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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.
english translation
दोषेषु मदमूर्च्छायाः कृतवेगेषु देहिनाम्। स्वयमेवोपशाम्यन्ति सन्न्यासो नौषधैर्विना ॥४२॥
[Sanyasa (coma)] Mada and murchcha subside on their own when the vitiated doshas subside. However, sanyasa (coma) does not subside without medical treatment.
english translation
वाग्देहमनसां चेष्टामाक्षिप्यातिबला मलाः। सन्न्यस्यन्त्यबलं जन्तुं प्राणायतनसंश्रिताः ॥४३॥
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.
english translation
स ना सन्न्याससन्न्यस्तः काष्ठीभूतो मृतोपमः। प्राणैर्वियुज्यते शीघ्रं मुक्त्वा सद्यःफलाः क्रियाः ॥४४॥
. A person affected with coma appears to be in a vegetative state or seems dead. Death can occur if prompt and effective treatment is not given.
english translation
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.
english translation