Dvandvaja jvara (fever) in Sushruta Samhita

Dvandvaja jvara (fever) is described in the Samhita in Utt. 39, 19-21.
This type of jvara (fever) is caused due to simultaneous derangement of two doshas. Symptoms are specific accordingly for the three sub-types described in addition to general symptoms of jvara given in the Samhita.
In addition to general treatment described for jvara in the Samhita, measures to balance the deranged doshas alongwith use of tepid water for drinking (avoiding the cold water) is prescribed. VATA-PITTA JVARA (Utt. 39, 19, 101-102)-
This type of jvara is caused by simultaneous derangement of vata and pitta doshas.
It is characterised by frequent yawning, abdominal distension, fits of unconsciousness, shivering, pain in joints, gradual emaciation, delirium and high skin temperature.
Specific treatment measures for balancing vata and pitta doshas alongwith special febrifuge mixtures given in Utt. 39, 101-102 are prescribed. VATA-KAPH (SHLESHMA) JVARA (Utt. 39, 20, 95-96)-
This is caused due to simultaneous derangement of vata and kaph doshas.
It is characterised by bodily pain, cough, expectoration, coryza, shivering, sensation of cold, lassitude, aversion to food.
Specific treatment measures for balancing vata and kapha doshas alongwith special febrifuge mixtures given in Utt. 39, 95-96 are prescribed. SHLESHMA (KAPHA)-PITTA JVARA (Utta. 39, 21, 97-100)-
This is caused due to simultaneous derangement of kaph (shleshma) and pitta doshas.
It is characterised by copious perspiration followed by cold, cough, vertigo, lassitude and nausea.
Treatment described for dvandvaja jvara and specific treatment measures for balancing pitta and kapha (shleshma) doshas alongwith special febrifuge mixtures are prescribed.

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