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Currently used herbo-mineral formulations: Laghumalinivasant, Jeernajwarankusha rasa, Suvarnamalini vasanta, Arogyavardhini rasa.
Currently used herbo-mineral formulations: Laghumalinivasant, Jeernajwarankusha rasa, Suvarnamalini vasanta, Arogyavardhini rasa.
=Sannipata jwara (vitiation of all three [[dosha]])=
The condition of jwara in which all three [[dosha]] are vitiated simultaneously is known as “sannipatajwara”. [Cha.Sa.[[Nidana Sthana]] 1/29] The proportion of [[dosha]] involved in the pathogenesis may be different or equal based on exposure to causes.
==General clinical features==
Following are general clinical features observed in sannipataja jwara conditions:
Insomnia, giddiness, dyspnea, drowsiness, numbness, anorexia, thirst, fainting, rigidity, frequent sensation of burning and cold, cardiac pain, delayed response of transformation of [[dosha]], insanity, blackish teeth, rough and blackish tongue; pain in joints, head and bones; crooked and dirty eyes; sticky eyelashes; tinnitus and pain in ears; delirium; inflammation of body channels; cooing sound; loss of consciousness; delayed elimination and depletion of sweat, urine and feces.[Su.Sa.Uttarasthana.39/35-39]<ref name=Susruta/>
==Classification==
The sannipataja jwara is presented in thirteen types of clinical presentations due to variable vitiated states of dosha. The clinical features are described as below:
{| class="wikitable"
|+ Table 1: Sannipataja Jwara
|-
! State of [[dosha]] !! Clinical features
|-
| | [[Vata]] and [[pitta]] are codominant, while [[kapha]] is recessive || Giddiness, thirst, burning sensation, heaviness and excessive headache.
|-
| | [[Vata]] and [[kapha]] are codominant, while [[pitta]] is recessive || Coldness, cough, anorexia, drowsiness, thirst, burning sensation and pain.
|-
| | [[Pitta]] and [[kapha]] are codominant, while [[vata]] is recessive || Emesis, coldness, frequent burning sensation, thirst, unconsciousness and pain in the bones.
|-
| | [[Vata]] predominant condition || Pain in the joints, bones and head; delirium, heaviness, giddiness, thirst and dryness of the throat as well as the mouth.
|-
| | [[Pitta]] predominant condition || Blood in stool and urine, burning sensation, vomiting, disliking for doing any work, giddiness, drowsiness and cough.
|-
| | [[Kapha]] predominant condition || Laziness, anorexia, nausea, burning sensation, vomiting, restlessness, giddiness, drowsiness and cough.
|-
| | [[Kapha]] is excessively vitiated, [[pitta]] moderately vitiated and [[vata]] is less vitiated || Coryza, vomiting, laziness, drowsiness, anorexia and weak digestion.
|-
| | [[Pitta]] is excessively vitiated, [[kapha]] moderately vitiated and [[vata]] is less vitiated || Yellowish discoloration of urine and eyes, burning sensation, thirst, giddiness and anorexia.
|-
| | [[Vata]] is excessively vitiated, [[kapha]] moderately vitiated and [[pitta]] is less vitiated || Headache, trembling, breathlessness, delirium, vomiting and anorexia.
|-
| | [[Kapha]] is excessively vitiated, [[vata]] moderately vitiated and [[pitta]] is less vitiated || Coldness, heaviness, drowsiness, delirium and excessive pain in bones as well as head.
|-
| | [[Vata]] is excessively vitiated, [[pitta]] moderately vitiated and [[kapha]] is less vitiated || Dyspnea, cough, coryza, dryness of the mouth and excessive pain in the flanks.
|-
| | [[Pitta]] is excessively vitiated, [[vata]] moderately vitiated and [[kapha]] is less vitiated || Diarrhea, weak digestion, thirst, burning sensation, anorexia and giddiness.
|-
| | All the three doshas vitiated to equal extent || • Patient has feeling of burning sensation sometimes and sometimes feeling of cold
• Pain in the bones, joints and head
• Eyes are with excessive lacrimation, dull, reddish with eyeballs protruded out.
• Ringing sound and pain in the ears
• Pricking pain in throat like thorn of grain
• Drowsiness, delusion, delirium, cough, breathlessness, anorexia and giddiness
• Burning sensation of tongue, and turns rough to touch
• Excessive fatigue
• Spitting of blood and bile mixed with phlegm (sputum)
• Swaying movements of head, thirst, sleeplessness and pain in the cardiac region
• Sweat, urine and stool reduced in amount with delayed evacuation.
• Body is not excessively emaciated (due to accumulated dosha)
• Makes cooing sound constantly
• Urticaria and bluish-black or reddish circular patches appear on the skin
• Patient speaks less or unable to speak
• Inflammation of passages
• Heaviness in the abdomen
• The [[dosha]] return to its [[ama]] free state or normal state after a very long time.
|-
|}
[Cha.Sa.[[Chikitsa Sthana]].3/91-109]
===Abhinyasa/hataujasa jwara===
The specific condition of sannipata jwara in which [[ojas]] is affected is known as hatojasa jwara or abhinyasa jwara. It is presented with following clinical features:
Moderate rise in body temperature, lowered state of consciousness, illusion, feeble voice, rough tongue, sore throat, absence of sweating, constipation, watering of eyes, cardiac pain, aversion to food, loss of luster and the person lies down panting, delirium and other complications. [Su.Sa.Uttarasthana.39/39-40]<ref name=Susruta/>
This condition is difficult to cure.
{| class="wikitable"
|+ Table 2: Cardinal feature of Sannipataja jwara
|-
! Cardinal feature !! Type of sannipatajwara
|-
| | Excessive sleep || Abinyasa
|-
| | Weakness or wasting || Hataujasa
|-
| | Immovable limbs || Sanyaasa
|-
|}
[Su.Sa.Uttarasthana.39/42]<ref name=Susruta/>
==Prognosis==
Sannipata jwara is incurable or difficult to cure if functions of [[dosha]] are obstructed, digestive capacity is very poor, and the condition is severe with presence of all clinical features.[A.Hr.Nidana Sthana.2/34]<ref name=Hridaya/>
Sannipata jwara associated with development of swelling at the parotid site (root of ear) is incurable. [Cha.Sa.[[Chikitsa Sthana]].3/287]
==Principles of management==
The sannipata jwara is managed with following principles:
#Improve the state of depleted [[dosha]] (by use of property, action, or substances similar to that [[dosha]])
#Decrease the state of aggravated [[dosha]] (either by pacification or by purification treatments)
#Target the sites of [[kapha]][[dosha]] primarily [Cha.Sa.[[Chikitsa Sthana]].3/286-87]