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''Vata'' is considered to be cause of provocation of ''pitta'' and ''kapha''. In the process of disease formation direct reference of involvement of ''vata'' as early as in the stage of ''prasara'' (third out of six stages of disease formation) ''vata'' is also said to be cause of life to underline its importance as well as the need to address it urgently. Amongst all the treatments of ''vata, basti'' is the best purely on its merits to take care of ''vata'' disorders of all the systems throughout the body.  
 
''Vata'' is considered to be cause of provocation of ''pitta'' and ''kapha''. In the process of disease formation direct reference of involvement of ''vata'' as early as in the stage of ''prasara'' (third out of six stages of disease formation) ''vata'' is also said to be cause of life to underline its importance as well as the need to address it urgently. Amongst all the treatments of ''vata, basti'' is the best purely on its merits to take care of ''vata'' disorders of all the systems throughout the body.  
 
   
 
   
Hrdaya when gets affected, is managed by juices which are amla (sour) in taste ,as it is best among hrdya dravyas.
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''Hridaya'' when gets affected, is managed by juices which are ''amla'' (sour) in taste ,as it is best among ''hridya dravyas''.
The drug hingu (asafoetida) has been found to be effective as a vatanulomaka, pachana, amahara, and sulaghna. It is also widely used in udavarta conditions, to relieve functional spasms of smooth muscles as in intestinal colic. Hingu vacadi churna is specifically used for such conditions. Clinical conditions related to Trimarma are alarmingly high today. By effecting subtle changes in life style in accordance with classical guidelines will help to reduce life risk to great extent. Preventing the injury to vital organs and timely appropriate management in case of diseases is the key to prevention of diseases and promotion of health.  
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The drug ''hingu'' (asafoetida) has been found to be effective as a ''vatanulomaka, pachana, amahara,'' and ''sulaghna''. It is also widely used in ''udavarta'' conditions, to relieve functional spasms of smooth muscles as in intestinal colic. ''Hingu vachadi churna'' is specifically used for such conditions. Clinical conditions related to ''Trimarma'' are alarmingly high today. By effecting subtle changes in life style in accordance with classical guidelines will help to reduce life risk to great extent. Preventing the injury to vital organs and timely appropriate management in case of diseases is the key to prevention of diseases and promotion of health.  
Apatantraka(opisthotomus) is due to obstruction of kapha to vata, apatanaka(status epilepticus) is only due to vata.
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Based on the descriptions of the condition involving the heart which is the manasa sthana and the involvement of head as well, with clinical manifestations like unconsciousness with flexion spasms or bending of the body, which is temporary, this condition may be considered as a form of Syncope.
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''Apatantraka''(opisthotomus) is due to obstruction of ''kapha'' to ''vata'', ''apatanaka''(status epilepticus) is only due to ''vata''.
Treatment schedule for apatantraka starts with tikshna pradhamana as prana vilomatva has to be corrected to maintain the life of the patient. Second in line is shirovirechana, as vitiated vata creates pain in sirah and shankha by taking upward course. Then treatment for pacification of vata kapha in hrdroga is applied to take care of hridaya, as vata also occupies hridaya when does upward direction. Further basti would have been an ideal option to take vata into its own site and pacify it, but it should not be strong, it is to be given in lesser quantity. Involvement of hridaya in pathogenesis might have prompted this thought, as strong basti might cause dehydration due to excess elimination leading to fatal condition of hridaya.
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Based on the descriptions of the condition involving the heart which is the ''manasa sthana'' and the involvement of head as well, with clinical manifestations like unconsciousness with flexion spasms or bending of the body, which is temporary, this condition may be considered as a form of Syncope.
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Treatment schedule for ''apatantraka'' starts with ''tikshna pradhamana'' as ''prana vilomatva'' has to be corrected to maintain the life of the patient. Second in line is ''shirovirechana'', as vitiated ''vata'' creates pain in ''sirah'' and ''shankha'' by taking upward course. Then treatment for pacification of ''vata kapha'' in ''hridroga'' is applied to take care of ''hridaya'', as ''vata'' also occupies ''hridaya'' when does upward direction. Further ''basti'' would have been an ideal option to take ''vata'' into its own site and pacify it, but it should not be strong, it is to be given in lesser quantity. Involvement of ''hridaya'' in pathogenesis might have prompted this thought, as strong ''basti'' might cause dehydration due to excess elimination leading to fatal condition of ''hridaya''.
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Fine powders of shirovirechana medicines can clear obstructive pathology faster and hence are preferred. Maricha which is pramathi i.e., with its potency drags the doshas out of srotasas (channels) and removes them from the system. Other medicines shigrubija, vidanga are known for their shirovirechana activity.
 
Fine powders of shirovirechana medicines can clear obstructive pathology faster and hence are preferred. Maricha which is pramathi i.e., with its potency drags the doshas out of srotasas (channels) and removes them from the system. Other medicines shigrubija, vidanga are known for their shirovirechana activity.
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Vata and kapha are both considered as causative factors for the onset of tandra. Vata agitates kapha, which in turn occupies hridaya. The knowledge process gets blocked leading to tandra. Treatment aims at eliminating and pacifying kapha. Vyayama and diet of pungent and bitter tastes which acts against kapha are suitable. The unusual reference of blood letting can be attributed to involvement of hridaya, which is an organ made up of purest form of rakta.
 
Vata and kapha are both considered as causative factors for the onset of tandra. Vata agitates kapha, which in turn occupies hridaya. The knowledge process gets blocked leading to tandra. Treatment aims at eliminating and pacifying kapha. Vyayama and diet of pungent and bitter tastes which acts against kapha are suitable. The unusual reference of blood letting can be attributed to involvement of hridaya, which is an organ made up of purest form of rakta.
  

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