Gomaya churneeyam of bhela indriya sthana - an explorative study

Abstract

posterior reversible encephalopathy syndrome; NMS, neuroleptic malignant syndrome; GCS, glasgow coma scale; ICU, intensive care unit; ELDV, EOL dreams and visions; EBV, epstein-barr virus; CMV, cytomegalovirus; FUO, fever of unknown origin; OM, otitis media; TAO, thromboangiitis obliterans; PAD, peripheral artery disease; NBT, non-beneficial treatments; EOL, End-of-life stages; Abstract ‘Maharshi Bhela’ is one among the six disciples of ‘Acharya Punarvasu Atreya’ and he has composed a treatise known as ‘Bhela samhita’. Bhela samhita is having 8 sections and 120 chapters. Indriya sthana is one among the 8 sections of ‘Bhela samhita’ deals with prognostic aspects. Among 12 chapters of ‘Bhela indriya sthana’, ‘Gomaya churneeyam’ is the 9th chapter which comprises of 21 verses dealing with various emergency conditions having poor prognosis. The contents of ‘gomaya churneeyam’ are unique and further in-depth exploration is required. Previous works conducted on ‘Charaka indriya sthana’ and ‘Bhela indriya sthana’ have explored various hidden concepts having both clinical and prognostic significance. Studies on ‘gomaya churneeyam’ of ‘Bhela indriya sthana’ have been lacking and the present study is aimed to explore the contents of this chapter in terms of its prognostic significance. Various conditions like seborrheic dermatitis in an immunocompromised patients, extra pulmonary tuberculosis, nasopalatine duct cyst, age related macular degeneration, oral malignant melanoma, trigeminal autonomic cephalgia, lateral medullary syndrome, periodontitis, autonomic dysreflexia, systemic lupus erythematosus, limbic encephalitis, temporal lobe epilepsy, congenital erythropoeitic porphyria, white spot lesions, sub conjunctival haemorrhage, chronic kidney disease, end-of-life dreams and visions, fever of unknown origin and chronic widespread pain associated with mortality have been documented in ‘Gomaya churneeyam’ of ‘Bhela indriya sthana’. Further works are required to establish the facts documented in this chapter.