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स्मृत्यपायो ह्यपस्मारः स धीसत्त्वाभिसंप्लवात् । जायतेऽभिहते चित्ते चिन्ताशोकभयादिभिः ॥१॥
Apasmara (epilepsy) is characterized by the loss or destruction of memory. It arises from the severe disturbance or affliction of intellect (dhi) and mind/consciousness (sattva), occurring when the mind (chitta) is struck or overwhelmed by excessive worry, grief, fear, and similar emotional factors.
english translation
उन्मादवत्प्रकुपितैश्चित्तदेहगतैर्मलैः । हते सत्त्वे हृदि व्याप्ते सञ्ज्ञावाहिषु खेषु च ॥ २ ॥
Just as in insanity (unmada), the bodily wastes/vitiated doshas (malas) located in the mind and body become severely aggravated. They overwhelm the mind, occupy the heart (the seat of consciousness), and spread into the channels that carry consciousness (sanjnavaha srotas).
english translation
तमो विशन् मूढमतिर्बीभत्साः कुरुते क्रियाः । दन्तान् खादन् वमन् फेनं हस्तौ पादौ च विक्षिपन् ॥ ३ ॥
The patient then enters into a state of darkness (loses consciousness), becomes completely stupefied in intellect, and performs terrifying or repulsive actions. These include grinding or gnashing the teeth, foaming or frothing at the mouth, and violently throwing or thrashing the hands and feet (convulsions).
english translation
पश्यन्नसन्ति रूपाणि प्रस्खलन् पतति क्षितौ । विजिह्माक्षिभ्रुवो दोषवेगेऽतीते विबुध्यते ॥ ४ ॥
He perceives non-existent shapes and objects, stumbles, and falls flat onto the ground, with his eyes and eyebrows becoming distorted or irregular. Once the intense paroxysm or bout of the doshas passes away, he regains full awareness and wakes up.
english translation
कालान्तरेण स पुनश्चैवमेव विचेष्टते । अपस्मारश्चतुर्भेदो वाताद्यैर्निचयेन च ॥ ५ ॥
After an interval of time (periodically), he again exhibits and undergoes the exact same abnormal movements and convulsive behaviors. Epilepsy is of four kinds; by Vata etc. (Vata, Pitta and Kapha) separately and by the combination of all the three Doshas (Sannipata)
english translation