Apataanaka Apatantraka

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 Dr. Mahesh Kundagol 

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* Brahma Deva designated the four types of the disease, as

1)Apatanakah.

2) Samsrishta Akshepakah.

3) Samanya Akshepakah.4)Abhighataja (traumatic).

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Charaka Samhita Chikitsa Sthana 28/50

Sushruta Samhita Nidana Sthana 1/50/51

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Akshepaka is of 4 types, they are-

1) one due to the enraged bodily Váyu and Kapham

2)The one due to the enraged bodily Váyu &Pittam.

3)The one due to the single action of the agitated Váyu

4) & the one due to any external injury or blow (Abhighátaja).

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(. .)

1) Shiravyadhana.

2) Teekshana Pradhamana Nasya.

3) Vaatgna Upahara. 4) Mahabala taila- Bala, Dashamoola, kullatha,Tila taila etc.

5) Ashwagandaadi ghritam.

6) Sarpagandha Ghana Vati.

7) Brihat Kasturi Bhairava rasa.

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Madhava Nidana 22/28-30

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Madhava Nidana 22/30-31

An attack of Apatánkah due to excessive haemorrhage, or 

following closely upon an abortion or miscarriage at

 pregnancy (difficult labour ), or which is incidental to an

external blow or injury (traumatic), should be regarded as

incurable. 51 - 52.

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Madhava Nidana 22/32-33

Charaka Samhita

Chikitsa Sthana 28/51,52

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(. )

1) Abhyanga with vaatagna tailas.

2) Swedana.

3) Teekshana (Pradamana) Nasya.

4) Ghrita paana.

5) Chaturmukha Rasa-Parada, Gandhaka, Abhraka Bhasma,Svarna bhasma, Bhavana with Kumari, Trikatu, ChitrakamoolaKwatha, dose- 150mg bidwith ashwagandaadi ghritam.

6) Ashwathaphalaadi Khwata.

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1) Apatantrakari vati- 500mg bid.

2) Bramhi Vati ² 250 mg bid.

3) Brihat Vata Chintamani rasa -250 mg bid.

4) Rasaraja rasa -250 mg bid.

5) Mriga Shringa Bhasma- 500mg bid.

6) Mamsyaadi kwatha 20 ml tid. ( Jatamamsi)

7) Saarasvataaritha ² 20 ml tid.

8) Himasaagara taila shiro abhyanga.

9) Narayana Choorna ² 5gms Hs.

10) Katphala ch. nasya ²SOS during attacks. (max 3times/day)

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1) Mahayogaraja guggulu -500 mg bid.

2) Sidhamakaradhwaja rasa - 150 mg bid.

3) Rasaraja Rasa - 150 mg bid.

4) Shringa Bhasma -500 mg bid. 5) Ashwagandhaadi Ch.- 500mg with madhu.

6) Ashwaganhaaristha -25 ml bid.

7) Chagaaladi Ghrita ² 10gms Hs with milk , or

8) Dasahamooladi ghritam ² 10gms Hs with milk.

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Fasting is prohibited in cases of patients suffering from Apatantraka(Apoplectic convulsions). Emetic, Asthápana and Anuvásana measuresare likewise forbidden. The passage of respiration should be blownopen by violent breathings in the event of its being choked up with anaccumulation of the deranged Váyu and Kapha. The patient should

be made to drink a potion consisting of Tumburu, Pushkara, Hingu,Amla-vetasa, Haritaki and the three (officinal) kinds of salts, with adecoction of barley. * As an alternative, four seers of clarified butter,cooked in combination with sixteen seers of milk, two Pala weight ofSauvarchala salt and fifty of Haritakis should be prescribed for theuse of the patient. All other remedial agents, possessing the virtue of

subduing the deranged Váyu and Kapha should be likewiseemployed. 30.

* Chakradatta quotes this in the chapter on the treatment of colic(s'ula), but does not read 'Amla-vetasa' there.