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What really is Apabahukam?

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A lot of cases comes to my teacher related to pain in

the shoulder joint. In majority of cases he takes it

as sandhigata vata and never takes it as Apabahukam.

He says that there will be no pain when you have

Apabahukam,since Ayurvedic texts does not mention abt

pain in apabahukam such cases are taken as sandi gata

vata. He also says the person will not be able to move

his hands too.In Ashtanga Hridayam it is mentioned as

a disease where the hand is not able to move.....bahu

praspanthitha haram....So my question is what actually

is APABAHUKAM. Can it be the paralysis of one or both

of the upper limbs. Please explain...

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