Changes

=== ''Tattva Vimarsha'' ===

=== ''Tattva Vimarsha'' ===

*All diseases including jwara occur due to disequilibrium of dosha. If the dosha are in equilibrium state, health is maintained and disease cannot occur.  

*All diseases including ''jwara'' occur due to disequilibrium of ''dosha''. If the ''dosha'' are in equilibrium state, health is maintained and disease cannot occur.  

*The origin of all diseases is because of the tendency for greed or attachment (parigraha).

*The origin of all diseases is because of the tendency for greed or attachment (''parigraha'').

*In order to know a disease, the diagnosis of sharira (physical) and manasa (mental); saumya (predominated by cold) and agneya (predominated by heat); antarvega (internal) and bahirvega (external); prakrita (according to seasons) and vaikrita (unseasonal); sadhya (curable) and asadhya (incurable) should be made and treated accordingly.  

*In order to know a disease, the diagnosis of ''sharira'' (physical) and ''manasa'' (mental); ''saumya'' (predominated by cold) and ''agneya'' (predominated by heat); ''antarvega'' (internal) and ''bahirvega'' (external); ''prakrita'' (according to seasons) and ''vaikrita'' (unseasonal); ''sadhya''(curable) and ''asadhya'' (incurable) should be made and treated accordingly.  

*The psychic involvement in a disease shall be assessed on the basis of vaichitya (mental instability), arati (disliking for everything) and glani (feeling of weakness in the body).

*The psychic involvement in a disease shall be assessed on the basis of ''vaichitya'' (mental instability), ''arati'' (disliking for everything) and ''glani'' (feeling of weakness in the body).

*Dosha dominance can be assessed by the desire to take cold or hot things. In vata-pitta dominant diseases, there is desire for cold things and in vata-kapha dominant diseases, there is desire for hot things.     

*''Dosha'' dominance can be assessed by the desire to take cold or hot things. In ''vata-pitta'' dominant diseases, there is desire for cold things and in ''vata-kapha'' dominant diseases, there is desire for hot things.     

*Seasonal variations in temperature, environment can adversely affect the dosha balance leading to diseases originated from naturally vitiated dosha.  

*Seasonal variations in temperature, environment can adversely affect the ''dosha'' balance leading to diseases originated from naturally vitiated ''dosha''.  

*As a seed remains dormant in the soil and germinates at a favourable time, similarly the doshas remain in dormant condition in the dhatu and get aggravated at a favourable time. These dosha gain strength at an apropriate time and when the power of the inhibiting (disease preventing) factors subsides, then disease occurs.  

*As a seed remains dormant in the soil and germinates at a favorable time, similarly the ''doshas'' remain in dormant condition in the ''dhatu'' and get aggravated at a favorable time. These ''dosha'' gain strength at an appropriate time and when the power of the inhibiting (disease preventing) factors subsides, then disease occurs.  

*In the abhighataja jwara, caused by any injury, vitiated vata affects predominantly rakta (blood) to resulting in jwara with discomfort, swelling, discoloration and pain. This resembles with inflammation.  

*In the ''abhighataja jwara'', caused by any injury, vitiated ''vata'' affects predominantly ''rakta'' (blood) to resulting in ''jwara'' with discomfort, swelling, discoloration and pain. This resembles with inflammation.  

*The exogenous jwara caused by external causes are at first independent, but later they get mixed up with the signs and symptoms of nija jwara (endogenous fevers).

*The exogenous ''jwara'' caused by external causes are at first independent, but later they get mixed up with the signs and symptoms of ''nija jwara'' (endogenous fevers).

*The processes of vitiated dosha spread all over body after combining with the rasa ( first dhatu of nutrition), its effect of displacement of agni (hampering metabolism), obstruction of transport channels specifically sweat pores leading to increase in internal heat are important milestones in pathogenesis of jwara.  

*The processes of vitiated ''dosha'' spread all over body after combining with the ''rasa'' (first ''dhatu'' of nutrition), its effect of displacement of ''agni'' (hampering metabolism), obstruction of transport channels specifically sweat pores leading to increase in internal heat are important milestones in pathogenesis of ''jwara''.  

*Langhana (fasting) reduces the aggravated dosha, stimulates the agni, and leads to lightness and restoration of appetite with alleviation of jwara .  

*''Langhana'' (fasting) reduces the aggravated ''dosha'', stimulates the ''agni'', and leads to lightness and restoration of appetite with alleviation of ''jwara'' .  

*Langhana should be performed to the extent that it does not hamper the vitality or strength of the individual. The aim of all these measures is to regain the health which also depends on the physical, mental and spiritual strength.

*Langhana should be performed to the extent that it does not hamper the vitality or strength of the individual. The aim of all these measures is to regain the health which also depends on the physical, mental and spiritual strength.

*Any treatment shall always be performed after proper assessment of nature and state of dosha. Otherwise it leads to complications and adverse effects.

*Any treatment shall always be performed after proper assessment of nature and state of dosha. Otherwise it leads to complications and adverse effects.