Apatantraka (spasmodic disorder)

Vata reaching the tendons (kandara) of the hands, fingers, abdomen and heart region is said to jerk and shake the body; the patient vomits phlegm and the gaze turns upward.

Both sides feel as if broken, the patient cannot move the mouth and takes food and drink only with difficulty.

The editor explains that aggravated vata joined with kapha, reaching all the vessels, makes the body straight and rigid like a staff; this is called dandapatanaka.

Apatanaka arising from heavy loss of blood, miscarriage or a blow is said to be incurable.

A patient of apatanaka whose eyes have slipped, who is greatly exhausted, whose body is covered with many spots, whose penis is greatly enlarged and who flings his limbs on the cot and falls out of it is to be regarded as incurable and given up.

The verse itself says that one afflicted by apatanaka whose body strikes the cot and is thrown out of it is to be avoided.