Changes

The fever turns chronic if there is weakness in the tissues of the body. Hence such patients should be given foods which promote the strength and are nourishing. [291-292]

The fever turns chronic if there is weakness in the tissues of the body. Hence such patients should be given foods which promote the strength and are nourishing. [291-292]

==== Management of dosha dominance in vishamajwara ====

==== Management of ''dosha'' dominance in ''vishamajwara'' ====

कर्म साधारणं जह्यात्तृतीयकचतुर्थकौ  ||२९२||  

कर्म साधारणं जह्यात्तृतीयकचतुर्थकौ  ||२९२||  

आगन्तुरनुबन्धो हि प्रायशो विषमज्वरे|  

आगन्तुरनुबन्धो हि प्रायशो विषमज्वरे|  

वातप्रधानं सर्पिर्भिर्बस्तिभिः सानुवासनैः||२९३||  

वातप्रधानं सर्पिर्भिर्बस्तिभिः सानुवासनैः||२९३||  

स्निग्धोष्णैरन्नपानैश्च शमयेद्विषमज्वरम्|  

स्निग्धोष्णैरन्नपानैश्च शमयेद्विषमज्वरम्|  

विरेचनेन पयसा सर्पिषा संस्कृतेन च||२९४||  

विरेचनेन पयसा सर्पिषा संस्कृतेन च||२९४||  

विषमं तिक्तशीतैश्च ज्वरं पित्तोत्तरं जयेत्|  

विषमं तिक्तशीतैश्च ज्वरं पित्तोत्तरं जयेत्|  

वमनं पाचनं रूक्षमन्नपानं विलङ्घनम्||२९५||  

वमनं पाचनं रूक्षमन्नपानं विलङ्घनम्||२९५||  

कषायोष्णं च विषमे ज्वरे शस्तं कफोत्तरे|२९६|  

कषायोष्णं च विषमे ज्वरे शस्तं कफोत्तरे|२९६|  

karma sādhāraṇaṁ jahyāttr̥tīyakacaturthakau  ||292||  

karma sādhāraṇaṁ jahyāttr̥tīyakacaturthakau  ||292||  

āganturanubandhō hi prāyaśō viṣamajvarē|  

āganturanubandhō hi prāyaśō viṣamajvarē|  

vātapradhānaṁ sarpirbhirbastibhiḥ sānuvāsanaiḥ||293||  

vātapradhānaṁ sarpirbhirbastibhiḥ sānuvāsanaiḥ||293||  

snigdhōṣṇairannapānaiśca śamayēdviṣamajvaram|  

snigdhōṣṇairannapānaiśca śamayēdviṣamajvaram|  

virēcanēna payasā sarpiṣā saṁskr̥tēna ca||294||  

virēcanēna payasā sarpiṣā saṁskr̥tēna ca||294||  

viṣamaṁ tiktaśītaiśca jvaraṁ pittōttaraṁ jayēt|  

viṣamaṁ tiktaśītaiśca jvaraṁ pittōttaraṁ jayēt|  

vamanaṁ pācanaṁ rūkṣamannapānaṁ vilaṅghanam||295||  

vamanaṁ pācanaṁ rūkṣamannapānaṁ vilaṅghanam||295||  

kaṣāyōṣṇaṁ ca viṣamē jvarē śastaṁ kaphōttarē|296|  

kaṣāyōṣṇaṁ ca viṣamē jvarē śastaṁ kaphōttarē|296|  

karma sAdhAraNaM jahyAttRutIyakacaturthakau  ||292||  

karma sAdhAraNaM jahyAttRutIyakacaturthakau  ||292||  

Aganturanubandho hi prAyasho viShamajvare|  

Aganturanubandho hi prAyasho viShamajvare|  

vAtapradhAnaM sarpirbhirbastibhiH sAnuvAsanaiH||293||  

vAtapradhAnaM sarpirbhirbastibhiH sAnuvAsanaiH||293||  

snigdhoShNairannapAnaishca shamayedviShamajvaram|  

snigdhoShNairannapAnaishca shamayedviShamajvaram|  

virecanena payasA sarpiShA saMskRutena ca||294||  

virecanena payasA sarpiShA saMskRutena ca||294||  

viShamaM tiktashItaishca jvaraM pittottaraM jayet|  

viShamaM tiktashItaishca jvaraM pittottaraM jayet|  

vamanaM pAcanaM rUkShamannapAnaM vila~gghanam||295||  

vamanaM pAcanaM rUkShamannapAnaM vila~gghanam||295||  

kaShAyoShNaM ca viShame jvare shastaM kaphottare|296|  

kaShAyoShNaM ca viShame jvare shastaM kaphottare|296|  

The general line of treatment of jwaras should not be followed for the management of tṛtīyaka and chaturthaka jwara as these two types of fever are mostly associated with āgantu or extraneous factors as būtās or evil spirits including germs. When vāyu is predominantly aggravated in these two types of jwara, then they should be cured by the administration of ghee, niruha and anuvāsana vastīs (medicated enemas), unctuous and hot diet and drinks. When the pitta doshha is dominant the patient should be given purgation therapy, medicated milk, ghee and articles which are bitter and cold. In state of kapha predominance, then the patient should be administered emetic therapy, pācana (therapy which promotes the digestion and metabolism), ununctuos diet and drinks, fasting and hot decoctions are useful. (292-296)

The general line of treatment of ''jwaras'' should not be followed for the management of ''tṛtīyaka'' and ''chaturthaka jwara'' as these two types of fever are mostly associated with ''āgantu'' or extraneous factors as ''būtās'' or evil spirits including germs. When ''vāyu'' is predominantly aggravated in these two types of ''jwara'', then they should be cured by the administration of ghee, ''niruha'' and ''anuvāsana bastīs'' (medicated enemas), unctuous and hot diet and drinks. When the ''pitta dosha'' is dominant the patient should be given purgation therapy, medicated milk, ghee and articles which are bitter and cold. In state of ''kapha'' predominance, then the patient should be administered emetic therapy, ''pachana'' (therapy which promotes the digestion and metabolism), ununctuous diet and drinks, fasting and hot decoctions are useful. [292-296]

==== Guidelines and various formulations in vishama jwara ====

==== Guidelines and various formulations in vishama jwara ====