A person with angry and harsh tongue, quarrelsome, tends to be physical with a red, yellow and black face should be known to be suffering from paittika mada.
In sannipataja mada, all these features are found in combination. Sannipataja mada (a type of narcosis) arises and subsides quickly like alcoholic narcosis.
All types of narcosis are caused by alcoholic drinks, poisons or by vitiation of blood. It can be concluded that all types of narcosis are caused by nothing but the vitiation of the three dosha viz. vata, pitta and kapha.
नीलं वा यदि वा कृष्णमाकाशमथवाऽरुणम्| पश्यंस्तमः प्रविशति शीघ्रं च प्रतिबुध्यते ||३५||
[Specific features of dosha dominant murchcha (syncope)] In vatika murchcha, the patient becomes unconscious after seeing the sky as blue, black or reddish and regains consciousness quickly.