Fever (Jvara)

Ref Madhava Nidhana Chapter 2 page 24-6

Astanga Hrydaya Chapter 2 page 12-43 vol 2.

Jvara = fever or temperature. phyrexia.

Jvara = nija (chronic internal illness)

Agantuja (external parasites etc)

9 types of Jvara

1 Vata 2.  Pitta 3. Kapha
4. Vata+Pitta 5. Pitta+Kapha 6. Kapha+Vata
7. Sannipata equal V+P+K 8. Vishaja- Toxic fever 9. Vishama Jvara (MALARIA)



Without ama you cannot have Nija – (disease).

Amasaya = stomach


(premonitory symptoms) lassitude, lack of interest in anything, feeling of heaviness in the body, bad taste in the mouth, lack of appetite, body ache, indigestion, poor strength.

Sannkrusta = visible causes of disease, diarrhoea etc.

Viprakrushta = genetic history of disease, not easily seen. can be the effect of karma.

Pradanika= main factor of disease which can be seen, i.e. Eating too many sweet foods = obese person.

Ahara, Vihara,Bhesaja = Food, Activity, Medicine.

Sama = Site of Ama. Sama has to be moved to the stomach for elimination.

Nirama stage, purgative or laxative has to be used to remove stubborn ama from the system.

Mitya Aahar= incompatible foods.

Upasaya/Anupasaya = opposite treatment, hot for cold, cold for hot.

When the doshas are adversely affected by fever they imbalance thus.

Vata- involves samana vayu or downward moving air.

Pitta- involves pachaka Pitta or power of digestion.

Kapha- involves bodhaka Kapha or saliva in the mouth.

Pachaka pitta moves out of the stomach with ama and moves to the rasa dhatu and effects the skin.


Ama causes lethargy, tiredness, itching etc. Pachaka pitta and ama are both related.

With ama the first stage is loss of appetite. With bodhaka unpleasant taste in the mouth. Also belching, oesophagus feels swollen. Lack of energy, coating on the tongue and heaviness and dullness of mind. (tamasic).

With sama stage there is temperature and movement to the site of manifestation of the disease. High temperature in site of disease, thirst and burning sensation of the body, bile and vomiting due to pitta, and also abdominal distension. Constipation due to obstructed vata.

In the Nirama stage or recovery stage there is lightness of the body due to the release of toxins and the appetite improves.


Shrama, tiredness, arati, loss of appetite, vivarna, pale colour of the body, virasyan, bad taste in the mouth, nayanaplavan, tiredness of eyes, itcha, disinterested, dwesha, hate and anger,

Sheeta, coldness in limbs, jhumba, yawning, angamarda, crushing feeling of the body, guru, feeling heavy, romaharsha, goose pimples.


All purvarupa present but with temperature.


Because of having wrong food and habits, amasya (stomach) doshas

(bodhaka.pachak,samana) are vitiated and the vitiated doshas removes agni from the stomach and therefore ama formation occurs and circulates with the rasa dhatu, the site of the rasa dhatu is the skin (charma) and skin is hot to touch because ama and agni are both present.


1st stage Langhana, 2nd stage pachana, 3rd stage bhesaja, 4th stage virechana.

Langhana; medicated soups or teas, kidgeree, rice gruel,

Ama pachana; hinguwastaka, triphala, bhaskaralawana.

Bhesaja; sitopaladi, candanadee choorna, navaratnakalka, corriander choorna, dashamoola arista.

Virechana; triphala or dhatri.