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NIDANA

Vata gets aggravated by the

Ruksha aahara – over indulgence and the intake of ununctuous

Laghu shita aahara – light and cold things

Ati vamana – over administration of emesis

Ati virechana – purgation

Asthapana type of enema

Ati shiro virechana – errhines

Vyayama – physical exercise

Vega sandharana – suppression of the natural urges

Anashana – fasting

Abhighata – assault

Vyavaya – sexual indulgence

Udvega – anxiety

Shoka – grief

Shonita atisheka – bloodletting in excess

Jagarana -vigil during the night and

Vishama sharira – by maintaining irregular posture. 

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Pathogenesis of fever: 

This aggravated Vata afflicts Amashaya (stomach including small intestine), gets mixed with Agni (enzymes responsible for digestion), follows the course of Rasa which is the first product after the transformation of food, obstructs the channels of Rasa and sweat, suppresses the activity of Agni (enzymes responsible for tissue metabolism), extradites the heat from the site of digestion and spreads it all over the body, thus causing Jvara (fever). 

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Symptoms of Vataja Fever: 

- Vishamarambha visargitvam – Irregularity in onset and alleviation

- Ushmano vaishamyam – Irregularity in temperature

- Tīvra tanubhāvānavasthānāni jvarasya – Irregularity in the acuteness and mildness of fever

- Occurrence or aggravation of fever after the digestion of food in the afternoon during dawn or at the end of summer season

- Excessive roughness and reddishness of nail, eyes, face, urine, stool and skin.

- Excessive retention of urine and stool

- Occurrence of different types of fixed or shifting pain in various organs of the body, for example, numbness in feet and piṇḍikayorudveṣṭanaṃ – cramps in calf, feeling of looseness in knee joints as also in other joints

- Breaking, brushing, grinding, churning, cracking, bursting and twisting pain in waist, side, back, shoulder, arms, scapular region and chest

- hanvoścāprasiddhiḥ – Stiffness of jaws

- svanaśca karṇayoḥ – Noise in the ears

- śaṅkhayornistodaḥ – Pain in temples

- kaṣāyāsyatā āsyavairasyaṃ vā – Astringent taste in the mouth or dyspepsia

- mukha tālu kaṇṭha śoṣaḥ – Dryness of mouth, palate and throat

- pipāsā -Thirst

- hṛdayagrahaḥ – Impairment of the functions of heat

- śuṣkacchardiḥ – Dry vomiting

- śuṣkakāsaḥ – Dry cough

- kṣavathūdgāravinigrahaḥ – Suppression of sneezing and eructation

- annarasakhedaḥ – Aversion to the taste of food

- prasekārocakāvipākāḥ – Salivation, anorexia and indigestion

- Depression, yawning, flexion of the body, trembling, exhaustion, giddiness, delirium, sleeplessness, horripilation, setting at edge of teeth

- uṣṇābhiprāyatā – Liking for hot things

- Aggravation of the condition by the administration of such things as are described to be its etiological factors and

- Alleviation of the condition by the administration of such things as is of opposite qualities to its etiological factors.  

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Management of Vita Jvara- 

  1. Follow general measures as indicated already under treatment of Sémanya Jvara, however fasting (langhana) should not be imposed in Vita Jvara, as it may further aggravate Vita, instead 'Langhana' here should be considered as "Laghu bhojana".

2. For amapacanaKashaya of Pippali milla (Piper longum root), Gudt‘ichi (Tinospora) and Sunthi (dry ginger) should be given orally at the begining of treatment in 20 ml to 30 m1 twice a day for 1 to 2 days or as required.

3. Samshamani vati 250 mg 2 tabs thrice a day with anupana of Guduchyadi Kvatha 30 ml with equal quantity of lukewarm water. In case if temperature does not yield to the above treatment, the below Herbo-mineral (Rasaushadhies) should be prescribed.

drkamleshbiswas@gmail.com

4. Hinguleshvara RasaIt is a combination of purified Vatsanabha (Aconitum Ferox), purified Hingula (Cinabar) and Piper longum (Pippali). Dose1 to 2 pills (125-250 mg) with honey or water. It brings down the temperature and body-aches.

5. Godanti misran tablets250 mg thrice a day can also be used in Vita J vara to control the elevated temperature. 

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   

1. Langhan nishedha

2. basti    

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)

- Kiratiktadi kvatha-9chiryata,motha,minbachal,guduchi,kantkari)

- Dasamula kvatha-(brihat & laghu panchmula)

- Brihat panchmuadi kvatha-(bilva,agnimatha,shayonak)

- Bhunimbadi kvatha-(chirayata,motha,guduchi,brihati,kantakari,pushkar mula)

- Satpuspadi kvatha-(sounf,sunth,vacha,kuth,khas,mustak)

GHRITA(20-30ML WITH USHNODAKA)

- Panchtikta ghrita-(patol,saptaparna,nimba,vasa,guduchi)

- Amritadhya ghrita-9guduchi,mulethi,draksha)

- Shatpalak ghrita-(pippali,pippali mula, chavya,chitrak,sunthi,saindhav)

- Chandanadi ghrita-(svetachandan,vasa,karanj)

AVLEHA-(20-30 GM WITH DUGDHA)

- Drakshavaleha-(draksha,madhur varga aushadhiya)

- Chyavanprash-(amla,trikatu,jeevaniyagana)