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गर्भपातसमुत्पन्नः शोणितातिस्रवोत्थितः । अभिघातसमुत्थश्च दुश्चिकित्स्यतमो हि सः ॥ २१ ॥
It -apatantraka is caused by abortion, it is also caused by heavy bleeding and trauma- injury to vital organs it is most difficult to treat.
english translation
मन्ये संस्तभ्य वातोऽन्तरायच्छन् धमनीर्यदा । व्याप्नोति सकलं देहं जत्रुरायम्यते तदा ॥ २२ ॥
Antarayama: Exopthotonus: When vata gets inside the arteries/nerves present in the sides of the neck cause stiffness and then spreads to all the parts of the body, constricts the shoulders, makes the body bent inwards like a bow;
english translation
अन्तर्धनुरिवाङ्गं च वेगैः स्तम्भं च नेत्रयोः । करोति जृम्भां दशनं दशनानां कफोद्वमम् ॥ २३ ॥
produces bouts of convulsions, loss of movements of the eyes, causes excessive yawning, grinding of the teeth- rigidity of the jaws or lock jaw, vomiting of kapha- mucus, pain in the flanks,
english translation
पार्श्वयोर्वेदनां वाक्यहनुपृष्ठशिरोग्रहम् । अन्तरायाम इत्येष बाह्यायामश्च तद्विधः ॥ २४ ॥
inability to speak, locked jaw and stiffness of back and head. This is antarayama – inward bending. Similarly so is Bahirayama
english translation
देहस्य बहिरायामात् पृष्ठतो नीयते शिरः । उरश्चोत्क्षिप्यते तत्र कन्धरा चावमृद्यते ॥ २५ ॥
outward bending when the body is bent outwards, with the head reaching the back, the chest protruding out, the neck extending the back,
english translation