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CHIKITSA
JWARA CHIKITSA
Jwara chikitsa in its purvarupa Samajwara Chikitsa Nirama jwara chikitsa
Specific treatments with their conditions
( Avastha anusara chikitsa)
JWARA PURVA RUPA CHIKITSA
JVARA PURVA RUPA CHIKITSA
Vata predominant Pitta predominant Kapha predominant
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Snehapanam with plain ghee Virecanam Vamanam
SAMA JVARA CIKITSA
Langhanam
Indication
Sama dosha retaining in amasaya Destroys agni Obstruct passage
JWARA
Therefore langhana should be done either during the purvarupa stage or the adyavastha.
Even though langhana stands for ten types of langhana starting from chatusprakara
samsuddhi, here the term langhana more suits for upavasa only.
आमाशयसमुत्थानां पूर्व लङ्घनमौषधम् ज्वरोऽपि आमाशयसमुत्थः,
(चक्रपाणिः)
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Thus langhana is the first line of treatment for jwara rogi, safe guarding the strength with
all efforts ; health depends on strength and the purpose of treatment is maintaining of
health.
BENEFITS
लङ्घनैः क्षपिते दोषे दीप्तेऽग्नौ लाघवे सति ।
स्वास्थ्यं क्षुत्तृड् रुचिः पक्तिर्बलमोजश्च जायते || (अ.हृ.चि.1/3)
When the dosa gets reduced by langhana it helps in
-Agni dipti - Feeling of lightness
-Wellness - Hunger
-Thirst - Desire for food
-Good digestion -Strength and vitality
Amasaya filled with ama Medicines Cause further increase of ama
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Contra indication of langhana
(अ.हृ.चि.1/11)
Langhana is not desirable in jwara caused by,
-Vata alone -Kshayaja nidana
-Jirna jwara - Agantuja jwara
"Suddha vata” here denotes nirama vata. In sama vata also langhana is ideal
सामे िातेऽवप लङ्घनं | (चक्रपावणः )
VAMANA
Indication
Vamana is indicated in conditions where,
The increased dosas have moved out of their seats but not gone out
Kapha is predominant
Nausea, increased salivation, aversion to food, cough and visuchika are seen
Fever manifested immediately after meals
Sama jwara
Conditions indicated for vamana
DRUGS
Madanaphala mixed with either pippali, kalinga or madhuka should be consumed either with
honey or with salt followed by drinking of either warm water or water boiled with patola, nimba,
karkota or vetrapatra; or with tarpana (laja) or sugarcane juice or wines
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a) Peyadi krama
Indication
(ि. चि 3)
After proper langhana and vamana Manda started
About 6 days/till when jwara subsides
Yavagu started
Benefits
(ि. चि 3)
Properties of Peya and their results
Stimulate the digestive fire
Laghutva & Bhesaja samyoga
Anulomana of flatus ,Urine, faeces and
Dravatva & ushnatva of yavagu Cause sweating , Alleviate thirst
Sustain prāna
Aharabhava
Laxative property of yavagu Cause lightness of body
Wholesome for jwara
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Conducive nature of yavagu in jvara
CONTRA INDICATION
(ि. चि 3)
Summer season
Acute alcoholic poisoning
Person addicted to alcohol
Urdhvaga rakta pitta
When there is predominance of pitta and kapha
SUBSTITUTION
(ि.चि 3)
In contraindicated cases physician should administer in beginning tarpana prepared with
lajasaktu mixed with honey, sugar and fruit juices with jwarahara property.
NIRAMA JVARA CHIKITSA
NIRAMA JWARA CHIKITSA
Vata Pitta Kapha Sannipatika Samsargajam
Kashyapanam Avastha anusar chikitsa
Pachana kashya Shamana kashya
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Pitta aggravated
Kapha aggravate
Tikta rasa kashya Katu
rasa kashya
A) KASHYAPANAM
Indication (अ.ह.चि.1/39)
When dosha become pakva by therapies such as langhana, administration of kashya is necessary
either to digest the remaining dosa or to alleviate them.
पाचनं शमनीर्ं िा कषार्ं पार्र्ेक्तिषक् ||
ज्वररतं षडहेऽतीते लघ्न्न्नप्रवतिोवजतम् |
(च.वच 3/160) KASHYAPANAM
Pachanam Shamanam
पािन चिचि आिदोष पािनं शिनीयचिचि पक्वदोषोपशिनं
RASA ACCORDING TO DOSA
Recipes of tikta rasa----------------->Pitta
Recipes of katu rasa------------------>Kapha
‘Kashya rasa is not suitable even though it mitigates pitta and kapha, because it causes
malabandha and produces diseases such as vishama jwara, loss of taste, nausea, hiccup
and flatulence.
Examples
Dosha Kashya
Vatika jwara Decoctions of duralabha, amrta, musta and
nägara
Decoctions of pippalimula, guducci and
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visvabhesaja
Pitta jwara Decoctions of indrayava, ghana, katuka mixed
with honey
Decoctions of musta and parpataka
Decoctions of dhanvayasa and bhunimba
Kaphaja jwara Decoctions of vatsakadi gana
Vata pitta Draksadi kashya
Kapha vata Pathyakustumbaradi kashyam
Vyaghryadi kashyam
Kapha pitta Aragvadhadi kashyam + honey
2. CONDITIONAL TREATMENTS IN JWARA CHIKITSA (BOTH SAMA AND
NIRAMA AVASTHA)
1. Ushna ambu panam
Indication
(अ.हृ.वच.1/23) Vata kapha
jwara
Kindles the digestive activity
Eases and cleanses the passage
Initiates the expulsion of stagnated pitta, vata etc
Dispels sleep, lassitude, and loss of appetite
Provides vitality
Contra indication (अ.हृ.वच.1/24)
Warm water is contraindicated in cases of,
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Visha and madyaja
Burning sensation in body conditions
Jwara with predominance of pitta
Profound increase of pitta
Delusion
Diarrhea
Kshata kshina
Raktapitta
Grishma ritu
Sadanga paniya can be given in such cases.
2. Svedana
Indication
Svedana is ideal in cases of fevers manifesting with,
Udarda
Pain in calves, joints, and bones
Pinasa
Vata kaphaja fevers
shwasa
Benefits
Svedana will help in elimination of sweat, urine, faeces and vata and also improves the strength
of the digestive fire.
3. Ghrta panam
Indication
Conditions with less kapha and more of vata and pitta.
Ghrta śresthata
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Antagonist to jvara ushma
Pitta hara due to sheeta guna
Vata hara due to snigdhatva
Kapha hara by processing with suitable drugs
Example
Vatika jwara---------->Tilvaka ghrta devoid of trivrita
Paittika jwara----------> Tiktaka ghrtam
Kaphaja jwara----------> Vidangadi ghrtam
4. Sodhana
If the fever does not subside even with all these therapies then sodhana should be
administered for those who are suitable for them.
Vamana and virecana can be done according to the dosha. After administration of
sodhana, samsarjana should be adopted commencing with manda, in accordance with
the order.
5. Kshirapanam
Indication
For those debilitated by jwara, neither vamana nor virecana is suitable. For such a person
expulsion of dosas with either milk or kanaya vasti is suitable.
Those accustomed to milk
In whom there is great decrease or loss of sleshma
Those suffering from thirst and burning sensation
Increased pitta and vata
For whom milk is suitable
Milk is suitable even for patients with diarrhea
दाहतृष्णापरीतस्य िातवपत्तोत्तरं ज्वरम् |
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बद्धप्रच्युतदोष िा वनरामं पर्सा जर्ेत् || (च.वच 3/169)
kshira is pathya for both atisara and baddha -vit
Benefits
It invigorates the body which has become weak by langhana, just as the rain water
helps the forest which has been destroyed by fire. It cures fever soon.
Hence processed milk consumed as cold or warm or warm milk directly from cows udder,
should be administered to the patient carefully considering the time, otherwise it kills the
patient.
6 Basti prayoga
Niruha basti
When Dosha situated in pakvashaya in pakva avastha
Benefits: Niruha bestows strength
Relieves fever
Provides comfort and appetite
Removes all three mala situated in pakvashaya
Anuvasana basti
Anuvasana can be administered in conditions like,
Severe depletion of kapha and pitta
Severe pain in trika, pristha and kati
Increased digestive fire
Constipation
5. NASYA PRAYOGA
NASYA PRAYOGA
Virecana nasya Snaihika nasya
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In kapha predominant Sinayu siras + in pitta predominant
6. DHUMA, GANDUSA, KAVALA
Dhuma, gandusa and kavala according to the dosha relieves,
Bad taste in mouth
Running nose
Pain in head and throat
7. ABHYANGĀDI PRAYOGA
Abhyanga Alepa------>Jirna jwara localized in skin
Añjana Dhuma-------> Agantuja jwara
Example: Aparajita dhupa
SPECIAL TYPES OF JWARA CHIKITSA
1) Sannipata jwara chikitsa.
ििानेनैकदोषस्य क्षपणेनोक्तरि तस्य िा |
कफस्र्थानानुपूव्याा िा तुल्यकक्षाञ्जर्ेन्मलान् || (अ.हृ.वच.1/148)
Using yukti, increasing the dosh that has undergone decrease and decreasing that which has
vitiated and starting treatments initially concentrating on Kaphasthana, the doshas that have
simultaneously vitiated can be subsided.
2) Visama jwara chikitsa
विषमो विषमारम्भवक्रर्ाकालोऽनुषङ्गिान् || (अ.हृ.वन. 2/68)
Visama jwara is irregular in its arambha (commencement of fevers), kriya kala(stages of dosha
vitiation) and continues for a long time.
Vata Pitta Kapha
Grhrtapanam Virecanam Vamana
Niruham Kshira panam tikta & Sita Pachana
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Anuvasanam Ghrta panam Ruksa annapana
Snigdha usna annapānam Upavsam
Examples for kashya in vishama jwara
Santata-------------------->Kalinga, patola patra, katurohini
Satata-------------------->Patola, Sariva, musta, patha,katurohini
Anyedyushka---------------> Patola, nimba, triphala, mrdvika, musta, vatsaka
Tritiyaka-------------------->Kiratatikta, amrta, candana, visvabhesaja
Chaturthaka----------------->Dhatri, musta, amrta, and kshudra
In the fever that has recurred due to the use of guru, abhisyandi and unwholesome diets,
treatments mentioned above along with langhana and hot therapies (must be performed].
Examples
वकरातवतिकं वतिा मुस्तं पपाटकोऽमृता |
नक्तन्त पीतावन चाभ्यासात् पुनरािताकं ज्वरम् || (च.वच.3/343)
The Punar avartaka Jwara will be alleviated by the regular intake of (decoction) prepared with
kiratatikta, tikta(brhati), musta, parpataka and amrta.
DHATUGATA JWARA CHIKITSA
DHATU CHIKITSA
Rasa Vamana
Upavasam
Rakta Seka ,Pradeha ,Samshamana
Mamsa Virecanam , Upavasam
Medas Virecanam , Upavasam
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Asthi Niruha vasti , Anuvasana basti
Majja Niruha vasti ,Anuvasana basti
Sukra Asadhya
PATHYA- APATHYA IN JWARA
पथ्य
Old rice such as raktasali etc. sastika
When kapha predominance - dehusked yava, fried and made into small pieces is ideal
Odana prepared from rice, washed twice or thrice in water and boiled in the decoction
of drugs which are anti febrile
Mudga, kulattha etc which is light also can be given
अपथ्य
निज्वरे वदिास्वप्नस्नानाभ्यङ्गान्नमैर्थुनम् |
क्रोिप्रिातव्यार्ामान् कषार्ांश्च वििजार्ेत् || (च.वच.3/138)
In nava jwara patient should avoid,
Day sleep
Bath
Abhyanga
Copulation
Anger
Exercise
Kaṣhya rasa and kalpana predominant in kașhya rasa
IMPORTANT FORMULATIONS IN JVARA CIKITSA
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Drakshadikashyam
Nagardikasayam
Pathyakustumbaradikashyam
Rasnasunthyadikshyam
Vyaghryadikashyam
Candanaditailam
Pipplyadighrtam
