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Line 3,410: − + + + − + + + + + − + + − + − + + + + − + + − + + + + − + − ¨ When the jwara is in the sama stage+ − ¨ When jwara is produced by the aggravated kapha dosha+ − ¨ When both the kapha and the pitta dosha are aggravated together+ − Vaman, virechana and bastī therapies should be administered to cure the jwara caused by the aggravated vāta, pitta and kapha dosha respectively.+ − + − + + + +
→Guidelines for management in sannipata conditions
If the ''jwara'' is caused by ''vāta'' and is not associated with the other two ''doshas'' then, in exception to the above rule the patient should be given massage and such other therapies. He should be given decoctions and meat or vegetable soups to drink. All the therapies described for chronic fever are useful for the management of this kind of fever. [273-283]
If the ''jwara'' is caused by ''vāta'' and is not associated with the other two ''doshas'' then, in exception to the above rule the patient should be given massage and such other therapies. He should be given decoctions and meat or vegetable soups to drink. All the therapies described for chronic fever are useful for the management of this kind of fever. [273-283]
==== Guidelines for management in sannipata conditions ====
==== Guidelines for management in ''sannipata'' conditions ====
सामा ये ये च कफजाः कफपित्तज्वराश्च ये||२८३||
सामा ये ये च कफजाः कफपित्तज्वराश्च ये||२८३||
लङ्घनं लङ्घनीयोक्तं तेषु कार्यं प्रति प्रति|२८४|
लङ्घनं लङ्घनीयोक्तं तेषु कार्यं प्रति प्रति|२८४|
वमनैश्च विरेकैश्च बस्तिभिश्च यथाक्रमम्||२८४||
वमनैश्च विरेकैश्च बस्तिभिश्च यथाक्रमम्||२८४||
ज्वरानुपचरेद्धीमान् कफपित्तानिलोद्भवान्|२८५|
ज्वरानुपचरेद्धीमान् कफपित्तानिलोद्भवान्|
संसृष्टान् सन्निपतितान् बुद्ध्वा तरतमैः समैः||२८५||
संसृष्टान् सन्निपतितान् बुद्ध्वा तरतमैः समैः||२८५||
ज्वरान् दोषक्रमापेक्षी यथोक्तैरौषधैर्जयेत्|
ज्वरान् दोषक्रमापेक्षी यथोक्तैरौषधैर्जयेत्|
वर्धनेनैकदोषस्य क्षपणेनोच्छ्रितस्य वा||२८६||
वर्धनेनैकदोषस्य क्षपणेनोच्छ्रितस्य वा||२८६||
कफस्थानानुपूर्व्या वा सन्निपातज्वरं जयेत्|२८७|
कफस्थानानुपूर्व्या वा सन्निपातज्वरं जयेत्|२८७|
sāmā yē yē ca kaphajāḥ kaphapittajvarāśca yē||283||
sāmā yē yē ca kaphajāḥ kaphapittajvarāśca yē||283||
laṅghanaṁ laṅghanīyōktaṁ tēṣu kāryaṁ prati prati|284|
laṅghanaṁ laṅghanīyōktaṁ tēṣu kāryaṁ prati prati|
vamanaiśca virēkaiśca bastibhiśca yathākramam||284||
vamanaiśca virēkaiśca bastibhiśca yathākramam||284||
jvarānupacarēddhīmān kaphapittānilōdbhavān|285|
saṁsr̥ṣṭān sannipatitān buddhvā taratamaiḥ samaiḥ||285||
jvarānupacarēddhīmān kaphapittānilōdbhavān|
saṁsr̥ṣṭān sannipatitān buddhvā taratamaiḥ samaiḥ||285||
jvarān dōṣakramāpēkṣī yathōktairauṣadhairjayēt|
jvarān dōṣakramāpēkṣī yathōktairauṣadhairjayēt|
vardhanēnaikadōṣasya kṣapaṇēnōcchritasya vā||286||
vardhanēnaikadōṣasya kṣapaṇēnōcchritasya vā||286||
kaphasthānānupūrvyā vā sannipātajvaraṁ jayēt|287|
kaphasthānānupūrvyā vā sannipātajvaraṁ jayēt|287|
sAmA ye ye ca kaphajAH kaphapittajvarAshca ye||283||
sAmA ye ye ca kaphajAH kaphapittajvarAshca ye||283||
la~gghanaM la~gghanIyoktaM teShu kAryaM prati prati|284|
la~gghanaM la~gghanIyoktaM teShu kAryaM prati prati|
vamanaishca virekaishca bastibhishca yathAkramam||284||
vamanaishca virekaishca bastibhishca yathAkramam||284||
jvarAnupacareddhImAn kaphapittAnilodbhavAn|285|
jvarAnupacareddhImAn kaphapittAnilodbhavAn|
saMsRuShTAn sannipatitAn buddhvA taratamaiH samaiH||285||
saMsRuShTAn sannipatitAn buddhvA taratamaiH samaiH||285||
jvarAn doShakramApekShI yathoktairauShadhairjayet|
jvarAn doShakramApekShI yathoktairauShadhairjayet|
vardhanenaikadoShasya kShapaNenocchritasya vA||286||
vardhanenaikadoShasya kShapaNenocchritasya vA||286||
kaphasthAnAnupUrvyA vA sannipAtajvaraM jayet|287|
kaphasthAnAnupUrvyA vA sannipAtajvaraM jayet|287|
Langhana and similar other therapies described in the twenty second chapter of sutra sthana should be invariably administered in the following conditions –
''Langhana'' and similar other therapies described in [[Langhanabrimhaniya Adhyaya]] of [[Sutra Sthana]] should be invariably administered in the following conditions:
*When the ''jwara'' is in the ''sama'' stage
*When ''jwara'' is produced by the aggravated ''kapha dosha''
*When both the ''kapha'' and the ''pitta dosha'' are aggravated together
In the case of saṁsṛṡṭra and sannīpātaja (in case of combination of two or all the three doshas) type of jwara, the tara, tama and sama (lesser, greater or equal) status of the vitiated doshās should be ascertained and the treatment planned according to the line of treatment and drugs prescribed for that dosha.
''Vamana, virechana'' and ''bastī'' therapies should be administered to cure the ''jwara'' caused by the aggravated ''vāta, pitta'' and ''kapha dosha'' respectively.
Sannipātaja jwara should be treated by increasing one dosha, reducing the excessively aggravated one or by correcting the sites of the doshās in order, beginning with the site of kapha.(283-287)
In the case of ''saṁsṛṡṭra'' and ''sannīpātaja'' (in case of combination of two or all the three ''doshas'') type of ''jwara'', the ''tara'', ''tama'' and ''sama'' (lesser, greater or equal) status of the vitiated ''doshas'' should be ascertained and the treatment planned according to the line of treatment and drugs prescribed for that ''dosha''.
''Sannipātaja jwara'' should be treated by increasing one ''dosha'', reducing the excessively aggravated one or by correcting the sites of the ''doshas'' in order, beginning with the site of ''kapha''.[283-287]
==== Management of karnamulika shotha (inflammatoion near the root of the ears) ====
==== Management of karnamulika shotha (inflammatoion near the root of the ears) ====