A practical understanding of Chikitsa Siddhaant for Jwar

*A practical understanding of Chikitsa Siddhaant for Jwar.*

*Saamanya Chikitsaa Sidhaant for Jwar*

Following treatment modalities should be suggested according to Avasthaa and Rugna Bala.

1. Langhana

2. Svedana

3. Kaala

4. Yavaagu

5. Tikta Rasa

6. Kashaayapaana

 

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A. *LANGHANA*

*लङ्घनेन क्षयं नीते दोषे* *सन्धुक्षितेऽनले||१४०||*

*विज्वरत्वं लघुत्वं च* *क्षुच्चैवास्योपजायते |*

*प्राणाविरोधिना चैनं लङ्घनेनोपपादयेत्||१४१||*

*बलाधिष्ठानमारोग्यं यदर्थोऽयं क्रियाक्रमः|१४२| CHARAK CHIKITSAA 3*

Langhana is the first treatment *especially in Nava Jvara*, however Langhana should be advised considering the strength of the patient.

 *Depleted Agni is not even capable to digest the medicine, hence, first Langhana should be advised in Nav jwara*.

कफपित्ते द्रवे धातू सहेते लन्घनम महत

आम क्ष्याद उर्ध्वमपि वायु न सहते क्षणम - 

Langhana types---Upavaasa or Anashana type of Langhana is expected generally. 

But Charaka has described 10 types of Langhana--

1. *Vamana*—GOOD IN SAAM JVARA, KAPHA JVARA

2. *Virechana*

3. *Basti*

4. *Nasya*

5. *Paachana*

6. *Annavarjana*

7. *Udakavarjana*

8. *Vyaayaama*

9. *Aatapasevana*

10. *Maarutasevana*

11. *Hemaadri has added Raktamokshana and Deepana thus mentioned 12 types.*

Langhana is indicated for maximum seven days. *While Haarita suggests one, three or seven days Langhana according to Dosha.*

 

2. *VAMANA IN NAVA JVARA*

Here vaman is sadyovaman only..

In...

Kaphapraadhaanya

Utklishta Dosha

Aamaashayasthita Dosha

Vaamya Rugna

3. *USE OF BOILED WATER IN FIRST FEW DAYS OF FEVER* – 

-it helps in melting KAPHA and it immediately relieves the excess thirst

-it helps to regulate the downward movement of the VAATA

-it can also be given in a PITTA predominant condition as it helps to neutralize the PITTA also

-in extreme PITTAJA conditions like RAKTAPITTA, boiled water should be given when it becomes cold

4. *SVEDANA* – SWEDANA IS TO CURE THE COMPLICATIONS OF THE JWARA IN A LATER STAGE

Svedana is indicated in Vaata Kaphaja Avasthaa. 

 

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B. *Kaala*

For Doshapaachana and Agnivardhana, period of 8 days is required. This period should be decided as per signs and symptoms of Agni, Saamataa, Dosha Vriddhi etc. Diet or any other drug is indicated after this period.

This can be applied as a sole measure for fevers like viral fevers in general which are self limiting in the Kaala of 6-7 day.

 

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C. *YAVAAGOO*

After VAMANA (LANGHITA RUGNA) PAACAHNA DRAVYA SIDDHA YAVAAGOO should be given as diet. E.g. PIPPALEE NAAGARA SIDDHA YAVAAGOO.

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D. *VIRECHANA, AASTHAPANA, ANUVAASANA* as per the condition and symptoms

 

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E. *TIKTA RASA*

For Aamapaachana, Agnideepana Tikta Rasa should be used. Kvaatha etc. formulations should be prepared from Tikta Rasa drugs. 

 

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F. *KASHAAYAPAANA* -

Though *KASHAAYAPAANA is indicated after LANGHANA, (6 - 8 DAYS) DOSHAAVASTHAA should be assessed first*.

-if KASHAAYAS are introduced in first few days of the fever, they further aggravate the DOSHAS

-with the effect of these KASHAAYAS the MALAS in the body gets metabolized and spread into the deeper tissues so it becomes more difficult to evacuate them and then can change the fever to VISHAMA JWARA – ASHTAANGA HRIDYA CHIKITSAA 1/103

*-actually all KASHAYAS are not prohibited in first stage, only the KASHYAS which are made with the herbs of KASHAAYA RASA are prohibited* – *(CHARAK CHIKITSAA 3/162-163*

-MUSTA PARPATAK USHEER CHANDANA UDICHYA NAAGARAI – this SHADANGAPAANIYA is the best KASHAAYA to be given – CHARAK CHI 

 

*Kashaaya Rasa formulations are contraindicated in Nava Jvara. Kashaaya Rasa formulations can cause Doshastambhana and may lead to Vishamajvara. Along with Kashaaya Rasa, Guru, Ushna, Snigdha, Madhura formulations should also avoided.*

  

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G. *DRUG THERAPY* – 

पायेत आतुरे सामे पाचनम शस्तम लन्घिते

निरामे शमनम देयम शोधनम वा यथाबलम

पक्वो अपि अनिर्ह्रितो दोषो द्व्हे तिष्ठन महाबलम

विषमम वा ज्वरम कुर्यात बलव्यापदमेव च

*-IN THE AAMA STAGE – LANGHANA and PAACHANA medicines need to be given*

*-in NIRAAMA stage – SHODHANA medicimes may be employed*

*-PAACHANA KASHAAYA* – e.g. decoction of SAUNTHA, DEVDAARU, DHANIA, BRIHATI and KANTAKAARI.

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H. GHRITPAANA...

ज्वरा कषायवमनैः लन्घनैः लघु भोजनैः

रूक्षस्पर्शैः न शाम्यन्ति सर्पिस्तेषाम भिष्ग्जितम 

-GHRITAPAANA advised when all other measures fail to relive the fever

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I. NASYA – in vishama jwara types

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J. DUGDHAPAAN

this need to applied in some cases of paittika jwars and in some cases where paittik complications are seen or there is a doudt of such complications.

Vaidya Pawan Madaan