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Considering conventional literature on fever and ayurvedic perspective of jwara, similarities about involvement of thermoregulatory mechanisms are observed in etiopathogenesis and clinical features. However, the treatment measures are different. The conventional measures focus on reducing body temperature and removing the origin of infection using anti-biotic medicines. Ayurveda medical literature emphasizes on strengthening the host immune response or defense mechanism, correcting the equilibrium of body components and preservation of health.   

Considering conventional literature on fever and ayurvedic perspective of jwara, similarities about involvement of thermoregulatory mechanisms are observed in etiopathogenesis and clinical features. However, the treatment measures are different. The conventional measures focus on reducing body temperature and removing the origin of infection using anti-biotic medicines. Ayurveda medical literature emphasizes on strengthening the host immune response or defense mechanism, correcting the equilibrium of body components and preservation of health.   

This article describes general etiology, premonitory features, clinical features, pathogenesis, and management principles of jwara. Classification of the disease is also highlighted. Specific types of jwara like acute stage (navajwara), chronic stage (jeernajwara), irregular pattern (vishamajwara), jwarai nvolving all three dosha (sannipatajajwara), jwara affecting body components (dhatugatajwara) are dealt in separate articles.

This article describes general etiology, premonitory features, clinical features, pathogenesis, and management principles of jwara. Classification of the disease is also highlighted. Specific types of jwara like acute stage (navajwara), chronic stage (jeernajwara), irregular pattern (vishamajwara), jwara involving all three [[dosha]] (sannipatajajwara), jwara affecting body components (dhatugatajwara) are dealt in separate articles.

National Ayurveda Morbidity Code:  EC -3

National Ayurveda Morbidity Code:  EC -3

#Semen/reproductive fluid (shukra)[Cha.Sa.[[Chikitsa Sthana]].3/35]

#Semen/reproductive fluid (shukra)[Cha.Sa.[[Chikitsa Sthana]].3/35]

==Clinical features==

=Clinical features=

   

   

===Premonitory features===

==Premonitory features==

   

   

====General premonitory features====

===General premonitory features===

Premonitory features of jwara include abnormal taste in the mouth, heaviness in the body, aversion to food, restless eyes, lacrimation, excessive sleep, restlessness, yawning, bending, shivering, exhaustion (without physical activity), giddiness, delirium, sometimes sleeplessness, horripilation, oversensitive teeth; tolerance and intolerance to sound, cold, wind and heat; anorexia, indigestion, weakness, body-ache, malaise, reduced vitality, mental agitation, lethargy, idleness, lack of natural activities, apathy to daily regimen, disrespect to the words of elders, agitation with children, aversion to doing work, uncomfortable with flowers and perfumes, aversion to sweet edibles, and desirous for sour, salty and pungent things. [Cha.Sa.[[Nidana Sthana]].1/33]

Premonitory features of jwara include abnormal taste in the mouth, heaviness in the body, aversion to food, restless eyes, lacrimation, excessive sleep, restlessness, yawning, bending, shivering, exhaustion (without physical activity), giddiness, delirium, sometimes sleeplessness, horripilation, oversensitive teeth; tolerance and intolerance to sound, cold, wind and heat; anorexia, indigestion, weakness, body-ache, malaise, reduced vitality, mental agitation, lethargy, idleness, lack of natural activities, apathy to daily regimen, disrespect to the words of elders, agitation with children, aversion to doing work, uncomfortable with flowers and perfumes, aversion to sweet edibles, and desirous for sour, salty and pungent things. [Cha.Sa.[[Nidana Sthana]].1/33]

Exogenous fever (agantuja jwara) manifests directly without any prodromal symptoms. [Cha.Sa.[[Nidana Sthana]].1/30]

Exogenous fever (agantuja jwara) manifests directly without any prodromal symptoms. [Cha.Sa.[[Nidana Sthana]].1/30]

===General clinical features===

==General clinical features==

   

   

Absence of perspiration, feeling of heat or raised body temperature and generalized body ache.[Su.Sa.Uttarasthana 39/13]<ref name=Susruta/> Discomfort in body and mind[Cha.Sa.[[Chikitsa Sthana]].3/31], anorexia, morbid thirst and pain in cardiac region. [Cha.Sa.[[Chikitsa Sthana]].3/26-27]

Absence of perspiration, feeling of heat or raised body temperature and generalized body ache.[Su.Sa.Uttarasthana 39/13]<ref name=Susruta/> Discomfort in body and mind[Cha.Sa.[[Chikitsa Sthana]].3/31], anorexia, morbid thirst and pain in cardiac region. [Cha.Sa.[[Chikitsa Sthana]].3/26-27]

Severe manifestation with deep affliction of body tissues (gambhiradhatugata): Sensationof internal heat, excess thirst, retention of faeces and flatus, severe dyspnoea and cough. [Su.Sa.Uttarasthana.39/92]

Severe manifestation with deep affliction of body tissues (gambhiradhatugata): Sensationof internal heat, excess thirst, retention of faeces and flatus, severe dyspnoea and cough. [Su.Sa.Uttarasthana.39/92]

===[[Dosha]] specific clinical features===

==[[Dosha]] specific clinical features==

   

   

[[Vata]] dominant jwara:  

[[Vata]] dominant jwara:  

Displacement of [[ojas]] due to aggravation of [[vata]] and [[pitta]] [[dosha]]

Displacement of [[ojas]] due to aggravation of [[vata]] and [[pitta]] [[dosha]]

• Stiffness or rigors in the body, desire to sleep, loss of consciousness, drowsy, delirium, feeling of horripilation, mild rise in temperatureassociated with body ache. [Su.Sa.Uttarasthana.39/43-44]

• Stiffness or rigors in the body, desire to sleep, loss of consciousness, drowsy, delirium, feeling of horripilation, mild rise in temperature associated with body ache. [Su.Sa.Uttarasthana.39/43-44]