Changes

**Drowsiness, delusion, delirium, cough, breathlessness, anorexia and giddiness

**Drowsiness, delusion, delirium, cough, breathlessness, anorexia and giddiness

**Burning sensation of tongue, and turns rough to touch

**Burning sensation of tongue, and turns rough to touch

¨ Excessive fatigue

**Excessive fatigue

¨ Spitting of blood and bile mixed with phlegm (sputum)

**Spitting of blood and bile mixed with phlegm (sputum)

¨ Swaying movements of head, thirst, sleeplessness and pain in the cardiac region

**Swaying movements of head, thirst, sleeplessness and pain in the cardiac region

¨ Sweat, urine and stool reduced in amount with delayed evacuation.

**Sweat, urine and stool reduced in amount with delayed evacuation.

¨ Body is not excessively emaciated (due to accumulated dosha)

**Body is not excessively emaciated (due to accumulated dosha)

¨ Constant kujana (cooing sound)  

**Constant kujana (cooing sound)  

¨ Urticaria and bluish – black or reddish circular patches appear on the skin

**Urticaria and bluish – black or reddish circular patches appear on the skin

¨ Patient speaks less or unable to speak  

**Patient speaks less or unable to speak  

¨ Inflammation of srotasa

**Inflammation of srotasa

¨ Heaviness in the abdomen

**Heaviness in the abdomen

¨ The doshas undergo paka after a very long time (conversion into the healthy state of the doshas do not occur early). (103-109)

**The doshas undergo paka after a very long time (conversion into the healthy state of the doshas do not occur early). (103-109)

==== Prognosis of sannipata jwara ====

==== Prognosis of sannipata jwara ====