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Jwara
Jwara
Introduction
Jwara paryaya –
ज्वर
विकार
व्याधीआतंक
ज्वर
रोगपति
पाप्मा – पाप कर्म से उत्पन्न
मृत्यु
ओजोनाशक
आतंक
क्रोध
दक्षाध्वरध्वंसी
रुद्रऊध्वनयनउत्भ्वव
संतापात्मा
Jwara Prakruti –
Jwara Pravutti –
परिग्रह - लोभ
Types of Jwara
स्नेहन, स्वेदन, वमन, विरे चन, आदि कार्यो का मिथ्यारुप, या अतिमात्रा में
सेवन.
अनेकविध शस्त्र तथा पाषाणादि प्रहार(Trauma)
विद्रधि आदि रोगो का उत्थान तथा प्रपाक होना (Inflammation)
श्रम(tiredness) ,श्रय(consumption), अर्जीण(Indigestion), विष(poisoning)
सात्त्विक तथा ऋतु परिवर्तन(seasonal influence)
विषौषधि पुष्प की गंध (allergy to drugs & pollens)
शोक Psychic factors/sadness
नक्षत्र पिडा, ग्रह बाधा
अभिचार (unholy things) ,अभिशाप(curse), मनोविकार- काम, क्रोध आदि
विषम प्रकृति, सति
ु का का विषम उपचार, स्तन्य जनन काल आदि.
As per Vagbhat
सन्निकृष्ट निदान- वातादि दोष से उत्पन्न, काल दृष्टि से नजदीक
विप्रकृष्ट निदान – मिथ्याआहार, विहार से उत्पन्न, काल दृष्टि से दरु
Samprapti –
1. निदानो का अतिसेवन
2. दोष प्रकृपित (वात, पित्त, कफ)
3. आमाश्रय मे दोषो का स्थान संश्रय
4. अग्निमांद्य
5. आमौत्पती (प्रकुपित दोष + रस धातु संयोग)
6. स्त्रौतौरोध ( रसवह + स्वेदवह स्त्रोतम ्)
7. जठराग्नि का स्वस्थान से बहिर्गमन
8. दे ह, इंद्रिय, मन संताप (उष्ण गण
ु बढना)
9. ज्वरउत्पत्ति
Samprapti ghatak –
Jwara PurvaRupa –
जंभ
ृ ा(Yawning) , अंगमर्दो(pressing or Squeezing sensation) ,
गुरुता(heavyness), रोमहर्ष(tingling sensation or horripilation), अरुचि(loss of
taste), तम(darkness), अप्रहर्ष(displeasure), शितच भवत्युत्प स्याति ज्वरे
(cold touch feel by the patient)
क्लम (fatigue) , ज्वलन आतप वायु अम्बु भक्त्ति व्दे षावनिश्चितौ(change in
behavior about cold,hot, air & water) , आस्यवैरस्ये (tasteless) , शील
वैकृतं(behavior change)
Samanya Lakshana –
स्वेदावरोध, संताप, सर्वागग्रहण (pain all over the body) combination of the these
3 symtoms is called jwara
Types of jwara –
1. Vataj Jwara –
Yawning
वेपथु(Shivering ), विषमोवेगः(irregular fever) , कंठ ओष्ठ परिशोषणम ्(dryness of
throat& lips) , निद्रानाश(loss of sleep) , क्षवस्तमभो(absence of sneezing) ,
गात्राणा रोक्ष्यमेव(roughness or dryness) ,शिरो ह्रदय उरू गात्र वक्त्र(pain
in head, chest heart,& body) , वैरस्य(bad taste) , गाढविट्कता(hard
and dry stool passing) , शल
ु ाआध्माने(distention of abdomen) ,
जम्
ृ भणं च(yawning).
2.Pittaj Jwara –
3 . Kaphaj jwara –
Anorexia – अरुचि
4.Vatpittaj jwara –
5.Vatkaphaj jwara –
7.Sannipatik jwara –
क्षणे दाहः क्षणे शित(alternatively feeling of heat &cold ),अस्थिसंन्धी
शिरोरुजा(pain in bones, joints & headache), सास्त्रावे कलुवे रस्ते निर्भुग्ने च अपि
लोचने(dirty, red, depressed eyes with discharge), सस्वनौ सरजी कर्णौ(earache) ,
कण्ठ शुकैरिवावत
ृ ः(feeling of throat is full of hairs) , तन्द्रा(drowsiness),
मोह(delusion) , प्रलाप(irrelevant talk), कास(cough), श्वासों(difficulties in
respiration) , अरुचि(loss of appetite) , भ्रम(giddiness), परिदग्धा खरस्पर्शा
जिव्हा(ulcers, rough edges of tongue), सत्रस्त आग्ड्गता(weakness of limbs) ,
ष्ठीवन रक्तपित्त(spitting of blood, bile cough with sputum), शिरसोलोटन(rolling
of the head) , तष्ृ णा(thrust), निद्रानाश(loss of sleep), ह्दव्यथा(pain in heart),
स्वेदमुत्र पुरिषाणा चिर अदर्शन अल्पश(elimination of small quantities of sweat,
urine &faeces (stool) at long intervals) , कृशत्व नातिगात्राणा( body gets weaker) ,
प्रततं कण्ठं कुजनम(continuous sound in throat ), कोठानां श्यावरक्तना मंण्डलाना च
दर्शन(dark red spots & patches on the skin) , मुकत्व स्त्रोतसो पाका(ulceration of
the orifices) , गरु
ु त्व उदरस्य(feeling of heaviness), चिरात दोषाणां पाकश्च(dosha
undergoing paka)
Sadhya Asadhyata –
If the involved dosha are profound & deep seated, if the digestive capacity
of the patient is completely decreasing & all other feature are increasing in
that sach cases of sannipatik jwara becomes incurable, otherwise it is
curable with difficulty.
8 Agantuja. Jwara –
आंगतुज ज्वर में दोष प्रकोप होता है , परं तु इस मे सुरू के काल में विशिष्ठ
वेदना होती है , फिर कुछ कालावधि के बाद ज्वर कि संप्राप्ति पुर्ण होकर ज्वर
उत्पत्ति होती है .
यह कालावधि टिकाकारो ने 3 से 7 दिन का है .
प्रकार –
अभिघातज – Injury
अभिषगज – evil spirits
अभिचार – unholy things
अभिशापाज – punishment by saint
1.Abhighataj jwara –
Due to trauma , weapons, stone, hunter, wooden stick, slap or teeth etc
By above etiological factors vata increase & harm to (prakrut) blood then
results seen like swelling, discoloration & pain.
2.Abhishangaja jwara –
Etiological factors are passion, grief, fear, anger, & evil spirits
Pitta gets increased & harm to other doshas & then symptoms are
increase according to the parts are involved.
मुर्च्छा (Unconsciousness),उव्दे ग (anxiety),प्रलाप (delirium), शिरशुल
(headache), क्षुधा नाश loss of appetite)
(Because of) delusion (मोह), thirst (तष्ृ णा) are main clinical
features of Abhicharaj & Abhishapaj Jwara.
अन्तवेर्गी ज्वर –
When temperature & burning sensation is felt from inside the body, where
as the external body temperature is normal, it’s known as antarvegi jwara.
Symptoms – Antardhaha , trishna adikya, pralap, shwas, bhrama, sandhi –
asthi shoola, asweda, & atisar.
As per Sushruta samhita – has named it as gambhir jwara.
2. Vaikruta Jwara –
When jwara occurs in rutu due to the prakopa of specific dosha
which is other than that mentioned in the samhita is called as vaikrut
jwara.
E.g – Vataj jwara in a rutu other than varsha rutu.
Sadhya Jwara –
Asadhya Jwara –
Following indicates the in durability or bad prognosis of Jwara patients-
Due to many etiological factors
Complete appearance of sign & symptoms
Destruction of sense organs
Jwara associated with delirium, giddiness , breathlessness, kills the patient
either on 7th day or 10th or 12th day.
Weak & edematous person
Jwara spreading to all dhatus
Persistence of jwara for serval nights
Hair falls
मक्
ु त अनन्धि
ु त्वं विषमत्वम ् – ( मुक्तता & अनुबंध, this two stages comes
continuously (irregular) so it’s called visham jwara .
The doshas that have slightly increase due to unsuitable (food) diet & activities
(behaviour) & get lodged in other dhatus & generate visama Jwara.
Types or Dhatu Relationship of Visham Jwara –
The santata Jwara involves rasa dhatu & rakta dhatu, anyedyuska Jwara involves
mamsadhatu, the tritiyaka Jwara involves medas, the chaturthaka Jwara involves
asthi & majja dhatus.
1) Santata Jwara –
The fever which remains continuous for seven (7) , ten (10), twelve (12)
days Or more even is called as santata Jwara.
The visham Jwara causing abnormal doshas spread throughout the body
through rasavah strotas (blood vessels)
Ashray sthan – tridosha , saptadhatu, & mutra purisha.
As it has been suggested in the condition of the dhatupaka this type of
tridosaja fever proves to be deadly with in 10 days if pitta dosa prominently
contaminated.
If kapha dosa is prominently contaminated then it is deadly with in 12 days.
If vata dosha has been prominently contaminated then it was deadly with
in 7 days.
2) Satatak jwara –
3) Anyedushka Jwara –
The fever which occurs only once in 24 hours is called anyedushka jwara
Anyeddhuska jwara is caused by dosa which gets support of the strength
either from time Constitution & dushyas produces obstruction in the
medovaha strotas.
4) Trutiyaka Jwara & Chaturthak Jwara –
तत
ृ ीयकस्तत
ृ ीयेहि चतुर्थकहि चतर्थ
ु ॥ (सु.उ.. 39/71)
One of the type of visham Jwara is chaturthak visparyaay, in this fever vata,
pitta & kapha was contaminated & give rise to fever.
But fever is not experienced on the 1st & 4th but it is there on the two days
in the middle.
Ashraya – Asthi & Majja dhatu. ]
Pralepaka Jwara –
When the patients feel as if he has been covered with sweat has heaviness
in the body along with a low degree fever & a sensation of coldness, he is
suffering from the fever that has been identified as pralepaka Jwara.
Pralepaka Jwara observed in cases of Rajayakshma & it kills them
It is very difficult for management associated with mildness & dryness of
tissues .
Vatbalasaka fever –
1) Rasagat Jaara –
Feeling of Heavyness of the body, nausea, weakness, vomiting, loss of
appetite & feeling of helplessness
2) Raktgat Jwara –
3) Mansagata Jwara –
Pain in the calves (thighs) , thirst, frequently passing of urine & stool, high
temperature, burning sensation inside, unnecessary & involuntary movement of
hands & feet, exhaustion (tiredness).
4) Medogata Jwara –
6) Majjagata Jwara –
7) Shrukragata jwara –
The rasagat & rakta gata jwara are curable the mamsagat, medogat, ashtigat
jwara are difficult to treat & response late & shrukragata Jwara is incurable.
Rasasamata Dosasamata
Acute fever continuous Acute fever discontinuous
after 8 days
1) Aam Avastha –
Note -
आम गुण – अरुचि, आलस्य, गात्रगौरव, निष्ठव, मलभेद, अपक्ति, उदर गौरव,
गात्रगौरव, अग्निमांद्य, अविपाक, हृल्लास, लालाप्रसेक, मख
ु वैरस्य, क्षुधामांद्य.
2 ) Panchyamaan Avastha –
In panchyaman avastha the pitta is increase & observe the paka avastha
So that jwara vega, trishna, pralap, shawas bhrama, & dravmala pravritta
are observed
Mostly similar like antarvegi Jwara avastha.
3) Niram Avastha -
Jirna Jwara –
It’s a special stage ( Awastha) in Jwara, developed because of continuous
fever.
In Jwara vyadhi because of agnimandhya developed dhatu agni mandhya,
dhatudaurbalya, & dhatu khashaya, because of that again developed
vatprakopak signs (I.e – rukshata , karshya, burbalata)
In Jwara vyadhi because of pitta's ushna & tikshna guna the snehansh of
body was decreased & develop vataprakopa.
Jirna Jwara samprapti
तिव्र अग्निमांद्य
वातप्रकोप
3 सप्ताह से ज्यादा ज्वर
जीर्ण ज्वर
Jwara Moksha –
Sweating, feeling of lightness of body, itching of the head, ulcers in the mouth,
sneezing & desire for food are the feature of person relived of the fever.
Jwara Upadrava -
Upadrava denotes that (if upadrava is developed that was the signs to difficult to
treat)