AYURVEDA

1. APASMARA: AN DIAGNOSTIC APROACH
From:
DEPT OF ROGANIDANA
ALVA’S AYURVEDA MEDICAL COLLEGE
MOODBIDIRI.

2. Introduction
• Vyadhi by definition attributes physical and mental agony experienced by
patient.
• Ayurveda literature unravels variety of diseases under the heading of
shareerika ,Manasika and shareeramanaiska vikaras.
• Apasmara is one among the shareeramanasik vikara presenting with loss of
memory and involuntary movements as important presenting feature.

3. Etio - Pathogenesis
• Genetic predisposition
• Environmental factors:
Drugs,Toxins
• Psychological factors
• विभ्रान्तबहुदोषाणामहहताशुचिभोजनात् |
रजस्तमोभ्ाां विहते सत्त्िे दोषािृते
हृहद||४||
चिन्ताकामभ्क्रोधशोकोद्िेगाहदभभस्तथा|
मनस््भभहते नॄणामपस्मारः प्रिततते||५||

4. SAMPRAPTI/PATHOGENESIS
• धमनीभ िः भिता दोषा हृदयं पीडयभतत भि|
सम्पीड्यमानो व्यथते मूढो भ्राततेन चेतसा||६||
पश्यत्यसभतत रूपाभि पतभत प्रस्फुरत्यभप|
भिह्वाभिभ्रूिः स्रवल्लालो िस्तौ पादौ च भवभिपन्||७||
दोषवेगे च भवगते सुप्तवत् प्रभतबुद््यते|८|
• Aura: visual
• Motor symptoms
• Sensory symptoms
• Consciouness: loss of consciousness
• After the vega patient get up as if he is
getting up from bed.

5. Poorvaroopa
• Visual /Auditory hallucinations.
• GI symptoms
• CNS symptoms
• Psychological /Abnormal Dreams
• स्येमाभन पूववरूपाभि वभतत; तद्यथा- भ्रूव्युदासिः
सततमक्ष्िोवैकृतमशब्दिविं
लालाभसङ्घािप्रस्रविमनतनाभ लषिमरोचकाभवपाकौ हृदयग्रििः
कुिेराटोपो दौबवल्यमभस्थ ेदोऽङ्गमदो मोिस्तमसो दशवनं मूर्च्ाव
भ्रमश्चा ीक्ष्िं स्वप्ने च मदनतवनव्यधनव्यथनवेपनपतनादीनीभत||६||
ततोऽनततरमपस्माराभ भनवृवभिरेव||७||

6. Pathogenesis
Nidanam Ahara Vihara
dosha
Doshala prakriti
Clinical Features of
Apasmara
Mano
Abhighata
Hridaya
avarana
Mano dosha
dushti
Sarira dosha
dushti
Hrit
Pida
Bhranta
Cetasa
Emotional
factors

7. Concept moves around
• Dosha:Tridosha (Prana, udana, vyana vata, Sadhaka pitta)
Rajo tamadi manodosha.
• Dhatu : Rasa,Raktha
• Utbhavasthana:Hrudaya
• Adhistana :Mana,Indriya
• Vyakta sthana:Mana ,shareera
• Srotas:Samjnavaha srotas, Rasavaha
• Srotodushti: Sanga ,Vimargagamana
• Rogamarga :Madhyama

8. APASMARA
• An Episodic disorder
• तत्रावस्थिता इस्त हृदये इस्रियायतनेषु च
लीनत्वेनावस्थितााः|

9. Prathyathma lakshana
• अपस्मारं पुनिः स्मृभतबुभिसत्त्वसम्प्लवाद्बी त्सचेटमामावभस्थकं तमिः
प्रवेशमाचिते||५|| CHA. NI
• स्मृतेरपगमं प्रािुरपस्मारं भ षभववदिः|
तमिःप्रवेशं बी त्सचेटमां धीसत्त्वसम्प्लवात्||३||
CHA CHI 10
• सम्प्लवादिति ववकृ तिगमनाि्|
• बीभत्सा फ
े नवमनाङ्गभङ्गादिरूपा चेष्टा यस्ममन ्िद्बीभत्सचेष्टम ्
• Smriti Nasha (loss of memory)
• Tamapravesha.(Loss of consciousness)
• Bheebatsa chesta(Dribbling of saliva,
Tonic and clonic movements )

10. To be differentiated from:
• Unmada
• Atatvabhinivesa
• Murcha
• Sanyasa
• Akshepaka

11. Precipitating Doshas
• Atatvabhinivesam
• Unmadam
• Apasmaram
• Madam
• Murcha
• Sanyasam
• Akshepakam/apathanthrakam
manasika doshas
Sareerika doshas

12. • Mada – hrudaya + rasavahi srotas
• Murcha – hrudaya + rasa, raktavahi srotas
• Sanyasa – hrudayam + rasa, rakta, sanjna vahi srotas and pranayathanas
• Akshepaka– hrudaya + sirosankha nadis
• Unmada – hrudaya + dhee + dhruthi + smruthi
• Apasmara – hrudaya + dhee + dhruthi + smruthi

13. APASMARA: ASTAMAHAGADA
• Apasmara is one one among the Asta Mahagada explained by Acharya charaka
• These are category of diseases ,they are difficult to treat by nature.
• िातव््ाचधरपस्मारी क
ु ष्ठी शोफी तथोदरी|
गुल्मी ि मधुमेही ि राज्क्ष्मी ि ्ो नरः||८||
अचिककत्सस््ा भिन्त्स्ेते बलमाांसक्ष्े सतत| cha.I 9/8

14. CONCULSION
• Apasmara is Psychosomatic disease.
• Apasmara poorvaroopa simulates stage of Aura of epilepsy.
• Loss consciousness,loss of memory and involuntary movements are
hallmark features of Apasmara.
• Leenatva of Dosha is reason behind episodic nature