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'''<big>Nidana Sthana Chapter 1. Jwara Nidana (Chapter on the diagnosis of Fever and other related diseases)</big>'''
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==[[Nidana Sthana]] Chapter 1, Jwara Nidana (Chapter on the diagnosis of Fever and other related diseases)==
      
=== Abstract ===
 
=== Abstract ===
 
<div style="text-align:justify;">
 
<div style="text-align:justify;">
 
[[Nidana Sthana]] deals with the etiology, symptomatology, and means of diagnosis of diseases. It begins with a generalized set of diseases and then progresses into specialized studies of diseases. This explains why the section begins with a study of etiological factors causing ''jwara'' (this chapter) – a generalized study of fever - and then proceeds onto the studies of vitiation of the various ''dhatus'', or tissues, that are addressed in the subsequent chapters.  
 
[[Nidana Sthana]] deals with the etiology, symptomatology, and means of diagnosis of diseases. It begins with a generalized set of diseases and then progresses into specialized studies of diseases. This explains why the section begins with a study of etiological factors causing ''jwara'' (this chapter) – a generalized study of fever - and then proceeds onto the studies of vitiation of the various ''dhatus'', or tissues, that are addressed in the subsequent chapters.  
The first part of this chapter deals with tools necessary for acquiring a comprehensive knowledge of any disease. ''Nidana Panchaka'', an important concept introduced in this chapter, implies a set of five important tools/components - etiology, premonitory signs, clinical features, pacifying factors and pathogenesis – that help 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 diseases and diagnosis helps in determining the nature of the disease by causative factors, premonitory signs, actual signs, exploratory signs, and pathogenesis. It is not possible to manage disease completely without knowing all aspects of the disease process.  
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The first part of this chapter deals with tools necessary for acquiring a comprehensive knowledge of any disease. ''Nidana Panchaka'', an important concept introduced in this chapter, implies a set of five important tools/components - etiology, premonitory signs, clinical features, pacifying factors and pathogenesis – that help 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 diseases and diagnosis helps in determining the nature of the disease by causative factors, premonitory signs, actual signs, exploratory signs, and pathogenesis. It is not possible to manage disease completely without knowing all aspects of the disease process.  
 
The second part of the chapter uses the tools described in the first part to explain ''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.  
 
The second part of the chapter uses the tools described in the first part to explain ''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.  
 
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Considering the basic tools this chapter provides for a comprehensive understanding of disease, it is regarded as a critical chapter.
Considering the foundational tools this chapter provides for a comprehensive understanding of disease, it is regarded as a critical chapter.
      
'''Keywords''': Diagnosis, ''nidana'', etiology, ''poorvarupa'', premonitory signs, ''rupa'', clinical signs, ''upashaya'', pacifying factors, ''samprapti'', pathogenesis, ''jwara'', ''nija'', ''aagantu jwara'', ''ghrita'' (ghee), fever.
 
'''Keywords''': Diagnosis, ''nidana'', etiology, ''poorvarupa'', premonitory signs, ''rupa'', clinical signs, ''upashaya'', pacifying factors, ''samprapti'', pathogenesis, ''jwara'', ''nija'', ''aagantu jwara'', ''ghrita'' (ghee), fever.

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