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Akshepaka is named as a vata disease that repeatedly convulses the whole body; when it arises from injury the physician is told to regard it as incurable.

Vata is presented as the root cause of many local and whole-body diseases. Each of the five vayus, aggravated in its own seat, causes the diseases of that seat; joined with kapha, pitta or…

Kshipra marma lies between the big toe and the toe next to it; piercing it is said to bring on akshepaka, a convulsive vata disorder, and death.