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Vardhamanapippali rasayana to prevent recurrence is advised.
Vardhamanapippali rasayana to prevent recurrence is advised.
=Jwara affecting body tissues (dhatugata jwara)=
When jwara affects body tissues, it produces tissue specific clinical features. These conditions of lodging pathogenic factors of jwara at different tissues ([[dhatu]]) are termed as ‘dhatugatajwara’. This suggests progressive stages of disease affecting deeper tissues.
[Cha.Sa.Chikitsa Sthana.3/75-82] [Su.Sa.Uttarasthana.39/83-88]
{| class="wikitable"
|+ Table 5: Clinical features and management of dhatugatajwara
|-
! Dhatu affected !! Clinical features !! Treatment of choice [Cha.Sa.Chikitsa Sthana.3/315-17]!!Drug of choice <ref>Jwara. In: Ranade S,ed.1Kayachikitsa.Delhi: Chaukhamba Sanskrit pratishthan; 2005:p.61</ref>
|-
| | Nutrient fluids (rasa dhatu) || Heaviness, miserable feeling, anxiety, exhaustion, vomiting, anorexia, increase in external temperature, body ache and yawning || Therapeutic emesis (vamana) and fasting (langhana)|| Pippali
|-
| | Blood (rakta dhatu) || Increase in body temperature, eruptions, thirst, frequent hemoptysis, burning sensation, discoloration, giddiness, intoxication and incoherent speech || External application of medicaments like pouring decoctions and anointing medicines over body || Sariva
|-
| | Muscle tissue (mamsadhtu) || Internal feeling of burning, thirst, unconsciousness, weakness, diarrhea, bad body odor andabnormal muscle movementslike throwing away limbs || Therapeutic purgation (virechana) and fasting || Guduchi
|-
| | Adipose tissue (medadhatu) || Excessive sweating, thirst, incoherent speech, frequent vomiting, inability to tolerate own body odor, fatigue and anorexia || Therapeutic purgation (virechana) and fasting || Nimba
|-
| | Bone tissue (asthidhatu) || Diarrhea, emesis, pain in the bones, cooing sound (kujana), convulsive movements of the body and limbs, dyspnea || Decoction enema and untuous enema || Triphala
|-
| | Bone marrow (majja) || Hiccup, severe dyspnea, cough, feeling of entering into darkness frequently, cutting pain in the vital organs (marma), feeling of cold externally and internal burning sensation || Decoction enema and ununtuous enema || Lauha
|-
| | Reproductive fluid/semen (shukra): || Rigidity of penis, ejaculation and destruction of semen resulting in the extinction of life || Incurable || --
|-
|}
==Prognosis==
• Jwaraat the site of nutrient fluid (rasa),blood (rakta), muscle (mamsa) and adipose tissue (meda dhatu) are curable [Jwara affecting bones (asthi) and marrow (majja) are difficult to cure. Jwara affecting semen/reproductive fluid (shukra dhatu) is incurable. [Cha.Sa.Chikitsa Sthana.3/83]