Fever and Its Ayurveda Treatment
Fever is described as a symptom of many diseases in Modern medicines. But in Ayurveda, fever or Jwara (as Ayurveda experts call it) is a disease itself. There is a specific pattern, pathology, general signs and even the death signs of fever described in Ayurveda. Fever has been described in detail in Ayurveda texts. In this blog, we have tried to come up with some general questions related to Fever and its Treatment in Ayurveda.
What is Fever(Jwara) in Ayurveda?
In Ayurveda, Fever is known as “Jwara roga”.
Jwara has been said to be the chief among the diseases (Rogānāma pradhānah).
It is said that there is no living body which is not attacked by it.The term Jwara is generally translated as fever, though it does not convey all the senses of the term.The term Jwara means the condition in which mind, sense organs and the body all are troubled. Jwara (Fever) is characterized by elevation of body temperature, loss of perspiration and varying degree of pain in the body. In majority of the cases, there is reduced heat in the GIT (gastrointestinal tract) and an increased temperature in the external body. Fever might be a symptom of a disease or can be a disease in itself. According to Ayurveda, fever happens because of an imbalance in Tridoshas.
Jwara is a disease of Rasavaha Srotasa having its origin from Amashaya, resulting due to Agnimandya and presented with Santapa (raised body temperature), Swedaavrodha (anhidrosis )and Angamarda (body ache) as its cardinal features. Almost all the infectious diseases (viral/bacterial) presenting with raised body temperature as predominant feature have been categorized under Jwara.
On the basis of predominance of Dosha and Dhatugata Avastha, Jwara has been classified into various types and while deciding the line of treatment, all these types are to be considered. For deciding the line of treatment, differential diagnosis among the Doshic varieties, Sama – Nirama Avastha, Nava- Jirna Avastha or Dhatugata Avastha or other presentations like Punaravartaka Jwara are considered.
- According to Charaka, Jwara produces santapa (increase in temperature/ temperament), sandeha (suspicion) in hridaya(heart) & manas (mind).
- According to Sushruta, Jwara is that disease in which manifestation of obstruction of sweda(sweat), santapa (temperature rise) & angamarda (body ache) are seen simultaneously.
- It is the king of all the other diseases.
Nidana of Jwara (general causes of fever)
Many types of jwara have been described in Ayurvedic classical texts i.e. Brihat trayi (three major Ayurvedic classical texts – Charaka samhita, Sushruta samhita and Ashtanga hridaya) and Laghu trayi (Madhava nidaana, Sharangadhara samhita and Bhava prakasha). According to causative factors jwara is divided into two groups, nija (internal origin) and agantuja (external origin).
Nija jwara occurs due to—
Vitiated doshas, dhatus (tissue elements) etc; internal factors and
Agantuja occurs due to various factors which are external in origin like—-
- Infections, injuries and also psychological factors like anger, depression, distress etc;
- Heat exhaustion and extreme sunburn may sometimes results in fever.
- Heavy exercise can lead to increase in the normal body temperature.
- Improper techniques used in panchkarma.
- Seasonal Changes.
- Kama –( lust), Shoka – (grief),Bhaya – (fear),Krodha – (anger),Bhuta – (evil spirits, micro organisms).
- Visha – (toxins) may result in Jwara.
- Abhicharaja – Due to evil tantric rituals.
- Abhishapaja – due to Shrapa (curse) of elderly
In most cases however, you can assume that a fever is the result of an immune response to infection or toxins in the body. Ear, nose, and throat infections are the most pervasive and are therefore the most common causes of fever.
Infectious organisms are not the only causes of fever. Although not as common, fever causes can also include autoimmune or inflammatory conditions like ulcerative colitis and arthritis. Certain medications, including antibiotics and antihistamines can also cause a rise in body temperature, resulting in mild fever.
What is Samprapti (pathogenesis) of Fever in Ayurveda?
According to Vagbhatta-
- Sannikrishta nidana- Vatadi dosha
- Viprakrishta nidana- Mithyaahara
Mithya ahara vihara & dhatu vaishamya are the causative factors of Jwara.
For the manifestation of any disease mithya aahar & vihara are the main causative factors. The generation of ama is root cause of Jwara.
Due to hypo-functioning of ushma or kayagni (digestive fire), food which is not properly digested results in formation of immature rasa (poorly digested chyle) in amashaya (stomach) and this rasa is spoken as ama. Ama is unable to nourish the dhatu. Then the causative factors of Jwara will increase Vata, Pitta & Kapha in the body. These increased doshas reach the Aamashya, they combine with ama along with rasa dhatu & circulates all over the body by the kaphagni will also mixed with this rasa dhatu and circulates all over the body along with increased doshas & produces the fever. Because of the properties of Ama such as snigdha, pichchhila it will obstruct the swedavaha strotas. The absence of sweating (swedavarodha) also increases the body temperature (ushmata).
Samprapti Ghataka (properties of fever)
- Udbhava sthana(place of origin)- Amashaya
- Dosha- Pitta PradhanTridoshaj
- Dushya- Rasa, Rakta
- Shrotas- Swedavaha shrotas, rasavaha shrotas
- Shroto dushti prakar- Samya
- Vyakta sthan(place of manifestation)- Sarvanga (All over the body)
- Ama- Jatharagni janya ama
- Roga marga- Bahiroga marga
- Santapa – raised temperature
- Aruchi – Anorexia
- Trushna – excessive thirst
- Angamarda – malaise, body ache with heaviness
- Hrudi Vyatha – pain in cardiac region
Samanya Purvarupa (general prodromal sign) of Jwara-
- Santapa – raised temperature
- Aruchi – Anorexia
- Trushna – excessive thirst
- Angamarda – malaise, body ache with heaviness
- Hrudi Vyatha – pain in cardiac region
- Alasyam -Lethargy
- Nayana aasre –excessive lacrimation
- Jrambhana -yawning
- Gauravam -heaviness
- Klama – Mental fatigue
- Jwalana, Aatapa, Vayu and Ambu Bhakti Dwesha – Uncertainty about liking and disliking for fire, sun, wind and water
- Avipaka -Indigestion
- Vairasya -Anorexia
- Bala Hani -Depletion in strength and complexion, and
- Alpa Sheela Vikruti – Slight change in conduct
Roopa (sign and symptoms) of Jwara (Fever)-
Jwara Pratyatmaka Linga:
The signs and symptoms invariably associated with Jwara are—
- Santapa Deha Manasa –The increase in the temperature of the body and mental unhappiness.
- Shrama- Exhaustion without any reason.
- Arati- Restlessness, not interested in anything.
- Vivarnatva- Discolouration of body.
- Asya vairasya- Difficult to differentiate the taste.
- Nayan plava- Watering of eyes.
- Ichcha dwesha, Sheeta vata tapa dishu- Alternating desire & aversion for cold & hot environment.
- Jrimbha- yawning
- Angamarda- Bodyache.
- Guruta- Heaviness of the body.
- Romaharsha- Horripilation.
- Aruchi- Tastelessness
- Tama- Darkness in front of the eyes.
- Apraharsha- There is no interest to take any kind of food & feeling of chills.
Vishishta purvarupa (specific prodromal sign) lakshana of Jwara-
- Vata dominance– Yawning excessively.
- Pitta dominance– Burning sensation in eyes.
- Kapha dominance– Aversion to take food.
Pratyatma Lakshana of Jwara (only found in jwara)-
Burning sensation over body & mind are cardinal symptoms of jwara.
Classification Of Jwara (Fever)-
The Jwara as a disease has been clinically divided and subdivided under many groups viz.
A. Nija Jwaras— are sub divided into 7, such as
- Vāta Kaphaja,
- Pitta-Kaphaja and
- Sannipātaja. (13 Sub types)
B. Āgantujas Jwara-
sub divided into 4 —
- Abhichāraja and
Abhishangaj Jwara is further devided in to 7 sub types-
Jwara is also classified on the basis of following-
Vega -anusar- 4 types-
Dushya-anusar- 7 types-
Based on Ama-
- Sama Jwara
- Pachyamana Jwara
- Nirama Jwara
Based on Adhisthana-
Based on Kala-
Based on main symptoms
Based on Sadhya-asadhya—-
- Sadhya— 2 types- a. Suhk-sadhya
2. Asadhya—2 types-
What are the Types Of Sannipata Jwara?
Sannipata Jwara is further classified in to 13 types based on dominance of Dosha-
- Pitta kapholbana
- Heenavata- Pitta Madhya- shleshmadhika
- Heenavata- Madhyakapha- Pittadhika
- Heenapitta- Madhyakapha- Vatadhika
- Heenapitta-Vatamadhya- Kaphadhika
- Heenakapha –Vatamadhya-pittadhika
Lakshana of different types of jwara-
- Fever is irregular with sudden rise & fall in temperature
- Dryness of throat & lips
- Loss of sleep
- Suppression of kshawathu (spit)
- Dryness of the body
- Headache, chest pain, body ache, loss of taste, constipation, pain in abdomen.
- Adhmana, yawning.
- Intensity of fever is high.
- Diarrhoea, sleeplessness, vomiting, ulceration over throat, lips, mouth & nose.
- Irrelevant speech, feeling of katu rasa, giddiness, burning sensation,
- Yellowish discoloration of stool, urine & eyes.
- Feeling as if body is covered with wet cloth, mild temperature, laziness.
- Sweet taste in mouth.
- White color of urine, stool.
- Stiffness of joints
- Aversion for food, heaviness of body, feeling of coldness & utklesha of kapha i.e. hrillasa & excessive salivation, horripilation, excessive sleep, running nose.
- Tastelessness, cough, whitish coloration of eyes.
Vata pitta jwara-
- Thirst, fainting, delusion
- Burning sensation, loss of sleep,
- Headache, dryness of throat & mouth, vomiting, horripilation, tastelessness,
- Pain in smaller joints, yawning.
Vata shleshma jwara-
- Feel as if body is covered with wet cloth, excessive sleep
- Pain in smaller joints
- Heaviness of head, headache, running nose, cough.
In Vata kaphaja jwara there is sweating because of vikriti vishama samavaya.
- Coating over tongue & feeling of tikta rasa in the mouth, tandra, moha, murchha, aruchi, kasa, trishna,
- Feeling of cold & hot alternatively.
Sannipata Jwara lakshana-
- Alternate feeling of hot & cold due to involvement of three dosha.
- Pain in the joints, bone & in head
- Redness of the eyes or sunken eyes with watery discharge.
- Tinnitus, earache.
- Feeling of some foreign body present in the throat.
- Tandra , trishna, moha, murchha, pralapa, kasa, shwasa, aruchi, shrama, paridagdha, the tongue will be very rough just like gojihva (tongue of cow)
- Spitting of rakta or pitta along with kapha,
- Head heavyness, thirst, nidranasha
- Chest pain,
- Delayed & reduced quantity of excretion of sweda, mutra, purisha.
- Urticaria and blackish red coloured rashes
- Loss of speech, inflammation of the nose and ear etc.
- Indigested rasa due to the durbalata of jatharagni (diminished digestive fire) and the rasa which is doshayukta, situated in amashaya is called as ama. This dushita rasa spreads all over the body & causes ama jwara.
- The symptoms are mixed as in Pitta kaphaj jwara.
- In the aspect of treatment we should see the condition of ama and deepana pachana principle of treatment is opted. Because in this treatment the administration of medicines are avoided.
- If the shodhana or shamana aushadhis are administered it converts ama jwara to Vishama jwara.
The vega of jwara will be teevra, excessive thirst, pralapa, shwasa, bhrama (giddiness), etc. are the lakshanas of pacchyamana jwara.
Hunger, emaciation, laghuta, mala mutra pravritti. In 8 days jwara comes to normal.
Trishna, Santapa, angamarda, manasika glani.
Chanchalata, glani of mind & Santapa is called as manasa jwara.
Jwara remains in the body till its wish & it never produces any disturbance in body temperature is called as avisargi jwara.
It is of 2 types.- Samvegi and Vishamvegi.
It is also called as continuous fever. In this the body temperature is raised in day as well as night time.
It is also called as remittent fever. In this, within 24 hours there will be variation of 2°c temperature, but the temperature never comes to normal.
Fever get down in one ahoratra (24 hours/ 1 day and night). Once the temperature comes to normal then again rise in temperature is seen. It is called as Visargi jwara.
It is of 2 Types- Muktanubandhi and Punaravartaka jwara.
It is also called as Intermittent fever. In this type, the temperature comes to normal once or several time.
Before the cure of fever or before the ascertainment of prakrita bala, if one does the vyayama, snana or traveling, then the re-occurrence of fever is seen. This is called as punaravartaka jwara. This fever will remain for longer time, gives peedana for longer time. In case of durbala and Ojas ksheena person this jwara may leads to death.
The term agantuj means external. The jwara caused by external factors is called as agantuja jwara. In this, jwara occurs first & vitiation of the dosha occurs later.
There are 4 types of agantuja jwara- Abhighataja, Abhishangaja, Abhishapaja and Abhicharaj.
In this type, fever is caused by abhighata means injuries like chhedana (cut) and daha (burns). These causes vitiation of Rakta by Vata dosha and gives rise to jwara, shoola, shotha and discolorations of tvacha (skin) at the site of the injury.
Fever caused by germs, virus and influence of ghost (Pishacha badha). Grahabadha – fever due to the influence of dushtagrahas. Fever raised due to contact of visha is called as vishajanya jwara. Jwara also occurs due to psychological factors like krodha (anger), shoka and bhaya (fear) comes under this type.
The fever caused by the curse of gurus, saint & elders is called abhishapaja jvara. Here the fever effects first the mind & later to the body.
Fever which is caused by the mantra tantra comes under abhicharaja type. Here the mantra tantra are used to produce the fever in enemies. First it causes fever to the manas/ psyche & later it affects the body and produces symptoms like visphota (boils), trishna (thirst), daha (burning sensation), murchha and there will be regular increase of temperature.
What is Vishama jwara in Ayurveda?
The word vishama means irregular. In case of fever the word vishama applies for its irregular onset, irregular site of manifestation, irregular nature and irregular periodicity or interval.
Vishama arambha means the fever will start from the different parts of the body i.e. some times it may starts from Murdha ( head), sometimes it may starts from prishtha (back).
The irregular nature means vishama kriya means sometimes there will be high temperature or sometimes severe chills (rigors), irregular periodicity means Vishama kala means the fever may appear in the morning, in the noon or at night. That is this fever persists for long period.
Samprapti of Vishama Jwara
In the initial stage there will be alpa dosha (less dosha) or soon after the recovery from the fever, if a person indulges in unwholesome food or activity, again the dosha will aggravate further and get lodged in Dhatu and produce the vishama jwara. The aggravated Vata dosha due to its irregular nature produces Vishama jwar.
The salient features of Vishama jwara-
- Fever settles for a few hours or 2-3 days & re-appears again.
- The patient suffers from chill and at other time experiences the sensation of heat in the body.
- The fever rises suddenly & fall down suddenly.
- The fever doesn’t appear or reoccurs at fixed time.
- Fever is sometimes mild and sometimes very high.
Classification of vishama jwara
- Santata jwara- rasa dhatu is involved.
- Satataka jwara- rakta dhatu is involed.
- Anyedyushka- mamsa dhatu is involved.
- Tritiyaka- meda dhatu is involved.
- Chaturthaka- asthi and majja dhatu are involved.
1. Santata jwara-
Continuous rise of temperature for the period of 7 or 10 or 12 days is known as Santata jwara (ref: Madhava Nidan- 2/34).
In this type, there will be vitiation of all other dhatu, mutra, purisha and vata simultaneously.
Because of the vitiation of all 3 dosha, features of sannipataja jwara like moha, pralapa etc. are observed. As in Santata jwara, there will be more vitiation of rasa dhatu, hence the vitiated doshas will spread throughout the body through rasa vaha shrotas.
So the features like stabdhata (stiffness) and santapa (high grade fever) are present all over the body. It is extremely very difficult to tolerate this type of fever.
2. Satataka jwara-
In this, the fever appears twice a day. Satataka Jwara is Krichchha sadhya (difficult to cure, but curable).
The vitiated dosha are present in amashaya and the fever rises once in day time & once in night. The increase in temperature is observed during dosha prakopa kala.
The fever which appears once in 24 hours is called as Anyedyushka jwara.
The increase or decrease of temperature appears once in day and night. But there is no particular time. The site of this jwara is hridaya (heart). The doshas present in hridaya usually take 24 hrs to reach amashya. So the fever will appear on next day.
The fever appears once in three days or on alternate days.
First day the fever will be present, no fever on next day and then fever re-occur on third day.
5. Chaturthaka jwara-
Fever appears once in every fourth day. If there is vitiation of kaphadosha it effects jangapradesha (thighs, calf).
If there is vitiation vata dosha it affects head.
What is Jeerna jwara in Ayurveda?
Jeerna jwara is a term given for chronic fever. This can be explained as below-
- It remains for 27 days.
- Remains for 3 week continuously in mild degree.
- Spleenomegaly (enlargement of spleen) is found.
- Jatharagni dourbalya (loss of appetite) is seen.
Complications of Fever(Jwara upadrava)
Hiccup,Difficulty in breathing,
Angabheda (unbearable body ache)
Sadhya jwara Lakshana (signs of curable fever)
The sadhya jwara should have the following features-
- The patient have some strength.
- There will be alpadosha involvement.
- Should not have any complication( upadrava).
Asadhya jwara Lakshana-
Asadhya jwara have many symptoms and causative factors.
- Debility of sense organs for long time
- Antardaha (internal burning of body),
- Thirst, hikka (hiccup), shwasa, obstructions of mala and apanvayu are seen.
- Loss of complexion, Nishkriya of Indriya, ksheenata and aruchi are seen.
If all the above symptoms are seen in a fever then that fever is incurable (asadhya).
Arishta lakshanas Of jwara (early death signs Of Fever)
In Ayurveda, there is a description of Arishta lakshana of various disease which we can say as early death sign (in common word).
Likewise, following Arishta lakshanas are described for Jwara-
- If the patient is dreaming like he is drinking madira (a type of alcoholic beverage) along with preta (devil/ demon) or moving towards dakshina direction then that patient will die soon because of fever.
- The person along with fever, if suffers from shushka kasa & jwara before 12 o’clock in day time then he will die very soon.
- The person who suffers from fever after 12 o’clock in day time and he is balamamsa hina (emaciated) then he will die very soon.
- Who is having teevra jwar (acute high grade fever), trishna (thirst), murchha (fainting) and shithilata of sandhi (weakness in joints) then he will die soon.
Purvarupa (prodromal sign) of jwaramoksha / daruna moksha (recovery from fever)
When there is relief of jwara then the body of the person experiences following signs-
- Burning sensation
- The loss of sense and perception
- Kujana (sound)
- The bad odor from the mouth.
Types of Jwara-moksha-
It may occurs in 3 types
1.Daruna moksha (By crisis)
2.Adaruna moksha (By Lysis)
3.Vishama gati moksha
Jwaramukta Lakshana (After Signs of fever)-
- Lightness of body
- Itching over head
- Mukha paka (stomatitis)
Treatment of Fever in Ayurveda (Chikitsa Sutra Of Jwara)
- During nava jwara, one should avoid sleep during day time, bath, massage, heavy food, anger, exposure to wind and exercise.
- Langhana or fasting- In the first stage of jwara, langhana or fasting is prescribed. It is however, not indicated in the jwaras caused by consumption of agents whch vitiate vata like Vata vardhaka aahara, fear, anger, grief and physical exertion.
- Intake of Shadanga paniya- For the alleviation of thirst and jwara, the patient should be given water boiled with Musta, Parpataka, Ushira, Chandana, Udeecchya & Nagar. After boiling, the water should be made lukewarm every time before administration.
- If the jwara is dominated by kapha, give Vamaka Dravya (emetics).
- Use of Yavagu- After the patient has been administered emetic therapy and after he is kept on fasting he should be given yavagu (gruel) processed with some herbs.
- Use of kashaya- The patient should be administered decoctions of pachana or shamana herbs (single or in combination).
- Langhana Karma (Light diet intake)- For the alleviation of jwara, up to the 10thday, the patient should be given light diet along with Yusha (soup) prepared of vegetables, pulses(mudga, masur, chanak, kulatta & makushta), or Jangala Mamsa-Rasa (soup of meat of animals dwelling in the forests).
- Intake of ghee- The ghee should be given to the patient suffering from jwara when there is dominance of Vata and Pitta. If Kapha predominates and if the signs and symptoms of well accomplished Langhana karma have not appeared, ghee and Mamsa rasa should not be administered to the patient even after the 10thday,
- Intake of milk- When there is excessive burning sensation and thirst; when the patient is suffering from jwara predominated by Vata and Pitta; when the doshas are either Baddha (obstructed) or prachyuta (loose) or when there is nirama stage of the doshas, intake of milk (unprocessed or processed with herbs) may be given.
- Administration of purgation- When the fever doesn’t subside by the therapies described earlier, then for its alleviation Virechana karma (purgation therapy) should be provided to the patient who is not emaciated or depleted of muscle tissue and devoid of digestive power.
- Administration of Anuvasana Vasti (Therapeutic oil based enema)- In chronic fever Anuvasana Vasti should be given in the conditions- when Vata and pitta are alleviated, when there is strong power of digestion and when the faeces are smooth and greasy.
- Administration of Nasyam (Nasal administration of medicine)- In chronic fever, it should be administered in conditions when there is
a. heaviness and pain in head
b. inactivity of the sense organs as a result of which senses are not able to perceive their objects.
- Administration of external therapies- In chronic fever the physician may advise Abhyangam, pradeha, parisheka and avagahana.
- Vegetables- The leaves and fruits of patola, patha, karkotaka and rakta punarnava are useful in jwara if taken as vegetable/ curry.
- The decoction of parpataka, kiratatikta, musta, guduchi and visha bheshaja are taken oraly in jwara.
Herbs Useful in fever (Jwara)-
- Agasti (Agastya)- The juice of the leaves dropped into nostrils alleviates chaturthaka jwara (Bhavaprakasha chikitsa- 1/ 771).
- Ahiphena- In a combination of other herbs in Yavaanyaadi kwatha, ahiphen is useful in jwara associated with kasa (fever with cough) (Bhavaprakash Chikitsa 1/ 383).
- Amalaki- The juice of amalaki fruits fried with ghee alleviates fever.
- Aaragwadha- Aragwadha with milk or grape juice is recommended in jwara (Charaka Samhita Chikitsa Sthana- 3/232).
- Shunthi- One afflicted with fever associated with diarrhoea should take liquid gruel of parched paddy added with Shunthi and honey. ( Ashtangahridayam Chikitsa sthana- 1/27).
- Upakunchika (prithvika, kalajaji)- Kalajaji taken with jaggery controls irregular fever (Bhavaprakash chikitsa sthana- 1/753).
- Upodika- In fever with burning sensation, the leaves of upodika pounded with sour juice or vinegar are applied externally as paste. (Sushruta Samhita Uttara Tantra- 39/284)
- Ushira- Ushira forms an ingredient of the shadanga paniya commonly used in fever associated with thirst. (Charaka Samhita Chikitsa Sthana- 3/145).
- Katuka- Fine powdered katuka mixed with sugar alleviates fever caused by pitta. (Ashthanga Samgraha Chikitsa Sthana- 1/76).
- Kiratatikta- The intake of paste of kiratatikta root mixed with cow’s ghee destroys fever in Filaria (Bhavaprakasha Shlipada chikitsa- 10).
- Kasamarda-In Pittaja jvara the cold decoction of kashmarya mixed with sugar pacifies excessive thirst & burning sensation .
- Kulattha- To check excessive perspiration, powder of parched Kulattha is rubbed in the body.
- Guduchi- Decoction of Guduchi should be taken in all types of fever. (Sushruta, Chikitsa- 39/ 170).
- Guduchi juice alone checks fever caused by Vata (Ashtanga Samgraha Chikitsa- 1/70).
- Guduchi- In case of fever with vomiting, cold decoction of Guduchi mixed with honey is taken. (Bhavaprakasha, Chikitsa- 1/857).
- Jiraka- Jiraka (cumin seed) combined with jaggery alleviates irregular fever. It also improves digestion and destroys diseases caused by Vata.
- Jeevanti- Decoction of Jeevanti root mixed with ghee removes burning sensation in fever.
- Dadima (Pomegranate)- In severe fever caused by pitta one should take parched grain flour mixed with fruit juice of dadima.
- Devadaru- Decoction of devadaru is useful in fever ( Sushruta Samhita, Uttara- 39/204).
- Dronapushpi- The juice of dronapushpi is effective in malarial fever.
- Dhanyaka- The cold infusion of dhanyaka (coriander) mixed with sugar and taken in morning alleviates even severe burning sensation immediately (Bhavaprakash, Chikitsa- 1/356).
- Nimba- Vomiting should be induced in patients having burning sensation and fever with leaf juice of nimba mixed with honey and liquid jaggery (Sushruta, Uttara- 39/282).
- Pippali- Decoction of pippali made in four times of water should be taken (Ashtangasamgraha, Chikitsa- 2.41).
- Pippali mula- One who takes pippali mula mixed with ghee and honey (non equal ratio) followed by intake of cow’s milk becomes free from heart disease, cough & malarial fever.
- Mustaka : Mustaka and Parpataka are excellent herb for fever (Ashtangahridayam, Uttara- 40/48).
- Vasa- The juice of Vasa leaves mixed with honey alleviates fever caused by pitta and kapha (Ashtanga Samgraha, Chikitsa- 1/92).
- Vidari- Milk oil, ghee, juice of Vidari and sugar cane and honey all mixed together is suggested in malarial fever.
- Haritaki- Linctus made of Haritaki, ghee and honey (unequal proportion) removes all types of fever.
- Hingu- Quartan fever is checked by snuffing hingu mixed with old ghee.
- Amalaki- The patient of fever in case of loss of sweat & sleep accompanied by excessive thirst, should take liquid ghee processes with shunti & amalaki added with sugar & fried in ghee. It alleviates fever.
- Amra- Hot infusion prepared of tender leaves of amra and jambu + leaf buds and hanging roots of vata (banyan tree) + ushira mixed with honey cures fever.
- Shunthi- Milk cooked with shunti, draksha and kharjura and added with ghee, honey (unequal ratio) reduces thirst & fever. (Charaka Samhita, Chikitsa- 3/ 237).
- Decoction of mahabala root and shunthi checks malaria fever. (Bhavaprakasha, Chikitsa- 1/ 750).
- Shunti, jiraka and jaggery pounded together and taken with hot water, old wine or buttermilk checks fever with rigor. (Bhavaprakash, Chikitsa- 1/ 756).
- Eranda- Taking milk cooked with Eranda root helps in recovering from constipated bowels OR tender Bilwa is useful in diarrhoea with blood and mucus attended with thirst, pain and tenesmus.(Ashtangahridayam, Chikitsa- 1/112).
- Katphala- In fever, caused by kapha, the formulation consisting of katphala, pushkaramula, karkatashringi and Pippali mixed with honey is efficacious. It alleviates kapha and its associated symptoms like dyspnoea, cough and fever.
- Kantakari- In condition of pain in pelvic region, sides and head, liquid gruel of parched paddy processed with kantakari and gokshura should be given. (Ashtangahridayam, Chikitsa- 1/28).
- Kantaki karanja- Seed kernel of karanja, ativisha and maricha each 1 part and tulsi leaves 3 parts all put together and made in to pills of the size of a Bengal gram. It is useful in fever, diarrhoea and loss of digestive power.
- Karvellaka- The soups of karvellaka, karkotaka, moolak, parpatak, nimba pushpa, patola are useful in jwara (Ashtangahridayam, Vimana- 1/75).
- Kiratatikta- Infusion of kiratatikta mixed with dhanyaka leaves alleviates fever immediately.
- Kutaja- Decoction of Kutaja (Indrayava) and kutaki in rice water or that of yasti madhu alleviates fever caused by pitta.
- Kupilu- Purified kupilu with equal quantity of maricha powder is rubbed with decoction of Indrayava fruits and made into pills. It removes constipation and fever caused by Vata.
- Kumud (Utpala)- In fever with diarrhoea; Utpala, seed of pomegranate and stamens of lotus put together should be taken with rice water. (Bhavaprakasha, Chikitsa- 3/11).
- Kulattha- Soups of light pulses such as green gram etc as well as kulattha are whole some in fever (Ashtangahridayam, Chikitsa- 1/ 24).
- Guduchi- Decoction of triphala and juice of Guduchi is useful (Charaka, Chikitsa- 3/299).
- Guduchi- Ghrita and oil cooked with juice and paste of Guduchi, Triphala, Vasa, Draksha and Bala alleviate fever (Ashtangahridayam, Chikitsa- 2/22).
- Jeemutaka- It should be given with the juice of Jivaka, Rishabhaka and Ikshu (Sugarcane) or Shatavari in fever caused by Pitta Kapha or Vata Pitta ( Charaka, Kalpa- 2/12).
- Jeeraka- In Malaria with rigor, the patient should take Jeeraka powder with jaggery or guduchi juice with jaggery (Ashtangasamgraha, Chikitsa- 2/93).
- Krishna jeeraka- Intake of Krishna jeeraka with equal jaggery and a bit of maricha checks Chaturthaka Jwara immediately (Bhavaprakasha, Chikitsa- 1/ 755).
- Jyotishmati- In drowsiness in fever, Jyotishmati and pindaraka root used as snuff to remove drowsiness in fever.
- Tulsi- In Malaria fever, the juice of tulsi or dronapushpi mixed with maricha powder should be taken to check malaria fever.
- Triyamana- In chronic fever, intake of Trivrit or triyamana with milk is good. (Charaka, Chikitsa- 3/232).
- Triphala- In chronic fever, Triphala, guduchi and pippali each separately should be given according to the prescribed method or Bhallataka mixed with jaggery may be used (Ashtangasamgraha, Chikitsa- 2/112 and Ashtangahridayam, Chikitsa- 1/152).
- Dashamula- Pippali should be used with decoction of dashamula in case of jwara (Sushruta, Uttara- 39/ 216).
- Draksha- Juice of draksha and amalaki should be given in jwara which acts as mild purgative and detoxify the body. (Charaka, Chikitsa3/ 230 And Ashtangasamgraha, Chikitsa- 2/28).
Pharmaceutical Preparations for Fever (Jwara)-
- Aasavarishta– Amritarista (In all stages of jwara), Kiratarishta (saviram jwara, vishama jwara), Kutajarishta (jwaratisar), Panchatiktarishta (jwarahar-raktashodhaka).
- Kwatha- Dashamula kwatha, Panchatikta kwatha, Shadanga kwatha, Dashamulatriguna kwatha. Amruttotaram kashayam.
- Churna– Sudarshana churna, Mahasudarshana churna.
- Vati or Rasa– Mahasudarshan Vati, Tribhuvankirti rasa, Vettumarana Gulika, Sanjeevani vati, Bhedijwarankusha rasa, Jwaramurari rasa, Jwarankusha rasa, Kalakuta rasa, Jayamangal Rasa, Vishamjwarantaka Rasa, Sarvajwarhar Lauha, Lakshminarayana rasa, Mrityunjaya rasa, Narayana jwarankusha rasa.
Some Time Tested Medicines For Jwara (Fever)
Mritunjay Rasa (Vata-Kapha Jwara,Vata Jwara,jiran Jwara)
Mahajwarankush Rasa—–(Santat Visham Jwara)
Jwarantak Rasa (Visham Jwara malaria)
Sanjivani Vati——- (Visham Jwara, All jwara)
Hinguleshwar Rasa (Navin Jwara,Tiwar Jwara)
Ramban Rasa (navin,Vataj,sannipataj)
Mritsanjivani Rasa (Sannipat jwara)
Jaimangal Rasa (Visham Jwara, Dhatugat jwara)
Samirpanag Rasa (Krishsadya jwara,sannipat Jwara)
Kaalkut Rasa (Jwara ,Sanipat jwara)
Laxmi vilas Rasa Nardiya— (Vat-Kapha Jwara)
Kasturi Bherav Rasa—(Kaphaj Jwara,Vataj jwara,Sanipataj Jwara)
Tribhuvankirti Rasa (Kaphaj ,Vataj jwara)
Dashmoola Kwath— (Sanipataj Jwara)
Mahasudarshan Vati- ( sanipat Jwara)
Mahasudarshan Churan (Sanipat Jwara, Jiran Jwara)
Visham jwarantak Loh————-(Visham jwara)
Pathya - Apathya (Diet and life style):
Pathya (Do’s )—
Shadanga Paniya (medicated water prepared by Musta, Parpataka, Ushira, Chandana, Nagara, Udichya), Tarpana prepared of the Laja Saktu (Churna of perched paddy) mixed with honey, sugar and juices of fruits, Mudga Yusha. Yavagu (gruel), odana (boiled rice) and Laja (popped or perched paddy), Peya prepared with Laja / Yava added with Nagar, Pippalimula, Amalaki, Mrudvika, vegetables like Patola, Karavellaka, Karkotaka.
Complete bed rest, staying in well ventilated room with hygienic conditions
Apathya (Don’ts )
Heavy food, curd, green peas, black eyed beans, lentils, yellow gram, black gram, raw vegetables and salads, refined foods such as white flour (Maida), contaminated water or food, sprouts, cold food and beverages, junk foods, fried food, bakery items.
Physical and mental exertion like physical exercises, exposure to cold, breeze, suppression of natural urges, taking bath with cold water etc.