Page:Sushruta Samhita Vol 3.djvu/417

 Now we shall discourse on the chapter which deals with the (symptoms and) medical treatment of Insanity (Unmáda-Pratishedha). 1. Derivation: — In as much as (in this disease) the deranged bodily Doshas traversing the upper part of the body affect the up-coursing nerves and produce there by a distracting state of the mind, it is called Unmáda(Insanity), and it is a disease of the Manas (mind). 2. Classification:— This disease is divided into five different types according to the nature of their origin —viz., the three types due to the several actions of the three deranged and aggravated Doshas, the one due to their concerted actions and the one due to grief, etc. (real or imaginary). There is a sixth kind also, viz., that due to the effects of poison, which should be treated according to the nature and intensity of the deranged Dosha or Doshas lying at the root and which in its early stage, if not abnormally aggravated, goes by the name of Mada. 3.

Premonitory Symptoms:— Fits of unconsciousness, agitated state of the mind, ringing of the ears, emaciation of the body, excessive energy of action aversion to food, eating filthy things in dreams, perturbation i.e. palpitation (of the heart) due to Váyu and vertigo or giddiness are the symptoms in a patient which forebode a speedy and impending attack of insanity. 4. Specific Symptoms of Vátaja, Pittaja and Kaphaja types: — Shaggy appearance, use of harsh language, appearance of a number of Dhamanis