Most fever confronted in public practice is often viral, person limiting and usually require only indicative treatment. Fever or ‘Jwara’ in Ayurveda is described to be the first symptom and most common medical sign present in every disease, and is the most powerful, strong and chief among all the known diseases. And this raised temperature is the prime cause of causing unhappiness in sensory and motor organs as well as in the mind. It is described as both a disease as well as a symptom of a disease in Charaka Samhita as ‘nidanarthkara roga’ [ निदानार्थकर रोग], and can occur at any time throughout the life, i.e. from pediatric to geriatric age group or from birth till the death. The benefit of high body temperature is that they harm the invading microorganisms and raises the antibody production, thus reinforces the defense mechanism, but it should be remembered that high fever also raises catabolism, increases heart rate and can cause irreversible damage of brain and death.
Although there are many causes of fever, but bacterial infection is probably the commonest cause. In Ayurveda three groups of infective diseases are described:
- Janpadodhwamsa [epidemic or endemic causes]
- Sankramika Rogas [ contagious disease]
- Graha Rogas [ sporadic causes of infective nature]
Jwara comes under sankramika rogas i.e. which can spread from one person to other simply by direct contact: i.e. the contact can be straightforward relationship [STD’s], touch [skin disease], inhalation of other’s expired air [TB] by oral ingestion [jwara].
- Heaviness in the body due to blockage in channels. [swedavaha srotas blockage]
- An uncertain form of desire-hate for cold/warm/air/water.
- Indigestion, bitter taste in the mouth
Pathya [wholesome diet]: old brown rice [khichdi], gruel, barley, porridge, bread butter, toast jam, cornflakes, apple, banana, pear, dry fruits and biscuits, rusks, vegetable sandwich, fruit salad, green gram, red lentils, potato, bitter gourd, honey, fruit custard, milk with dates, ginger, moringa, tinospora cordifolia, black grapes, kapitha, raisins, lukewarm water, light diet, fasting, massage, tepid sponging, rest, soft food [ rice ganji, kheer], soft rice with milk/ plain dal, boiled vegetables, little lime pickle, plenty of fluids, boiled water every 2-3 hours, also limewater/coconut/electoral water, milk with bournvita or horlicks, soups, and most importantly time-lapse [ काल प्रतीक्षा]
Apathya [unwholesome diet]: chickpea, sesame, extra sweets, fast/junk food, distending food, spicy food, impure/unhealthy water, suppression of natural urges, physical exertion, day time sleeping, bath, overeating, alkali, sour, watermelon, curd, sprouted diet, raw vegetables, peanut butter, no chilled- oily-fried food, cold water/cold drinks.
- Importance is placed on personal hygiene like the pouring of medicated oil over a person’s head or body, bath, fumigation, isolation and disinfection of the surroundings.
- Health of the attendants should be safeguard.
- The attending Physician should first protect himself/herself before treating the infected patient.
Take 2-3 drops of betel leaves juice and holy basil leaves juice in honey and lick it. Don’t take water for ½ hour.
Boil equal quantity of holy basil- mint- green tea- turmeric in 4 cups of water, till 1 cup remains: filter and drink, as much as hot you can.
Boil 10 gm lemongrass plus dried ginger plus cinnamon plus sugar in 4 cups of water till 1 cup remains: filter and drink.
Cover yourself completely in thick blanket or quilt: sweat will come out from the whole body and you will get relief.
Take 21 leaves of holy basil, white cumin seeds 3 gm, small pepper 3: mix them with 50 gm jaggery and drink morning-evening.
If fever is predominantly associated with cough in children then extract the juice of bael leaves and mix with honey and give them to lick will provide relief from the symptom.
Regular use of ajmodadi churan in a dose of 4 gm with lukewarm water helps in chronic fever.
Take 100 gm neem bark and mix in 1kg water and boil to make a decoction, when ¼ water remains then sieve it and mix honey and mishri and it and drink and cover your whole body with blanket and sleep, within few minutes, sweating will be seen and fever will get reduce. [More effective that quinine].
If thirst is accompanied with fever, then put a leaf of vasa and drink lukewarm water, this will help in alleviating thirst and fever.
If despite having a fever, sweating is not there then take 20 gm pineapple juice and mix 3 gm honey in it and drink.
Mash 40 gm giloy [tinospora cordifolia] and soak overnight in an earthen pot, in the morning, after properly sieving the water, take 80 gm twice daily [in chronic fever].
Take dried giloy – ativisha – dried ginger – kalmegha – nut grass – piper – yavkshar bark and take in equal quantity and make a fine powder and put in airtight container and take about 1-2 gm of this powder, thrice daily with water.
Some of the medicine(s) which are available over the counter [OTC] and are beneficial is/are amritarishta, tribhuvan kirti ras, guduchighan vati, kasturi bhairav ras, trishun tablet, tablet chirakin.
Before classifying a fever as viral, one must compulsory look for pallor, jaundice, neck stiffness, liver & spleen and examine the chest. If there is a known widespread occurrence of infectious disease in the locality or town, then that cause must be thought of first. [ like typhoid, malaria, hepatitis, influenza]. One should always try to find the cause of the fever by assessing the related symptoms, as such the attending physician/practitioner must be aware of the common causes of fever, their symptoms and warning signals which suggest that this may not be a simple fever. Simple viral fevers do not require antibiotics.
If the fever does not reduce within 3-4 days of conventional treatment, consult a Physician to evaluate the associated symptoms and investigate fully. Even after taking a good history, meticulous physical examination and initial investigation, the fever still remain, we can categorize it under PUO [pyrexia of unknown origin] or ‘Sannipatika Jwara’ [सन्निपातिक ज्वर]. Some of the result oriented medicines which are prepared by our team of dedicated Professionals and are available as per request.
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Dr Munish Sood
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