Tridoshaja jvara (acute fever) in Sushruta Samhita

Tridoshaja jvara (fever) is described in the Samhita in Utt. 39, 14, 16, 103-109.
Such fever is caused by simultaneous derrangement/aggravation of all three dosha (vata, pitta & kaph). Some experts suspect such jvara to be typhoid fever.
Apart from usual symptoms of jvara (fever), this type is characterised by insomnia, vertigo, difficulty in breathing, drowsiness, torpor, aversion to food, increased thirst, delirium, numbness, burning sensation & shivering, cardiac pain, partial insanity, blackish coating on teeth & tongue, pain in head & joints, dialation of pupil, clouded eyes, ringing inside the ears, inflammation of nasal & oral channels.
This type of jvara (fever) is extremely difficult to cure. In addition to general treatment practices for jvara described in Samhita, use of emetics, purgatives and intake of filtered clarified butter alongwith special febrifuge mixtures described in Utt. 39, 103-109 are prescribed.
Four sub-types of tridoshaja jvara are described in the Samhita though all these are treated by general method given for Tridoshaja jvara. ABHINYASA JVARA (Utt. 39, 14-15)-
It is additionally characterised by extreme torpor and drowsiness with low or normal temperature. HATAUJASA JVARA (Utt. 39, 15-16)-
It is additionally characterised by very loww or normal skin temperature and greatly reduced vitality. SANNYASA JVARA (Utt. 39, 16)-
It is additionally characterised by low or normal temperature and a marked inertness of muscular movement. OJONIRUDDHA JVARA (Utt. 39, 17)-
It is additionally characterised by marked shivering, numbness of sensation, fits of unconsciousness and delirium. Such jvara takes a turn for better or worse on the 12th day from the onset.

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