🔘 APASMARA ROGA

APASMARA ROGA:-

👉🏻 Defination:-

• स्मृतेरपगमं प्राहुरपस्मारं भिषग्विदः|

तमःप्रवेशं बीभत्सचेष्टं धीसत्त्वसम्प्लवात्||

- The expert physicians call apasmara as 'going away of memory' characterized by black-outs (feeling of entering into darkness) and revolting movements caused by conglomeration of the intellect and the mind.

👉🏻 Nidana:-

•विभ्रान्तबहुदोषाणामहिताशुचिभोजनात् |

रजस्तमोभ्यां विहते सत्त्वे दोषावृते हृदि ||

चिन्ताकामभयक्रोधशोकोद्वेगादिभिस्तथा|

मनस्यभिहते नॄणामपस्मारः प्रवर्तते||

✓ Apasmara occurs in those persons, in whom:-

- The doshas are excessively aggravated and have spread to other sites (vibhranta) due to (habitual) intake of improper/harmful and impure/contaminated food.

- In whom, the sattva is suppressed by rajas and tamas.

- The heart is obscured by aggravated doshas.

- Mind is distressed or annihilated by worry, passion, fright, anger, grief, anxiety etc. 

👉🏻 Purvaroopa:-

• Premonitory symptoms of apasmara include:-

- contraction of eyebrows

,erratic and constant movement of eyes, auditory hallucinations, excessive salivation, and nasal discharge. 

- There is frequent accompaniment of anorexia, indigestion, and general disinclination towards food.

- Chest congestion, distension of the lower abdomen accompanied with gurgling sound, weakness, cracking pain in bones and malaise, unconsciousness, a feeling of despondency or depression, fainting and giddiness, and frequent dreams of scenes of intoxication, dancing, murdering, aching, shivering and falling.

👉🏻 Samprapti:-

- Due to nidana sevana doshas located in the vessels afflict the heart. Thus person suffers due to bewildered mind.

- He visualizes non-existent forms, falls down, his tongue, eyes and eyebrows become tremulous, saliva discharges from his mouth, his hands and legs are extended / bent.

- When the surge of doshas is over, he wakes up as if he is getting up from sleep.

👉🏻 Samanya lakshana:-

- Apasmara is characterized by occasional loss of consciousness associated with aberrant activities and behavior, due to perversion of memory, intellect and other psychic faculties.

 

👉🏻 Types:-

1.Vataja

2.Pittaja

3.Kaphaja

4.Sannipataja

👉🏻 Vishesha lakshana:-

1) Vataja Apasmara:-

• Vatika apasmara is characterized by:-

- Trembling, grinding of teeth, frothing from the mouth, and gasping. 

- The patient gets visual hallucinations of objects which are rough, reddish brown or black in color. 

2) Pittaja Apasmara:-

• Paittika apasmara is characterized by:-

- Yellowish froth, body, face and eyes. 

- He gets visual hallucinations of yellow or blood-red objects. He has thirst, hot sensation (sensation of heat), and sees fire all over his surroundings.

3) Kaphaja Apasmara:-

• Tridoshaja apasmara is characterized by:-

- Manifestation of all of above features at the same time. 

- This type of apasmara is incurable. 

👉🏻 Sadhyasadhyata:-

- The apasmara, which occurs in emaciated person and in chronic stage, is incurable. 

👉🏻 Diagnosis as per frequency of seizures:-

- The vitiated doshas lead to paroxysms of apasmara once in fifteen days, twelve days or a month. 

- The paroxysm may occur even after a shorter period.

👉🏻 Management:-

- Strong elimination and alleviation therapies are effective in alleviating and curing apasmara.

- When extrinsic causative factors are involved, then mantras etc., are considered useful.