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<big>'''Abstract'''</big>  

<big>'''Abstract'''</big>  

<div style="text-align:justify;">This chapter on ''jwara'' is specially important from the standpoint of its management. It covers various endogenous and exogenous causes of ''jwara'' with its management principles. It encompasses a wide set of concepts related to diversified pathogenesis of diseases, including variations in ''dosha'' states, their degrees in less or severe form, clinical features and their management. The stages of disease and change in treatments need special attention. The important concept of functional aspects of disease involving psychogenic factors and affliction of unknown factors causing ''jwara'' are described in detail with their psycho-spiritual therapies. Do’s and don’ts during jwara and after its remission are applicable in every disease. The etio-pathogenesis and management of recurrence of ''jwara'' denotes importance of observing prescribed codes even after being free from disease. Due to the cardinal feature of raised body temperature or a perception of it, ''jwara'' is often considered synonymous with fever. However, it is not always necessary to consider ''jwara'' disease as fever, because it covers many other principles of management of disease. Modern medicine literature describes two components of fever, one where the cause or etiology is known and the other where it is unknown and is described as FUO (Fever of Unknown Origin). Thus, there is no curative treatment of FUO is available in modern medicine. On the other hand, this chapter describes important Ayurvedic concepts of ''jwara'' or fever which are important to understand the etiology of fever and thus the management.

<div style="text-align:justify;">This chapter on ''jwara'' is specially important from the standpoint of its management. It covers various endogenous and exogenous causes of ''jwara'' with its management principles. It encompasses a wide set of concepts related to diversified pathogenesis of diseases, including variations in ''[[dosha]]'' states, their degrees in less or severe form, clinical features and their management. The stages of disease and change in treatments need special attention. The important concept of functional aspects of disease involving psychogenic factors and affliction of unknown factors causing ''jwara'' are described in detail with their psycho-spiritual therapies. Do’s and don’ts during jwara and after its remission are applicable in every disease. The etio-pathogenesis and management of recurrence of ''jwara'' denotes importance of observing prescribed codes even after being free from disease. Due to the cardinal feature of raised body temperature or a perception of it, ''jwara'' is often considered synonymous with fever. However, it is not always necessary to consider ''jwara'' disease as fever, because it covers many other principles of management of disease. Modern medicine literature describes two components of fever, one where the cause or etiology is known and the other where it is unknown and is described as FUO (Fever of Unknown Origin). Thus, there is no curative treatment of FUO is available in modern medicine. On the other hand, this chapter describes important Ayurvedic concepts of ''jwara'' or fever which are important to understand the etiology of fever and thus the management.

'''Keywords''': ''Jwara roga, Santapa, pitta'' fever, ''ushma'', heat regulation.

'''Keywords''': ''Jwara roga, Santapa, [[pitta]]'' fever, ''ushma'', heat regulation.

== Introduction ==

== Introduction ==

The first two chapters of [[Chikitsa Sthana]] describe ''rasayana'' and ''vajikarana'' to serve the first purpose of preservation, promotion, and rejuvenation of health. The second purpose – the treatment of disease - is dealt in subsequent chapters of this ''sthana''. [[Jwara Chikitsa]] has been dealt first because [[Ayurveda]] holds that ''jwara'' is not merely the increase in body temperature (fever) but also a feeling of malaise, unease and discomfort, and involves the ''deha, indriya'',and ''mana'' (physical body, sensory organs, and mind). While the balanced state of ''vata, pitta,'' and ''kapha'' manifest health by rhythmic circulation of fluids, digestion, metabolism, and nutrition respectively, their imbalance manifest as pain, increase in body heat, and inflammations. ''Jwara'' is an imbalanced state of ''pitta'', which damages the physiology of digestion and metabolism. Inappropriately digested food transforms into a substance called ''amavisha'' which is a predisposing cause of many diseases. The initial manifestation of stagnated ''amavisha'' in ''rasa dhatu'' (plasma) is ''jwara''. Thus, ''jwara'' is an important indication for the circulating ''amavisha'' and requires early treatment before its progression.  

The first two chapters of [[Chikitsa Sthana]] describe ''[[rasayana]]'' and ''[[vajikarana]]'' to serve the first purpose of preservation, promotion, and rejuvenation of health. The second purpose – the treatment of disease - is dealt in subsequent chapters of this ''sthana''. [[Jwara Chikitsa]] has been dealt first because [[Ayurveda]] holds that ''jwara'' is not merely the increase in body temperature (fever) but also a feeling of malaise, unease and discomfort, and involves the ''deha, [[indriya]]'',and ''mana'' (physical body, sensory organs, and mind). While the balanced state of ''[[vata]], [[pitta]],'' and ''[[kapha]]'' manifest health by rhythmic circulation of fluids, digestion, metabolism, and nutrition respectively, their imbalance manifest as pain, increase in body heat, and inflammations. ''Jwara'' is an imbalanced state of ''[[pitta]]'', which damages the physiology of digestion and metabolism. Inappropriately digested food transforms into a substance called ''amavisha'' which is a predisposing cause of many diseases. The initial manifestation of stagnated ''amavisha'' in ''[[rasa dhatu]]'' (plasma) is ''jwara''. Thus, ''jwara'' is an important indication for the circulating ''amavisha'' and requires early treatment before its progression.  

This chapter of [[Jwara Chikitsa]] establishes many guiding principles for treatment of various diseases described later in this section. These are classification, types, association with body tissues, and identification of progression, precautions and specific order of treatment. Causes and symptoms of recurrence and their remedies are widely described in this chapter.

This chapter of [[Jwara Chikitsa]] establishes many guiding principles for treatment of various diseases described later in this section. These are classification, types, association with body tissues, and identification of progression, precautions and specific order of treatment. Causes and symptoms of recurrence and their remedies are widely described in this chapter.