1

LAKSHANA

Jirna jvara is beyond 21 days old fever.

Pitta pradhan vyadhi

Characteristics-

- Fever running beyond 21 days

- Mild to moderate fever

- Enlargement of PlIha (spleen)

- Dullness of Jatharagni  

2

TRETMENT

Threapeutic Measures Indicated-

- In take of paya (milk) is especially indicated because of its 'tarpana' attributes, suitable drug (according to désa in volvement), should be added to milk in the following order-Medicinal powder (herbal) 20 gms added to 160 gms milk + 640 gms watersubjected to péka, till milk remains.

It should be filtered and given to patient.

- "Basti" should be done (anuvésana type)

- If doshis are in pakvésayaNiruvaha vasti is suitable.

- Ghrth (ghee) prayoga with suitable drug is good, as it nourishes the deranged, weakend body tissues (Pippalyédi ghrth etc.)

- Abhyanga with medicated oils, like lékshz‘idi taila, Chandanédi taila or Chandana balélz‘tkshzidi taila are recommended.

- Nasya in case, if there is tandra etc.

- Virechana (purgation), Vamana (emesis) should be avoided as patients are very weak in chronic fevers.

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Prescriptions Rx

(1) Svarna basanta milini 125 mg

Pravala/mukta pisti 300 mg

Guduchi satva 1000 mg

Sitophaladi curna 2000 mg

all should be combined and given with anupana of honey as single dose, twice a day,Followed by 30 ml of Amritérista with equal quantity of Luke warm water.

(2) Chausata prahari pippali 1 gram with honey twice a day

(3) Putapakva Vishama Jvaréintaka Loha 100 mg

Shrngibhasma 500 mg ] Twice a day, should be given with honey for (15) days.

(4) In case Yakrt, pliha are enlarged. '

(a) Yakrt plihari loha 120 mg '

Loknatha rasa ' 120 mg

Mukta shukti 100 mg

Sharapunkha kshéra' 300 mg

all mixed should be given as single dose with honey twice a day, followed by

Kumaryasavam 20 ml + 20 ml Lukewarm water.

(b) Aarogyavardini 250 mg Tab at bed time daily. If 'shotha' (swelling overbody) is

there. Punarnavédi mandura 250 mg Tab, should be added to above

prescription.

(5) If there is severe feverJayamangalaras 250 mg with honey four times a day should

be prescribed.

(6) All others measures indicated in general measures also should be followed, nutritive diet is most important.  

3

CHIKITSA

1. Anuvasana

2. Niruha basti- maladhikya hone pe

3. Nasya-siro gourav hone pe

4. Vamana & virechana nisheda- jeerna jvar me bala nasa & dhatu rukshata hoti h

5. Dugdha prayoga- doshanushar aushad dugdha prayoga

6. Anjana-yadi jwar sansaman na ho to Anjan bhairav rasa se anjana

1. ABHAYANGA- chandanadi taila/ shatdhout ghrita

2. MRIDU VIRECHANA –

a. ABHYANTER SNEHA PANA- panchtikta ghrita

b. VIRECHAN KALP-

Munakka-20gm + Amlatas guda-20gm -> kvatha-> virechana

c. SANSARJAN KARMA

d. NIRUHA BASTI****(if patient bala is weak then give it)

Patol patra + nimba chal + khash + amaltas + sugandhbala + gokshura + kutaki + madan phala + sarivan + bala-> yavkut -> make 400ml kvatha add

+ 200ml milk -> boiled -> make 200ml  add

+ madhu 50ml +panch tikta ghrita 50ml + saindhav 5gm-> basti (7 days)

(there is no need of anuvasan / SOS chandanadi taila basti)

e. IF PATIENT NOT ABLE TO TAKE ANY SHODHAN CHIKITSA THEN 

Nishoth-20gm + ghrita 20ml give orally  

f. YAPAN BASTI (ashvagandha,mulethi, satavari)  

PATHYA-

- Purana Sali, Mudga, Masoor, Parval, Karela, Sahijan, Choulai, Gaduchi, Jeevanti, Makoya, Manukka, Anar, Laghu Ahar, Yavagu, Peya, Vilepi, Yava, Lajamanda, Daliya

APATHYA-

- Guru, vidahi, vistambhi, dushita jala sevana, ankurita anna, tilkuta, sweet, chole, lassi, chana dal

- Vegadharana, vyayama, divasvapna, sanana, adhyasana

NISHEDHJA-

- Nava jvar me divasvapna, snana, abhyanga, maithuna, krodha, dhimi hava   

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Tribhuvan kirti rasa-(hingula,vatsanabh,trikatu,tankan)

- Hinguleshver rasa-(vatsanabh,pippali,hungula)

- Swarnbasant malti rasa-(swarna,muktapisti,hingula,maricha)

- Kasturi bhairav rasa-(javitri,jayphala,marich,pippali,kasturi)

- Mritunjaya rasa-(vatsanabh,hingula,gandhak,tankan,pippali,marich)

- Jwar keshri rasa-(parad,gandhak,triphala,trikatu,vatsanabh,jayphaala)

- Jwar sanhar rasa-(rasasindura,trikatu,kuth,mustak,tankan,katuki)

- Godanti bhasma-(godanti)

- Shringa bhasma-(mrigshringa)

- Jaharmora pisti-(jaharmohra)

- Laxmivilas rasa-(swarn,rajat,abhrak,tamra,nagabhasma)

- Praval pisti

- Kaphaketu rasa-(vatsanabh,tankan,sankh,pippali)

VATI-(250-500MG WITH USHNA JALA)

- Sanjeevani vati-(vidang,nagar,pippali,abhaya,vibhitaki,vacha,guduchi,bhallataka,visha)

- Shoubhagya vati-(rasasindura,dvikshar,trilavan,loha,trikatu,triphala)

- Sansamani vati-(guduchi)

- Vishatindukadi vati-(kuchala,mustak,parpat,triphala)

- Jayavati-(suddha visha,trikatu,motha,haridra,nimbapatra,bidanga)

- Amrita satva-(guduchi)

- Karanjadi vati-(karanj beej,parpat,atish,guduchi,patol,kutki)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Sudarshan curna-(triphala,trimada,atish,chirayata)

- Panchkol curna-(pippali,pippalimula,chavya,chitrak,sunthi)

- Sitophaladi curna-(dalchini,ela,pippali,vanshlochan,mishri)

- Talisadi curna-(talisa,marich,sunthi,pippali,vanshlochan,mishri)

- Lavangadi curna-(lavanga,sheetal chini,khas,sveta chandana,tagar,bhringraja,motha)

- Drakshadi curna-(draksha,harad,mustak,kutki,amaltas,parpat)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Madhukadi kvatha-(mahua,mustak,munakka,gambhari,khash,triphala)

- Brihat bharangyadi kvatha-9bharangi,triphala,trikatu)

- Darvyadi kvatha-(daruharidra,chirayata,kutaki)

GHRITA(20-40ML WITH KOSHNA JALA)

- Pippaliyadi ghrita-(pippali,sveta chandan,khash,mustak)

- Guduchyadi ghrita-(guduchi,godugdha,goghrita)