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{{#seo:

|title=Jwara Nidana

|title=Jwara Nidana

|data7  = Kar A.C.

|data7  = Kar A.C.

|label8 = Editors  

|label8 = Editors  

|data8  = Khandel S.K., Godatwar P., Deole Y.S., Basisht G.

|data8  = Khandel S.K., Godatwar P., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

|label9 = Year of publication  

|label9 = Year of publication  

|data9 =  2020

|data9 =  2020

<big>'''Abstract'''</big>

<big>'''Abstract'''</big>

 

<p style="text-align:justify;">Nidana Sthana deals with the etiology, symptomatology, and means of diagnosis of diseases.  

<div style="text-align:justify;">

It begins with a generalized set of fundamental principles of diagnosis and then proceeds to specialized studies of diseases. The first part of this chapter deals with the necessary tools for acquiring a comprehensive knowledge of any disease. A set of five important tools/components - etiology, premonitory signs, clinical features, pacifying factors and pathogenesis termed as ‘Nidana Panchaka’ helps in understanding a disease thoroughly. Each of these tools has a specific significance in diagnosis and explores an important aspect of the disease. Etiology helps to ascertain the causative factors of the disease and diagnosis helps in determining the nature of the disease by causative factors, premonitory signs, actual signs, exploratory signs, and pathogenesis. Comprehensive management of disease and restoration of health is not possible without complete knowledge of all aspects of the disease process. The second part of the chapter uses these tools to explain fever ([[jwara]]) and its types (endogenous and exogenous), as well as methods to manage it. [[Jwara]] is caused by the accumulation of vitiated [[dosha]] at the site of digestion and further affliction of digestion and thermal regulation in the body. Considering the basic tools for comprehensive understanding of disease, it is regarded as an important chapter.  

Nidana Sthana deals with the etiology, symptomatology, and means of diagnosis of diseases. It begins with a generalized set of fundamental principles of diagnosis and then proceeds to specialized studies of diseases. The first part of this chapter deals with the necessary tools for acquiring a comprehensive knowledge of any disease. A set of five important tools/components - etiology, premonitory signs, clinical features, pacifying factors and pathogenesis termed as ‘Nidana Panchaka’ helps in understanding a disease thoroughly. Each of these tools has a specific significance in diagnosis and explores an important aspect of the disease. Etiology helps to ascertain the causative factors of the disease and diagnosis helps in determining the nature of the disease by causative factors, premonitory signs, actual signs, exploratory signs, and pathogenesis. Comprehensive management of disease and restoration of health is not possible without complete knowledge of all aspects of the disease process. The second part of the chapter uses these tools to explain fever ([[jwara]]) and its types (endogenous and exogenous), as well as methods to manage it. [[Jwara]] is caused by the accumulation of vitiated [[dosha]] at the site of digestion and further affliction of digestion and thermal regulation in the body. Considering the basic tools for comprehensive understanding of disease, it is regarded as an important chapter. </div>

<br/>

 

'''Keywords''': Diagnosis, [[nidana]], [[hetu]],  etiology, [[poorvarupa]], premonitory signs, [[rupa]], clinical signs, [[upashaya]], pacifying factors, [[samprapti]], pathogenesis, [[jwara]], [[nija]], [[aagantu]] [[jwara]], [[ghrita]] ,ghee, endogenous causes, exogenous causes, fever.

'''Keywords''': Diagnosis, [[nidana]], [[hetu]],  etiology, [[poorvarupa]], premonitory signs, [[rupa]], clinical signs, [[upashaya]], pacifying factors, [[samprapti]], pathogenesis, [[jwara]], [[nija]], [[aagantu]] [[jwara]], [[ghrita]] ,ghee, endogenous causes, exogenous causes, fever.

</div>

</p>

<div style="text-align:justify;">

<div style="text-align:justify;">

When premonitory symptoms manifest or at the onset of the fever, dieting or fasting is useful because the disease originates from the ''amashaya''. In such a case, intake of ''kashaya'' (decoctions), massage, oleation, fomentation, ''pradeha'' (sprinkling), ''anulepana'' (anointing with pastes), emesis, purgation, decoction and oily enema, pacificatory measures, snuffing, fumigation, smoking, collyrium, medicated milk and a specific dietetic regimen should be indicated as per the condition. [36]

When premonitory symptoms manifest or at the onset of the fever, dieting or fasting is useful because the disease originates from the ''amashaya''. In such a case, intake of kashaya (decoctions), massage, oleation ([[snehana]]), fomentation ([[swedana]]), thick ointment ([[pradeha]]), sprinkling ([[parisheka]]), [[anulepana]] (anointing with pastes), [[emesis]], [[purgation]], decoction and oily [[enema]], pacification measures, [[nasal errhines]], [[fumigation]], medicated smoking, collyrium, medicated milk and a specific dietetic regimen should be indicated as per the condition. [36]

</div>

</div>

Treatment of any disease is possible only after the proper knowledge of causative factors and sign and symptoms. Treatment principles described in [[Nidana Sthana]] should be incorporated in the ''upashaya'' (pacification factors). ''Nidana'' means the causative factor of the diseases. The term ''vyadhibodhakam'' means the diagnosis of diseases with the help of ''nidana, poorvarupa, rupa, upashaya'' and ''samprapti''. 1-2 [6]

Treatment of any disease is possible only after the proper knowledge of causative factors and sign and symptoms. Treatment principles described in [[Nidana Sthana]] should be incorporated in the ''upashaya'' (pacification factors). ''Nidana'' means the causative factor of the diseases. The term ''vyadhibodhakam'' means the diagnosis of diseases with the help of ''nidana, poorvarupa, rupa, upashaya'' and ''samprapti''. 1-2 [6]

If diseases are not properly known, one cannot start the treatment. Therefore, ''Nidanapanchaka'' (the five factors associated with understanding an affliction) is described as the specific measures to diagnose the disease. [Cha.Sa.[[Nidhana Sthana]] 1/6]

If diseases are not properly known, one cannot start the treatment. Therefore, ''Nidanapanchaka'' (the five factors associated with understanding an affliction) is described as the specific measures to diagnose the disease. [Cha.Sa.[[Nidana Sthana]] 1/6]

Vagbhata also endorsed these five components as the means of understanding the disease. [6] [8]

Vagbhata also endorsed these five components as the means of understanding the disease. [6] [8]

=== Related Chapters ===

=== Related Chapters ===

*[[Jwara Chikitsa]]

[[Jwara Chikitsa]], [[Jwara]]

 

=== References ===

=== References ===