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→Clinical features of jwara due to combination of two dosha
The ''jwara'' in which ''doshas'' are located in the ''rasa, rakta, mamsa'' and ''medas dhatu'' are curable, while those in which the location is in the ''asthi'' and ''majja dhatu'' are difficult to treat. The ''jwara'' in which the vitiated ''dosha'' are located in ''shukra dhatu'' is incurable. [75-83]
The ''jwara'' in which ''doshas'' are located in the ''rasa, rakta, mamsa'' and ''medas dhatu'' are curable, while those in which the location is in the ''asthi'' and ''majja dhatu'' are difficult to treat. The ''jwara'' in which the vitiated ''dosha'' are located in ''shukra dhatu'' is incurable. [75-83]
==== Clinical features of jwara due to combination of two dosha ====
==== Clinical features of ''jwara'' due to combination of two ''dosha'' ====
हेतुभिर्लक्षणैश्चोक्तः पूर्वमष्टविधो ज्वरः|
हेतुभिर्लक्षणैश्चोक्तः पूर्वमष्टविधो ज्वरः|
समासेनोपदिष्टस्य व्यासतः शृणु लक्षणम्||८४||
समासेनोपदिष्टस्य व्यासतः शृणु लक्षणम्||८४||
शिरोरुक् पर्वणां भेदो दाहो रोम्णां प्रहर्षणम्|
शिरोरुक् पर्वणां भेदो दाहो रोम्णां प्रहर्षणम्|
कण्ठास्यशोषो वमथुस्तृष्णा मूर्च्छा भ्रमोऽरुचिः||८५||
कण्ठास्यशोषो वमथुस्तृष्णा मूर्च्छा भ्रमोऽरुचिः||८५||
स्वप्ननाशोऽतिवाग्जृम्भा वातपित्तज्वराकृतिः|
स्वप्ननाशोऽतिवाग्जृम्भा वातपित्तज्वराकृतिः|
शीतको गौरवं तन्द्रा स्तैमित्यं पर्वणां च रुक्||८६||
शीतको गौरवं तन्द्रा स्तैमित्यं पर्वणां च रुक्||८६||
शिरोग्रहः प्रतिश्यायः कासः स्वेदाप्रवर्तनम्|
शिरोग्रहः प्रतिश्यायः कासः स्वेदाप्रवर्तनम्|
सन्तापो मध्यवेगश्च वातश्लेष्मज्वराकृतिः||८७||
सन्तापो मध्यवेगश्च वातश्लेष्मज्वराकृतिः||८७||
मुहुर्दाहो मुहुः शीतं स्वेदस्तम्भो मुहुर्मुहुः|
मुहुर्दाहो मुहुः शीतं स्वेदस्तम्भो मुहुर्मुहुः|
मोहः कासोऽरुचिस्तृष्णा श्लेष्मपित्तप्रवर्तनम्||८८||
मोहः कासोऽरुचिस्तृष्णा श्लेष्मपित्तप्रवर्तनम्||८८||
लिप्ततिक्तास्यता तन्द्रा श्लेष्मपित्तज्वराकृतिः|
लिप्ततिक्तास्यता तन्द्रा श्लेष्मपित्तज्वराकृतिः|
इत्येते द्वन्द्वजाः प्रोक्ताः ...|८९|
इत्येते द्वन्द्वजाः प्रोक्ताः ...|८९|
hētubhirlakṣaṇaiścōktaḥ pūrvamaṣṭavidhō jwaraḥ|
hētubhirlakṣaṇaiścōktaḥ pūrvamaṣṭavidhō jwaraḥ|
samāsēnōpadiṣṭasya vyāsataḥ śr̥ṇu lakṣaṇam||84||
samāsēnōpadiṣṭasya vyāsataḥ śr̥ṇu lakṣaṇam||84||
śirōruk [1] parvaṇāṁ bhēdō dāhō rōmṇāṁ praharṣaṇam|
śirōruk [1] parvaṇāṁ bhēdō dāhō rōmṇāṁ praharṣaṇam|
kaṇṭhāsyaśōṣō vamathustr̥ṣṇā mūrcchā bhramō'ruciḥ||85||
kaṇṭhāsyaśōṣō vamathustr̥ṣṇā mūrcchā bhramō'ruciḥ||85||
svapnanāśō'tivāgjr̥mbhā vātapittajvarākr̥tiḥ|
svapnanāśō'tivāgjr̥mbhā vātapittajvarākr̥tiḥ|
śītakō gauravaṁ tandrā staimityaṁ parvaṇāṁ ca ruk||86||
śītakō gauravaṁ tandrā staimityaṁ parvaṇāṁ ca ruk||86||
śirōgrahaḥ pratiśyāyaḥ kāsaḥ svēdāpravartanam|
śirōgrahaḥ pratiśyāyaḥ kāsaḥ svēdāpravartanam|
santāpō madhyavēgaśca vātaślēṣmajvarākr̥tiḥ||87||
santāpō madhyavēgaśca vātaślēṣmajvarākr̥tiḥ||87||
muhurdāhō muhuḥ śītaṁ svēdastambhō [2] muhurmuhuḥ|
muhurdāhō muhuḥ śītaṁ svēdastambhō [2] muhurmuhuḥ|
mōhaḥ kāsō'rucistr̥ṣṇā ślēṣmapittapravartanam||88||
mōhaḥ kāsō'rucistr̥ṣṇā ślēṣmapittapravartanam||88||
liptatiktāsyatā tandrā ślēṣmapittajvarākr̥tiḥ|
liptatiktāsyatā tandrā ślēṣmapittajvarākr̥tiḥ|
ityētē dvandvajāḥ prōktāḥ ...|89|
ityētē dvandvajāḥ prōktāḥ ...|89|
hetubhirlakShaNaishcoktaH pUrvamaShTavidho jwaraH|
hetubhirlakShaNaishcoktaH pUrvamaShTavidho jwaraH|
samAsenopadiShTasya vyAsataH shRuNu lakShaNam||84||
samAsenopadiShTasya vyAsataH shRuNu lakShaNam||84||
shiroruk parvaNAM bhedo dAho romNAM praharShaNam|
shiroruk parvaNAM bhedo dAho romNAM praharShaNam|
kaNThAsyashoSho vamathustRuShNA mUrcchA bhramo~aruciH||85||
kaNThAsyashoSho vamathustRuShNA mUrcchA bhramo~aruciH||85||
svapnanAsho~ativAgjRumbhA vAtapittajwarakRutiH|
svapnanAsho~ativAgjRumbhA vAtapittajwarakRutiH|
shItako gauravaM tandrA staimityaM parvaNAM ca ruk||86||
shItako gauravaM tandrA staimityaM parvaNAM ca ruk||86||
shirograhaH pratishyAyaH kAsaH svedApravartanam|
shirograhaH pratishyAyaH kAsaH svedApravartanam|
santApo madhyavegashca vAtashleShmajwarakRutiH||87||
santApo madhyavegashca vAtashleShmajwarakRutiH||87||
muhurdAho muhuH shItaM svedastambho muhurmuhuH|
muhurdAho muhuH shItaM svedastambho muhurmuhuH|
mohaH kAso~arucistRuShNA shleShmapittapravartanam||88||
mohaH kAso~arucistRuShNA shleShmapittapravartanam||88||
liptatiktAsyatA tandrA shleShmapittajwarakRutiH|
liptatiktAsyatA tandrA shleShmapittajwarakRutiH|
ityete dvandvajAH proktAH ...|89|
ityete dvandvajAH proktAH ...|89|
Signs and symptoms of jwara by combination of Vata and pitta.
Signs and symptoms of ''jwara'' by combination of ''vata'' and ''pitta'':
In nidana sthana the eight varieties of jwara along with their causative factors, signs and symptoms have been described in brief. Now their signs and symptoms will be described in detail.
Headache, breaking pain in joints, burning sensation, horripilation, dryness of throat and mouth, nausea, thirst, fainting, giddiness, anorexia, sleeplessness, talkativeness and yawning – all these are the signs and symptoms of jwara by combination of vata and pitta.
In [[Nidana Sthana]] the eight varieties of ''jwara'' along with their causative factors, signs and symptoms have been described in brief. Now their signs and symptoms will be described in detail:
Signs and symptoms of jwara by combination of vata and kapha:
Feeling cold, heaviness, drowsiness, timidity, pain in joints, feeling of stiffness of head (sirograha), coryza, cough, impaired sweating and moderate rise in temperature are the signs and symptoms of jwara caused by vata and kapha.
Headache, breaking pain in joints, burning sensation, horripilation, dryness of throat and mouth, nausea, thirst, fainting, giddiness, anorexia, sleeplessness, talkativeness and yawning – all these are the signs and symptoms of ''jwara'' by combination of ''vata'' and ''pitta''.
Signs and symptoms of jwara by combination of kapha and pitta:
Frequently changing sensation of hot and cold, frequent increased or decreased sweating, delusions, cough, anorexia, thirst, elimination of phlegm and bile, coating and bitterness in the mouth and drowsiness – all are the clinical features of jwara caused by kapha and pitta.
Signs and symptoms of ''jwara'' by combination of ''vata'' and ''kapha'':
Thus, here the features of different types of jwara caused by the simultaneous vitiation of two dosa have been described. (84-89)
Feeling cold, heaviness, drowsiness, timidity, pain in joints, feeling of stiffness of head (''sirograha''), coryza, cough, impaired sweating and moderate rise in temperature are the signs and symptoms of ''jwara'' caused by ''vata'' and ''kapha''.
Signs and symptoms of ''jwara'' by combination of ''kapha'' and ''pitta'':
Frequently changing sensation of hot and cold, frequent increased or decreased sweating, delusions, cough, anorexia, thirst, elimination of phlegm and bile, coating and bitterness in the mouth and drowsiness – all are the clinical features of ''jwara'' caused by ''kapha'' and ''pitta''.
Thus, here the features of different types of ''jwara'' caused by the simultaneous vitiation of two ''dosha'' have been described. [84-89]
==== Sannipataja jwara ====
==== Sannipataja jwara ====