Dr. Shreevani Pillamarapu

Ayurveda Consultant

[drshreevani]

Basti nirmanartha quantity:

Aushadha dravya kwatha - ⅕ th part

Sneha in vataj vikruti - ¼ th part

Sneha in pittaj vikruti - ⅙ th part

Sneha in kaphaj vikruti - ⅛ th part

Niruha basti matra :

6 month - 1 year - ½ prasruta then increase ½ - ½ prasruta every year.

12 years - 6 prasruta then increase 1 - 1 prasruta every year till 18 years.

18 year - 12 prasruta

18 - 70 years - 12 prasruta

After 70 years - 10 prasruta

Uttar basti :

Pushpanetra pramana:

Female - mudga pramana

Male - sarshap pramana

Netra pravesh ( insertion of uttar basti netra)

Female- 

in yoni marga. - 4 angula

In mutra marga - 2 angula

Bala (female child):

Yoni marga - not given

Mutra marga - 1 angula

Sushruta:

Male :

6 angula 

Uttarbasti matra:

Charak - ½ pala

Sharangdhar - 20 pala

Sushruta:

Male:

Sneha - 1 prakuncha ( 1 pala)

Kwatha - 1 prasruta ( 2 pala)

Female:

Sneha - 1 prasruta (2 pala)

Kwatha - 2 prasruta (4 pala)

[drshreevani]

Arogya Setu App, the App launched by Government of India, as you all are sitting at home, some may be doing work from home and some may be in corona positive surroundings and may not be, but if you want to do something for yourself,and for country, please download the app and fill in correct information in order to help each and every health Care team who are effort fully working to eradicate this pandemic disease.

[drshreevani]

Nabhinal kartan janya vyadhi:

Charak-4 (uttundika, pindalika, vinamika, vijrumbika)

Vagbhat -2 (vinamika, vijrumbika)

Dantodbheda Kala : 

Kashyapa - 4-8 month

Vagbhat - 8 month

Vaman- virechan vyapad/ complications:

Charak-10

Sushruta-15

Vagbhat-12

Basti netra praman-

Charak

6 years - 6 angula length - munga praman

12 years - 8 angula length - satina praman

20 years - 12 angula length- karkandu praman

Sushruta:

1 year- 6 angula length - kanishthika breadth - mudga tulya pramana - 2 prasruta 

8 years - 8 angula length - anamika breadth - udad/masha tulya pramana - 4 prasruta

16 years- 10 angula length - madhyama breadth - matar/ satina tulya pramana - 8 prasruta

25 years- 12 angula length - angushtodara breadth - kolasthi tulya pramana - 12 prasruta

>70  years- 12 angula length - angushtodara breadth - kolasthi tulya pramana - 8 prasruta

Vranetra hetu length :

8 angula - mudga tulya chidra

Vagbhat:

Less than 1 year - 5 angula pramana

1- 6 years - 6 angula pramana

Until 7 years - 7 angula pramana 

Until12 years - 8 angula pramana

Until 16 years- 10 angula pramana

Until 20 years - 12 angula pramana

Basti netra dosha:

Charak - 8 

Sushruta -11

Basti puta dosha:

Charak -8

Sushruta -5

Bastidata dosha:

Charak -10

Sushruta -6

Basti nirmana dosha:

Charak -12

Sushruta:

Vaidya and aturnimitta upadrava - 44

Aturnimitya upadrava - 15

Vaidya nimitta upadrava - 8

Complications due to not returning of sneha - 9

Total complications - 76

[drshreevani]

Now a days, Hairfall problem is faced by many young adults as well as women which is becoming challenging situation for them. So, in search of many solutions for hair growth, they are spending lots of money for laser therapy, hair transplant and whatever their friends suggest.

It may be an underlying disease of Thyroid disorder, secondary syphilis, mainly common is iron deficiency anemia.

Causes:

In Ayurveda, the main cause is an increase in pitta, due to consumption of spicy, oily food, not following a healthy lifestyle, anger, and stress.

Other causes are Family history, Hormonal changes, Medications and supplements, Radiation therapy to the head, certain hairstyles and treatment.

Treatment:

Diet-

Cereals- wheat, barley, brown rice, tender grains.

Pulses- lentil, mung bean, chana.

Milk and milk products- milk, buttermilk, clarified butter.

Asanas:

Shirasasan, sarvangasana, halasan.

Paste application prepared from gokshura churna, sesame flower powder, honey and clarified butter, apply once a week for a year.

Nasal drops - 4 drops in each nostril daily night prepared from yashtimadhu, cows milk, amla powder, sesame oil by oil extraction method.

[drshreevani]

Oshtha roga - 

Sushruta -8

Vagbhat -11 (sushrutokta 8 + khandaushta, ostharbuda, jalarbuda)

Yavagu in garbhini:

Charak - 8 th month

Sushruta - 6 th month

Sushruta - 8 th month - asthapan and anuvasan basti

Charak - 9 th month anuvasan basti only

Prasutagar female for paricharya:

Sushruta - 4 female

Charak - as needed

Vagbhat - 2

Vish reference:

Charak chikitsa sthana 23 chapter

Sushruta - kalpa sthana

Bhav prakash chikitsa sthana

Kashyapa sarvavish pratipadak chapter

Upavish number:

Rasatarangini -7

Rasa Ratna Samuchhaya, yog ratnakar, bhav prakash, sharangdhar -11

Swarabheda:

Charak -6 ( vataj, pittaj, kaphaj, sannipataj, raktaj,medoj)

Sushruta -6 (vataj, pittaj, kaphaj, sannipataj, kshayaj, medoj)

Arochak ( Bhaktopaghat):

Charak -5 (vataj, pittaj, shleshmaj, sannipataj, manasik)

Dauhrudavastha:

Charak - third month

Sushruta - fourth month

Vagbhat - 3 paksha to 5 month

Kashyap - third month

Garbhanalachedan ( with ardhadhar shastra):

Charak, sushruta - 8 angula 

Vagbhat - 4 angula

Annaprashan Kala:

Vagbhat - 6 month

Kashyap - 10 month

Karnavedhan kala:

Sushruta- 6,7 month shukla paksh

Vagbhat - 6,7,8 month ( shishiragam kala)

[drshreevani]

Insomnia Insomnia is characterized by chronic dissatisfaction with sleep both quantitatively as well as qualitatively that is associated with difficulty falling asleep, frequent nighttime awakenings, with difficulty returning to sleep, and / or awakening earlier in the morning than desired. Causes: The problem of insomnia is increasing day by day due to stressful life, deteriorated environmental condition, imbalanced pattern of lifestyle, and misconduct of dietary regime. Management: Include food containing multivitamin like Apple, mango, papaya, coconut, green leafy vegetables, wheat, rice, pulses and milk products however junked food and heavy food must be avoided before sleep. Eat a combination of sugar, rice, milk. Consumption of heavy, oily and spicy food should be avoided before sleeping. One should fall asleep during natural sleeping time (not too early or not too late). Do Dinner 2-3 hours, before bedtime. Do Meditation before going to bed for 10 min. Do yoga asanas like suptabadhakonasan, dirgha pranayama, shavasan. Eat shatavari powder or ashwagandha powder in 150 ml of hot milk twice a day. Electronic gadgets such as laptops and mobiles must be avoided before sleeping time. Caffeine and tea should be avoided. Day time sleep to be avoided. Do Bath before sleep as it induces sleep. Do chant mantras and japa for 10 min twice a day.

[drshreevani]

Low Immunity: Low Immunity or weakness may be a symptom of underlying diseases like COPD, Cerebral Palsy, Poliomyelitis and Rheumatoid Arthritis. It is related to auto immune diseases. If your Immunity is low it shows symptoms of both physical and mental like you are unable to concentrate or focus on any work, you may be stressed, and physically like you feel tired even in getting up early in morning from bed, doing your own activities like bathing, walking, sitting. Causes: Deteriorated lifestyle, lack of physical exercise, pranayama, and in today's life stress plays major role for low immunity. It may also be due to deficiency of carbohydrates, proteins, minerals, vitamins. Some measures to boost your Immunity are: Take any 5 gm Rasayan like triphal Rasayan with honey in morning. Chew well. Do yogasanas like paschimottanasan, ardha matsuendriuasan, matsyasan, uttanasan, sukhasan and pranayam. After hour an hour drink Luke warm water. Do not drink tea instead, drink decoction made of Tulsi, cinnamon, black pepper, raisin and dry ginger. Drink golden milk that is 150 ml of hot milk with half teaspoon of turmeric powder twice a day. Include raw vegetables, leafy vegetables in your diet instead of spicy, salty food. Eat pomegranate, kiwi, orange, carrot.

[drshreevani]

Age distribution: Charak: Bala ( 0-30 years ) 1- 16 years - aparipakwa dhatu bala 16 -30 years - paripakwa dhatu bala madhyam - 30 - 60 years Jirnavastha - 60 - 100 years Sushruta: Bala ( 1 - 16 years )  kshirap - 1 year Kshirannad - 2 years Annad - 2 - 16 years madhyam (16 - 70 years ) vruddhi - 20 years Yauvan - 30 years Purnata - 40 years Hani - 40 - 70 years Vrudha > 70 years Asthanga sangraha - vrudhavastha > 60 years Asthanga hrudaya - vrudhavastha > 70 years Sara: Charak -8 Kashyapa -9 (oja sara extra) Yogi shakti: Charak -8 Yogshastra - 23 ( kshudra -5, guna pradhan - 10, bahya pradhan - 8) Swapna bheda: Charak -7 ( dushta, shruta, kalpita, prarthit, anubhut, bhavik, doshaj) Kashyapa-10 Bhutonmada types: Charak -8 Sharangdhar -20 Sushruta -8 (devashatru and naga graha replaced in place of shaponmata and brahmarakshasonmat ) Vagbhat - kushmanda, nivada, vaitala, preta, aukirana Madanphala yoga: Charak -133 Sushruta - 31 Antariksha jala type: Charak -3 ( Dhara, kara, Hema) Sushruta -4 (  dhara, kara, hema, taushar)

[drshreevani]

Murcha : Charak -4 Sushruta -6  Vataj Pittaj Kaphaj Raktaj Madyaj Vishaj Madhav-6 Madya guna- Charak -10 Laghu Ruksha Ushna tikshna Sukshma Ashugami Vyavayi Amla Vikasi Vishad Sushruta -8 Vagbhat -10 Swarabheda: Charak -6 Sushruta -6 Vataj Pittaj Kaphaj Sannipatik Kshayaj Medoj Mutraghat : Charak -8/13 Madhav-13 Sushruta -12 Vatakundalika Asthila Vatabasti Mutratit Mutrajathar Mutrotsang Mutrakshaya Mutragranthi Mutrashukra Ushnavata Pittajanya mutroksad Kaphajanya mutoksad Vagbhat -20 Tantrayukti- Sushruta -32 Adhikaran Hetvartha Uddesh Nirdesh Upadesh Apadesh Pradesh Atidesh Apavarga Vakyashesh Arthapatti Viparyaya Prasanga Ekanta Anekanta Purvapaksha Nirnayakhya Anumat Vidhan Anagata Atikranta Sanshaya Vyakhyan Swasangya Nirvachan Viyog Samuchaya Vikalpa Uhyakhya Padarthabhidha Yog Nidarshan Charak -36 Sushrutokta 32 plus Sambhav Uddhar Pratyutsara Prayojan Bhattar Harischandra -40 Pariprashna Vyutkrantiabhidhan Vyakaran Hetu Vagbhat -36 Bhav Prakash -42 Mutra bheda- Charak -8 Sushruta -9 Mamsavarga- Charak -8 Sushruta -6 Mutrakruchra : Charak -8 Mutropaghat  Sushruta -8 Bahirmukha strotas - Sushruta -9 Sharangdhar -10 Yogvahi -11  Madya stages: Charak, sushruta -3 Madhav -4 Krumi: Charak : Malaj -2  Purishaj -5 Raktaj -6 Kaphaj -7 Sushruta : Purishaj -7 Raktaj -7 Kaphaj -6 Vagbhat - Bahirmalaj -2 Kaphaj -7 Raktaj -6 Purishaj -5

[drshreevani]

Constipation | Causes and Ayurvedic Management of Constipation 

Constipation: There is a difference between Abdominal Discomfort and Constipation. Constipation is characterized by less than three bowels per week. Many of my patients complain about constipation. The rate is 8 among 10. Now a days, many people without prescription take over the counter laxatives like Kayam churna, Dulcolax, Triphala powder, which should not be used frequently because it may be a symptom of underlying diseases like Hirschsprung disease (congenital megacolon), Cerebral palsy in children and in Adults it may be related to Endocrine disorders like Diabetes Melitus, Hyperthyroidism or Lifestyle disorder, Psychological, Neurological. Causes: Deteriorated Lifestyle, sleeping daytime, consuming spicy food, controlling natural urges mainly stools. Management: Shodhan and Shaman Chikitsa. Shodhan includes Panchakarma therapy that is vaman, virechan, anuvasana basti. Shaman chikitsa: Drink milk 1 glass before going to bed in place of other laxatives. Don't drink cold water. Drink more water, especially Luke warm water. Intake of leafy vegetables like lettuce, spinach and others like dry grapes, haritaki is good. Maintain your digestion by consuming saindhav salt in Lukewarm water 10 min before meals and butter milk after 10 min after your meals.

[drshreevani]

It is necessary to become Fat to Fit because it leads to Diabetes Mellitus, anemia, anxiety, various types of Skin diseases, Thyroid, PCOD,etc.

The BMI more than 25 is said to be Obesity.

Causes of Obesity are:

Consuming sweets, milk and milk products like clarified butter, pander, etc excessively.

Preparing dishes of all flours like white flour, wheat white flour, corn flour.

Sleeping in daytime, not following Dinacharya that is scheduled Lifestyle.

Diet Regimen according to seasons.

Treatment :

It includes Shodhana and Shaman chikitsa.

In shodhana, Panchakarma therapies are very important which includes vaman, virechan, Nasya, Raktamokshan and Basti , Lekhan Basti is best.

Shaman chikitsa :

Diet plan for Obesity:

Early morning-

One glass of hot water with lemon or lime juice.

Morning breakfast:

Any one or two items from below,

¾ cup of milk without adding sugar or one cup of tea or coffee with little milk.

An orange/ mosambi or any other fruit of an ordinary size.

One slice of bread or one small khakhra.

(Note- Brown bread and chapatis made from bran rich wheat flour are preferable.)

Those who are heavily overweight can avoid them.

One egg ( for non- veg)

2-3 small tomatoes/ cucumbers.

Mid-day meal:

Take a cup of veg soup or any other soup before starting the meal.

Before other courses are taken, take green salad containing 4-5 tomatoes or 2-3 medium size cucumbers.

Chew them well. They can be taken in larger quantities also.

One small bowlful of a low- caloric cooked veg from below list like green leaf veg, carrots, cucumber, unripe tomatoes, brinjals, cabbage, beat, radish, white gourd, French beans, lady finger.

One or two small Chapatis.

One small cupful of moong beans or any other soup made from common pulse or cereal.

Afternoon:

As per morning breakfast.

Supper:

Same as a mid day meal. But a small cupful rice or khichdi can be taken as a substitute for bread or chapati.

Yoga Asanas:

Get up early at 6:00 am and do brisk walking that is fast walking upto 20 minutes, so that you will get fresh oxygen and blood circulation occurs at its best.

Then before starting any physical exercise there is a rule to do anuloma - viloma pranayama for nasi shuddhi so that the yoga asanas will help to reach till fine circulation/ strotas and clean medas that is fat.

Shuddhi kriya- kapala bhati.

Pranayama- Bhastrika.

Asanas- Pavanamuktasana, Paschimottanasana, Dhanurasana, Bhujangasana, Hastapadasana but high blood pressure, those who have undergone abdominal surgery are contraindicated.

Do udvartana of raktachandana, neem, turmeric, khadir, amalaki.

[drshreevani]

Kshar Guna: Charak -10  Sushruta -8 Na atitikshna Na atimrudu Na atishukla Shlakshna Pichhil Abhishyandi Shiva Shighra Vagbhat -10 Asthanga sangraha -10 Kshar dosha- Sushruta -8 Atimardav Atishweta Atyushna Atitikshna Atipichhil Prasaran shilta Sandrata Apakwata Hinadravyata Agnikarma vidhi - Sushruta -4 Valaya  Bindu Vilekha Pratisaran Vagbhat -7 Valaya  Bindu Vilekha Pratisaran Ardhachandra Swastika Asthapada Shalya gati: Sushruta -5 Asthanga sangraha -3 Asthanga hrudaya -5 Rutukala: Charak and sushruta - 12 days Vagbhat and Bhav Prakash - 16 days Manusmruti and Videha - 16 days Rajodarshan age: Sushruta -12 years Kashyapa -16 years Bhav prakash -16 years Maithun contraindicated day: Sushruta - first 3 days of menses and 13th night. Vagbhat - first 3 days of menses and 11th and 13th night. Asthi: Charak and kashyapa- 360 Ayurveda Vigyan - 264 Sushruta and Bhela - 300 Shakha - 120 Madhya Sharir - 117 Above neck - 63 Modern -206 Sandhi : Charak - 200 Sushruta - 210 Shakha - 68 Madhya Sharir - 59 Above neck- 83 Snayu : Charak -900 Sushruta -900 Shakha - 600 Madhya sharir- 230 Above Neck- 70 Peshi: Charak -400 Sushruta -500 Shakha -400 Madhya Sharir - 66 Above neck - 34

[drshreevani]

Feeling of Abdominal Discomfort | Abdominal Distension

Causes are: 

Not following Dinacharya, not waking up early in the morning, sleeping in afternoon, controlling Natural urges like urine, motion, hunger, thirst but mainly motion. 

 Abdominal discomfort may be a symptom of underlying disease like constipation, Irritable bowel syndrome, Crohn's disease, Ulcerative Colitis, Gastrointestinal disease, Liver disease, Gastric dilatation, Volvulus, Ascites due to Cancer. 

Treatment:

Never drink cold water, while suffering from abdominal distension. 

Do not control natural urges especially motion. 

Drink Eranda taila that is castor oil 10 ml at night. 

Do detoxification of the body once a year. 

Keep your Agni sama by consuming shunthi powder in hot water before your meals half an hour and Butter milk after your meals. 

Drink milk instead of tea or add ginger, cardamom, cinnamon to it. 

[drshreevani]

Artava dosha-8 Aushadha kala- Charak-10  Bhaktadau (pratah niranna and bhojanapurva) Madhyebhakta Bhaktapaschat (morning and evening) Muhurmuhur Samudga Sambhukta Grasa Grasantara Sushruta-10 Vagbhat - 11 ( nishi extra) Sharangdhar-5 Kashyapa -10 Length of Sharir Charak -84 angula Sushruta -120 angula Asthanga sangraha - 84 angula Asthanga hrudaya -3 ½ angula Kshaurakarma- Charak, Sushruta, Vagbhat -thrice in a paksha means 15 days Ksharapani and Bhela- once in three months. Roga gyanopaya- Charak -3 (pratyaksha, anumana, aptopadesha) Sushruta -6 (panchabhi shrotadibhi prashnena cha) Yantra sankhya Sushruta -101 Swastika - 24 Sandansha - 2 Tala - 2 Nadi - 20 Shalaka - 28 Upayantra - 25 Vagbhat -116 Swastika - 24 Sandansha - 4 Tala - 2 Nadi -23 Shalaka - 34 Upayantra - 29 Pramana of all yantras according to sushruta and vagbhat are- Swastika - 18 angula Sandansha - 16 angula Tala - 12 angula Nadi - according to need Shalaka - according to need Upayantra -according to need Shastra sankhya- Sushruta- 20 Vagbhat - 26 (sushrutokta 20 plus karnavedhan, khaja, kurcha, sarpamukha, linganashavedhini, kartari) Mula nadi yantra- 12 Dalhan - 20 Eshani types: Charak -2 Sushruta -3 (tikshna kantak, prathamyavapatramukha, gandupadamukha) Anushastra sankhya- Sushruta -14 Vagbhat -12 Kshara types- Charak - 2 (paniya and pratisaraniya) Sushruta- 2 (paniya and pratisaraniya) pratisaraniya into mrudu, madhya and tikshna types.

[drshreevani]

CHARAK SAMHITA 3 Adhyaya Jvara Chikitsa.

Jwaro vikaro rogascha vyadhiratanka eva cha.

           Ekoartho namaparyayeivividhairabhidhiyate. (charak chikitsa /Jwara adhyaya 3/11)

Jwara is known by various synonyms such as vikara, roga, vyadhi and atanka.

Tasya prakrutirudhhistha doshah sharirmanasah.

Dehinam na hi nirdosham jwarah samupasevate.( charak chikitsa /Jwara adhyaya 3/12)

The sources of origin of fever are the (deranged) doshas of body and mind because fever does not arise in the person devoid of the same.

Kshayastamo jvarah papma mrutyuschokta yamatmakah.

           Panchatvapratyayannrunam klishyatam svena karmanah. (charak chikitsa /Jwara adhyaya 3/13)

Ityasya prakrutihi prokta,

Again, by nature fever is related to the god of death and is known as kshaya (wasting), tamas (causing loss of consciousness), papma(sinful) and mrutyu (causing death) because it leads the person suffering from their own deeds to fiveness (death when only five mahabhutas remain bereft of the consciousness). Thus, is said to the prakruti.

Pravruttistu parigrahat. Nidane purvamuddhista rudrakopascha darunat. (charak chikitsa /Jwara adhyaya 3/14)

Initial appearance of fever is due to the parigraha (receiving) and rudras wrath.

Dwitiye hi yuge sharvamakrodhavratamasthitam.

Divyam sahastram varshanamsura abhidudruvuhu. (15)

Tapovighnashana kartuhu tapovighnam mahatmanah.

           Pashyan samarthaschopeksham chakre dakshah prajapatihi. (16)

Punarmaheshwaram bhagam dhruvam dakshah prajapatihi.

           Yagne na kalpayamasa prochyamanah surarirapi. (17)

Ruchah pashupateryascha shaivyam ahutayascha yah.

           Yagyasiddhipradastabhihinam chaivam sa ishtavan. (18)

Athitirnavrato devo buddhya dakshavyatikramam.

           Rudro raudram puraskrutya bhavamatmavidatmanah. (19)

Srushtva lalate chakshurvai dagdhva tanasuran prabhuhu.

           Balam krodhagni santaptamasrujat satranashanam. (20)

Tato yagyaha sa vidhwasto vyathitascha divaukasah.

           Dahavyathaparitascha bhranta bhutgana dishah. (21)

Atheshwaram devaganah sah saptarshibhirvibhum.

           Tamrugbhirastuvan yavachaive bhave shivah sthitah. (22)

Shivam shivaya bhutanam sthitam gyatva krutanjalihi.

           Bhiyabhasmapraharanstrishira navalochanah. (23)

Jvalamalakulo raudro hrasvajanghodarah kramat.

           Krodhagniraktavan devamaham ki karavani te. (24)

Taptuvacheshwarah krodham jwaro loke bhavishyasi.

           Janmado nidhane cha tvamapacharantareshu cha. (charak chikitsa /Jwara adhyaya 3/25)

In the second age (treta yuga) when Lord Shiva was observing the vow of wrathlessness (penace), the demons living on obstacles to penance, created mischief for thousand divine years in order to put obstacles to penance of the great soul. Daksha Prajapati though capable ignored even seeing all this. Moreover, he did not give due place to the offerings to Lord Shiva in the sacrifice inspite of having been advised by the gods to do so. Thus he made the sacrifice devoid of the mantras relating to the Lord of animals and offerings pertaining to Lord Shiva which were necessary for the success of the sacrifice. When after completion of the vow, the god Rudra came to know the lackings of Daksha, he, the knower of self, came into the wrathful state and by by creating a (third) eye in his forehead the potent one, reduced all these demons to ashes and created a boy, heated with the fire of anger, who could destroy the celebrations of the sacrifice. After this the sacrifice was destroyed, the gods were pained and the living beings afflicted with heat and pain were moving here and there in all directions. Then the congregation of gods along with the seven sages praised the omnipresent Lord with incantations till Lord Shiva returned to his normal benevolent state. Knowing that he is now in the benevolent mood the fire of wrath, which due to fear holds the weapon of ashes, possesses three heads, nine eyes, is disturbed with burning flames, fierce and gradually has short legs and belly, submitted to the Lord with folded hands – Now, sir! what should I do for you? The Lord replied to him- ‘You will be with fever in the world during the birth and death and also in conditions of unwholesomeness.

Santapah saruchistrushnasangamardohrudi vyatha.

           Jvaraprabhavau, janmadau nidhane cha mahattamah. (charak chikitsa /Jwara adhyaya 3/26)

Prakrutischa pravruttischa prabhavascha pradarshitah.

Effects of fever are pyrexia, anorexia, thirst, bodyache and distress in cardiac region. It is the great darkness during birth and death. Thus original source, initiation and effect are said.

Nidane karananyashtau purvoktani vibhagshah. (charak chikitsa /Jwara adhyaya 3/27)

The eight causes of fever are already been said in nidan sthana.

Alasyam nayane sastre jrumbanam gauravam klamah.

           Jvalanatapavayvambubhaktidveshavnischito. (28)

Avipakasyavairasye hanischa balavarnayoho.

           Shilavaikrutamalpam cha jvaralakshanamagrajam. (charak chikitsa /Jwara adhyaya 3/29)

Prodromal symptoms of fever are lassitude, congested eyes, yawning, heaviness, exhaustion, unstable desire and aversion to fire, sun, air and water, indigestion, distaste in mouth, loss of strength and complexion and slight derangement in behavior.

Kevalam samanaskam cha jvaradhisthanam uchyate.

Shariram, balakalastu nidane sampradarshitah. (30)

The location of fever is the entire body along with the mind. The time of exacerbation is said in nidan sthana.

Jvarapratyatmikam lingam santapo dehamanasah.

           Jvarenavishata bhutam na hi kichinna tapyate. (charak chikitsa /Jwara adhyaya 3/31)

The specific character of fever is excessive heat in the body as well as mind because there is nobody who is not heated by the rising fever.

Dwividho vidhibhedena jvarah shariramanasah.

           Punascha dwividho drushtah saumyaschagneya eva cha. (32)

Antarvego bahirvego dwividhah punaruchyate.

           Prakruto vaikrutaschaiva sadhyaschasadhya eva cha. (33)

Punah panchvidho drushto doshakalabalabalat.

           Santatah satatoanyetrutiyakachaturthakau. (34)

Punarashrayabhedena dhatunam saptadha matah.

           Bhinnah karanabhedena punarashtavidho jvarah. (charak chikitsa /Jwara adhyaya 3/35)

As regards classification, fever is of two types- somatic and psychic. Again it is of two types- saumya and agneya. It is again of two types- internal and external, natural and unnatural, curable and incurable. Again it is of five types according to strength and weakness of the timing of dosha such as santata, satata, anyedushka, tritiyaka and chaturthaka. Again, according to location in dhatus, it is of seven types. According to etiology, it is of eight types.

Sharire jayate purve dehe, manasi manasah.

           Vaichityamaratiraglanirmanasastapalakshanam. (charak chikitsa /Jwara adhyaya 3/36)

Indriyanam cha vaikrutyam dehasantapalakshanam.

(Though fever is, by nature,psychosomatic), the somatic fever first arises in the body while the psychic fever starts with mind. Mental detraction, restlessness and malaise are the symptoms of psychic heat, pyrexia also causes abnormality in senses.

Vatapittatmakah shitamushnam vatakaphatmakah. (charak chikitsa /Jwara adhyaya 3/37)

Ichhatyubhayametattu jvaro vyamishralakshanam.

Fever predominant in vata and pitta creates desire for cold while that in vata and kapha for hot and for both when it is having combined symptoms.

Yogvaha param vayuhu sanyogadubhayarthakruta. (charak chikitsa /Jwara adhyaya 3/38)

           Dahakrutatejasa yuktah shitakruta somasanshrayat.

Vayu is a good synergist which exerts both types of action on combination, such as when combined with agni it produces heat but in conjunction with soma it produces cold.

Antardahoadhikastrushna pralapah shwasanam bhramah. (39)

Sandhi asthi shulamaswedo doshavarchavinigrahah.

Antarvegasya lingani jvarasyeitani lakshayet. (40)

Santapoabhyadhiko bahyastrushnadinam cha mardavam.

Bahirvegasya lingani sukhasadhyatvameva cha. (charak chikitsa /Jwara adhyaya 3/41)

More internal heat, thirst, delirium, increased respiration, giddiness, pain in joints and bones, lack of perspiration, obstruction in doshas and faeces- these are the symptoms of internal fever. Excessive external heat, mildness of thirst etc. along with easy curability- these are the symptoms of external fever.

Prakrutah sukhsadhyastu vasantsharadudbhavah.

           Ushnamushnena sanvrudham pittam sharadam kupyati. (42)

Chitah shite kaphaschaivam vasante samudiryate.

           Varshasvamlavipakabhiradbhiroshadhibhistatha. (43)

Sanchitam pittamudriktam sharadityatejasa.

           Jvaram sanjanayatyashu tasya chanubalah kaphah. (44)

Prakrutyeiva visargasya tatra nanashanadbhayam.

           Adbhiroshadhischaiva madhurabhichitah kaphah. (45)

Hemante, suryasantaptam sa vasante prakupyati.

           Vasante shleshmana tasmajjvarah samupajayate. (charak chikitsa /Jwara adhyaya 3/46)

Adanmadhye tasyapi vatapittam bhavedanu.

The natural fever arisen in the reasons of spring and autumn is easily curable. Pitta, being hot itself, gets aggravated further by hot and is thus vitiated in the autumn. Likewise, kapha accumulated in the cold gets aggravated in the spring. In the rainy season, pitta is accumulated due to water and plants having amlavipaka and the same being vitiated due to heat of the autumn gives rise to fever quickly. Here kapha associates as a subsidiary factor. In such condition, there is no harm by fasting because of the nature of visarga. On the other hand, kapha is accumulated due to sweet water and plants during hemanta and gets vitiated in spring due to heat of the sun. Hence the person suffers from fever due to kapha in spring in the middle of the adana period. Here vata and pitta are associated as subsidiary factors.

Adavante cha madhye cha budhhva doshabalabalam.

           Sharadvasantyorvidvanjvarasya pratikarayeta. (charak chikitsa /Jwara adhyaya 3/47)

The wise physician should treat the case of fever in autumn and spring by considering strength and weakness of doshas in the beginning, the end and the middle.

Kalaprakrutimuddishya nirdishtah prakruto jvarah. (48)

           Prayenanilajo dukhah kaleshvanyeshu vaikrutah.

Hetavo vividhastasya nidane sampradarshitah. (charak chikitsa /Jwara adhyaya 3/49)

           Balavatswalpadosheshu jvarah sadhyoanupadravah.

The fever is termed as prakruta on the basis of prakruti of time but the vatika fever even a praakruta one is often troublesome. The fever arisen in seasons other than that responsible for vitiation of the concerned dosha is known as vaikruta which is troublesome. Its various causes have been mentioned in nidana sthana.

Hetubhirbahubhirjato balibhirbahulakshanah. (charak chikitsa /Jwara adhyaya 3/50)

           Jvarah pranantakrudyascha shighramindriyanashanah.

Fever is curable if it is free from complications and is in persons having much strength and a little morbidity.

The fever is fatal if it is caused by numerous and potent etiological factors, has numerous symptoms and destroys the senses quickly.

Saptahadva dashahadva dwadashahattathaiva cha. (Charak chikitsa /Jwara adhyaya 3/51)

Sapralapabhramashwasastikshno hanyajvaro naram.

Acute fever associated with delirium, giddiness and dyspnea kills a patient by a weak, ten or twelve days.

Jvarah kshinasya shunasya gambhiro dairgharatrikah. (Charak chikitsa /Jwara adhyaya 3/52)

           Asadhyo balavanyascha keshasimantakrujjvarah.

Deep-seated, long standing and severe fever and the one which marks the parting line of the hair in emaciated and swollen persons is incurable.

Strotobhirvisruta dosha guravo rasavahibhihi. (53)

           Sarvadehanugah stabdha jvaram kurvanti santatam.

Saptaham va dashaham va dwadashaham sudusaha. (54)

           Sa shighra shigrakaritvat prashamam yati hanti va.

Kaladushyaprakrutibhirdoshastulyo hi santatam. (55)

           Nishpratyanikah kurute tasmajgyeha sudusaha.

Yatha dhatustatha mutram purisham chaniladayah. (56)

           Yugapanchanupadyante niyamat santate jvare.

Sa shudhya vapyashudhya va rasadinamasheshatah. (57)

           Sapatahadishu kaleshu prashamam yati hanti va.

Yada tu natishudhyanti na va shudhyanti sarvashah. (58)

           Dvadashaite samuddhistha santatasyashrayastada.

Visarge dwadashe krutva divaseavyaktalakshanam. (59)

           Durlabhopashamah kalam dirghamapyanuvartate.

Iti buddhwa jvaram Vaidya upakramettu santatam. (Charak chikitsa /Jwara adhyaya 3/60)

           Kriyakramavidhau yuktah prayah pragapatarpane.

The heavy doshas spread all over the body through the channels carrying rasa and stiffened give rise to santata jvara (remittent fever). Being unbearable and quick-acting it gets subsided or kills the patient by the period of seven, ten or twelve days. Dosha equal in respect of time, dushya and constitution and having no counter -acting factor causes the remittent fever and as such is quite unberable. In remittent fever, as a rule, vata, etc. also effect urine and faeces simultaneously as the dhatus. This fever gets subsided or becomes fatal in periods of a weak, etc. according to condition whether rasa etc have been purified completely or not. When they are not purified completely or entirely the remittent fever gets lodged in the twelve entities. Thus, even after remission on twelfth day, it continuous hidden for a long time without responding to any treatment. Considering all this, the physician should treat the case of fever. Mostly in such environment desaturating remedy is administered at first.  

Raktadhatwashrayah prayo doshah satatakam jvaram. (61)

           Sapratyanikah kurute kalavruddhikshayatmakam.

Ahoratre satatako dwao kalanuvartate. (Charak chikitsa /Jwara adhyaya 3/62)

Dosha often lodged in rakta dhatu and with some counteracting factor causes satata jvara which rises and falls according to corresponding time. The satatak jvara rises twice in twenty-four hours.

Kalaprakrutidushyanam prapyaivanyatamadbalam.

Anyedyushkam jvaram dosho ruddhwa medovahah sirah. (63)

Sapratyaniko janayatyek kalamaharnishi.

           Dosho asthimajjagah kuryat trutuyakchaturthakau. (64)

Gatirdwaikantara anyedyurdoshasyokta anyatha paraihi.

           Anyedyushkam jvaram kuryadapi sanshritasya shonitam. (65)

Mamsastrotansyanugato janayettu trutiyakam.

           Sanshrito medaso marge doshaschapi chaturthakam. (66)

Anyedyushkah pratidinam dinam hitva trutiyakah.

           Dinadwayam yo vishramya pratyeti sa chaturthakah. (Charak chikitsa /Jwara adhyaya 3/67)

Anyedyushka (quotidian fever) is caused by dosha which gets support from one of the factors such as time, constitution and dushya obstructs the vessels carrying medas in the presence of the counteracting factor. In this, fever rises once in twenty-four hours. The dosha lodged in asthi (bone) and majja (marrow) causes tertian and quartan fevers. The paroxysm of dosha is at the interval of two days, one day or daily. The others describe otherwise such as – quotidian fever is caused by the dosha even if it is lodged in rakta. If it goes to the channels of mamsa, it causes tertian fever while it gives rise to quartan fever if it is lodged in the channels of medas. The quotidian fever comes daily, the tertian on a day’s interval and the quartan at the interval of two days.

Adhishete yatha bhumi bijam kale cha rohati.

           Adhishete tatha dhatum doshah kale cha kupyati. (68)

Sa vruddhim balakalam cha prapya doshastrutiyakam.

           Chatuthakam cha kurute pratyanika balakshayat. (Charak chikitsa /Jwara adhyaya 3/69)

As a seed lies dormant in the soil and grows up in time, doshas stay in dhatus and get vitiated in opportune time. The dosha having attained exacerbation and timely strength due to weakening of the counteracting factor gives rise to the tertian as well as the quartan fever.

Krutva vegam gatabalah sve sve sthane vyavasthitah.

           Punarvivrudha sve kale jvarayanti narah malah. (Charak chikitsa /Jwara adhyaya 3/70)

After the paroxysm, the doshas being weakened stay in their respective places and being reinforced in their opportune times again give rise to fever.

Kaphapittatrikgrahi prushtadvatakaphatmakah.

           Vatapittachirograhi trividhah syattrutiyakah. (71)

Chaturthakau darshayati prabhavam dwividham jvarah.

           Janghabhyam shleshmikah purve shirasto anilasambhavah. (Charak chikitsa /Jwara adhyaya 3/72)

Due to kapha and pitta starting from trika. Due to vata and kapha starting from the back. Due to vata and pitta starting from head. Likewise, the quartan fever has also two types of characters-one caused by kapha and starting from legs and the other caused vata and starting from head.

Vishamjvara evanyaschaturthakviparyayah.

           Trividho dhaturekaiko dwidhatusthatah karoti yam. (Charak chikitsa /Jwara adhyaya 3/73)

The other type of visham jvara is the reverse quartan fever which is caused by the three doshas separately situated in two dhatus (asthi and majja).

Prayashah sannipatena dushtah jvarah.

           Sannipate tu yo bhuyan sa doshah parikirtitah. (Charak chikitsa /Jwara adhyaya 3/74)

The five types of fever are often due to combination of all the three doshas but practically the dominant one is called as the cause.

Rutvahoratradoshanam manascha balabalat.

           Kalamarthavashachaidha jvarastam tam prapadyate. (75)

Gurutvam dainyamudvegah sadanam chardyarochakah.

           Rasasthite bahistapah sangamardau vijrumbhanam. (76)

Raktoshnah pidakastrushna saraktam shthivanam muhuh.

           Daharagabhramamadapralapa raktasansthite. (77)

Antardaha satrunmoha saglanihi srushtavitkata.

           Daurgandhyam gatravikshepo jvare mamsasthite bhavet. (78)

Swedastivra pipasa cha pralapo vamyabhikshnashaha.

           Swagandhasyasahatvam cha medasthe glanyarochakau. (79)

Virekvamane chobhe sasthimedam prakujanam.

           Vikshepanam cha gatranam shwaschasthigate jvare. (80)

Hikka shwasastatha kasastamaschatidarshanam.

           Marmachedo bahihishaityam daho antaschaiva majjage. (81)

Shukrasthanagatah shukramoksham krutva vinashya cha.

           Pranam vayvagnisomaischa sardhe gachatyasau vibhuhu. (82)

Rasaraktashritah sadhyo medomamsagatascha yah.

           Asthimajjagatah krucchrah shukrastho naiva siddhyati. (Charak chikitsa /Jwara adhyaya 3/83)

Fever rises in a particular time due to strength or otherwise of the season, day and night, doshas and deeds.

Heaviness, anxious expression, agitation, malaise, vomiting, anorexia, external heat, body-ache and yawning- these are the symptoms of the fever located in rasa dhatu.

Red and hot boils, thirst, frequent hemoptysis, burning sensation, redness, giddiness, narcosis and delirium are the symptoms of the fever located in rakta dhatu.

Internal heat, thirst, fainting, malaise, diarrhea, foul smell and convulsions are the symptoms of the fever located in mamsa dhatu.

Perspiration, excessive thirst, delirium, frequent vomiting, intolerance to own smell, malaise and anorexia- are the symptoms of the fever located in meda dhatu.

Diarrhea, vomiting, tearing pain in bones, groaning, convulsions and dyspnea- are the symptoms of the fever located in asthi dhatu.

Hiccup, dyspnea, cough, darkness before eyes, cutting pain in vital parts, externally cold but internally burning sensation- are the symptoms of the fever located in majja dhatu.

The fever located in rasa and rakta is curable; that located in shukra is incurable.

Hetubhirlakshanaschoktah purvamashtavidho jvarah.

           Samasenopadishtasya vyasatah shrunu lakshanm. (84)

Shiroruk parvanam bhedo daho romnah praharshanam.

           Kanthasyashosho vamathustrushna murchha bhramo aruchihi. (85)

Swapnanasho ativagjrumbhah vatapittajvarakrutihi.

           Shitake gauravam tandra staimityam parvanam cha ruk. (86)

Shirograhah pratishyayah kasha swedapravartanam.

           Santapo madhyavegascha vatashleshmajvarakrutuhi. (87)

Muhurdaho muhu shitam swedah stambhah muhurmuhuh.

           Moha kaso aruchistrushna shleshmapittapravartanam. (Charak chikitsa /Jwara adhyaya 3/88)

Liptatiktasyata tandra shleshmapittajvarakrutih.

           Ityete dwandvajah proktah

The eight types of fever have been described with regard to their etiology and symptoms collectively and now their symptoms are being described individually.

Headache, tearing pain in smaller joints, burning sensation, horripilation, dryness of throat and mouth, vomiting, thirst, fainting, giddiness, anorexia, insomnia, delirium, yawning- these are the symptoms of fever caused by vata and pitta.

Feeling of cold, heaviness, drowsiness, feeling of wetness, pain in smaller joints, headache, coryza, cough, lack of perspiration, pyrexia and medium intensity- these are the symptoms of fever caused by vata and kapha.

Frequent alternate feeling of cold and heat, frequent alternate perspiration and non-perspiration, fainting, cough, anorexia, thirst, discharge of mucus and bile, sliminess and bitterness in mouth and drowsiness- - these are the symptoms of fever caused by kapha and pitta. Thus, the fever caused by duals are described.

Sannipataj uchyate. (89)

Sannipatjvarasyordhwa trayodashavidhasya hi.

           Praksutritasya vakshyami lakshanam vai pruthak pruthak. (90)

Bhramah pipasa dahascha gauravam shiraso atiruk.

           Vatapittolbane vidyallingam mandakaphe jvare. (91)

Shaityam kaso aruchistandra pipasa daharugvyathah.

           Vatashlesholbane vyadhau lingam pittavare vidhuhu. (92)

Chardi shaityam muhurdahastrushna moho asthivedana.

           Mandavate vyavasyanti lingam pittakapholbane. (93)

Sandi asthishirasah shulam pralapo gauravam bhramah.

           Vatolbane syad dwayanuge trushna kanthasyashushkata. (94)

Raktavinmutrata daha swedastrud balasankshyah.

           Murchha cheti tridoshe syallingam pitte gariyasi. (95)

Alasya aruchi hrullas dahavamya arati bhramaihi.

           Kapholbanam sannipatam tandrakasena chadishet. (96)

Pratishya chardiralasyam tandra aruchi agnimardavam.

           Hinavate pittamadhye lingam shleshmadhike matam. (97)

Haridramutranetratvam dahastrushna bhramo aruchihi.

           Hinavate madhyakaphe lingam pittadhike matam. (98)

Shirorugvepatho shwasah pralapschardi arochakau.

           Hinapitte madhyakaphe lingam syanmarutadhike. (99)

Shitako gauravam tandra pralapo asthishiroatiruk.

           Hinapitte vatamadhye lingam shleshmadhike viduhu. (100)

Shwasah kasha pratishyayo mukhashosho atiparshwaruk.

           Kaphahinepittamadhye lingam vatadhike matam. (101)

Varchobhedo agnidaurbalyam trushna daho aruchibhramah.

           Kaphahine vatamadhye lingam pittadhike viduhu. (102)

Sannipatajvarasyorrdhwamatovakshyami lakshanah.

           Kshane daha kshane shitam asthisandhishiroruja. (103)

Sastave kalushe rakte nibhugne chapi darshane.

           Saswanau sarujau karno kantah shukairivavrutah. (104)

Tandra mohapralascha kasah shwaso aruchibhramah.

           Paridagdha kharasparsha jivha strastangata param. (105)

Shtivanam raktapittasya kaphenonmishritasya cha.

           Shiraso lothanam trushna nidranasho hrudivyatha. (106)

Swedamutrapurishanam chiradarshanamalpashah.

           Krushatvam natigatranam pratatam kanthakujanam. (107)

Kothanam shyavaraktanam mandalanam cha darshanam.

           Mukatvam strotasam pako gurutvamudarasya cha. (Charak chikitsa /Jwara adhyaya 3/108)

Chirat pakascha doshanam sannipatajvarakrutihi.

Now the fever caused by aggregation is being said.

Giddiness, thirst, burning sensation, heaviness, excessive pain in head- these are the symptoms in fever caused by vata-pitta as severe and kapha as mild.

Cold sensation, cough, anorexia, drowsiness, thirst, burning sensation, pain, distress- these are the symptoms in fever caused by vata-kapha as severe and pitta as mild.

Pain in joints, bones and head, delirium, heaviness, giddiness, thirst, dryness of throat and mouth- these are the symptoms in fever caused by severe vata and pitta-kapha as mild.

Red faeces and urine, burning sensation, sweating, thirst, weakness and fainting- these are the symptoms in fever caused by pitta as severe and vata- kapha as mild.

Lassitude, anorexia, burning sensation, vomiting, restlessness, giddiness, drowsiness and cough- these are the symptoms in fever caused by kapha as severe and vata-pitta as mild.

Coryza, vomiting, lassitude, drowsiness, anorexia, poor digestion- these are the symptoms in fever caused by severe kapha, moderate pitta and mild vata.

Yellow urine and eyes, burning sensation, thirst, giddiness and anorexia these are the symptoms in fever caused by severe pitta, moderate kapha and mild vata.

Headache, tremors, dyspnea, delirium, vomiting and anorexia these are the symptoms in fever caused by severe vata, moderate kapha and mild pitta.

Feeling of cold, heaviness, drowsiness, excessive pain in bones and head these are the symptoms in fever caused by severe kapha, moderate vata and mild pitta.

Dyspnea, cough, coryza, dryness of mouth, and excessive chest pain these are the symptoms in fever caused by severe vata, moderate pitta and mild kapha.

Diarrhea, poor digestion, thirst, burning sensation, anorexia and giddiness these are the symptoms in fever caused by severe pitta, moderate vata and mild kapha.

Momentary sensations of heat and cold, pain in bone joints and head; tearful, dirty, red and crooked eyes, ears with tinnitus and pain, throat as if covered with awns, drowsiness, fainting, delirium, cough, dyspnea, anorexia, giddiness; tongue as if charred and roughened, excessive laxity in organs, hemoptysis, turning of head, thirst, insomnia, cardiac pain, delayed and little elimination of sweat, urine and faeces, limbs not much emaciated, continuous groaning, appearance of rashes and blackish and reddish patches, muteness, inflammation in channels, heaviness in abdomen and delayed digestion of doshas.

Doshe vibaddhe nashte agnausarvasampurnalakshanah. (Charak chikitsa /Jwara adhyaya 3/109)

           Sannipatajvara asadhyah kruchrasadhyastvato anyatha.

Sannipata jvara is incurable if doshas are bound up, power of digestion is lost and the symptoms are present in entirely and full otherwise it is curable with difficulty.

Nidane trividha prokta ya pruthagjvarakrutihi.

           Sansargasannipatanam tatha choktam swalakshanam. (Charak chikitsa /Jwara adhyaya 3/110)

The specific features of dual and aggregate fevers should be known by the features of the three types of individual fever as described in nidan sthana.

Aganturashtamo yastu sa nirdishtaschaturvidhah. (Charak chikitsa /Jwara adhyaya 3/111)

           Abhighatabhishangabhyamabhicharabhishapatah.

Shastraloshtakshakashtamushtyaratritaladvijaihi. (112)

           Tadvidhaischa hate gatre jvarah syadabhighatajah.

Tatrabhighataje vayuh prayo raktam pradushayan. (Charak chikitsa /Jwara adhyaya 3/113)

           Savyathashophavaivarnyam karoti sarujam jvaram.

The exogenous fever, the eighth one, is mentioned as of four types such as caused by injury, ill attachment, exorcism and cursing. That caused by injury comes forth where the body is injured with weapon, brickbat, whip, wood stick, fist, slap, teeth or other such means. In such condition, due to injury vayu gets aggravated and often affecting blood produces fever along with pain, swelling, abnormality in color and distress.

Kamashokabhayakrodhairbhishaktasya yo jvarah. (114)

           Soabhishangajjvaro gyeyo yascha bhutabhishangajah.

Kamashokabhayadvayuhkrodhat pittam, trayo malah. (115)

           Bhutabhishangat kupyanti bhutasamanyalakshanah.

Bhutadhikare vyakhyatam tadashtavidhalakshanam. (116)

           Vishavrukshanilasparshatatha anyairvishasambhave.

Abhishaktasya chapyahurjvrameke abhishangajam. (117)

           Chikitsaya vishagnaiva sa shamam labhate narah.

Abhicharabhishapabhyam siddhanam yah pravartate. (118)

           Sannipatjvaro ghorah sa vigyeyah saduhusah.

Sannipatajvarasyoktam lingam yattasya tat smrutam. (119)

           Chittendriyasharirnamartayo anyascha naikashah.

Prayogam tvabhicharasya drushtva shapasya chaiva hi. (120)

           Swayam shrutva anumanena lakshyate prashamena va.

Vaividhyadabhicharasya shapasya cha tadatmake va. (121)

           Yathakarmaprayogena lakshanam syat pruthagvidham.

Dhyan nishwasa bahulam lingam kamajvare smrutam. (122)

           Shokaje bashpabahulam trasaprayam bhayajvare.

Krodhaje bahusanrambham bhutaveshe tvamanusham. (123)

           Murchhamohamadaglani bhuyishtam vishasambhave.

Keshanchidesham linganam santapo jayate purah. (124)

           Paschat tulyam tu keshanchideshu kamajvaradishu.

Kamadijanamudhishtam jvaranam yaddhisheshanam. (125)

           Kamadijanam roganamanyeshamapi tat smrutam.

Manasyabhihate purve kamadyairna tatha balam. (126)

           Jvarah prapnoti vatadyairdaho yavanna dushyati.

Dehe chabhidrute purve vatadyairna tatha balam. (Charak chikitsa /Jwara adhyaya 3/127)

           Jvarah prapnoti kamadyair mano yavanna dushyati.

Fever caused by ill attachment with passion, anxiety, fear or anger and also by infection of organisms is known as abhishangaj jvara. Passion, anxiety and fear aggaravate pitta and infection of organisms aggravate all the three doshas manifesting symptoms according to the organism concerned. Eight types of such syndromes have been described in the context of bhutas. some also take the fever caused by contact of poisonous air as abhishangaj which gets pacified by the anti-poison treatment. The fever caused by exorcism and cursing of the accomplished persons is associated with all the doshas vitiated and is very severe and unbearable. It exhibits symptoms of sannipata jvara along with other afflictions of mind, senses and body. The application of exorcism is known by seeing and hearing himself or by inference through its pacification. Due to variousness of exorcism and cursing, the symptoms in respective cases are observed differently according to practice and application. In the fever caused by passion, the symptoms are predominantly with meditation and long breath. Likewise, the fever caused by anxiety, has predominantly tears, that caused by fear has terror, the fever caused by anger has intense agitation and in case of infection of evil spirit or (organism) the patient exhibits superhuman or abnormal characters. In the fever caused by poisonous contact predominant symptoms are fainting, confusion, narcosis and malaise. In some cases, fever rises before the above symptoms appear while in other cases it comes forth after them or simultaneously with them. The features of the fevers caused by passion etc, are also found in other diseases caused by them. On infliction of mind with passion etc. the fever does not get strength until the body is affected with vata etc, the fever does not get hold until the mind is affected with passion etc. but ls

Te purve kevalah paschannijairvyamishralakshanah. (Charak chikitsa /Jwara adhyaya 3/128)

           Hetvaushadhavishishtascha bhavantyagantavo jvarah.

The exogenous fevers are at first unstinted but later on get symptoms and combined with those of innate factors. They are also specific in respect of etiology and therapeutics.

Sanshrushtah sannipatitah pruthagva kupita malah. (129)

           Rasakhyam dhatumanvetya paktim sthanannirasya cha.

Swena tenoshmana chaiva krutva dehoshmano balam. (130)

           Strotansi ruddhwa sampraptah kevalam dehamulbanah.

Santapamadhikam dehe janayanti narastada. (Charak chikitsa /Jwara adhyaya 3/131)

           Bhavatyushnasarvango jvaritastena chochyate.

The vitiated doshas, duals, aggregated or single, associate them with rasa dhatu while expelling the agni from its place and adding to the body-heat with their own heat and the heat of agni, also blocking the channels spread all over the body with aggravation and thus produce pyrexia. The patient gets his entire body heated and thus is said as suffering from fever.

Strotasam sanniruddhatwat swedam na nadhigachhati. (132)

           Swasthanat prachyute chagnau prayashastarune jvare.

Aruchischavipakascha gurutvamudarasya cha. (Charak chikitsa /Jwara adhyaya 3/133)

The patient does not get perspiration due to blocking of channels. During the stage of acute or immature fever, he suffers from anorexia, indigestion and heaviness in abdomen.

Hrudayasyavishuddischa tandra chalasyameva cha.

           Jvaro avisargo balavan doshanamapravartanm. (134)

Lalapraseko hrullasah kshunnasho virasam mukham.

           Stabdhasuptagurutvam cha gatranam bahumutrata. (135)

Na vid jirna na cha glanirjvarasyamasya lakshanam.

Jvaravego adhikastrushna pralapah shwasanam bhramah. (Charak chikitsa /Jwara adhyaya 3/136)

Malapravruttirutklesho pachyamanasya lakshanam.

Impurity of heart, drowsiness, lassitude, continuous and high fever, non-elimination of doshas, excessive salivation, nausea, loss of appetite, distaste in mouth, limbs as stiffened, numbed and heavy, polyuria, stool immature and absence of emaciation- these are the symptoms of ama fever. High fever, thirst, delirium, dyspnea, giddiness, elimination of excrements and nausea- these are the symptoms of pachyamana fever.

Kshut kshamata laghutvam cha gatranam jvaramardavam. (Charak chikitsa /Jwara adhyaya 3/137)

           Doshapravruttirashtaho niramajvaralakshanam.

Appetite, emaciation, lightness in body, mild fever, elimination of doshas, passing of eight days- these are the features of nirama jvara.

Navajvare diwaswapnaprasannabhyangannamaithunam. (Charak chikitsa /Jwara adhyaya 3/138)

           Krodhapravatavyayamana kashayascha vivarjayet.

In acute fever, one should avoid day-sleep, bath, massage, solid diet, sexual intercourse, anger, wind, exercise and also extracts.

Jvare langhanamevadavupadishtamrute jvarat. (Charak chikitsa /Jwara adhyaya 3/139)

           Kshayanilabhayakrodhakamashokashramodbhavat.

In fever, first of all, lightening therapy is recommended except in that caused by wasting, vata-fear, anger, passion, anxiety and exertion.

Langhanena kshayam nite doshe sanshukshite anile. (140)

           Vijvaratvam laghutvam cha kshuchhaivasyopajayate.

Pranavirodhina chainam langhanenopapadayet. (Charak chikitsa /Jwara adhyaya 3/141)

Baladhisthanamarogyam yadarthoyam kriyakramah.

Due to lightening morbidity is alleviated and fire is kindled, consequently apyrexia, lightness and appetite arise. Lightening therapy which does not conflict with the strength of the patient should be applied because health depends on strength which the therapeutic management is intended for.

Lanhganam swedano kalo yavagvastiktako rasah. (Charak chikitsa /Jwara adhyaya 3/142)

           Pachananyavipakvanam doshanam tarune jvare.

In acute fever lightening, sweating, time, gruels and bitters are digestive fir immature doshas.

Trushyate salilam choshnam dadyadvatakaphajvare. (143)

           Madyothe paittike vatha shitalam tiktakaihi shrutam.

Dipanam pachanam chaiva jvaraghnamubhayam hi tat. (Charak chikitsa /Jwara adhyaya 3/144)

           Strotasam shodhanam balyam ruchiswedakaram shivam.

In condition of thirst, hot water should be given in vatakaphaja fever while in that caused by wine and pitta, cold water boiled with bitters is advisable. Both the above types of water are appetizer, digestive, anti-pyretic, channel-cleansing, strength-promoting, producing relish and sweating are wholesome.

Mustaparpatakoshirachandanodichyanagaraihi. (Charak chikitsa /Jwara adhyaya 3/145)

           Shrutashitam jalam dadyat pipasajvarashantaye.

Water boiled with musta, parpataka, ushira, Chandana, udichya and shunthi and self – cooled should be administered to alleviate thirst and fever.

Kaphapradhananutklishtan doshanamashayasthitan. (Charak chikitsa /Jwara adhyaya 3/146)

           Buddhwa jvarakaran kale vamyanam vamanairharet.

In fever which is caused predominantly by aggravated kapha situated in amashaya with tendency to come out and the patient is fit for vomiting the doshas should be eliminated by administering emetics.

Anupasthitadoshanam vamanam tarune jvare. (147)

           Hrudrogam shwasanaham moham cha janayed bhrusham.

Sarvadehanugah sama dhatustha asunirhara. (Charak chikitsa /Jwara adhyaya 3/148)

           Doshah phalanamamanam swarasa iva satyayah.

If emetic is administered in acute fever when the doshas are not tending to come out it is liable to produce heart-disease, dyspnea, hardness in bowels and mental disturbance. To make an attempt to eliminate the doshas which are spread all over the body, associated with ama, seated in dhatu and extractable with difficulty is risky like making an attempt to extract juice from unripe fruits.

Vamitam langhitam kale yavagubhirupacharet. (149)

           Yathaswaushadha siddhabhirmandapurvabhiraditah.

Yavajjvaramrudubhavat shadaham va vichakshanah. (150)

           Tasyagnirdipyate tabhihi samidbhiriva pavakah.

Tascha bheshajasanyogallaghutvachhagnidipanah. (151)

           Vatamutrapurishanam doshanam chanulomanah.

Swedanaya dravoshnatvaddravatvattrutaprashantaye. (152)

           Aharabhavat pranaya saratvatlaghavaya cha.

Jvaraghno jvarsatmyatvat tasmat peyabhiraditah. (153)

           Jvaranupachareddhimanrute madyasamuthittat.

Madatyaye madyanitye grishme pittakaphadhike. (Charak chikitsa /Jwara adhyaya 3/154)

           Urdhwage raktapitte cha yavagurna hita jvare.

After emesis and lightening the patient should be provided with gruels in time cooked with respective drugs starting with scum-gruel in the beginning till the fever comes down or for six days. By this agni is stimulated like fire by fuel. Due to medication and lightness, they are appetizer, carminative for wind, urine, faeces and doshas; due to being hot and liquid they are diaphoretic; due to being liquid they alleviate thirst, due to being nutrient they provide strength; due to being laxative they produce lightness and due to being suitable in fevers they act as antipyretic. Hence the wise physicians, from the very beginning, manage the cases of fever with gruels except in that caused by wine. Gruel is not advised in fever associated with alcoholism, alcoholic addicts, in summer, having predominance of pitta and kapha or with upward internal haemorrhage.

Tatra tarpanamevagne prayojyam lajasaktubhihi. (Charak chikitsa /Jwara adhyaya 3/155)

           Jvarapahe phalarasairyuktam samadhusharkaram.

In such cases, saturating drinks of parched paddy flour or antipyretic fruit juice should be given along with honey and sugar.

Tatah satmyabalapekshi bhojayejjirna tarpanam. (156)

           Tanuna mudgayushena jangalanam rasena va.

Annakaleshu chapyasmai vidheyam dantadhavanm. (157)

           Yo asya vaktrarasastasmadviparitam priyam cha yat.

Tadasya mukhavaishudyam prakanksha channapanayoho. (158)

           Dhatte rasavisheshanamabhigyatvam karoti yat.

Vishodhya drumashakhagnerasyam prakshalya chasakruta. (Charak chikitsa /Jwara adhyaya 3/159)

           Mastvikshurasamadyadyairthaharamavapnuyat.

Considering suitability and strength, these diets should be given along with green gram soup or soup of the meat of mild animal after the saturating drink is digested. At the time of meal, the patient should be advised to brush his teeth with a twig which has taste contrary to that of his mouth and is according to his liking. This produces non-sliminess in mouth, desire for food and drinks and sharpened perception of the taste sensation. After cleaning his teeth with the plant-twig and washing his mouth many times, he should take meal along with curd-water, sugarcane juice, wine, etc, as described.

Pachanam shamaniyam va kashayam payayedbhishak. (Charak chikitsa /Jwara adhyaya 3/160)

           Jvaritam shadahe atite laghvannapratibhojitam.

In case of fever, after six days have passed, the physician after giving light diet should administer digestive or pacifying extract of drugs.

Sthabyhante na vipachyante kurvanti vishamajvaram. (161)

           Dosha baddhah kashayena stambhitvatarune jvare.

Na tu kalpanamuddishya kashayah pratividhyate. (Charak chikitsa /Jwara adhyaya 3/162)

           Yah kashayah kashayah syata sa varjyastarunejvare.

If extracts are administered in acute fever, they bind up the doshas due to astringency which are held up without being digested and thus cause vishamajvara. In fact, extract as preparation is not contraindivated in acute fever but the extract of astringent drugs.

Yushairamleranamlairva jangalairva rasairhitaihi. (Charak chikitsa /Jwara adhyaya 3/163)

           Dashaham yavadashniyalaghvannam jvarashantaye.

One should eat light food along with beneficial vegetable soups, soured or unsoured, or soup of the meat of wild animals till then days for alleviation of fever.

Ata urdhwe kaphe mande vatapittotare jvare. (Charak chikitsa /Jwara adhyaya 3/164)

           Paripakweshu dosheshu sarpishpanam yatha amrutam.

Thereafter in case of fever having mild kapha and severe vata and pitta and with doshas well digested, intake of ghee acts like nectar.

Nirdashahamapi gyatva kaphotaralangitam. (165)

           Na sarpihi payayedvaidyah kashayaistamupacharet.

Yavallaghutvadashanam dadyanmamsarasena cha. (Charak chikitsa /Jwara adhyaya 3/166)

           Balam hyalam nigrahaya doshanam, balakruchha tat.

In case even after ten days there is predominance of kapha and the patient is not lightened completely, the physician should not use ghee but should treat him extracts till lightness is attained along with the diet with meat-soup because strength is necessary to overcome the disorders and it provides strength.

Dahatrushnaparitasya vatapittotaram jvaram. (Charak chikitsa /Jwara adhyaya 3/167)

           Baddhaprachyutadosham va niramam payasa jayet.

In case of the fever causing burning sensation and thirst, having predominance of vata and pitta, doshas constipated or discharged profusely and freedom from ama, intake of milk should be advised.

Kriyabhirabhihi prashamam na prayati yada jvarah. (Charak chikitsa /Jwara adhyaya 3/168)

           Akshinabalamamsagnehe shamayettam virechanaihi.

If the fever does not subside even by these measures, one should pacify it by purgation if the patient has unimpaired strength, musculature and agni.

Jvarakshinasya na hitam vamanam na virechanam. (169)

            Kamam tu payasa tasya niruhairva harenmalan.

Niruho balamagnim cha vijvaratvam mudam ruchim. (Charak chikitsa /Jwara adhyaya 3/170)

           Paripakveshu dosheshu prayuktah shigramavahet.

In patients whose fever is subsided, neither emesis nor purgation is beneficial. In such cases, the excrements should be eliminated by adequate intake of milk or administration of non-unctuous enema. Non-unctuous enema, if applied on full maturity of doshas, provides strength, digestive power, freedom from fever, happiness and relish quickly.

Pittam va kaphapittam va pittashayagatam haret. (Charak chikitsa /Jwara adhyaya 3/171)

           Stransanam, trinmalan bastirharet pakwashayasthitan.

Purgation eliminates pitta or kapha-pitta situated in pittashaya while enema eliminates all the three doshas situated in pakwashaya.

Jvare purane sankshine kaphapitte drudagnaye. (Charak chikitsa /Jwara adhyaya 3/172)

           Rukshabaddhapurishaya pradadyadanuvasanam.  

In chronic fever when kapha and pitta are reduced, appetite is firm and stool is rough and constipated, unctuous enema should be applied.

Gaurave shirasah shule vibaddheshwindriyeshu cha. (Charak chikitsa /Jwara adhyaya 3/173)

           Jirnajvaram ruchikaram kuryanmurdhavirechnam.

In chronic fever if there is heaviness and pain in head and senses are blocked head-evacuation should be applied which also provides relish.

Abhyangascha pradehascha parishekavagahane. (174)

           Vibhajya shitoshnakrutam kuryajjirne jvare bhishak.

Tairashu prashamam yati bahirmargagato jvarah. (Charak chikitsa /Jwara adhyaya 3/175)

           Labhante sukhamangani balam varnascha vardhate.

The physician should advise massage, anointing, sprinkling and bath, cold or hot, as necessary. By these, the fever situated in external passages is pacified, organs get pleasure and strength and complexion are promoted.

Dhupananjanayogaischa yanti jirnajvarah shamam. (Charak chikitsa /Jwara adhyaya 3/176)

           Twachhatrashesha yesham cha bhavatyaganturanvayah.

The cases of chronic fever having remnant only in skin and where there is association of some extrinsic factor get relief from application of incense and collyrium.

Iti kriyakramah siddho jvaraghnah samprakashitah. (177)

           Yesham twesha kramastani dravyanyurdhwamatah shrunu.

Raktashalyadayah shastah puranah shahstikaihi saha. (Charak chikitsa /Jwara adhyaya 3/178)

           Yavagvodanalajarthe jvaritanam jvarapahah.

Thus, the successful therapeutic management of fever is described. Hereafter, the drugs used in the therapy will be mentioned. For the patients of fever, the old cereals of red shali, shastika, etc are recommended for use in the forms of gruel, boiled rice and parched paddy which alleviate fever.

Lajapeyam sukhjaram pippalinagaraihi shrutam. (179)

           Pibejjvari jvaraharam kshudvanalpagniraditah.

Amlabhilashi tameva dadimamlam sanagaram. (180)

           Shrustavita paittiko va atha shitam madhuyutam pibet.

Peyam va raktashalinam parshwabastishiroruji. (181)

           Shwadanshtra kantakaribhyam siddha jvaraharam pibet.

Jvaratisari peyam va pibet samlam shrutam narah. (182)

           Prushniparnibalabilvanagarotpaladhanyakaihi.

Shrutam vidarigandhardyaidipano swedanaim narah. (183)

           Kasi shwasi cha hikki cha yavagum jvaritah pibet.

Vibaddhavarchah sayava pippalyamlakaihi shrutam. (184)

           Sarpishmatim pibet peya jvari doshanulomanim.

Koshthe vibaddhe saruji pibet peyam shrutam jvari. (185)

           Mrudvika pippalimula chavyamlaka nagarihi.

Pibet sabilvam peyam va jvare saparikartike. (186)

           Balavrukshamlakolamlakalashidhavanishrutahm.

Aswedanidrastrushnarta pibet peyam sasharkaram. (Charak chikitsa /Jwara adhyaya 3/187)

           Nagaramlakihi siddham ghrytabhrushtam jvarapaham.

The patient of fever with poor digestion should, at first, take when hungry the gruel made of parched paddy boiled with long pepper and ginger which is easily digestible and alleviates fever. One fond of sours may take the same soured with pomegranates and added with ginger. One having diarrhea and predominance of pitta should take it cold and added with honey. The patient having complications of pain in sides, pelvis and head should take the gruel of red shali rice cooked with gokshura and kantakari. It alleviates fever too. The patient suffering from fever and diarrhea should take soured liquid gruel cooked with prushniparni, bala, bilva, shunthi, utpala and dhanyaka. The patient of fever having cough, dyspnea and hiccup should take the gruel cooked with vidarigandhadi group which is appetizer and diaphoretic. The patient of fever having constipation should take the liquid gruel having barley cooked with long pepper and amalaka fruits and added with adequate quantity of ghee. It acts as carminative. The patient of fever having constipation and abdominal pain should take liquid gruel cooked with mrudvika, pippalimula, chavya and shunti. In fever associated with cutting pain in abdomen one should take the liquid gruel with bilva and cooked with bala, vrikshamla, kolamla, prushniparni and kantakari. The patient having no diaphoresis and sleep and having excessive thirst should take the liquid gruel fried with ghee and cooked with shunti and amalaka and added with sugar. This acts as antipyreretic.

Mudganmasuranschanakan kulsathan samakushtakan. (Charak chikitsa /Jwara adhyaya 3/188)

           Yusharthe yushasatmyanam jvaritanam pradapayet.

The patients of fever suited to pulse soup should be advised to take the same of green gram, lentils, grams, horse gram and makushtaka.

Patolapatram saphalam kulakam papachelikam. (Charak chikitsa /Jwara adhyaya 3/189)

           Karkotakam kathillam cha vidyacchakam jvare hitam.

Leaves and fruits of patola, karavellaka, patha, karkotaka and kathillaka – these vegetables are wholesome for those suffering from fever.

Lavan kapinjalanenanschakoranupachakrakana. (190)

           Kurangn kalapuchanscha harinan prushatanchashan.

Pradadyanmamsasatmyaya jvaritaya jvarapahan. (191)

           Ishadamlananamlan va rasan kale vichakshanah.

Kukkutascha mayuranscha tittirikraunchavartakana. (192)

           Gurushnatvanna shansanti jvare kechichikitsakah.

Langhanenanilabalam jvare yadyadhikam bhavet. (Charak chikitsa /Jwara adhyaya 3/193)

           Bhishagmatravikalpasho dadyatanapi kalavit.

Those who are non-vegetarians may take the soup of lava, kapinjala, ena, chakora, upachakraka, kuranga, kalapuchhak, harina, prushata or shasha unsoured or slightly soured. Some physicians do not recommend the meat of cock, peacock, partridge, heron and vartaka in fever due to their property of heaviness and hotness. But if there is severity of vayu due to lightening the wise physician should administer them as well considering time, dose and preparation.

Gharmambu chanupanartha trushitaya pradapayet. (Charak chikitsa /Jwara adhyaya 3/194)

           Madyam va madyasatmyaya yathadosham yathabalam.

If there is thirst, hot water should be given for after-drink or wine to those who are addicted to it considering the dosha and strength of the patient.

Gurushnasnigdhamadhuran kashayascha navajvare. (195)

           Aharan doshapaktyartham prayashah parivarjayet.

Annapanakramah siddho jvaraghna samprakashitah. (Charak chikitsa /Jwara adhyaya 3/196)

In order to facilitate the maturation of dosha one should mostly avoid in acute fever the dietary articles which are heavy, hot, unctuous, sweet and astringent. Thus, the accomplished dietetic management for fever is described.

Ata urdhwa pravakshyante Kashaya jvaranashanah.

           Pakyam shitkashayam va mustaparpatakam pibet. (197)

Sanagaram parpatakam pibedwa saduralabham.

           Kiratatiktam muste guduchi vishwabheshajam (198)

Pathamushiram sodichyam pibedwa jvarashantaye.

            Jvaraghnah dipanaschaite Kashaya doshapachanah. (Charak chikitsa /Jwara adhyaya 3/199)

Trushnaruchiprashamana mukhvairasyanashanah.

Hereafter, the antipyretic extracts will be explained. 1) musta and parpataka together should be taken in the form of cold infusion or decoction or 2) sunthi, parpataka and duralabha may be taken. 3) kirattikta, musta, guduchi, shunthi, patha, ushira and udichya may be taken. These extracts are antipyretic appetizer, digestive for dosha and alleviate thirst, anorxia and distaste of mouth.

Kalingakah patolasya patram katukarohini. (200)

           Patolah sariva mustam patha katukarohini.

Nimbah patolastriphala mrudwika mustavatsako. (201)

           Kirattiktam amruta chandanam vishwabheshajam.

Guduchyamlakam mustamardhashlokasamapanah. (202)

           Kashayah shamayantyashu panch panchavidhajjvaran.

Santata satata anyedyutrutiyaka chaturthakan. (Charak chikitsa /Jwara adhyaya 3/203)

1)Indrayava, patola leaves, katurohini; 2) patola, sariva, musta, patha, katurohini; 3) nimba, patola, triphala, mrudwika, musta and kutaja; 4) kirattikta, guduchi, Chandana and shunti; 5) guduchi, amalaka and musta- these five decoctions- as remittent, double quotidian, quotidian, tertian and quartan.

Vatsakaragvadhau patha shadgrantham katurohinim.

           Murva sativisham nimbam patolam dhanvayasakam. (204)

Vacham mustamushiram cha madhukam triphala balam.

           Pakyam shitkashayam va pibejjvaraharam narah. (205)

Madhukmustamrudwikakashmaryani parushakam.

           Trayamanamushiram cha triphalam katurohinim (Charak chikitsa /Jwara adhyaya 3/206)

Pitwa nishi sthitam janturjvarachhigram vimuchyate.

Kutaja, aragwadha, patha, haimavati, katurohini, murva, ativisha, nimba, patola, dhanvayasa, vacha, musta, ushira, madhuka, triphala and bala – this formulation should be taken in fever in the form of decoction or cold infusion.

Madhuka, musta, mrudwika, kashmarya, parushaka, trayamana, ushira, triphala and katurohini – all together should be kept overnight in water and taken in the morning. This alleviates fever quickly.

Jatyamalakamustani tadvadhanvayavasakam. (207)

           Vibaddhadosho jvaritah kashayam sagudam pibet.

Triphalam trayamanam cha mrudwikam katurohinim. (208)

           Pittashleshmaharastvesha kashayo hyanulomakah.

Trivruttasharkarayuktah pittashleshmajvaraph. (Charak chikitsa /Jwara adhyaya 3/209)

Jati, amalaka, musta and dhanvayasa – decoction of these drugs added with jaggery should be taken by a patient of fever who is constipated.

Triphala, trayamana, mrudwika and katurohini – this decoction is laxative and eliminates pitta and kapha.

Trivrutta added with sugar is efficacious in pitta- kaphaja fever.

Bruhatyo vatsakam mustam devadaru mahaushadam.

           Kolavalli cha yogoayam sannipatajvarapah. (210)

Shati pushkarmulam cha vyaghri shrungi duralabha.

           Guduchi nagaram patha kiratam katurohini. (211)

Esha shatyadiko vargah sannipatajvarapah.

           Kasahrudgrahaparshwartishwasasatandrashu shasyate. (212)

Bruhatyo paushkaram bargi shati shrungi duralabha.

           Vatsakasya cha bijani patolam katurohini. (213)

Bruhatyadirganah proktah sannipatajvarapah.

           Kasadishu cha sarveshu dadyat sopadraveshu cha. (Charak chikitsa /Jwara adhyaya 3/214)

Bruhati, kantakari, kutaja, musta, devadaru, shunti and chavya – this formulation in efficacious in sannipataja jvara.

Shati, pushkarmula, kantakari, shrungi, dhanvayasa, guduchi, shunti, patha, kirattikta and katurohini – these constitute the shatyadi group which alleviates sannipataja fever and is commended in cough, cardiac pain, pain in sides, dyspnea and drowsiness.

Bruhati, kantakari, pushkarmula, bharangi, shati, shrungi, dhanvayasa, indrayava, patola and katurohini- these constitute the bruhatyadi group which alleviates sannipataja fever and is also useful in complicated cough, etc.

Kashayascha yavagvascha pipasajvaranashanashanah.

           Nirdishta bheshajadhyaye bhishaktanapi yojayet. (Charak chikitsa /Jwara adhyaya 3/215)

The physician may also apply the extracts and gruels prepared from the drugs of thirst- alleviating and antipyretic groups mentioned in the chapter of drugs.

Jvarah kashayairvamanairalanghanairlaghubhojanaih.

           Rukshasya ye na shamyanti sarpistesham bhishagjitam. (216)

Ruksham tejo jvarakaram tejasa rukshitasya cha.

           Yaha syadanubalo dhatuhu snehavadhyah sa chanilah. (Charak chikitsa /Jwara adhyaya 3/217)

If the patient is roughened and the fever does not respond to extracts, emesis, lightening or light diet, he should be treated with ghee.

The rough heat causes fever and if there be vayu as an associated factor due to roughened heat that is treatable with ghee.

Kashayah sarva evaite sarpisha saha yojitah.

           Prayojya jvarashantyarthamagnisandhukshanah shivah. (Charak chikitsa /Jwara adhyaya 3/218)

All these extracts mixed with ghee should be used for the treatment of fever. They kindle fire and are wholesome.

Pippalyaschandanam mustamushiram katurohini.

           Kalingakastamulaki sariva ativisha sthira. (219)

Drakshamalakibilvani trayamana nidigdhika.

           Siddhametairrghrutam sadyo jirnajvaramapohati. (220)

Kshayam kasam shirahshulam parshwashulam halimakam.

           Ansabhitapam agni cha vishamam sanniyachhati. (Charak chikitsa /Jwara adhyaya 3/221)

Pippali, Chandan, musta, usira, katurohini, indrayava, bhumyalaki, sariva, ativisha, shaliparni, draksha, amalaka, bilwa, trayamana and kantakari – ghee cooked with these drugs alleviates the chronic fever quickly. It also overcomes wasting, cough, headache, pain in chest, halimaka, discomfort in scapular region and irregular digestion.

Vasam guduchi triphala trayamana yavasakam.

           Paktva tena kashayena payasa dwigunena cha. (Charak chikitsa /Jwara adhyaya 3/222)

Pippalimustamrudwikachandanotpalanagaraihi.

           Kalkikrutaischa vipachedhatam jirnajvarapaham.

Vasa, guduchi, triphala, trayamana, yavasaka- ghee cooked with decoction of these drugs along with double milk and the paste of pippali, musta, Chandana, mrudwika, utpala and shunti is efficacious in chronic fever.

Balam shwadanshtra bruhati kalashi dhavani sthiram.

           Nimbam parpatakam mustam trayamanam duralabham. (224)

Krutva kashayam peshyarthe dadyattamalaki shatim.

           Draksha pushkarmulam cha medamamalakani cha. (225)

Ghrutam payascha tatsiddham sarpirjvaraharam param.

           Kshayakasashirahshulaparshwashulasatapanut. (Charak chikitsa /Jwara adhyaya 3/226)

Ghee cooked with decoction of bala, gokshura, bruhati, prushniparni, kantakari, shalaparni, nimba, parpataka, musta, trayamana and duralabha along with the paste of bhumyalaki, shati, draksha, pushkarmula, meda and amalaka and milk is an excellent antipyretic. It also removes wasting, cough, headache, pain in sides and discomfort in scapular region.

Jvaribhyo bahudoshebhyo urdhwe chadhascha buddhimana.

           Dadyat sanshodhanam kale kalpe yadupadekshyate. (227)

Madanam pippalibhirwakalingkairmadhukena va.

           Yuktamushna peyam vamanam jvarashantaye. (228)

Kshaudrambuna rasenekshorathawa lavanambuna.

           Jvare prachhardanam shastam madyairva tarpanena va. (229)

Mrudwikamalakanam va rasam praskandanam pibet.

           Rasamamalakanam va ghrutabhrushtam jvarapaham. (230)

Lihyadwa traivrutam churna sanyuktam madhusarpisha.

           Pibedwa kshaudramavapya saghrutam triphalarasam. (231)

Aragvadham va payasa mrudwikanam rasena va.

           Trivrutam trayamanam va payasa jvaritah pibet. (232)

Jvaradivimuchyate pitwa mrudwikabhihi sahabhayam.

           Payoanupanamushnam va pitwa drakshadrasam narah. (Charak chikitsa /Jwara adhyaya 3/233)

The patients of fever having plenty of impurity should be subjected to timely evacuative therapy, upwards and downwards, to be described in the kalpasthana.

Madanphala and pippali or indrayava or madhuka should be administered with hot water as emetic for alleviation of fever.

In fever, emesis is prescribed with honey-water, sugarcane juice, saline water, wine or saturating drinks.

Juice of amalaka and grapes fruit acts as purgative as well as antipyretic. Similar is the juice of amalaka fried with ghee.

One suffering from fever should take powder of trivrutta mixed with honey and ghee or decoction of triphala adding with honey and ghee, or aragwadha with milk or grape juice, or trivrutta or trayamana with milk.

One becomes free from fever by taking haritaki with grapes or grape juice with hot milk.

Kasachwasshirahshulatparshwashulaschirajvarat.

           Muchyate jvaritah pitwa panchamulishrutam payah. (234)

Erandamulotkathitam jvarat saparikartikat.

           Payo vimuchyate pitwa tadwadbilwashalatubhihi. (235)

Trikantakabalavyaghrigudanagarsadhitam.

           Varchomutravibandhagnam shophajvaraharam payah. (236)

Sanagaram samrudwikam saghrutakshaudrasharkaram.

           Shrutam payah sakharjuram pipasajvaranashanam. (237)

Chaturgunenambhasa va shrutam jvaraharam payah.

           Dharoshnam va payahsadyo vatapittajvaram jayet. (238)

Jirnajvaranam sarvesham payah prashamanam param.

           Peyam tadushnam shitam va yathaswam bheshajaihi shrutam. (Charak chikitsa /Jwara adhyaya 3/239)

By taking milk boiled with panchamula one suffering from fever becomes free from cough, dyspnea, headache, pain in sides and chronic fever. Likewise, by taking with boiled eranda rootsone becomes free from fever associated with cutting pain in abdomen. Similar is the effect of the milk boiled with tender fruits of bilwa.

Milk boiled with gokshura, bala, kantakari, jaggery and shunti alleviates retention of faeces and urine, oedema and fever.

Milk boiled with shunti, mrudwika and kharjura and added with ghee, honey and sugar alleviates thirst and fever.

Even milk alone boiled with four times water is efficacius in fever.

The fresh warm milk overcomes the fever caused by vata and pitta quickly.

Milk is an excellent pacifier of all types of chronic fever. That should be taken hot or cold and boiled with respective drugs.

Prayonjayejvaraharanniruhan sanuvasanam.

           Pakwashayagate doshe vakshyante ye cha siddhishu. (240)

Patolarishtapatrani soshiraschaturangulah.

           Hriberam rohini tikta shwadanshtra madanani cha. (241)

Sthira bala cha tat sarve payasyardhodakam shrutam.

           Kshiravashesham niryuham sanyuktam madhusarpisha. (242)

Kalkairamadanmustanam pippalya madhukasya cha.

           Vatsakasya cha sanyuktam bastim dadyajjvarapaham. (243)

Shuddhe marge hrute doshe viprasanneshu dhatrushu.

           Gatangashulo laghvangah sadyo bhavati vijjvarah. (244)

Araghwadhamushiram cha madanasya phalam tatha.

           Chatastrah parninischaiva niryuhamupakalpayet. (245)

Priyangurmadanam mustam shatahva madhuyashtika.

           Kalkah sarpigudah kshaudram jvaraghno bastiruttamah. (246)

Guduchi trayamanam cha chandanam madhukam vrusham.

           Sthira bala prushniparni madanam cheti sadhayet. (247)

Rasam jangalamamsasya rasena sahitam bhishak.

           Pippaliphalamustanam kalkena madhukasya cha. (248)

Ishatsalavanam yuktya niruham madhusarpisha.

           Jvaraprashamanam dadyadbalaswedaruchipradam. (Charak chikitsa /Jwara adhyaya 3/249)

If the impurity is located in pakwashaya, one should apply the non-unctuous and unctuous enema useful in fever which will be described in the siddhisthana.

Patola leaves, nimba leaves, ushira, aragvadha, hribera, rohini, tikta, gokshura madana fruits, shalaparni and bala- all together should be boiled in half-water milk, till milk remains. This added with honey and ghee along with paste of madana, musta, pippali, madhuka and kutaja should be used as antipyretic enema. After the passage is cleansed, impurity is removed, dhatus become cheerful, bodyache goes away, organs become light the patient becomes free from fever quickly.

Similarly, the fluid for enema may be prepared with aragwadha, ushira, madanaphala and four parnis (shalaparni, prushniparni, mudgaparni and mashaparni) which is added with the paste of priyangu, madana, musta, shatvha, madhuyashtika, ghee, jaggery and honey. This makes an excellent antipyretic enema.

Guduchi, trayamana, chandana, madhuka, vasa, shalaparni, bala, prushniparni and madana – all together should be boiled to decoction with the soup of the meat of wild animals. The paste of pippali, madana, musta and madhuka along with a bit of salt, honey and ghee should be added to it. This makes an antipyretic non-unctuous enema which also provides strength, sweating and relish.

Jivanti madhukam meda pippali madanam vacha.

           Ruddhim rasnam balam vishwam shatapushpam shatavarim. (250)

Pishtwa kshiram jalam sarpistailam cha vipachedbhishak.

           Anuvasanikam snehametam vidyajjvarapaham. (251)

Patolapichumardabhyam guduchya madhukena cha.

           Madanaischa shrutah sneho jvaraghnamanuvasanam. (252)

Chandanagurukashmaryapatolamadhukotpalaihi.

           Siddhah sneho jvaraharah snehabastihi prashasyate. (Charak chikitsa /Jwara adhyaya 3/253)

Jivanti, madhuka, meda, pippali, madana, vacha, ruddhi, rasna, bala, shunti, shatapushpa, shatavari – all these are pounded together and boiled with milk, water, ghee and oil. This unctuous enema is antipyretic.

The fatty substance cooked with patola, nimba, guduchi, madhuka and madana makes an antipyretic unctuous enema. The fatty substance cooked with chandana, aguru, kashmarya, patola, madhuka and utpala makes an excellent unctuous enema.

Yaduktam bheshajadhyaye vimane rogabheshaje.

           Shirovirechanam kuryadyuktishastajjvarapaham. (254)

Yascha navanikam tailam yascha pragdhumavartayah.

           Matrashitiye nirdishtah prayojyasta jvareshvapi. (Charak chikitsa /Jwara adhyaya 3/255)

Whatever drugs for drug evacuation are mentioned in the chapter of drugs and in the same context in the section of vimana should be used properly in case of fever, if necessary. The oil, useful as snuff and the smoking sticks described in the chapter on the quantity of diet may be applied in fever too.

Abhyangascha pradehascha parisekanscha karayet.

           Yathabhilasham shitoshnam vibhajya dwividham jvaram. (Charak chikitsa /Jwara adhyaya 3/256)

Considering the cold or the hot character of the two types of fever, massage, anointings and sprinklings should be applied as desired.

Sahastradhautam sarpirva tailam va chandanadikam.

           Dahajvaraprashamanam dadyadabhyanjanam bhishak. (Charak chikitsa /Jwara adhyaya 3/257)

In case of the fever with burning sensation, the physician should prescribe ghee washed hundred times and chandanadi taila for massage.

Atha chandanadyam tailamupadekshyamah :-  chandanabhadrashreekala

Anusaryakaliyakapadmapadmakoshirasarivamadhukaprapaundrikanagapushpa udichyavanyapadmotpalanalinakumudasaugandhikapundarikashatapatra bismrunalashalukashaivalakasheruka anantakushkashokshudarbhasharanala shalimulajambuvetasavaniragundrakakubhasanashvakarna syandanavatapotha shalataladhavatinishakhadirakadarakadambakashmaryaphala sarjaplaksha vatakapitanodumbarashwathanyagrodhadhatakidurvatkatashrungataka manjishtajyotishmatipushkarbijakaushachadanabadarikovidarakadalisanvartakaarishtashataparvashitakumbhikashatavarishreeparnoshravanirohinishitapakyodanapakikalabalapayasyavidarijivakarshabhakamedamahamedamadhurasarpyaproktatrunashunyamocharasatarushakbakulakutajapatolanimbashalmalinarikelakharjuramrudvikapriyalapriyangudhanvanatmaguptamadhukanamanyeshamcha shitviryanam yathalabhamaushadhinam kashayam karayet. Tena kashayena dwigunitapayasa teshameva cha kalkena Kashayardhamatram mrudwagnina sadhayettailam. Etattailamabhyangat sadyo dahajvaramapanayati. Etaireva chaushadheshlakshnapishtaihi sushitaihi pradeham karayet. Etaireva cha shrutashitam salilamavgahaparishekarthe prayunjit. (Charak chikitsa /Jwara adhyaya 3/258)

Now (I) shall describe the chandandya oil.

Chandana, bhadrashri, kalanusarya, kaliyaka, padma, padmaka, ushira, sariva, madhuka, prapaundrika, nagakesara, udichya, vanya, padma, utpala, nalina, kumuda, sugandhika, pundarika, shatapatra, bisa, mrunala, shaluka, shaivala, kaseruka, ananta, kusha, kasha, ikshu, darbha, shara, nala, shali, jambu, vetasa, vanira, gundra, kakubha, asana, ashwakarna, syandana, vatapotha, shala, tala, dhava, tinisha, khadira, kadara, kadamba, kashmarya, sarja, plaksha, vata, kapitana, udumbara, ashwattha, nyagrodha, dhataki, durva, itkata, shrungataka, manjishtha, jyotishmati, pushkarbija, kraunchandana, badari, kovidara, kadali, samvartaka, arishta, shataparva, sitakumbhika, shatavari, shriparni, shravani, mahashravani, rohini, shitapaki, odanapaki, kala, bala, payasya, vidari, jivaka, rushabaka, meda, mahameda, madhurasa, rushyaprokta, trunashunya, mocharasa, atarushaka, bakula, kutaja, patola, nimba, shalmali, narikela, kharjura, mrudwika, priyala, priyangu, dhanwana, atmagupta and other shitavirya drugs which are available should be boiled and made into decoction. Oil half the quantity of the decoction should be cooked with the above decoction along with double the quantity of milk and the paste of the same drugs. By massage, this oil alleviates the hot fever quickly. These very drugs pounded coarsely and well-cooked should be applied as anointment. With the same drugs, boiled and cooled water should be used for bath and sprinkling.

Madhwaranala kshira dadhi ghruta salila seka avagahascha sadyo dahajvaramapayanti shitasparshatvat. (Charak chikitsa /Jwara adhyaya 3/259)

Sprinkling and bath with honey, sour, gruel, milk, curd, ghee and water alleviate the hot fever quickly due to being cold in touch.

Paushkareshu sushiteshu padmotpaladaleshu cha.

           Kadalinam cha patreshu kshaumeshu vimaleshu cha. (260)

Chandanodakashiteshu shite dharagruhe api va.

           Himambusikte sadane dahartah savishet sukham. (261)

Hemashankapravalanam maninam mauktikasya cha.

           Chandanodakashitanam sansparshanurasan sprushet. (262)  

Snagbhirnilotpalaihi padmairvyajanairvividhairapi.          

           Shitavatavahairvyajjyeschandanodakavarshibhi. (263)

Nadyastadagah padminyo hrudascha vimalodakah.

           Avagahe hita dahatrushnaglanijvarapah. (264)

Priyah pradakshinacharah pramadaschandanotkshitah.

           Santvayeyuhu paraihi kamairmanimauktikabhushanah. (265)

Shitani channapanani shitanyupavanani cha.

           Vayavyaschandrapadascha shita dahajvarapah. (Charak chikitsa /Jwara adhyaya 3/266)

One suffering from burning sensation should lie down comfortably on the bed covered with the cold leaves of pushkara, lotus and water lily, banana and clean silk cloth cooled with sandal water or in water-cooled chamber or a room sprinkled with cold water. He should also have the pleasant contact of gold, conch, coral, jewels and pearls cooled with sandal water. He should be fanned with garlands, flowers, blue water lily or lotus and other various fans carrying cool air and showering sandal water. Rivers, tanks, lotus leaves and clean ponds which pacify burning sensation, thirst, malaise and fever should be used for bath. Such persons should be entertained with passionate movements by charming and favorite women passed with sandal and wearing jewels and pearls. Cold food and drinks, gardens, breeze and moon-rays pacify the fever with burning sensation.

Athoshnabhiprayinam jvaritanamabhyangadinupakramanupadekshyamah – aguru kushtha tagarpatra nalada shaileyadhyamaka harenuka sthauneyakakshemakailavarangadalapura tamalapatra bhutikarohisha saralashallaki devadarvagnimantha bilvasyonaka kashmarya patala punarnava vruschirakantakari bruhati shalaparni prushniparni mashaparni mudgaparni gokshurak erandashobhanjanak varunarka chirabilva tilvakashati pushkarmula gandirorubukapatturakshivashmantak shigrumatulunga piluka mulakparnitilaparni piluparni meshshrungi hinstra danta shatairavatakbhallatakasphotakandiraatmajaikaishikakaranja dhanyakajamoda pruthvika sumukha surasa kutheraka kalamalakparnasakshavak phaninjakabhustruna shrungavera pippali sarshapa ashvagandha rasnaruharoha vachabalaguduchi shatapushpa shitavalli nakuligandha nakulishvaeta jyotishmati chitrakadhyandamlachangeri tilabadar kulathamashanamevavidhanamanyesham choshnaviryanam yathalabhamaushadhanam kashayam karayet, tena kashayena teshameva cha kalkena surasauvirakatushodaka maireyamedak dadhimandaranal  katvar prativinitena tailapatram vipachayet. Tena sukhoshnena tailenoshnabhiprayinam jvaritamabhyanjjayat, tatha shitjvarah prashamyati, etaireva chaushadehe shlakshnapishtaihi sukhoshnaihi pradeham karayet, etaireva cha shrutam sukhoshnam salilamavagahnarthe cha prayunjit  shitjvaraprashamanartham. (Charak chikitsa /Jwara adhyaya 3/267)

Now (I) will mention the remedial measures like massage etc. for the patients of fever desiring heat. Aguru, kushta, tagara, patra, nalada, shaileya, dhyamaka, harenuka, sthauneyaka, kshemaka, ela, varanga, dala, pura, tamalapatra, bhutika, rohisha, Sarala, shallaki, devadaru, agnimantha, bilwa, shyonaka, kashmarya, patala, punarnava, vruschira, kantakari, bruhati, shalaparni, prushniparni, mashaparni, mudgaparni, gokshura, eranda, shobhanjak, varuna, arka, chirabilwa, tilwaka, shati, pushkarmula, gandira urubuka, pattura, akshiva, ashmantak, shigru, mtulunga, piluka, mulakaparni, tilaparni, pituparni, meshashrungi, kinstra, dantashatha, airavatak, bhallataka, kandira, atmagupta, kakanda, ekaishika, karanja, dhanyak, ajamoda, pruthvika, sumukha, surasa, kutheraka, kalamalaka, parnasa, kshavaka, phaninjjak, bhustruna, shrungabera, pippali, sarshapa, ashwagandha, rasna, ruha, roha, vacha, bala, atibala, guduchi, shatapushpa, shitavalli, nakuli, gandhanakuli, Shweta, jyotishmati, chitrak, adhyanda, amlachangeri, tila, badara, kulattha, masha and other such usnavirya drugs, as available, should be made into decoction. With this decoction and the paste of the same drugs dissolved in sura, sauviraka, tushodaka, maireya, medaka, dadhimanda, aranala and katvara, oil in the quantity of 2.56 kg should be cooked. With this lukewarm oil the patient of fever desiring heat should be massaged, thus the cold fever subsides. The same very drugs pounded finely and in the lukewarm condition should be anointed on the body of the patient. Lukewarm water boiled with these drugs should be used for bath and sprinkling to pacify cold fever.

Bhavanti chatra-

Trayodashavidhah swedah swedadhyaye nidarshitah.

           Matrakalavidayuktah sa cha shitajvarapah. (268)

Sa kuti tascha shayanam tacchavchadanam jvaram.

           Shitam prashamayantyashu dhupaschaguruja ghanah. (269)

Charupachitagatryascha tarunyo yauvanoshmana.

           Ashleshacchamantyashu pramadah shishirjvaram. (270)

Swedananyannapanani vatashleshmaharani cha.

           Shitajvaram jayantyashu sansargabalayojanat. (Charak chikitsa /Jwara adhyaya 3/271)

The thirteen types of fomentation described in the concerned chapter (su.14) should be applied by the physician according to dose and time to alleviate the cold fever. The same hut, the cot and the coverings along with dense incence of aguru pacify the cold fever. Young women with well-constituted body pacify the cold fever by their embracing due to the heat of the youthful age. Diaphoretic food and drinks and those which alleviate vata and kapha overcome cold fever if applied considering the comparative strength of the above two doshas in combination.

Vataje shramaje chaiva purane kshataje jvare.

           Langhanam na hitam vidyacchamanaistanupacharet. (272)

Vikshipyamashayoshmanam yasmadgatva rasam nrunam.

           Jvaram kurvanti doshastu hiyate agnibalam tatah. (273)

Yatha prajvalita vanhi sthalyamindhanavanapi.

           Na pachatyodanam samyagnilaprerito bahi. (274)

Paktisthanat tatha doshairushma kshipto bahirnrunam.

           Na pachatyabhyavahrutam kruchrat pachati va laghu. (275)

Atoagnibalarakshartham langhanadikramo hitah.

           Saptahena hi pachyante saptadhatugata malah. (276)

Niramaschapyatah prokto jvarah prayo asthame ahani.

           Udirnadoshastvalpagnirashnan guru visheshatah. (277)

Muchyate sahasa pranaischiram klishyati va narah.

           Etasmatkaranadvidvan vatike apyadito jvare. (278)

Na ati gurvati va snigdham bhojayet sahasa naram.

           Jvare marutaje tvadavanapekshyapi hi kramam. (279)

Kuryannirannubandhanam abhyangadinupakraman.

           Payayitva kashayam cha bhojayedrasabhojanam. (280)

Jirnajvaraharam kuryat sarvashaschapyupakramam.

           Shleshmalanamavatanam jvaro anushnah kaphadhikah. (281)

Paripakam na saptahenapi yati mrudushmanam.

           Tam kramena yathoktena langhalpashanadina. (Charak chikitsa /Jwara adhyaya 3/282)

Adashahamupakramya kashayadyerupacharet.

Lightening is not indicated in the fever caused by vata, exertion, injury and the chronic one. These cases should be managed with pacificatory measures. As the doshas, having thrown out the gastric fire and circulating along the rasa produce fever, the power of digestion diminishes. As even the inflamed fire inspite of fuel does not cook the rice well in cooking vessel because of being diverted outside due to wind, the digestive fire thrown out of its normal location by doshas in the patient of fever can not digest the food taken or digests light food with difficulty. Keeping this in view, the management with lightening etc, has been prescribed. Doshas entered into the seven dhatus get digested in the period of a week that is why the fever is said as mature on the eighth day. The patient having diminished agni and aggravated doshas is left suddenly by the vital breath or suffers for long if he takes food particularly some heavy one. Because of this reason the wise physician should not prescribe diet in large quantity or excessively heavy or fatty from the start of the fever even in vatika fever. In vatika fever, if there is no association of any other dosha, massage,etc. should be applied ignoring the usual procedure. Thereafter he should be given medicinal extract and then diet with meat-soup. Other measures efficacious in chronic fever should also be adopted. In patients who are constitutionally predominant in kapha and deficient in vata if fever comes with abundant kapha and low fever it does not mature even in a week due to mild agni. Hence he should be managed with the said lightening, light diet etc. till ten days and thereafter with medicinal extracts.

Sama ye ye cha kaphajah kaphapittajvarascha. (Charak chikitsa /Jwara adhyaya 3/283)

           Langhanam langhaniyoktam teshu karye prati prati.  

Fevers which are associated with ama, or are caused by kapha or kapha-pitta should be subjected to lightening measures as described in the concerned chapter.

Vamanaischa virekascha bastibhischa yathakramam. (Charak chikitsa /Jwara adhyaya 3/284)

           Jvaranupacharedhiman kaphapittanilodbhavan.

Fevers caused by kapha, pitta and vata should be treated with emesis, purgation and enema respectively.

Sanshrushtan sannipatitan buddhwa taratamaihi samah. (285)

           Jvaran doshakramapekshi yathoktairaushadhairjayet.

Vardhanenaikadoshasya kshapanenochhritasya va. (Charak chikitsa /Jwara adhyaya 3/286)

           Kaphasthananupurvya va sannipatajvaram jayet.

In cases of fever caused by dual or aggrevated doshas one should prescribe proper drugs considering their comparative predominance or equality. The sannipataj fever should be treated by increasing the diminished doshas, decreasing the aggravated ones and keeping the condition of the location of kapha in view.

Sannipata jvarasyante karnamule sudarunah. (287)

           Shothah sanjayate tena kaschideva pramuchyate.

Raktavasechane shigra sarpishpanaischa tam jayet. (Charak chikitsa /Jwara adhyaya 3/288)

           Pradehi kaphapittaghne navane kavalagrahe.

In the end of the aggravated fever, severe swelling occurs at the root of the ears from which one rarely survives. It should be treated with prompt blood-letting, intake of ghee, anointings, snuffings, and gargles which alleviate kapha and pitta.

Shitoshnasnigdha rukshadyairjvaro yasya na shamyati. (Charak chikitsa /Jwara adhyaya 3/289)

           Shakhanusari raktasya so avasekat prashamyati.

Fever which does not subside by treatment with cold, hot, unctuous, non- unctuous etc. and has entered into shakha is treated with blood-letting.

Visarpena abhighatena yascha visphotakairjvarah. (Charak chikitsa /Jwara adhyaya 3/290)

           Tatradau sarpishah panam kaphapittataro na chet.

Fever arisen due to erysipelas, injury and eruptions, is treated first with the intake of ghee if it is not predominant in kapha and pitta.

Daurbalya dehadhatunam jvaro jirno anuvartate. (Charak chikitsa /Jwara adhyaya 3/291)

           Balyeh sabruhanes tasmadahraistamupacharet.

Chronic fever continues because of the debility of bodily dhatus, hence it should be managed with the diet promoting strength and body-bulk.

Karma sadharanam jahyat trutiyak chaturthako. (292)

           Aganturanubandho hi prayasho vishamajvare.

Vatapradhanam sarpirbhirbastibhi sanuvasane. (293)

           Snigdhoshnerannapanescha shamayedvishamjvaram.

Virechanena payasa sarpisha sanskrutena cha. (294)

           Vishamam tiktashitaischa jvaram pittotaram jayet.

Vamanam pachanam rukshamannapanam vilanghanam. (Charak chikitsa /Jwara adhyaya 3/295)

           Kashayoshnam cha vishame jvare shastam kaphottare.

The usual procedure should be left in tertian and quartan fever because there is often extrinsic factor associated with the intermittent fever. Visham jvara which is predominant in vata should be treated ghee, enema- nonunctuous and unctuous – and fatty and hot food and drinks. That predominant in pitta should be treated with purgation, milk, medicated ghee, bitter and cold drugs. Vishama jvara predominant in kapha should be treated with emesis, digestives, rough diet, lightening measures, astringent and hot drugs.

Yogah parah pravakshyante vishamajvaranashanah. (296)

           Prayokyavya matamata doshadin pravibhajya te.

Sura samanda panartha bhakshyarthe charanayudhah. (297)

           Tittirischa mayurascha prayojya vishamjvare.

Pibedva shatpalam sarpirbhayam va prayojayet. (298)

           Triphalayah kashayam va guduchya rasameva cha.            

Nilinimajagandha cha trivrutam katurohinim. (299)

           Pibejjvaragame yuktya snehaswedopapaditah.

Sarpisho mahati matram pitva va chardayet punah. (300)

           Upayujyannapanam va prabhutam punarullikhet.

Sannam madyam prabhutam va pitva svapyajjvaragame. (301)

           Asthapanam yapanam va karayedvishamjvare.

Payasa vrushadanshasya shakrudva tadah pibet. (302)

           Vrushasya dadhimandena suraya vas a saindhavam.

Pippalyastriphalayascha dadhnastakrasya sarpishah. (303)

           Panchagavyasya payasah prayogo vishamajvare.

Rasonasya satailasya pragbhaktamupasevanam. (304)

           Medyanamushna viryanamamishanam cha bhakshanam.

Hingutulya tu vaiyaghri vasa nasyam sasaindhava. (305)

           Puranasarpihi sinhasya vasa tadvat sasindhava.

Saindhavam pippalinam cha tandulah sa manahshila. (306)

           Netranjanam tailapishtam shasyate vishamajvare.

Palankasha nimbapatram vacha kushtam haritaki. (307)

           Sarshapah sayavah sarpirdhupanam jvaranashanam.

Ye dhuma dhupanam yascha navanam chanjanam cha yat. (308)

           Manovikaram nirdishtam karye tadvishamjvare.

Maninamoshadhinam cha mangalyanam vishasya cha. (Charak chikitsa /Jwara adhyaya 3/309)

           Dharanadagadanam cha sevannana bhavejjvarah.

Now (I) shall mention the formulations which alleviate the intermittent fever. They should be administered by the wise physician after considering dosh etc.

Concentrated wine for drink, cook, partridge and peacock in diet should be used in intermittent fever. The patient should take shatphala ghruta or haritaki, or decoction of triphala or juice of guduchi, or decoction of nilini, ajagandha, trivritta and katurohini, at the advent of fever, after unction and fomentation or he should take the large dose of ghee and then vomit ,or after taking plenty of meal he should vomit, or after a good meal he should take plenty of wine and then go to bed. In intermittent fever, one should prescribe non-unctuous or sustaining enemas or the patient should take cats faeces along with milk on the same day, or the bulls faeces added with rocksalt along with curd-scum or wine. The use of pippali, triphala, curd, buttermilk, panchagavya ghrita and milk is commended in intermittent fever.

The fever is prevented by wearing gems, auspicious herbs and poison and also by intake of anti-poison drugs.

Somam sanucharam devam samatruganamishwaram. (310)

           Pujayan prayatah shigram muchyate vishamjvarat.

Vishnum sahastramurdhanam characharapati vibhum. (311)

           Stuvannamasahastrena jvaran sarvanapohati.

Brahmanamshwinavindram hutabhaksham himachalam. (312)

           Gangam marudganaschestya pujayanjjayati jvaran.

Bhaktya matuhu pitruschaiva gurunam pujanena cha. (313)

           Brahmacharyena tapasa satyena niyamena cha.

Japahomapradanena vedanam shravanena cha. (314)

           Jvaradvimuchyate shighram sadhunam darshanena cha.

Jvare rasasthe vamanamupavasam cha karayet. (315)

           Sekapradeho raktasthe tatha sanshamanani cha.

Virechanam sopavasam mamsamedahsthite hitam. (Charak chikitsa /Jwara adhyaya 3/316)

           Asthimajjagate deya niruha sanuvasana.

One, worshipping devotedly Lord Shiva along with Parvati, congregation of mothers and attendants, is relieved quickly of intermittent fever. One is freed from all types of fever by eulogizing Vishnu thousand- headed, master of mobile and immobile and omnipresent with thousand names. One overcomes fever by worshipping with sacrifices Brahma, Ashwins, Indra, Agni, Himalaya, Ganga and congregation of Maruts. One is relieved of fever by devotion to parents, respect to teachers, celibacy, penance, truthfulness, observance of rules, repetition of mantra, offering of oblation, hearing of Vedas and visiting saintly persons.

In fever located in rasa one should prescribe emesis and fasting; in that located in rakta blood-letting and anointings along with pacificatory measures; purgation with fasting is wholesome in fever located in mamsa and medas. In that located in asthi and majja, non-unctuous and unctuous enema should be administered.

Shapabhicharadbhutanam abhishangascha yo jvarah. (317)

           Daivavyapashrayam tatra sarvamaushadhamishyate.

Abhighatajvaro nashyet panabhyangena sarpisha. (318)

           Raktavasekairmadyescha satmyarmamsarasaudanai.

Sa anaho madyasatmyanam madirarasabhojane. (319)

           Kshatanam vranitanam cha kshatavrana chikitsya.

Ashwaseneshtalabhena vayoho prashamanena cha. (320)

           Harshanenescha shamam yanti kamashokabhayajvarah.

Kamyairarthemanogyescha pittaghneschapyupakrame. (321)

           Sadvakyescha shamam yati jvarah krodhasamutthitah.

Lamat krodhajvaro nasham krodhat kamasamudbhavah. (Charak chikitsa /Jwara adhyaya 3/322)

           Yati tabhyamubhabhyam cha bhayashokasamutthitah.

Fever caused by cursing, exorcism, contact of evil spirits is treated with divine therapy.

Fever caused by injury is cured by intake and massage of ghee, blood-leeting, suitable wines and food consisting of meat-soup and rice. Fever with hardness of bowels in those addicted to wines should be treated with wines and food with meat soup.

Fever caused by wounds and ulcers get controlled by the treatment of the above causes.

Fever caused by passion, grief and fear are pacified by soothing, talks, meeting with the beloved, alleviation of vayu and inducing exhilaration.

Fever caused by anger is subsided by liked and favourite objects, measures alleviating pitta and soothing words.

Passion overcomes the fever caused by anger and vice-versa. Both alleviate the fever caused by fear and grief.

Jvarasya vegam kalam cha chintyanjvaryate tu yah. (323)

           Tasyairshtastu vichitraischa vishayernashayet.

One who gets fever by thinking over its rising time, should be detracted with favourite and surprising objects.

Jvarapramokshe purushah kujan vamati chestate.

           Shwasanvivarnah swinnango vepate liyate muhu. (324)

Pralapatyushnasarvangah shitangascha bhavatyapi.

           Visangyo jvarvegartah sakrodha iva vikshyate. (325)

Sadoshashabdam cha shakrud dravam stravati vegavat.

           Linganyetani janiyajjavaramokshe vichakshanah. (326)

Bahudoshasya balavan prayena abhinavo jvarah.

           Satkriyadoshapaktya chedvimunchati sudarunam. (327)

Krutva doshavashadvegam kramaduparamanti ye.

           Teshamdarunam moksho jvaranam chirakarinam. (Charak chikitsa /Jwara adhyaya 3/328)

During remission of fever, the patient groans, vomits, moves, respires, becomes pale, has perspired organ, trembles, faints frequently, has delirium, whole body being hot or cold, becomes unconscious and as if filled with anger during rise of fever, passes faeces with impurity and sound, liquid and with force. These should be taken as signs of the remission of fever.

In case the patient has profuse morbidity and the fever is acute and high, the remission occurs by crisis due to proper management and maturation of doshas. On the other hand, if the fever is chronic, the fever having risen due to aggravation of dosha gradually comes down. This is remission by lysis.

Vigataklama santapamavyatham vimalendriyam.

           Yuktam prakruti satvena vidyat purushajvaram. (Charak chikitsa /Jwara adhyaya 3/329)

The patient should be taken as free from fever when exhaustion and pyrexia are gone, there is no distress, senses are clear and the psyche has revived normalcy.

Sajvaro jvaramuktascha guruni cha.

           Asatmyanyannapanani viruddhani cha varjayet. (330)

Vyavayamatichestascha snanamatyashanani cha.

           Tatha jvarah shamam yati prashanto jayate na cha. (331)

Vyayamam cha vyavayam cha snanam chankramanani cha.

           Jvaramukto na sevet yavanna balavan bhavet. (Charak chikitsa /Jwara adhyaya 3/332)

The patient during fever or convalescence should avoid burning, heavy, unsuitable and antagonistic food and drinks. He should also abstain from sexual intercourse, over-work, bath and over-eating. Thus fever subsides and thereafter does not relapse. During convalescence one should not take exercise, sexual intercourse, bath and walking till he regains strength.

Asanjatbalo yastu jvaramukto nishevato.

           Varjyametannarastasya punaravartate jvarah. (333)

Durhrateshu cha dosheshu yasya va vinivartate.

           Swalpenapyacharena tasya vyavartate punah. (334)

Chirakalapariklishta durbalam hinatejasam.

           Achirenaiva kalena sa hanti punaragatha. (335)

Athava api paripakam dhatushveva kramanmalah.

           Yanti jvaramkurvantaste tatha apyakurvate. (336)

Dinata shwayathu glani panduta nannakamatam.

           Kandurutkothapidakah kurvantyagnim cha te mrudum. (337)

Evamanye api cha gada vyavartaante punargatah.

           Anirghatena doshanam alpairapyahitairnrunam. (338)

Nivrutte api jvare tasmadyathavastham yathabalam.

           Yathapranam haredosham prayogairva shamam nayet. (339)

Mrudubhih shodhanaih shuddhiryapana bastayo hitah.

           Hitascha laghavo yusha jangalamishaja rasah. (340)

Abhyangodvartanasnanadhupananyanjanani cha.

           Hitani punaravrutte jvare tiktaghrutani cha. (341)

Gurvabhishyandyasatmyanam bhojanat punaragate.

           Lanhanoshnopacharadi kramah karyascha purvavat. (342)

Kiratatiktam tikta mustam parpatako amruta.

           Ghnanti pitani chabhyasat punaravartakam jvaram. (Charak chikitsa /Jwara adhyaya 3/343)

If one takes these avoidable food and activities during convalescence before regaining normal strength, the fever relapses. It also relapses even with slight mis-management in cases where temperature comes down though the doshas are not eliminated properly. That relapsed fever kills the patient suffering since long, debilitated and with poor agni in a short time. Some times doshas get matured in successive dhatus, thus they do not produce fever but cause harm to the body. They produce anxious expression, swelling, malaise, paleness, anorexia, itching, rashes, pimples and mildness of appetite. Similarly, other related disorders too relapse on a slight unwholesome activity if doshas are not eliminated properly. Hence even after the fever subsides, doshas should be eliminated or pacified according to condition, strength and vitality. in such cases, evacuation with mild measures, sustaining enemas, light vegetable soup and meat-soups of the wild animals are wholesome.

Massage, anointing, bath, incense, collyrium, bitter ghee are prescribed in relapsed fever. If the fever relapses due to heavy, channel-blocking and unsuitable diet, management with lightening and hot therapy as mentioned above may be done.

Kiratatiktaka, kutaki, musta, parpatak and guduchi – decoction of these drugs together, if taken regularly, destroys the relapsing fever.

Tasyam tasyamavasthayam jvaritanam vichakshanah.

           Jvarakriyakramapekshi kuryattachikitsitam. (Charak chikitsa /Jwara adhyaya 3/344)

The wise physician, considering the management of fever, should treat the case according to the condition.

Rogarat sarvabhutanamantakruddaruno jvarah.

           Tasmadvisheshastasya yatet prashame bhishak. (345)

Yathakramam yathaprashnamuktam jvarachikitsitam.

           Atreyenagniveshaya bhutanam hitakamyaya. (Charak chikitsa /Jwara adhyaya 3/346)

Fever is the king of all diseases, destroyer of all creatures and severe, hence a physician should be particularly cautious in creating it.

Now the summing up verse-

Thus Atreya has said to Agnivesha the treatment of fever according to question and in order for well-being of the creatures.

Ityagniveshakrute tantre charakapratisanskrute chikitsitasthane jvarachikitsitam nama trutiyo adhyayah.

Thus ends the third chapter on treatment of fever in chikitsa sthana in the treatise composed by Charaka.

[drshreevani]

https://youtu.be/YZxf0ZZSD38

Vata prakopa lakshan | Kampa | Tremors | Management of Tremors

Due to chala guna (mobility) of vyana vayu and sarva indriya artha abhivahan karma, it affects the Central Nervous system that affects the brain.

Nerve cell damage in the brain causes Dopamine levels to drop causing kampa or tremors. It affects nerve cells in the deep part of the brain called basal ganglia and substantia nigra.

Causes are not following Dinacharya like waking up late in the morning, not doing exercise, not following Diet regimen according to seasons, not doing detoxification of body timely, day time sleep, controlling natural urges like urine, motion, thirst, hunger, vomit, etc

Treatment of Tremors undergoes Shodhan as well as Shaman chikitsa.

Shodhan chikitsa includes Panchakarma therapies like vaman, virechan, basti, nasya, raktamokshan.

Anuvasana basti should be given.

Shaman chikitsa includes measures like-

Intake of milk, ghee daily in your diet .

Take Dashamoola kada made with 10 gram churna add 16 parts water and let absorb till ¼ th , drink these filtered kada thrice a day after meal.

Do Mahanarayan taila abhyanga.

As it is related to CNS, Shirobasti is indicated.

[drshreevani]

Stavara vish are- Charak-21 Sushruta-55 Bhav prakash-9 Rasarnav -5 Sthavara vish adhisthana are -10 (mula, patra, phala, pushpa, twak, sara, niryasa, dugdha, dhatu, kanda) Jangama vish adhisthana are 16 (drushti, nishwasa, danshtra, nakha, mutra, purish, shukra, lalastrava, artava, mukha, vishardit, guda, asthi, pitta, shukra, shava) Vish guna Charak-10 (laghu, ruksha, ushna, sukshma, ashukari, vyavayi, anirdeshya rasa, vikasi, vishad) Sushruta-10 (apaki rasa mentioned by sushruta) Vagbhat -11 (laghu, ruksha, ushna, sukshma, ashukari, vyavayi, anirdeshya rasa, apaki, vikasi, vishad) Sharangdhar -8 (chedi, madavaha, yogavahi,etc gunas ) Sarpa bheda Charak -3 (darvikar-26, mandalin -22, rajimana-10) Sushruta-5 (darvikar-26, mandalin-22, rajimana-10, nirvisha-12, vaikaranja- 3, vaikaranjodbhav-7) Sarpadansha bheda Charak -3 (darvikar-26, mandalin -22, rajimana-10) Sushruta-5 (darvikar-26, mandalin-22, rajimana-10, nirvisha-12, vaikaranja- 3, vaikaranjodbhav-7) Arishtha bandhan Charak- mantra and arishtha both are used. Sushruta- 1 ( 4 angula above dansha area) Shastra karma Sushruta- 8 (chedan, bhedan, lekhan, vedhan, eshan, aharana, sivan, vistravan) Vagbhat -13 (chedan, bhedan, lekhan, vedhan, eshan, aharana, sivan, vistravan, utpatan, kuttan, manthan, grahan, dahan) Vranabandhan types Charak-2 (dakshinavarta and vamavarta) Sushruta-14 (kosha, dama, swastika, anuvellita, muttoli, mandala, sthagika, yamaka, khatva, china, vibandha, vitana, gophana, panchangi) Vagbhat -15 (kosha, dama, swastika, anuvellita, muttoli, mandala, sthagika, yamaka, khatva, china, vibandha, vitana, gophana, panchangi, utsanga) Ashmari types Charak-1 Sushruta-4 Avarana bheda Charak-42 Vagbhat-22 Sushruta-13 Madhavkar- not mentioned