सर्वाकृतिः सन्निपातादपस्मार इवागतः| स जन्तुं पातयत्याशु विना बीभत्सचेष्टितैः ||४१||
Sannipataja murchcha has characters of all the above types and the patient suffers from (epilepsy-like) bouts of paroxysm, with the difference that in this murchcha the patient falls unconscious without violent or revolting movements.
[Sanyasa (coma)] Mada and murchcha subside on their own when the vitiated doshas subside. However, sanyasa (coma) does not subside without medical treatment.
In weak patients, when vitiated doshas move into a vital organ (i.e. brain and heart) and start affecting speech, physical movement, and the mind, coma ensues.
दुर्गेऽम्भसि यथा मज्जद्भाजनं त्वरया बुधः| गृह्णीयात्तलमप्राप्तं तथा सन्न्यासपीडितम् ||४५||
The physician should manage a comatose patient just as a wise person recovers a utensil sinking in deep water quickly before it settles down in the bottom.