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पृष्ठमन्याश्रिता बाह्याः शोषयित्वा सिरा बली । वायुः कुर्याद्धनुस्तम्भं बहिरायामसञ्ज्ञकम् ॥४६॥
causes bow leg like rigidity of the body which is called as bahirayama (ophisthotonous). As the body being bent like a bow,
english translation
चापवन्नाम्यमानस्य पृष्ठतो नीयते शिरः । उर उत्क्षिप्यते मन्या स्तब्धा ग्रीवाऽवमृद्यते ॥४७॥
the head gets retracted almost touching his back and his chest is thrown forward, the sides of the neck become rigid and the neck in total get compressed
english translation
दन्तानां दशनं जृम्भा लालास्रावश्च वाग्ग्रहः । जातवेगो निहन्त्येष वैकल्यं वा प्रयच्छति ॥४८॥
along with clenching of teeth, salivation and aphasia. The attack may lead to death of the patient or deformity.
english translation
हनुमूले स्थितो बन्धात् संस्रयत्यनिलो हनू । विवृतास्यत्वमथवा कुर्यात् [१] स्तब्धमवेदनम् ॥४९॥
[Hanugraha (lock jaw)] When the vata gets localized at the root of the jaws causes dislocation of the jaws and produces either a condition of stiff gaping of mouth without any pain;
english translation
हनुग्रहं च संस्तभ्य हनुं(नू)संवृतवक्रताम् । मुहुराक्षिपति क्रुद्धो गात्राण्याक्षेपकोऽनिलः ॥५०॥
or by causing spasticity of the jaw, the mouth becomes fixed and cannot be opened. This is called as hanugraha (lock jaw) [Aakshepaka (episodic contractions)] In akshepaka ( ), the provoked vata contracts vessels, tendons and ligaments of the hands
english translation