''Mahagada chikitsa'' (management of ''atattvabhinivesha'') ====

   

   

अनन्तरमुवाचेदमग्निवेशः कृताञ्जलिः|  

अनन्तरमुवाचेदमग्निवेशः कृताञ्जलिः|  

भगवन्! प्राक् समुद्दिष्टः श्लोकस्थाने महागदः||५४||  

भगवन्! प्राक् समुद्दिष्टः श्लोकस्थाने महागदः||५४||  

अतत्त्वाभिनिवेशो यस्तद्धेत्वाकृतिभेषजम्|  

अतत्त्वाभिनिवेशो यस्तद्धेत्वाकृतिभेषजम्|  

तत्र नोक्तमतः श्रोतुमिच्छामि तदिहोच्यताम्||५५||  

तत्र नोक्तमतः श्रोतुमिच्छामि तदिहोच्यताम्||५५||  

शुश्रूषवे वचः श्रुत्वा शिष्यायाह पुनर्वसुः|  

शुश्रूषवे वचः श्रुत्वा शिष्यायाह पुनर्वसुः|  

महागदं सौम्य! शृणु सहेत्वाकृतिभेषजम्||५६||  

महागदं सौम्य! शृणु सहेत्वाकृतिभेषजम्||५६||  

anantaramuvācēdamagnivēśaḥ kr̥tāñjaliḥ|  

anantaramuvācēdamagnivēśaḥ kr̥tāñjaliḥ|  

bhagavan! prāk samuddiṣṭaḥ ślōkasthānē mahāgadaḥ||54||  

bhagavan! prāk samuddiṣṭaḥ ślōkasthānē mahāgadaḥ||54||  

atattvābhinivēśō yastaddhētvākr̥tibhēṣajam|  

atattvābhinivēśō yastaddhētvākr̥tibhēṣajam|  

tatra nōktamataḥ śrōtumicchāmi tadihōcyatām||55||  

tatra nōktamataḥ śrōtumicchāmi tadihōcyatām||55||  

śuśrūṣavē vacaḥ śrutvā śiṣyāyāha punarvasuḥ|  

śuśrūṣavē vacaḥ śrutvā śiṣyāyāha punarvasuḥ|  

mahāgadaṁ saumya! śr̥ṇu sahētvākr̥tibhēṣajam||56||  

mahāgadaṁ saumya! śr̥ṇu sahētvākr̥tibhēṣajam||56||  

anantaramuvAcedamagniveshaH kRutA~jjaliH|  

anantaramuvAcedamagniveshaH kRutA~jjaliH|  

bhagavan! prAk samuddiShTaH shlokasthAne mahAgadaH||54||  

bhagavan! prAk samuddiShTaH shlokasthAne mahAgadaH||54||  

atattvAbhinivesho yastaddhetvAkRutibheShajam|  

atattvAbhinivesho yastaddhetvAkRutibheShajam|  

tatra noktamataH shrotumicchAmi tadihocyatAm||55||  

tatra noktamataH shrotumicchAmi tadihocyatAm||55||  

shushrUShave vacaH shrutvA shiShyAyAha punarvasuH|  

shushrUShave vacaH shrutvA shiShyAyAha punarvasuH|  

mahAgadaM saumya! shRuNu sahetvAkRutibheShajam||56||  

mahAgadaM saumya! shRuNu sahetvAkRutibheShajam||56||  

Thereafter, Agnivesha with folded hands [in salutation] said, "O Lord!  In Sutra section (Sutra 19 : 3) you have mentioned in brief as a mahagada (grave disease), that is atattvabhinivesha (pervaded by false principles ). But its etiology, signs and symptoms and treatment are not described there. I want to hear these descriptions. Kindly narrate them in the present context".[54-55]

Thereafter, Agnivesha with folded hands [in salutation] said, "O Lord!  In [[Sutra Sthana]] (Sutra 19 : 3) you have mentioned in brief as a ''mahagada'' (grave disease), that is ''atattvabhinivesha'' (pervaded by false principles ). But its etiology, signs and symptoms and treatment are not described there. I want to hear these descriptions. Kindly narrate them in the present context".[54-55]

Having heard this, Lord Punarvasu addressed his disciple who was desirous of hearing and said, "My child, hear about this mahagada (grave disease) along with its etiology, signs and symptoms and treatment".  [56]

 

Having heard this, Lord Punarvasu addressed his disciple who was desirous of hearing and said, "My child, hear about this ''mahagada'' (grave disease) along with its etiology, signs and symptoms and treatment".  [56]

==== Etiopathology and clinical features of atattvabhinivesha ====

==== Etiopathology and clinical features of atattvabhinivesha ====