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* Status of consciousness and orientation
 
* Status of consciousness and orientation
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==Consequences of the affliction of marma:==  
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==Consequences of the affliction of 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]
 
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]
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Injury to marma causes vasodilatation and profuse bleeding. This may lead to death. [A.Hr.Sharira Sthana 4/65]  
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Injury to marma causes vasodilatation and profuse bleeding. This may lead to death. [A.Hr.Sharira Sthana 4/65]
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==Clinical assessment - Nadi (pulse examination)==
 
==Clinical assessment - Nadi (pulse examination)==
 
Texts like Yogaratnakar etc. describe pulse examination. Here certain readings about pulse can indicate emergency conditions and imminent death of the patient. E.g. the pulse is irregular and unstable in case of emergency conditions. [Yoga Ratnakar] The other clinical parameters can be implied to assess critical conditions.
 
Texts like Yogaratnakar etc. describe pulse examination. Here certain readings about pulse can indicate emergency conditions and imminent death of the patient. E.g. the pulse is irregular and unstable in case of emergency conditions. [Yoga Ratnakar] The other clinical parameters can be implied to assess critical conditions.
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