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Line 268: − + + + + + + + + − Generally, [[panchakarma]] procedures are indicated when the [[dosha]] are free from affliction of [[ama]] state. [Su.Sa.Uttara Sthana.39/124-125] − *Fomentation ([[swedana]]): Different fomentation techniques are used judiciously in jwara patients. Mild fomentation by covering the body with thick blanket (guru pravarana) is indicated in initial stage. It clears obstruction in sweat channels and normalizes body temperature. If the patient is experiencing excess cold, rhinitis, dyspnoea, pain in calves, joints and bones,fomentation is indicated. After the elimination of [[dosha]], if residual [[kapha]] and [[vata]][[dosha]] are causing jwara,fomentation and massage is indicated.[Su.Sa.Uttara Sthana.39/319][A.Hr.ChikitsaSthana 1/20] − *Therapeutic emesis ([[vamana]]): If [[kapha]][[dosha]] is in excess aggravated state, emesis is administered. [Cha.Sa.[[Chikitsa Sthana]].3/227][Su.Sa.Uttara Sthana.39/98] It is also indicated in the initial phase,conditions of nausea, excessive salivation, aversion to food, cough, simultaneous occurrence of vomiting and diarrhoea. It is ideal treatment if jwara manifests immediately after meals. [A.Hr.Chikitsa Sthana.1/5] − *Therapeutic purgation: It is prescribed in case of aggravated [[pitta]] [[dosha]] conditions. [Cha.Sa.[[Chikitsa Sthana]].3/227] It should be performed only in later stage of of jwara and if jwara does not respond to medicines; provided the patient is having good strength and digestive capacity. [Cha.Sa.[[Chikitsa Sthana]].3/168-69] If [[dosha]] are free from [[ama]] state and retained in digestive tract (koshtha), purgative medication can be given even in acute stage of fever. [Su.Sa.Uttara Sthana.39/124] − + − + + +
→Panchakarma procedures with safety precautions
*Herbo-mineral formulations: Jwaramurari rasa, Tribhuvanakeertirasa, Anandabhairava rasa, Laxmi vilasa rasa
*Herbo-mineral formulations: Jwaramurari rasa, Tribhuvanakeertirasa, Anandabhairava rasa, Laxmi vilasa rasa
=Panchakarma procedures with safety precautions=
=[[Panchakarma]] procedures with safety precautions=
Generally, [[panchakarma]] procedures are indicated when the [[dosha]] are free from affliction of [[ama]] state. [Su.Sa.Uttara Sthana.39/124-125]<ref name=Susruta/>
*Fomentation ([[swedana]]): Different fomentation techniques are used judiciously in jwara patients. Mild fomentation by covering the body with thick blanket (guru pravarana) is indicated in initial stage. It clears obstruction in sweat channels and normalizes body temperature. If the patient is experiencing excess cold, rhinitis, dyspnoea, pain in calves, joints and bones,fomentation is indicated. After the elimination of [[dosha]], if residual [[kapha]] and [[vata]][[dosha]] are causing jwara,fomentation and massage is indicated.[Su.Sa.Uttara Sthana.39/319]<ref name=Susruta/>[A.Hr.ChikitsaSthana 1/20]<ref name=Hridaya/>
*Therapeutic emesis ([[vamana]]): If [[kapha]][[dosha]] is in excess aggravated state, emesis is administered. [Cha.Sa.[[Chikitsa Sthana]].3/227][Su.Sa.Uttara Sthana.39/98]<ref name=Susruta/> It is also indicated in the initial phase, conditions of nausea, excessive salivation, aversion to food, cough, simultaneous occurrence of vomiting and diarrhoea. It is ideal treatment if jwara manifests immediately after meals. [A.Hr.Chikitsa Sthana.1/5]<ref name=Hridaya/>
*Therapeutic purgation: It is prescribed in case of aggravated [[pitta]] [[dosha]] conditions. [Cha.Sa.[[Chikitsa Sthana]].3/227] It should be performed only in later stage of of jwara and if jwara does not respond to medicines; provided the patient is having good strength and digestive capacity. [Cha.Sa.[[Chikitsa Sthana]].3/168-69] If [[dosha]] are free from [[ama]] state and retained in digestive tract (koshtha), purgative medication can be given even in acute stage of fever. [Su.Sa.Uttara Sthana.39/124]<ref name=Susruta/>
*Medicated enema (basti): If the [[dosha]] are lodged in colon (pakwashaya) medicated enemas can be used.[Cha.Sa.[[Chikitsa Sthana]].3/240]
*Medicated enema (basti): If the [[dosha]] are lodged in colon (pakwashaya) medicated enemas can be used.[Cha.Sa.[[Chikitsa Sthana]].3/240]
*Intra nasal drug administration ([[nasya]]):Purificatory nasal medication is indicated for chronic conditions with heaviness, headache and impaired sensorium. [Cha.Sa.[[Chikitsa Sthana]].1/173-74] If patient feels emptiness of head, have burning sensation, unctuous nasal medication which mitigates [[pitta]] should be administered. [A.Hr.Chikitsa Sthana.3/126]
*Bloodletting ([[raktamokshana]]): If the jwara is not responding to either cold or hot therapies or to unctuous or ununctuous therapies, bloodletting therapy should be performed. Here the [[dosha]] are located in the peripheral tissues, which can be eliminated only through bloodletting. [Cha.Sa.[[Chikitsa Sthana]].3/289-90]
*Intra nasal drug administration ([[nasya]]): Purificatory nasal medication is indicated for chronic conditions with heaviness, headache and impaired sensorium. [Cha.Sa.[[Chikitsa Sthana]].1/173-74] If patient feels emptiness of head, have burning sensation, unctuous nasal medication which mitigates [[pitta]] should be administered. [A.Hr.Chikitsa Sthana.3/126]<ref name=Hridaya/>
*Bloodletting ([[raktamokshana]]): If the jwara is not responding to either cold or hot therapies or to unctuous or ununctuous therapies, bloodletting therapy should be performed. Here the [[dosha]] are located in the peripheral tissues, which can be eliminated only through bloodletting. [Cha.Sa.[[Chikitsa Sthana]].3/289-90]
=Wholesome diet and lifestyle factors=
=Wholesome diet and lifestyle factors=