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Vitiated ''dosha'' produce ''anyedushka'' type of ''jwara'' with the support of any one factor amongst the ''kala'' (time), ''prakriti'' (physical constitution) and ''dushya'' (vitiated factors) leading to obstruction in  ''medo vaha sira'' (the channel of circulation of ''medasa'' (fat)). It can be counteracted. This ''jwara'' occurs only once during day and night. [63-64]
 
Vitiated ''dosha'' produce ''anyedushka'' type of ''jwara'' with the support of any one factor amongst the ''kala'' (time), ''prakriti'' (physical constitution) and ''dushya'' (vitiated factors) leading to obstruction in  ''medo vaha sira'' (the channel of circulation of ''medasa'' (fat)). It can be counteracted. This ''jwara'' occurs only once during day and night. [63-64]
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===== Tritiyaka and chaturthaka jwara =====
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===== ''Tritiyaka'' and ''chaturthaka jwara'' =====
    
दोषोऽस्थिमज्जगः कुर्यात्तृतीयकचतुर्थकौ||६४||  
 
दोषोऽस्थिमज्जगः कुर्यात्तृतीयकचतुर्थकौ||६४||  
 +
 
गतिर्द्व्येकान्तराऽन्येद्युर्दोषस्योक्ताऽन्यथा  परैः|  
 
गतिर्द्व्येकान्तराऽन्येद्युर्दोषस्योक्ताऽन्यथा  परैः|  
 
अन्येद्युष्कं ज्वरं कुर्यादपि संश्रित्य शोणितम्||६५||  
 
अन्येद्युष्कं ज्वरं कुर्यादपि संश्रित्य शोणितम्||६५||  
 +
 
मांसस्रोतांस्यनुगतो जनयेत्तु तृतीयकम्|  
 
मांसस्रोतांस्यनुगतो जनयेत्तु तृतीयकम्|  
 
संश्रितो मेदसो मार्गं दोषश्चापि चतुर्थकम्  ||६६||  
 
संश्रितो मेदसो मार्गं दोषश्चापि चतुर्थकम्  ||६६||  
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अन्येद्युष्कः प्रतिदिनं दिनं हित्वा तृतीयकः|  
 
अन्येद्युष्कः प्रतिदिनं दिनं हित्वा तृतीयकः|  
 
दिनद्वयं यो विश्रम्य प्रत्येति स चतुर्थकः||६७||  
 
दिनद्वयं यो विश्रम्य प्रत्येति स चतुर्थकः||६७||  
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dōṣō'sthimajjagaḥ kuryāttr̥tīyakacaturthakau||64||  
 
dōṣō'sthimajjagaḥ kuryāttr̥tīyakacaturthakau||64||  
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gatirdvyēkāntarā'nyēdyurdōṣasyōktā'nyathā  paraiḥ|  
 
gatirdvyēkāntarā'nyēdyurdōṣasyōktā'nyathā  paraiḥ|  
 
anyēdyuṣkaṁ jwaraṁ kuryādapi saṁśritya śōṇitam||65||  
 
anyēdyuṣkaṁ jwaraṁ kuryādapi saṁśritya śōṇitam||65||  
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māṁsasrōtāṁsyanugatō janayēttu tr̥tīyakam|  
 
māṁsasrōtāṁsyanugatō janayēttu tr̥tīyakam|  
 
saṁśritō mēdasō mārgaṁ dōṣaścāpi caturthakam  ||66||  
 
saṁśritō mēdasō mārgaṁ dōṣaścāpi caturthakam  ||66||  
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anyēdyuṣkaḥ pratidinaṁ dinaṁ hitvā tr̥tīyakaḥ|  
 
anyēdyuṣkaḥ pratidinaṁ dinaṁ hitvā tr̥tīyakaḥ|  
 
dinadvayaṁ yō viśramya pratyēti sa caturthakaḥ||67||
 
dinadvayaṁ yō viśramya pratyēti sa caturthakaḥ||67||
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doSho~asthimajjagaH kuryAttRutIyakacaturthakau||64||  
 
doSho~asthimajjagaH kuryAttRutIyakacaturthakau||64||  
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gatirdvyekAntarA~anyedyurdoShasyoktA~anyathA  paraiH|  
 
gatirdvyekAntarA~anyedyurdoShasyoktA~anyathA  paraiH|  
 
anyedyuShkaM jwaraM kuryAdapi saMshritya shoNitam||65||  
 
anyedyuShkaM jwaraM kuryAdapi saMshritya shoNitam||65||  
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mAMsasrotAMsyanugato janayettu tRutIyakam|  
 
mAMsasrotAMsyanugato janayettu tRutIyakam|  
 
saMshrito medaso mArgaM doShashcApi caturthakam  ||66||  
 
saMshrito medaso mArgaM doShashcApi caturthakam  ||66||  
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anyedyuShkaH pratidinaM dinaM hitvA tRutIyakaH|  
 
anyedyuShkaH pratidinaM dinaM hitvA tRutIyakaH|  
 
dinadvayaM yo vishramya pratyeti sa caturthakaH||67||  
 
dinadvayaM yo vishramya pratyeti sa caturthakaH||67||  
When the dosha afflict the asthi dhatu (bone tissue) and majja dhatu (bone marrow), they cause the tritiyaka and chaturthaka jwara respectively.
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Some scholars opine that the different types of jwara viz the anyedushaka, tritiyaka and chaturthaka jwara manifest because of the affliction of the some alternate dhatu by the dosha. Anyedushyaka jwara is caused by the affliction of rakta dhatu (blood) also. Tritiyaka jwara manifests when the dosha afflict the mansa dhatu (muscular tissues). Dosha lodging in the channels of circulation of medo dhatu cause chaturthaka jwara.
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When the ''dosha'' afflict the ''asthi dhatu'' (bone tissue) and ''majja dhatu'' (bone marrow), they cause the ''tritiyaka'' and ''chaturthaka jwara'' respectively.
Anyedushka jwara occurs every day, while tritiyaka jwara occurs after a gap of one day and chaurthaka occurs after two days gap. (64-67)
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Some scholars opine that the different types of ''jwara'' viz the ''anyedushaka, tritiyaka'' and ''chaturthaka jwara'' manifest because of the affliction of the some alternate ''dhatu'' by the ''dosha''. ''Anyedushyaka jwara'' is caused by the affliction of ''rakta dhatu'' (blood) also. ''Tritiyaka jwara'' manifests when the ''dosha'' afflict the ''mansa dhatu'' (muscular tissues). ''Dosha'' lodging in the channels of circulation of ''medo dhatu'' cause ''chaturthaka jwara''.
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''Anyedushka jwara'' occurs every day, while ''tritiyaka jwara'' occurs after a gap of one day and ''chaurthaka'' occurs after two days gap. [64-67]
    
==== Cause of alterations in jwara episodes ====
 
==== Cause of alterations in jwara episodes ====