Luta Visha.pptx

class ppt

1. लूता विष Guided by :- Dr.Adarsh Sir Presented by :- Sushma.S.Tammagol

2. Contents *Introduction * असाद्य लकण *Origin * चिकित्सा *Classification * Spiders * अधिष्ठान * सामन्य लक्षण * लक्षण acc. to दोष’ s and stage wise

3. Introduction Definition of अगद तन्त्र अगदतन्त्रं नाम सर्पकीट लूता मूषकादि दष्ट विष व्यञ्जनार्थं विविध विषसंयोगोपर्शमनार्थञ्च | ( सु. सु.१/१४)

4. Mythological or igin of लूता :- 1.Drops of sweat on the forehead of sage vasistha, who was angered by King Vishwamitra, which fell on the cut grass transformed themselves into Loota (spiders)." 2. During the burning of Khandava forest, the sparks of fire which came from the body of asuras/demons became loota. 3. One more opinion states that intake of दुष्ट अन्न or contaminated food might lead to formation of visha sphota.

5. Classification of लूता Based on दोषप्रकोप A. वायव्य - causes वातरोग and are उद्‌भिदा - are 7 in number. B. आग्नेय - causes पित्तज रोग originated by स्वेद are 7 in number. C. सौम्य - causes कफजन्य विकारा originated by अण्डज are 7 in number. D. मिश्र - It's विष spreads very quickly also called as उपपादिका.

6. 2. Ba sed on the विष प्रभाव लूता are 3 types तीक्ष्ण मध्य अवरत्वेन ध्नन्ति वाऽऽशु अचिकित्सिताः सप्ताहेन दशाहेन पक्षेण च परं क्रमात्।। (अ.सं.उ. ४४/५) a. तीक्ष्ण विषयुक्त- Death will occur in 7 days following bite. b. मध्यम विषयुक्त- Death will occur in 7-10 days following bite. c. मन्द विषयुक्त- Death will occur in 15 days following bite.

7. 3. Based on सा ध्यसाध्यता कृच्छ्रसाध्य तथा असाध्या लूतास्तु द्विविधाः स्मृता तासामष्टौ कृच्छ्रसाध्या वर्ज्यास्तावत्य एव तु ।। (सु.क. ८/९४) कृच्छ्रसाध्या- difficult to cure, they are in mumber. असाध्या - incurable, 8 in number.

8. लूता विष अधिष्ठान : श्वास दंष्ट्रा शकृन्मूत्र शुक्र लाला नख आर्तवैः | अष्टाभिरूदमन्त्येता विषं वक्त्राद्विशेषतः ।। (अ.स.उ. ४४/१५)

9. सामान्य लक्षण " दंशा: सामान्यतस्तासां दद्रुमण्डलसन्निभः । सितोऽसितोरूणः पीतः श्यावो वा मृदुरून्नतः || मध्ये कृष्णोऽथवा श्यावः पर्यन्ते जालकावृतः । ' विसर्पवाच्छोफयुतस्तष्यते बहुवेदनः || ज्वराशुपाकविक्लेद कोथावदरणान्वितः । क्लेदेना यत्स्पृशत्यङ्ग तत्रापि कुरूत्ते व्रणम्।। (अ.स.उ. ४४ / १२)

10. General Symptoms of the bite of लूता दद्रुमण्डल apperance of round rash सित white अरूण mild red पीत yellow श्याव blue in colour. मृदु उन्नत soft and raised up मध्ये कृष्ण अथवा the centre is either black or blue

11. • श्याव पर्यन्त जालकावृत: resembling a net at its edges. •विसर्पवान् शोफयुतस्तप्यते-Burming sensation and swelling spreads sideways. •बहुवेदन severe pain •ज्वर fever •पाक under goes quick ripening/ulceration •विक्लेद exudation • कोथ purification and loss of tissues •क्लेदेन यत् स्पृशत्यङ्ग when the pus from the wound comes •तत्रापि कुरुते व्रण contact with other parts new ulcers are formed on those parts.

12. विष लक्षण according to vitiation of दोबा’ऽ Generally the poison of the लूता have properties of all त्रिदोष 's and they give rise to following diseases. दंश: पित्तात्मको दाह तृट्स्फोट ज्वर दाहवान् । सशोफः कठिनः पाण्डुः कण्डूमान् श्लेष्मिकोल्परुक् ॥ . वातिकः परुषः श्यावः पर्वभेदादिरुक्करः ।। (अ.सं.उ. ४४/१७)

13. पित्त श्लेष्म वात दाह कठिन शोफ परूष शोफ तृट पाण्डु श्याव स्फोट कण्डु पर्वभेदादिरूक्कर ज्वर रूक्

14. विष लक्षण According to Day wise दिनार्ध लक्षयते नैवं दंशो लूताविषोद्भव: The lesion at the site of the bite by loota does not manifest for half a day. On 1st Day सूचीव्यधवदाभाति appears as though pricked by a needle अव्यक्त वर्ण no change in colour in affected part रुक् and कण्डू slight pain and itching

15. 2nd Day: 1. उन्नत - edges are raised 2. पिटक - surrounded by eruptions 3. व्यक्त वर्ण- change in the colour of skin 4. नतो मध्ये depressed in the centre 5. कण्डु - has itching 6. ग्रन्थि - resembles a tumour 3 Day: 1. ज्वर- fever 2. रोमहर्ष - horripilation

16. 3. शरावरूपस्तोद-red circular patches with shape of soucer associated with pain. 4. रोमकूपेषु सास्रव: bleeding from the hair follicle. 4th Day 1. श्वयथु- there is profound swelling 2. ताप - temperature is raised 3. श्वास- dyspnoea 4. भ्रम - giddiness

17. On 5th Day 1. It give rise to symptoms of poisoning related to the dosa. On 6th Day 1. व्याप्नोति मर्म - The poison invades all the vital organs. On 7th Day 1. हन्ति जीवितम्- The poison invades all the vital organs

18. Signs and Symptoms According to the site of poison 1. By Breath श्वास श्वासेन दंश: सहसा शूयते ज्वरदाहवान्। 1.शूयते - swelling 2.ज्वर - fever 3.दाह -burning sensation

19. 2.By teeth - दंष्ट्र दंष्ट्राकृतस्तूग्रतरो विवर्णः कठिनः स्थिरः । गम्भीर शोफवस्तोद वेदना दाह संयुतः। • उग्रतरो विवर्ण- discoloration •कठिन- area is hard •स्थिर - firm •गम्भीर शोफ- profound swelling •स्तोद- pricking pain •वेदना -pain

20. 3. By Excreta शकृत् दुर्गन्धी शकृता दाह कण्डू चिमिचिमान्वितः । पच्यते चाशु पक्वश्च पाण्डुः पीलुफलोपमः ।। (अ.सं.उ.४४/१६-१७) •दुर्गन्धी - foul smelling • दाह - burning sensation •कण्डू - itching •चिमिचिमाान्वित - feeling of pins and needles •पच्यते पाशु - ripens quickly •पक्वश्च पाण्डु : - When ripe it is yellowish colour

21. 4. By Urine मूत्र मूत्रेण रक्तपर्यन्तो मध्ये कृष्णो विशीर्यते । आवर्तसदृशः शूनः पूतिः सर्पति दध्यते || •रक्तपर्यन्तो मध्ये कृष्णो विशीर्यते swelling has red colour and black centre •आवर्तसदृशः resembles a whirl •शून: पूर्ति emits foul smell •सर्पति spreads outwards •दध्यते has burning sensation

22. 5. By Semen शुक्र शुक्रेण ग्रन्थिसंस्थान: कठिन स्तीव्र वेदनः । •ग्रंथि संस्थान swelling resembles a tumour •कठिन is hard •तीव्र वेदन: very painful 6. By Saliva लालास्राव अल्प मूलोल्परुवकोङ्गो लालया कण्डुरो मृदुः । (अ.सं.उ. ४४ / १८-१९)

23. • अल्पमूलो elevated rash which is not elevated • अल्परुक्कोटो little pain • कण्डुरो itching • मृदु soft to touch 7. By nails नखेन चोष पिटका कण्डू धूमायनान्वितः । • चोष burning sensation •पिटका eruptions

24. • कण्डू itching • घूमायनान्वित feeling as though smoke is coming out 8.By Menstrual blood - रजसा किंशुकोदर वर्णस्तु रजसा चञ्चुमालवान् | •किंशुकोदर वर्णस्तः eruptions appear having colour of किंशुक flowers (red) •चञ्चुमालवान् resembles a garland

25. असाद्य लक्षण प्राणान्तिकोषु हन्मोह श्वास हिध्मा शिरोग्रहाः । श्वेतासिताः पीतरक्ताः पिटकाः श्वयथूद्भवः ॥ वेपथुर्वमथुर्दाह स्तृडान्ध्यं वक्रनासता | श्यावोष्ठ वक्त्र दन्तत्वं पृष्ठग्रीवाव भञ्जनम् ॥ पक्व जम्बूसवर्णं च दंशात् स्रवति शोणितम् ॥ (अ.सं. उ. ४४/३४)

26. लूता दंश चिकित्सा नस्य अञ्जन अभ्यञ्जन पान धूमं तथाऽवपीडं कवलग्रहं च संशोधनं चोभयतः प्रगाढं कुर्यात्सिरामोक्षणमेव चान्त।।" (सु.क.८/१३४)

27. Apart from this, the treatment include the following 1.उद्धरण - अथाशु लूतादष्टस्य शस्त्रेणादंशमुद्धरेत्। 2.दहन - दहेत जांबवोष्ठाद्यैर्न पित्तोत्तरं दहेत् । 3.लेप - लेपयेद्दग्धमगदैर्मधुसैन्धव संयुतैः । 4.सेक - सुशीतैः सेचयेच्चानु कषायैः क्षीरिवृक्षजैः । 5. रक्तमोक्षण - सर्वतो: अपहरेद्ररक्तं श्रङ्गाद्यैः सिरयापि वा । 6.परिशेक - स्रुते रक्ते परीषेको घृत क्षीरादिभिर्हितः।

28. 7.वमन - उदीर्ण दोषान् बलिनो विषे महति वामयेत्। 8.विरेचन- विरेचयेच्च त्रिफला त्रिवृत् त्रिकटु सैन्धवैः | 9.बस्ति- आध्मान हिध्मा श्वासेषु ... .. बस्तौ ... .। 10.नावन नस्य - नावनं गौरवे शोफे लालास्रावे हनुग्रहे..नस्यं विषहरं परम| 11.‍ अञ्जन - नेत्रोपरोध श्वयथु कण्डू निद्रा समागमे | स्रोतोञ्जन रसाञ्जने। 12. कर्णिका पाथन - निवृत्तेदाहशोफादौ कार्णिका पातयेद् व्रणात् |

29. कुसुम्भ पुष्पं गोदन्तः स्वर्णक्षीरी कपोतविट्| त्रिवृता सैन्धवं दन्ती कर्णिका पातनं तथा || • कर्णिका पातसमये बृंहयेत विषापहै: । 13. सर्पि प्रयोग - स्नेहकार्यमशेषं च सर्पिषैव समाचरेत् | विषस्य वृद्ध्ये तैलमग्नेरिव तृणोलपम्।।

30. SPIDERS There are at least 50,000 spider species in the arachnid family Spiders are defined as having eight jointed legs, no wings, no antennae and only two body sections: the thorax and the abdomen. All spiders have some amount of venom with varying degrees of potency. The venom is injected through the hollow fangs into the victim. The venom will rapidly paralyze the victim and aid in digestion. Fortunately, most spiders are not dangerous to humans because their fangs are either too short or too to penetrate human skin.

31. Symptoms :- Body as a whole Pain similar to a bee or wasp sting at the site of the bite. Sense of swelling of lips and throat . Respiratory Difficulty in breathing Eyes,ears,nose and throat Angioedema (eye lid puffiness)

32. Skin temperature over the bite area tends to be warmer than the surrounding area. 4. Skin Redness Rash Itching Swelling at the site of bite 5. Heart and blood vessels Rapid heart rate and low blood pressure .

33. Brown Recluse Spider • The brown recluse spider is also known as the violin spider or fiddleback spider. • It is a venomous spider, Loxosceles reclusa, of the family Sicariidae. • It is usually between 1/4 and 3/4 inch but may grow larger. • It is brown and usually has markings on the dorsal side of its thorax, with a black line coming from it that looks like a violin with the neck of the violin pointing to the rear of the spider resulting in the nickname "fiddleback spider" or "violin spider". •It has six eyes rather than the typical eight and the tail-end segment has no markings.

34. Scientific Classification Kingdom - Animalia Phylum - Arthropoda Class- - Arachnida Order - Araneae Family - Sicariidae Genus - Loxosceles Species - L.reclusa

35. Bi nomial name Loxosceles reclusa It usually bites only when pressed against human skin such as when putting on an article of clothing. Symptoms •The wound takes on a bull's-eye appearance, with a center blister surrounded by an red ring and a blanched or white ring.

36. •The bite produces a mild stinging, followed by local redness and intense pain within eight hours. •The fluid-filled blister then sloughs off to leave a deep, enlarging ulcer. •The ulcer can enlarge and involve underlying skin and muscle tissue. •Pain may be severe. •A generalized red, itchy rash usually appears in the first 24-48 hours. •Other symptoms include fever, chills, nausea, vomiting, muscle aches and hemolytic anemia. •On rare occasions death results ,more often in children.

37. Black Widow Spider Binomial name - Latrodectus mactans Scientific Classification Kingdom - Animalia Phylum - Arthropoda Class - Arachnida Order - Araneae

38. Family - Theridiidae Genus - Latrodectus Species - mactans •Latrodectus includes approximately 31 recognized venomous species, with the black widow spider being the best known member of the group. •Widow Spiders carry a neurotoxic venom. •The black widow spider is a shiny, inky black spider with a large round tail segment (abdomen), generally measuring from one-half inch to one inch in length. •Widow spiders are large, strong-looking house spiders. •The abdomen is dark and shiny, and has one or several red spots, either above or below.

39. • Male widows, like most spiders, are much smaller than the females and are generally considered to be much less dangerous than the females. •Widows tend to be quite non-aggressive, but will bite if the web is disturbed and the spider feels threatened. Sym ptoms •The bite feels like a pinprick. •A black widow spider bite gives the appearance of a target, with a pale area surrounded by a red ring.

40. • At first you may notice only slight swelling and faint red marks. Within a few hours, intense pain and stiffness begin. •Other signs and symptoms include-chills, fever, nausea, severe abdominal pain etc. •Severe muscle pain and cramps may develop in the first two hours. •Severe cramps are usually first felt in the back, shoulders, abdomen and thighs. •Other symptoms include weakness, sweating, headache, anxiety, itching, nausea vomiting, difficult breathing and increased blood pressure.

41. Wolf Spiders Wolf Spiders are large hairy spiders up to 3-4 inches across

42. • They are a mottled gray-brown color. •They are aggressive, come after their prey and are fast runners. •Bites from a wolf spider can cause pain, redness and swelling. •The large jaws/fangs can cause a tear in the skin as they bite. Swollen lymph glands may develop. •The skin area at the bite may turn black. •Swelling and pain can last up to ten days.

43. Tarantulas •Tarantulas are also large hairy spiders with sharp bristles. •The hairs are easily shed or can be rubbed off.

44. •Handling a tarantula can result in irritation to the skin. •If hands are not washed after handling a tarantula and eyes are touched the sharp hairs can cause eye irritation. •Their bites can be quite painful because of the large size of the spider.

45. Treatment • Clean the wound with mild soap and water. Apply an antibiotic ointment three times a day to help prevent infection. •Apply a cool compress over the bite for 15 minutes each hour. Use a clean cloth dampened with water or filled with ice. This helps reduce pain and swelling. • If possible, elevate the affected area. • Take an over-the-counter pain reliever as needed. •If the affected area is itchy, an antihistamine, such as diphenhydramine (Benadryl) or certirizine (Zyrtec), might help.

46. References 1) Classical ref – Ashtanga Hridaya, Ashtanga Sangraha Sushruta Samhita, Charaka Samhita. 2) Modern aspect- Goutham Biswas, K. S Narayan Reddy.