3. Presenter,
Dr.Darshini R
1st year PG scholar
Department of Ayurveda Samhita
and Siddhanta.
Government Ayurveda Medical
College and Hospital. Mysuru
Under the guidance of,
Dr.Shreevatsa
Professor and Head
Department of Ayurveda Samhita
and Siddhanta.
Government Ayurveda Medical
College and Hospital. Mysuru
31-03-2022 3
4. CONTENTS
1.INTRODUCTION
2.MYTHOLOGICAL ORIGIN OF APASAMARA
3.REFERENCES OF APASMARA SAMPRAPTI
4.RELEVANCE OF THE POSITION OF APASMARA
IN VARIOUS SAMHITAS
5.ETYMOLOGY OF THE WORD APASMARA
NIDANA ANALYSIS
6.DEFINITION OF APASMARA
7.NIDANAANALYSIS
8. SAMANYA SAMPRAPTI ANALYSIS
9. POORVARUPA ANALYSIS
10.LAKSHANAANALYSIS
11. VISHESHA SAMPRAPTI ANALYSIS
12. DISCUSSION ON VIKARA PRAKRUTI
13. SADHYAASADHYATA
14. DIFFERENTIATION OF APASMARA FROM
SIMILAR LAKSHANAYUKTA VYADHI
15.CONCLUSION.
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5. 1. INTRODUCTION
• Samprapti is one among nidana panchaka. Nidana, poorvaroopa,roopa, upashaya
are quite easy to elicit whereas, Samprati as a phenomenon need accurate textual
understanding is in need, though in few circumstances nidana and doshas
involvement are same it’s the samprapti which makes difference to specific disease.
• Acharya charaka quotes सम्प्राप्तिर्ााप्तिरागप्तिररत्यनर्ाान्िरं व्याधेःCh.Ni1/11, Chakrapani comments
जात िः जन्म, आगत तहि उत्पादकारणस्य व्यातिजननपयिन् ं गमनम्, सम्प्रात््यागत जात ्दैद्यर्थोऽर्तीितय सा व्याििः
सम्प्रातिररत्यर्
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6. Cont…
• Acharya sushruta has not set any direct definition, but while explaining each disease
specific samprapti has been explained and how it is relatable to each vyadhi.
• Acharya vagbhata says “यथोऽादुष्टन दोषण यथोऽा चानुतिसपि ा| तनिवितिरामयस्यासौ सम्प्रातिजाित रागत िः” (िा.
तन.1/8 न यथोऽादुष्टन दोषण यथोऽा चानुतिसपि ा-दहमनुिाि ा सतन्नि्ति्षण गच्छ ा, रत्यामयं िा तनिवितििः-
तनष्पतिरुद्भि इत याि ्, तनतदिष्टा सा सम्प्रातििः|
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7. Cont…
• Rogas dealt by Acharyas are of either Shareerajaashraya and Manaashraya or
both.
• The prevalence of ubhayasharita rogas are more, these type rogas seek special
attention because of wide spectrum boundary of its affect.
• Apasmara is one such disease which has high impact on the quality of life of the
affected person and also results discrimination in education, employment and
social acceptance.
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8. 2.MYTHOLOGICAL ORIGIN OF
APASAMARA
• प्तिप्तिधभूिाशुप्तिसंस्पशाादपस्माराणां Ch.Ni8/
During Daksha yagna destruction, the origin of various haunting cemeteries or
devouring human beings and unclean substances contact has led to apasmaara roga.
According to Hindu mythology Apasmara is a dwarf who represents spiritual ignorance
and nonsensical speech. He is also known as Muyalaka or Muyulakan. Lord Shiva
adopted the form of SriNataraja and performed the cosmic dance of Tandava, thereby
suppressed Apasmara by crushing him with his right foot.
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10. 4.RELEVANCE OF THE POSITION OF APASMARA IN VARIOUS
SAMHITAS
• उन्मादानन्िरं रागुत्पत्तािपस्मारोत्पादादपस्मारप्तनदानमुच्य | Ch.Ni8/1
• आद्युत्पत्तािुन्मादन सिोत्पन्नत्िादुन्मादमनु अपस्मारप्तिप्तकप्तत्सिमुच्यि|Ch.Chi 10/1
Soon after origin of unmada roga, very next chance of disease occurance is
apasamara because of samanya hetu.
31-03-2022 10
11. Cont….
• अमानुषोपसगारप्तिषधानन्िरं मनेःरदुप्तष्टसामान्याि् रिप्तिप्तकप्तत्सिस्याराप्तप शस्ित्िादपस्माररप्तिषधारम्प्भेः|Su.Utt 61/01
• मूरकृच्रानन्िरं मूरकृच्र रप्तिक्षणमल्पाल्पंमििोऽसम्प्यगािमननाशौिादमानुषोपसगासम्प्भािनायाममानुषर्न्यव्याप्तधरप्तिषधारम्प्भो युक्त इत्यि
आि| Su. Utt 60/01
• In previous chapter अमानुषोपसगारप्तिषधा - अमानुषा दिाप्तदरिाेः अमानुषाप्तण भूिाप्तन, very first, direct
relationship of roga and manas occurs, perhaps with common Manas dusti apasmara is
explaind first.
• Moreover, Ashuchi is main cause for previous chapter which also holds good cause for
apasamara roga than compared to unmada.
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13. 5.ETYMOLOGY OF THE WORD APASMARA
• अपशब्दो गमनार्ाेः, स्मारेः स्मरणं, अपगिेः स्मारो यप्तस्मन् रोग सोऽपस्मारेः| Su.Ut 61/2
• Apasmara is so called because of Smriti Apagamana – loss of capacity to recognize
things, power of remembrance being the important feature.
• स्मृप्तिभूािार्ाप्तिज्ञानमपि पररिर्ान |
अपस्मार इप्ति रोक्तस्ििोऽयं व्याप्तधरन्िकृि्| Su.Ut61/3
• Apasmaara is defined as a state in which loss of previously perceived memory and
disease holds capacity of ending one’s life.
• स्मृिरपायो-प्तिनाशेः, अपस्मार उच्यि| As.Utt 7/1
• Stage of memory power loss.
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14. 6.DEFINITION OF APASMARA
• स्मृिरपगमं रािुरपस्मारं प्तभषप्तविदेः|
िमेःरिशं बीभत्सिष्टं धीसत्त्िसम्प्प्लिाि्| Ch.Chi 10/3
• बीभत्सिष्ट स्मृत्यपगमादौ ि ििुमाि- धीसत्त्िसम्प्प्लिाप्तदप्ति| सम्प्प्लिेः प्तिभ्रमेः, स्िरूपपान्यर्ात्िप्तमप्ति यािि्, बीभत्सिष्टप्तमप्ति िमेःरिशन
ज्ञानाभाित्िाद्बीभत्सिष्टा फनिमनाङ्गप्तिक्षपणाप्तदका यप्तस्मन्नुपगि िं बीभत्सिष्टम्|
• When a person loses his consciousness, power of discrimination, alteration in behaviour
and perception, not under voluntary control.
• स्मृत्यपायो ह्यपोस्मारेः स धीसत्त्िाप्तभसंप्लिाि्| As.Utt
• Because of dhee, satwa samplava - smritiharana occurs, this phenomenon named as
apasmaara.
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17. रर्स्िमो्यामुपििििसा Ch.Ni8/4
• प्तनयिस्त्िनुबन्धो रर्स्िमसोेः परस्परं, न ह्यरर्स्कं िमेः रििाि
• Rajasika and tamasika prakruti are easily prone.
• दुेःखकारणं भिप्ति
• Chirakalapariklista punarvartaka jwara affect leads to heenachetas and durbala shareera.
रज is of Chala guna which is of Vata
pradhana.
म is of Moha which is kapha
pradhana.
रार्सं सदोषमाख्यािं रोषांशत्िाि् िामसमप्तप सदोषमाख्यािं मोिांशत्िाि
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18. Cont…
उद्रान् तिषमबहुदोषाणां
• अरोद्भ्रान्ित्िनोन्माप्तगात्िं - िगेः रिृत्त्युन्मुखत्िं
• प्तिषमत्िन कदाप्तिदपस्मारिगकिृात्िं दर्शयाि
बिुदोषाणां – in Ch.Su 16/13-14
• श्लष्मप्तपत्तसमुत््लशो
• अबुद्चधत्व, अवसािको मनोऽवसाििः
Hikk-
a
veghod
-eerana
Shwa
-sa kasa
Apata
ntrak-
a
udavart
-a
31-03-2022 18
21. Cont…
• अदहताहारोपयोचगनाां पुनिः कारणतो न सद्यो िोर्वान्भवत्यपिारिः|
न दह सवाषण्यपथ्यानन तुल्यिोर्ाणण, न ि सवे िोर्ास्तुल्यबलािः, न ि सवाषणण शरीराणण
व्याचधक्षमत्वे समर्ाषनन भवन्न्त|
िदि ह्यप्यं दशकालसंयोगिीयारमाणाप्तियोगाद्भूयस्िरमप्यं सम्प्पद्यि|
स एि दोषेः संसृष्टयोप्तनप्तिारुिोपक्रमो गम्प्भीरानुगिप्तिरप्तस्र्िेः राणायिनसमुत्र्ो ममोपघािी कष्टिमेः प्तक्षरकाररिमि
सम्प्पद्यि|ch.su 28/7
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22. • Vikruta ahara leads to Dosha prakopa of all and they get lodged in gambhira
dhatus like Majjadi, praanayatana like hridaya…, directly affects Marma and
when dosha avastha attains deep status – roga becomes kastatamah and
Kshiprakari
• प्तििस्यानििारणयाऽप्तििसियाऽप्तिसियाऽप्तिमारिृिो दोषो र्लापूरिद्वृिेः स्िस्र्ानमाप्लाव्य स्र्ानान्िरं यािीप्ति युक्तम् CH.SU
28/32
31-03-2022 22
29. मद्यप्तनत्या प्तपपासालुमल्पस्मृप्तिमनिप्तस्र्िप्तित्तं िा Ch.Sha 8/
अपस्माररणं पुनेः कप्तलकलिशीला Ch.Sha 8/21
कप्तलेः िाप्तिकेः, कलिस्िु शारीरकेः
When garbhini indulges in kalahasheela pravrutti, garbha prone for apasmara.
So far enlisted do not directly leads to Apasmara, Dosha which has underwent
dusti will be in leena avastha, when krodaadi vyanajka nidana indulgence occurs
then the roga exhibits.
• कामक्रोधभयलोभमोििषाशोकप्तिन्िोद्वगाप्तदप्तभेः – Vyanjaka iti preraka
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30. • प्तिभ्रान्िबिुदोषाणामप्तििाशुप्तिभोर्नाि्
रर्स्िमो्यां प्तििि सत्त्ि दोषािृि हृप्तद||
प्तिन्िाकामभयक्रोधशोकोद्वगाप्तदप्तभस्िर्ा|
मनस्यप्तभिि नॄणामपस्मारेः रििाि| Ch.Chi 10/4-5
• Same nidanas dealt in nidanasthana is quoted in chikitsasthana to remind the
concepts in concise form.
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35. रजस् मोतीीू ानां गच्छ ां च रजस्िलाम्
• िषां िायुगाप्तिमत्त्िाि् रसरणििुेः सत्यप्यिैिन्य |
स प्ति रर्ोभूप्तयष्ठेः; रर्ि रििाकं सिाभािानाम्
• रर्ोबिुलो िायुेः- रर्ोबिुलो िायुिलत्िाि्
• िमोबिुला पृप्तर्िी- िमोबिुला पृप्तर्िी अत्यन्िािरकत्िाि्
• रजस्वलाां दृष्टाततवाम्– Vataprakopaka kaala and Aartava in Aagneya pradhana,
Shukra is Soumya bhava, when indulged in coapulation the Aagneya bhava may
destroy shukra and its path.
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36. Nidana in Astanga sangraha
• िषां पुनरुन्मागागत्ि ििुेः - षातमत ्ारतरमानसानां दोषाणामुन्मागिगमन,
• शमलं - ्मलं पापम्
• प्तिकृिोपप्तििमप्तििम
अनुप्तििमन्नपानप्तिप्तधप्तनरपक्षमािारर्ािमत्यु
• उपक्षीणदिानां व्यिायव्याप्तधिगसमुद्गम
• प्तिषमशरीरिष्टोपसिा - तिषमण ्ारतरणाङ्गन या चष्टा स्यािः सिा
• Acharaya Vaghbhata has not mentioned specific hetu for apasmara, quoted to consider
unmada hetu for apasmara roga.
31-03-2022 36
37. Cont..
• दि प्तद्वर्गुरूपल्लङ्घनं - दिादतनामुल्लङ्घनं िा
• रागद्वषर्प्तनिाप्तभराप्तधप्तभमानोप्तिघािो - राग-जतन ा आियो दतय ातदतिरहादयिः| द्वषजतन ा ीयादयिः| ्रातितीमिनोतिघा िः
• प्तिषोपप्तिषगरोपयोगो - गरो-्नकसंयोगजतन ं तिषम् - कव तरमं ु तिषं गरसंतज्ञ ं नानातिि्रौषि्िः संयुक्त् िः तक्रय यिन च्च कव तरमं सम्प्योगि्ादा्ु िा हतन् तचराद्वा
तचर राद्वा – Suggestive of dosha Chayapoorvaka dosha prakopa and leenavastha of doshas.
• िायुना रप्तिलोमन स्िप्नप्तिन्िापरायणेः
• One of upradava of garavisha., where gati of vata is in opposite direction
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38. • र्ायिऽप्तभिि प्तित्त प्तिन्िाशोकभयाप्तदप्तभेः|
उन्मादित्रकुप्तपिैप्तित्तदिगिैमालैेः|
Manas which is afflicted with rajas and tamas, बुद्ध्यातदतिना्ातच्चि तचन् ाद्यतीह
• थोऽोन्मादितच्चिदहग ्दरष्िः रकव तप ्िः सत्त्ि ह , हृदय व्याि
• Consumption of nidana like chinta,shoka and bhayaadi leads to mala – refers to
doshas.
31-03-2022 38
40. • Nidana sevana - Ahita acharana(since it is long term nidana )leads to doshas to settle in gambhira dhatus,
Sarva dosha prakopa
Agni dusti and Aama forms
Tridosha prakopa, Rajas and tamas afflicted mind
Hridaya seat of indriyaayatana- षडङ्गमङ्गं प्तिज्ञानप्तमप्तन्ियाण्यर्ापञ्िकम्|
आत्मा ि सगुणििप्तिन्त्यं ि हृप्तद संप्तश्रिम्
आश्रयोपघािनाप्तश्रिस्योपघािेः प्तसि एि
31-03-2022 40
41. Leena avastha of doshas हृिये इन्न्ियायतनेर्ु ि लीनत्वेनावन्स्र्तािः
Poorana of leenavastha doshas in Dhamanis[Anukta Manovaha Srotas],
indriyaayatana
When kaamaadi nidana sevana - Vyanjaka nidana
Doshas comes to vyaktaavasta in both jnanedriya and karmendriya-
अपस्मारिगयुक्तो
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42. हस्तौ पािौ गुिोपस्र्ां वाचगन्न्ियमर्ावप ि|
कमेन्न्ियाणण पञ्िैव पािौ गमनकमषणण||
• When Chala, Sheegra guna of vata aggravates and moves to above mentioned
sthana and exhibits features.
• Apasmara is also vyadhi occurs because of hridaya marmabhigata.
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43. Samprapti Ghataka : During Vega kala
• Dosha – कु तप ्मिल्ररत्यर मला िा तपिश्लष्माणो रजस् मसत च
• Vata – Prana, Udana, Vyana and samana
• Pitta – Sadhaka
• Kapha, -Avalambaka &Tarpaka
• Raja and Tamas
• Dushya- Rasa,Rakta,majja & Manas.
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47. Samprapti types
• Sankhya samprapti - ित्िारेः
• Vidhi samprapti – िािप्तपत्तकफसप्तन्नपाि
• Pradhanya samprapthi – Tridoshaja Vatapradhana.
• Vikalpa samprapti – chala, sheegra teekshna and sthimita guna of tridoshas are
predominant.
• Bala- kala samprapti - Vataja – In last part of night& early morning
Pittaja – In mid night and afternoon
Kaphaja – In morning & evening.
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48. Samprapti in Sushruta samhita
• सञ्ज्ञाििषु स्रोिेःसु दोषव्यािषु मानिेः |
रर्स्िमेःपरीिषु मूढो भ्रान्िन ििसा || Su,Utt 61/7
Nidana sevana
Tridosha, rajas and tamas-
Khavaigunyata of sanjnavaha
arotas
avarana of doshas in
sajnavahasrotas
affect on
manas
मूढो
रान् न
31-03-2022 48
49. • Vitiated rajas and tamas does रर्सेः रििाकत्िाि् & िमस आिरणात्मकत्िाि्
• द्वयोरप्तप स्रोिसोेः सूक्ष्माणां रिानानां बिुत्िाि् स्रोिेःप्तस्ित्युक्तम् – Though sanjnavaha srotas are two.
Because of sukshma bhava they are innumerable.
• उभयात्मकं बुद्ध्यात्मकं कमाात्मकं ि मनेः - भ्रान्िन ििसा leads to moha of buddhi
• भ्रमिक्रारूपढस्यि भ्रमणम्, मूच्छाा ििनाच्युप्तिेः
31-03-2022 49
50. • रर्ेःप्तपत्ताप्तनलाद्भ्रमेः |
िमोिािकफात्तन्िा, प्तनिा श्लष्मिमोभिा
• नात्यर्ं कुप्तपििाप्तप लीनो मागेषु प्तिष्ठप्ति |
प्तनष्रत्यनीकेः कालन ििुमासाद्य कुप्यप्ति Su.Su 21/
• लीन एकिेशन्स्र्तिः- Soon after prakopa of doshas they won’t lead to prasaraavastha
…doshas stays in particular region, thereby when nidana sevana continue and
further prasara of doshas occurs, next staansamshraya with rasa,rakta and gambhira
dhatus which produces poorvarupa when doshas gets adhistana in indriyas the
lakshana manifests in vega kala.
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51. Shatkriya kala
• Sanchaya – in swasthana of doshas since tridosha prakopa exits, Raja and
tamas wsr manas
• Prakopa – Amaashaya
• Prasara – Sajnavaha srotas and vatavaha, pittavaha and kaphavaha dhamanis
• Staanasamshraya – Rasa,rakta majja,hridaya and indriyaatanas.
• Vyakta – hasta,paada, mukha,Akshi
31-03-2022 51
52. Astanga Hridaya
• जायतेऽभभहते चित्ते चिन्ताशोकभयादिभभिः| उन्मािवत् प्रक
ु वपतैन्श्ित्तिेहगतैमषलैिः|
िि सत्त्ि हृप्तद व्याि संज्ञािाप्तिषु खषु ि| िमो प्तिशन् मूढमप्तिबीभत्साेः कुरुि प्तक्रयाेः|
तर्थोरमादवन्द्च्ित्तदेहगतदोष प्रकृ वित - Consumption of nidana
like chinta,shoka and bvhayaadi.
leads to mala – refers to doshas - रजस्तमोवाताददमभ
Afflicts manas(mind)- िि सत्त्ि
संज्ञािातहषु स्रो िःसु व्यािषु सत्सु, जाय Avarana of doshas to hridaya
and sajnavaha srotas.
तन्द्स्मांश्ि जाते सनत मूढमनत सन्तमो-मोहां, ववशन्बीभत्सा -
ननन्द्रदता , क्रिया क
ु रुते
31-03-2022 52
53. Cont…
• When mano dusti occurs, the function of manas is hampered and the components
associated with manas will also get dysfunctioned.
• At samprapti level difference of opinion:
• Acharya charaka : Prerequisite of upahata chetas by kama- krodhadi required.
• Dhamanis and hridaya are dosha site.
• Acharya sushruta : sanjnavaha srotas& manas – site for doshas
• Acharya vagbhata – sanjnavaha srotas, hridaya& manas
31-03-2022 53
54. 9.POORVARUPAANALYSIS
• भ्रंूव्युिासिः सििमक्ष्णोिैकृिमशब्दश्रिणं लालाप्तसङ्घाणरस्रिणमनन्नाप्तभलषणमरोिकाप्तिपाकौ हृदयरिेः कुक्षराटोपो
दौबाल्यमप्तस्र्भदोऽङ्गमदो मोिस्िमसो दशानं मूच्छाा भ्रमिाभीक्ष्णं स्िप्न ि मदनिानव्यधनव्यर्निपनपिनादीनीप्ति| Ch.Ni8/6
• अशब्दश्रवणममनत अववद्यमानशब्दश्रवणशब्दम्, आटोि गुडगुडाशब्दववशेषो वातजरय
• Poorvarupa occurs because of dosha dushya sammurchana. Here majority of
poorvarupa directing towards vata dosha pradhana Firstly, rasa dhatu is hampered
since ashraya in hridaya,
• भ्रूव्युदासोऽप्तक्षिैकृिम्and लालाप्तसङ्घाणकस्रुप्तिेः – Doshas in indriyaadhistana
31-03-2022 54
55. • लालाप्तसङ्घाणरस्रिणमनन्नाप्तभलषणमरोिकाप्तिपाकौ हृदयरिेः कुक्षराटोपो दौबाल्य
• Doshas in anutklista avastha has led to gambhiragata avastha of doshas, so majjadi-
gambira and dusti of respected dhatu is found रुक् पिाणां भ्रमो मूच्छाा दशानं िमसस्िर्ा|
अरुषां स्र्ूलमूलानां पिार्ानां ि दशानम् - मज्जरदोषा ्|
• स्िप्न ि मदनिानव्यधनव्यर्निपनपिनादीनीप्ति- Vyadhi swabhavaja poorvarupa .
31-03-2022 55
56. Sushruta Samhita
• हृत्कम्प्पेः शून्यिा स्िदो ध्यानं मूच्छाा रमूढिा |
प्तनिानाशि िप्तस्मंस्िु भप्तिष्यप्ति भिन्त्यर् Su.Ut 61/7
• Poorvaroopa is dosha- dushya sammurchana, vataadi dosha in apakavastha has
led to dusti of rasa first हृत्पीडाकम्प्पशून्यिा- Rasa kshaya,
• Nidranasha – vata prakopa
• Murccha- मूच्छाा प्तपत्तिमेःराया
• मूढसञ्ज्ञ ा नष्टसम्प्यग्ज्ञान ा
• Tridosha sammurcchana with Rasa dosha is predominant.
31-03-2022 56
58. • हृत्कम्प्पेः स्नून्यिा भ्रमेः अप्तिपाकोऽरुप्तिमूाच्छाा कुक्ष्याटोपो ऽङ्गमदास्िृट्– rasa pradoshaja vikara with
tridosha predominance
• स्िप्न गानं सनिानम् पानं िैलस्य मद्यस्य ियोरि ि मिनम् – dancing in dreams, drinking oil- alcohol
and urinating the same., अशब्दश्रिणं – Rajas and tamas dusti on manas
• भ्रूव्युदासोऽप्तक्षिैकृिम्and लालाप्तसङ्घाणकस्रुप्तिेः – Doshas in indriyaadhistana
31-03-2022 58
59. 10. LAKSHANAANALYSIS
• अपस्मारं पुनेः स्मृप्तिबुप्तिसत्त्िसम्प्प्लिाद्बीभत्सिष्टमािप्तस्र्कं िमेः रिशमािक्षि| Ch.Ni8/5
सम््लवादिनत ववकृ नतगमनात्– Perversion of smriti, buddhi & satva.
o उप्लवो िुिःखागमिः, सवाषवस्र्ास्वनन्योऽहमहां स्रष्टा स्वभावसांभसद्धोऽहमहां
शरीरेन्न्ियबुद्चधस्मृनतववशेर्राभशररनत ग्रहणमभभसम््लविः
द्बीभत्सिेष्ट – बीभत्सा फ
े नवमनाङ्गभङ्गादिरूपा िेष्टा यन्स्मन् तद्बीभत्सिेष्टम्due to
dearrangement of dhee & satva, loathsome expressions.
तम प्रवेशोऽज्ञानसाधम्यातत्, equivalent to Jnana abhava i.e., loss of consciousness.
आिप्तस्र्कं िमेःरिशप्तमप्ति कादाप्तित्कं िमेःरिशं; िमेःरिशोऽज्ञानसाधम्प्यााि्
31-03-2022 59
60. Cont…
• पर्शयत्यसप्तन्ि रूपपाप्तण- Visualizes non-existent forms,
• पिप्ति रस्फुरत्यप्तप- falls down
• प्तर्ह्वाप्तक्षभ्रूेः- tongue, eyes and eyebrows become tremulous
• स्रिल्लालो - saliva discharge from his mouth
• िस्िौ पादौ ि प्तिप्तक्षपन् - involuntary movement of limbs.
• दोषिग ि प्तिगि सुििि् रप्तिबुद्ध्यि- Gets up after above episode like getting up from sleep.
Ch.Chi 10/8-9
31-03-2022 60
61. • When the surge of doshas is over, wakes up as getting up from sleep.
• First doshaadistana in manas – Rajas and tamas leads to smriti, buddhi and Satva Vibhrama
• Why only thses 3??, Because Smriti is an integral part of buddhi and buddhi is of manas and atma
then finally manas is the vital subject.
• द्बीभत्सिष्ट- Hridaya is Ashrita of षडङ्गमङ्गं प्तिज्ञानप्तमप्तन्ियाण्यर्ापञ्िकम्
• Indriya refers to both jnanedriya and karmendriya ,िस्िौ पादौ गुदोपस्र्ं िाप्तगप्तन्ियमर्ाप्तप ि and िक्षुेः श्रोरं घ्राणं रसनं
स्पशान& any deviation of its action will be assessed by indriyadhistanas.
• So, enlisted bhibhatsa chesta like प्तर्ह्वाप्तक्षभ्रूेः स्रिल्लालो िस्िौ पादौ ि प्तिप्तक्षपन् is expressed.
31-03-2022 61
62. Cont…
• कृििगप्तष्िप्ति िगं कृत्िा क्षीणबलषु, िगो प्ति दोषाणां बलक्षयकारणं भिप्ति; यदुक्तं प्तिषमज्िर- “कृत्िा िगं गिबला” (प्ति. ३)
इत्याप्तद| Ch.Su 24/42 – commentary
Rationality behind gaining consciousness after episodes of discussed lakshanas are
explained - Potency or optimal level of doshas reduces after vegas, so person gains
consciousness.
31-03-2022 62
63. Sushruta Samhita
• प्तिप्तक्षपन् िस्िपादं - ववक्षक्षिन् इतस्तत क्षक्षिन्,- Involuntary movements of limbs, यन्द्स्मन् ववकारे ववक्षक्षिन्
हस्तिादममत्याददिेष्ट सन् आतुर क्षक्षतौ ितनत स ववकारोऽिस्मार इनत प्रोक्त
• प्तिप्तर्ह्मभ्रूप्तिालोिनेः - , ववन्द्जह्मभ्ू ववलोिन विभ्ूनेत्र ,- crooked eyebrows and abnormal gaze.
• दन्िान् खादन् िमन् फनं - bites teeth, emits froath from mouth
• प्तििृिाक्षेः- वववृताक्ष उच्छमलताक्ष - protruded eyes
• पिि् प्तक्षिौ - falls down on ground
• अल्पकालान्िरं िाप्तप पुनेः सञ्ज्ञां लभि सेः - After a short period regaining consciousness
Su.Utt 61/9
31-03-2022 63
64. • Astanga Sangraha
• दन्िान् खादन् िमन् फनं िस्िौ पादौ ि प्तिप्तक्षपन्||३||
पर्शयन्नसप्तन्ि रूपपाप्तण रस्खलन् पिप्ति प्तक्षिौ|
प्तिप्तर्ह्यप्तक्षभ्रुिो दोषिगऽिीि प्तिबुध्यि||४||
कालान्िरण स पुनिैिमि प्तििष्टि| As.Utt 7/1-4
• दोषिग चात क्रान् तिबुध्य -रकव त ं यात .
• There is no as such difference while enlisting lakshanas between brihattrayees.
31-03-2022 64
71. TRIDOSHAJA APASMARA
• सिैरिैेः समस्िैस्िु प्तलङ्गैज्ञेयप्तिदोषर्ेः|
• सिााकृप्तिेः सप्तन्नपािादपस्मार इिागिेः|
स र्न्िुं पाियत्याशु प्तिना बीभत्सिप्तष्टिैेःCh.Su24
• Tridoshaja Murcha also owns similar features of apasmara devoid of
bhibhatsachesta.
31-03-2022 71
72. Vegakala
• पक्षाद्वा द्वादशािाद्वा मासाद्वा कुप्तपिा मलाेः|
अपस्माराय कुिाप्तन्ि िगं प्तकप्तञ्िदर्ान्िरम् Ch.Chi 10/13
• 12 - Vata
• 15- pitta
• 30- Kapha
• प्तकप्तञ्िदर्ान्िरप्तमप्ति प्तकप्तञ्ित्कालान्िरं िगं कुिाप्तन्ि, स्िोककालान्िरप्तमप्ति यािि्
• Time of vega is not fixed, may occur accordingly nidana sevana leading to vyakta of leena dosha.
31-03-2022 72
73. Cont..
• What are the factors which influence vegas?
• ऋत्ििोरारदोषाणां मनसि बलाबलाि्|
कालमर्ािशाच्िैि ज्िरस्िं िं रपद्यि Ch.Chi 3/75
31-03-2022 73
74. 12. DISCUSSION ON VIKARA PRAKRUTI
• ित्िार इप्ति ििनमागन्िुसम्प्बन्धऽप्यपस्माराणां ििुष्करप्तिपादनार्ाम्; अपस्मारो प्ति नोन्मादिि् स्ििन्रणागन्िुना प्तक्रयि| Ch.Ni
8/1
• िषामागन्िुरनुबन्धो भित्यि कदाप्तिि्, िमुत्तरकालमुपदक्ष्यामेः|
िस्य प्तिशषप्तिज्ञानं यर्ोक्तप्तलङ्गैप्तलाङ्गाप्तध्यमदोषप्तलङ्गानुरूपपं ि प्तकप्तञ्िि्|Ch.Ni8/9
• In all doshaja apasmara Agantu influence persists. The features are more severe
compared to doshaja apasmara varieties and the agantuja induced apasmara
features are quite different from doshaja.
31-03-2022 74
75. Cont…
• सिाापस्मार भूिसम्प्बन्धो भिप्ति, न ि स्ििन्रोऽपस्मारो भौप्तिको भििीप्ति दशायप्ति Ch.Ni 8/9 chakrapani – all
varieties of Apasmara have relation with butha origin, but swantantra apasmara
i.e., alone bhutaja apasmara never occurs. Thus, agantuja apasmara is not
considered as variant of apasmara types.
• Apasmara Vegas occur suddenly and subside on their own without treatment. On
this account some consider apasmara as agantu roga and not Doshaja Roga.
31-03-2022 75
76. • Acharya dalhana quotes few school of opinion that apasmara is not doshaja vyadhi
and reasons provided are :
अननममत्तागमात् अकारणोत्िादनात्
गमनादकृ तेऽवि िेत्यत्र ‘प्रतीकारे’ इनत शेष ;तेन प्रतीकारे अकृ तेऽवि
व्याधेगतमनादुिशमाददत्यर्थत
आगमाच्िेनत स्वकीयात्; न िुनश्िेतरस्मात्, तत्र दोषजत्वेनािस्मारस्य दमशततत्वात्
31-03-2022 76
78. Cont…
• Seeds deposited on the earth do not sprout in the rainy season, but wait for the
arrival of autumn season when only they sprout. Similarly vitiated doshas wait for
opportune time to manifest.
• अपस्मारो महाव्यातिस् स्माद्दोषज एि ु|
31-03-2022 78
79. 13. SADHYAASADHYATA
• सिैरिैेः समस्िैस्िु प्तलङ्गैज्ञेयप्तिदोषर्ेः|
अपस्मारेः स िासाध्यो येः क्षीणस्यानिि येः| Ch.Chi10/12
• When tridoshaja apasmara exhibits with all lakshanas.
• क्षीण of shareera due to course of disease.
• अनि – Chronic course of disease.
• र्लाप्तवनिुमशैल्यो प्तिषम्यि िं सदा|
रक्षदुन्माप्तदनं िैि सद्येः राणिरा प्ति ि Ch.Chi 10/
• Jala,Agni, near tree to be protected from these places, because vegas near them leads to
sadhyopraanhara
31-03-2022 79
80. Apasmara as Maharoga
• िािव्याप्तधरपस्मारी कुष्ठी शोफी िर्ोदरी|
गुल्मी ि मधुमिी ि रार्यक्ष्मी ि यो नरेः|
अप्तिप्तकत्स्या भिन्त्यि बलमांसक्षय सप्ति|
अन्यष्िप्तप प्तिकारषु िान् प्तभषक् पररिर्ायि्| Ch.In 9/9
• Prognosis of Eight multi factorial disease is enlisted under mahavyadhi. So, if the
patients present with Apasmara lakshanas associated with Bala and mamsa kshaya
then disease is considered as Achikitsya.
31-03-2022 80
81. Arista lakshanas
• असत्तमेः पर्शयप्ति येः शृणोत्यप्यसिेः स्िनान् |बिून् बिुप्तिधान् र्ारि् सोऽपस्मारण बध्यि||२२||
मत्तं नृत्यन्िमाप्तिध्य रिो िरप्ति यं नरम्| |स्िप्न िरप्ति िं मृत्युरपस्मारपुरेःसरेः| Ch.In5/ 23
• One who perceives darkness even darkness is absent around environment and
visual hallucinations(hears sounds when there is no real sound ) In dream, a
person who sees himself dancing with ghosts while in intoxication with his head
upside down, will be taken away by death getting affected with epilepsy.
.
31-03-2022 81
82. 14. DIFFERENTIATION OF APASMARA FROM SIMILAR
OTHER LAKSHANAYUKTA VYADHI
• Mada murcha and sanyasa are mohaaavastha which is succeeding in order.
• िायुेः - मनो प्तिक्षोभ, सञ्ज्ञां सम्प्मोि
• प्तपत्त कफ- मनो प्तिक्षोभ, सञ्ज्ञां नयत्याकुलिां
• दोषषु मदमूच्छाायाेः कृििगषु दप्तिनाम्|
स्ियमिोपशाम्प्यप्तन्ि सन्न्यासो नौषधैप्तिाना
31-03-2022 82
83. • प्तिना बीभत्सिप्तष्टिैेः is the differentiating lakshana. Sanyaasa is exactly opposite to
apasmara
• Apatantraka धनुिान्नमयद्गाराण्याप्तक्षपन्मोियत्तर्ा, स्िब्धाक्षोऽर्
• उर उप्तत्क्षप्यि मन्या स्िब्धा रीिाऽिमृद्यि|| दन्िानां दशनं र्ृम्प्भा लालास्रािेः सिावरिेः| र्ाििगो प्तनिन्त्यष िैकल्यं िा प्तनयच्छप्ति”
(ि. प्ति. २८)
• In bahiryaama though few lakshanas mimic apasmara the vega occurs induces
vikalata of shareera, धनुस्तम्भां which is unique feature of bahiryaama not found in
apasmara
31-03-2022 83
84. 15.CONCLUSION
• Samprapti of apasmara occurs in two platform, one in vegakaalaavastha and other in
avegakaala.
• Apasmaara is tridoshaja,Dwimanasadoshaja Marmaashrita, Madyamaroga marga,
Gruhaavesha and Deerghakalanubandi roga.
• Smriti nasha, Tamah pravesha and Bheebhatsachesta are the cardinal features.
31-03-2022 84
85. Cont….
• Apasmara is one such roga where samprapti is focused on leena doshas and under
topic of vega oriented also apasmara is one among .Importance of vega oriented
vyadhis are influence of nidana, dosha Avastha and gati of same.
• All acharyas of Brihat-trayi has same opinion almost, where Leena dosha is attribution
by chakrapani for apasmara roga.
• यथोऽा आियनायोगोलकन सन् िन दािारस्य कटाहादिः सन् ापिः| आिारण च कटाहातदना सन् िनाियस्य घव ादिः सन् ापिः|
दिं रागादयो द्वयं रुजन् तत न्याय्यम . With above reference apasmara can be concluded
that Apasmara is ubhayashrita roga.
31-03-2022 85