AIAPGET Factors
– Murcha happens in individuals having Bahu Dosha and Hina Sattva, is Kshina and subjected to Abhighata and is habituated to Viruddha Ahara and Vegaghata.
– HRT PIDA is without doubt one of the vital Purvarupas of Sushruta.
– Sanjnavaha Nadis are affected in Murcha.
– In every sort of Murcha, the signs of APASMARA can be usually manifested.
– Predominance of Prithvi and Ap Mahabhutas in Rakta and Tamo Guna is accountable for Murcha triggered because of Rakta Gandha.
– JIVANIYA GANA SIDDHA Ghrta is indicated in Murcha.
– Kashayas which remedy JWARA will also be administered in therapy of every kind of MURCHA.
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The forty sixth chapter of Uttaratantra of Sushruta Samhita is known as as Mūrcha Pratiṣedha Adhyaya. This chapter offers with the Remedy of Syncope.
अथातो मूर्च्छाप्रतिषेधं व्याख्यास्यामः ||१||
यथोवाच भगवान् धन्वन्तरिः ||२||
We are going to now expound Murcha pratiṣedha – therapy of syncope – fainting; as revealed by the venerable Dhanvantari.
Nidāna-samprāpti – causes and pathogenesis
क्षीणस्य बहुदोषस्य विरुद्धाहारसेविनः |
वेगाघातादभीघाताद्धीनसत्त्वस्य वा पुनः ||३||
करणायतनेषूग्रा बाह्येष्वाभ्यन्तरेषु च |
निविशन्ते यदा दोषास्तदा मूर्च्छन्ति मानवाः ||४||
The doshas would get drastically aggravated in under talked about sorts of individuals –
– those that are emaciated and have nice aggravation of doshas,
– these indulging in incompatible meals,
– those that suppress urges of the physique,
– these injured and
– these of weak thoughts (poor thoughts power)
These aggravated doshas accumulate in each exterior and inner sense organs. Such individuals would get murcha – fainting i.e. they might briefly get unconscious.
Pūrvarūpa- premonitory signs
हृत्पीडा जृम्भणं ग्लानिः सञ्ज्ञानाशो बलस्य च |
सर्वासां पूर्वरूपाणि, यथास्वं ता विभावयेत् ||५||
Under talked about are the premonitory signs of every kind of Murcha –
– ache or discomfort within the area of coronary heart,
– extreme yawning,
– exhaustion,
– lack of consciousness or lack of know-how and consciousness of the environment and
– lack of power
Nispatti – definition
सञ्ज्ञावहासु नाडीषु पिहितास्वनिलादिभिः |
तमोऽभ्युपैति सहसा सुखदुःखव्यपोहकृत् ||६||
सुखदुःखव्यपोहाच्च नरः पतति काष्ठवत् |
मोहो मूर्च्छेति तां प्राहुः… |७|
The aggravated doshas trigger obstruction of Sanjnavaha Nadis i.e. channels carrying sensation (sensory nerves or sensory pathway).
When this occurs, the individual would expertise a sudden enhance of tamas – darkness in entrance of his eyes (turns into unconscious).
This is able to finally destroy an individual’s emotions in direction of happiness and distress (he won’t be able to understand or differentiate between them).
When these emotions of consolation (happiness) and discomfort (distress) are destroyed, the individual falls to the bottom identical to a dry log of wooden. On this situation, there can be lack of consciousness and the individual won’t be able to maneuver the physique elements. This situation is named moha or Murcha.
… षड्विधा सा प्रकीर्तिता ||७||
वातादिभिः शोणितेन मद्येन च विषेण च |
षट्स्वप्येतासु पित्तं हि प्रभुत्वेनावतिष्ठते ||८||
Murcha is of six sorts –
– one every from vata and many others – vataja, pittaja and kaphaja,
– one from rakta – vitiated blood,
– one from madya – consumption of wine and
– one from visa – consumption of poisons
Pitta is the predominant dosha in all these six sorts of murcha.
अपस्मारोक्तलिङ्गानि तासामुक्तानि तत्त्वतः |९|
The doctor ought to perceive that in every of the forms of Murcha, the signs of apasmara – epilepsy can be usually manifested.
पृथिव्यम्भस्तमोरूपं रक्तगन्धश्च तन्मयः ||९||
तस्माद्रक्तस्य गन्धेन मूर्च्छन्ति भुवि मानवाः |
द्रव्यस्वभाव इत्येके दृष्ट्वा यदभिमुह्यति ||१०||
Tamo Guna is predominant within the prthvi – earth and ap – water bhutas (parts). Rakta – blood tissue is made up of the identical prthvi and ap bhutas. Due to this fact, human beings faint and fall on the bottom due to the scent of blood. In accordance with some students, the character of the substance itself (pure properties of blood on this context) is the trigger for fainting.
गुणास्तीव्रतरत्वेन स्थितास्तु विषमद्ययोः |
त एव तस्माज्जायेत मोहस्ताभ्यां यथेरितः ||११||
The identical properties are current in each visa – poison and madya – wine / alcoholic drink however in higher power. Due to this fact, when they’re consumed in higher portions, the individual would get moha / murcha.
स्तब्धाङ्गदृष्टिस्त्वसृजा गूढोच्छ्वासश्च मूर्च्छितः |
मद्येन विलपंश्छेते नष्टविभ्रान्तमानसः |
गात्राणि विक्षिपन् भूमौ जरां यावन्न याति तत् ||१२||
Under talked about are the signs (particular) of murcha attributable to the scent of blood –
– lack of actions of the physique elements,
– lack of actions of the eyes and
– imperceptible respiration
Under talked about signs are present in murcha attributable to madya – wine –
– irrelevant speech,
– falling down on the bottom with lack of consciousness,
– vigorous actions of the physique
These signs are current till the madya fully will get digested.
वेपथुस्वप्नतृष्णाः स्युः स्तम्भश्च विषमूर्च्छिते |
वेदितव्यं तीव्रतरं यथास्वं विषलक्षणैः ||१३||
Shivering of the physique elements, sleep, thirst and stiffness of the physique are current within the murcha attributable to visa. Relying on the properties of the poison, these signs would get drastically elevated.
Murchā cikitsā – therapy of syncope
सेकावगाहौ मणयः सहाराः शीताः प्रदेहा व्यजनानिलाश्च |
शीतानि पानानि च गन्धवन्ति सर्वासु मूर्च्छास्वनिवारितानि ||१४||
Under talked about remedies ought to be thought of as unavoidable in every kind of syncope (they essentially should be accomplished) –
– pouring medicated liquids on the physique,
– immersion in medicinal liquids,
– carrying gems and garlands,
– offering air utilizing followers,
– consuming liquids that are chilly and having nice scent
सिताप्रियालेक्षुरसप्लुतानि द्राक्षामधूकस्वरसान्वितानि |
खर्जूरकाश्मर्यरसैः शृतानि पानानि सर्पींषि च जीवनानि ||१५||
Under talked about recipes could also be consumed –
– chilly drinks added with sita (sugar), priyala and iksurasa (sugarcane juice) or
– juice of draksa and madhuka or
– decoction of kharjura and kasmarya and
– ghee cooked and ready with herbs belonging to Jivaniya Gana (Kakolyadi Gana) group
सिद्धानि वर्गे मधुरे पयांसि सदाडिमा जाङ्गलजा रसाश्च |
तथा यवा लोहितशालयश्च मूर्च्छासु पथ्याश्च सदा सतीनाः ||१६||
Under talked about meals will be given –
– Milk cooked with herbs belonging to the Kakolyadi Gana (candy group of herbs) group ought to be given.
– Soup of meat of animals residing in arid lands added with juice of Dadima ought to be administered.
– Meals ready with Yava and Lohita Sali and soup of Satina are helpful.
These meals are all the time helpful in every kind of fainting.
भुजङ्गपुष्पं मरिचान्युशीरं कोलस्य मध्यं च पिबेत् समानि |
शीतेन तोयेन बिसं मृणालं क्षौद्रेण कृष्णां सितया च पथ्याम् ||१७||
Equal portions of under talked about components ought to be taken –
– Bhujanga Puspa (Nagakesara),
– Marica,
– Usira,
– Kola,
– Madhya
They need to be blended in chilly water and consumed.
Alternatively, Bisa and Mrnala could also be consumed with chilly water.
Powder of Krsna (Pippali) blended with honey or powder of Pathya blended with sugar could also be consumed.
कुर्याच्च नासावदनावरोधं क्षीरं पिबेद्वाऽप्यथ मानुषीणाम् |
मूर्च्छां प्रसक्तां तु शिरोविरेकैर्जयेदभीक्ष्णं वमनैश्च तीक्ष्णैः ||१८||
The nostril and mouth of the fainted individual ought to be held closed for a couple of seconds. Or the individual ought to be made to drink breast milk. Additionally, to alleviate the individual from fainting, purgation to the pinnacle and robust emetics ought to be administered.
हरीतकीक्वाथशृतं घृतं वा धात्रीफलानां स्वरसैः कृतं वा |
द्राक्षासितादाडिमलाजवन्ति शीतानि नीलोत्पलपद्मवन्ति ||१९||
पिबेत् कषायाणि च गन्धवन्ति पित्तज्वरं यानि शमं नयन्ति |२०|
Ghee boiled with decoction of haritaki or ghee boiled with recent juice of dhatriphala, or ghee added with drākṣā, sita, dāḍima and lāja; or nilotpala and dadima; and lāja or nīlotpala or padma, or decoction which cures fever attributable to pitta could also be consumed.
Sannyasa – coma
प्रभूतदोषस्तमसोऽतिरेकात् सम्मूर्च्छितो नैव विबुध्यते यः ||२०||
सन्न्यस्तसञ्ज्ञो भृशदुश्चिकित्स्यो ज्ञेयस्तदा बुद्धिमता मनुष्यः |२१|
The one that has fainted can’t be simply woke up as a result of impact of aggravation of doshas and or predominance of tamo guna. Such a situation is to be understood as Sannyasa (coma). This situation is tough to deal with.
यथाऽऽमलोष्टं सलिले निषिक्तं समुद्धरेदाश्वविलीनमेव ||२१||
तद्वच्चिकित्सेत्त्वरया भिषक्तमस्वेदनं मृत्युवशं प्रयातम् |२२|
An unbaked ball of mud put into water will be lifted out of water earlier than it dissolves in it. Equally, the affected person who isn’t sweating and reaching demise ought to be rapidly handled by the doctor.
तीक्ष्णाञ्जनाभ्यञ्जनधूमयोगैस्तथा नखाभ्यन्तरतोत्रपातैः ||२२||
वादित्रगीतानुनयैरपूर्वैर्विघट्टनैर्गुप्तफलावघर्षैः |
आभिः क्रियाभिश्च न लब्धसञ्ज्ञः सानाहलालाश्वसनश्च वर्ज्यः ||२३||
Under talked about measures ought to be adopted in order to awaken (deliver to consciousness) the affected person –
– apply robust collyrium,
– anointing,
– inhalation of smoke,
– pricking the nail mattress of the individual with needles,
– creating extraordinary sounds utilizing musical devices and songs,
– hitting the physique with whip or related different issues or
– rubbing pods of guptaphala (atmagupta) on the physique
The individual ought to be refused within the under talked about situations –
– If the affected person doesn’t attain consciousness even after adopting these strategies
– If he’s affected by flatulence, extreme salivation and lack of respiration
प्रबुद्धसञ्ज्ञं वमनानुलोम्यैस्तीक्ष्णैर्विशुद्धं लघुपथ्यभुक्तम् |
फलत्रिकैश्चित्रकनागराढ्यैस्तथाऽश्मजाताज्जतुनः प्रयोगैः |
सशर्करैर्मासमुपक्रमेत विशेषतो जीर्णघृतं स पाय्यः ||२४||
As soon as the affected person obtains consciousness, he ought to be handled by administering robust emesis and purgation. He ought to be given mild and wholesome meals.
For a interval of 1 month, the individual ought to be handled by administering –
– triphala added with extra amount of citraka and nagara or
– medicinal recipes ready from silajatu added with sugar
Consumption of outdated ghee is very helpful.
यथास्वं च ज्वरघ्नानि कषायाण्युपयोजयेत् |
सर्वमूर्च्छापरीतानां विषजायां विषापहम् ||२५||
In every kind of murcha, decoctions which remedy fevers will also be administered.
In murcha attributable to poisons, all medicines that are antitoxic can be utilized.
इति श्री सुश्रुतसंहितायामुत्तरतन्त्रान्तर्गते कायचिकित्सातन्त्रे मूर्च्छाप्रतिषेधो नाम(अष्टमोऽध्यायः, आदितः) षट्चत्वारिंशत्तमोऽध्यायः।।४६।।
Thus ends the forty sixth chapter by identify Mürcha pratiṣedha in Uttarasthana of Suśrutasamhita.