Fevers :
Simple fevers are due to cold, getting wet in the rain, walking long in the sun, wearing wet clothing for a long time, moist weather, change of seasons, carelessness concerning diet, etc. Premonitory symptoms include fatigue without labor, restlessness in mind, cheerlessness, paleness, watery eyes, pleasure in warmth ( also the reverse), yawning, body aches and pains, aversion to food, heaviness of body, sensitiveness, blindness, shivering, and constipation. The fevers begins slowly, making one feel now hot and now cold. The pulse is hard and quick. There is thirst, and the tongue becomes dry and coated. Aches in the lions may indicate brain fever, constipation, and loss of appetite. Treatment; fasting gives relief. By fasting alone the secretions sometimes come to normal, creating appetite and lightness body. So, when there is fever, fast or take only light food. Light foods are: arrowroot, barley, soup of mugh or musuri lentils. If there is constipation, puffed rice, sugar cake, and crystal sugar may be given. Fasting is not advisale if the fever has been caused by fear, anger, grief, sex, or heavy discharge of semen. Also, fasting is not allowed if the patient is in weak health. Many acute fevers nowadays take suddenly a serious or fatal turn. If there is any fear on this score, give acqua of chireta or extract of shefali leaves along with Makaradhwaja and honey. (N.B. Details of the uses of Makaradhwaja are given in a separate publication of the Makaradhwaja Department, which may be had on request.)
Constipation is often the cause of fever, which then does not leave the patient until the bowels are completely cleared. The best drug for constipation is Kosthasuddhi Bati. One dose will clear the bowels, lighten the body, eliminate tastelessness and bitterness of mouth and bring about a desire for food. Sometimes Kosthasuddhi Bati clears up simple fever even when there is no constipation. If, however, the bowels are moving well but the fever persists one or two of the following medicines should be used: Sarbajwara Bati, Sadhana Pachan, Hinguleswar and Mritunjoy Ras. If great shivering, yawning, or headache accompanies the fever, If the use Hinguleswar with honey and hot water. If the bowels are not clear, the same medicine may be given with ginger juice and honey. If the bowels are normal, this same medicine may be used with the juice of betel leaves. If the patient has watery motions, two or three application of Mritunjoy with cummin powder and honey will produce excellent results. Simple Fever will vanish if Sarbajwara Bati and Sadhana Pachan are used conjunctively. The former has proved efficacious in all kinds of fever. If the fever is simple, see if the bowels are blocked and then use Kosthasudhi unhesitatingly. If not, use Sarbajwara Bati or Sadhana Pachan. In the first stages of simple fever fasting is advisable unless the patient is weak and hungry. But where the fever is high, no diet should be allowed in any case. If the patient with high temperature is thirsty, give him hot water. If his temperature is low, he may be allowed sago, barley, arrowroot, raisins, waterchestnut, sugar cane, and pomegranate. When you are confident that fever will not recur, give him rice and bath.
A word about Sadhana Pachan. Nowadays decoctions are seldom used. But in Ayurvedic Science there are very few diseases in which decoctions are not used. Decoctions are excellent at every step, but their preparation entails much labour, time, and special ingredients. So patients have become unwilling to take them. But say 40 or 50 years ago, we saw our grandmothers give home-made remedies and decoctions with great effectiveness. Ayurveda recommends the use of many decoctions if they are prepared properly. Well-prepared decoctions are far more useful than many medicines now enjoying renown in the market. In olden days decoctions alone would have cured simple fever. The use of decoctions is out of vogue, but we at Sadhana have prepared one which is good for all kinds of fever and all kinds of people. It is called Sadhana pachan. It is made of pure herbal extract with scientific care. Tritdosh herbs are in it. It contains no violent ingredients. It is marvellously effective in malaria fever, fever relapse, double quotidian fever, spleenic fever, simple and chronic fevers. Both intermittent and continuous fevers are cured by it at once; delirium vanishes and appetite arrives. All symptoms of fever gradually disappear. If the liver and spleen are enlarged, it enables them to function normally, clearing the bowels and restoring the digestive powers. Its cost is small. We are rather thankful that we have been able to keep this valuable decoction running in the market. It is both a fever-cure and an convalescence-tonic.
CATARRHAL FEVER:
Cause : Catarrhal Fever is usually due to exposure and cold; it may also be caused by an over indulgence in curds and acid foods.
Symptoms: watery discharge from eyes and, nose, body aches, shooting pains, throbbing head, moist eyes, yawning, heavy head, vomiting tendency, constipation, sneezing, heavineess in eyes, broken voice, cough, chest pain, etc.
Treatment: Makaradhwaja (1.875 grains by weight) should be taken with juice of tulsi leaves, ginger extract, and rocksalt twice daily for twelve days. When there is cold with heavy head, burning nose, wheezing, and continuous sneezing, Chandramrita Ras or Kafachintamani should be given with palm sugar candy. Best results are obtained by licking these two medicines. If the fever is more serious than the cold, Makaradhwaja is to be taken in the morning, Chandramrita or Kafachintamani in the noon, and Sarbajwara Bati in the evening. If the fever is continuous and cough and mucus do not clear up, Chandramrita Ras is to be taken twice daily, morning and night. If headache or body pain accompany the fever, Mahalaxmibilas or Naradiya Mahalaxmibilas, according to the situation, will be found effective. If there is constipation, use Kosthasuddhi Bati.
Diet: Puffed rice, sago, barley, etc. are preferred. The body must be always covered and protected from exposure. Mustard oil on the chest is excellent. Fasting often proves helpful. For children having cold, cough, or catarrhal fever Makaradhwaja with the juice of tulsi leaves, ginger extract, and honey is a truly wonderful remedy.
REMITTENT FEVER:
Cause : Change of season, over-exposure to heat or cold, wearing wet clothing, remaining long in the sun, sudden checking of perspiration, irregular discharges of diet from the pores of the skin, irregular diet, strenuous physical or mental labour, physical injury, constipation, and staying awake at night.
Symptoms: Chilliness in the beginning, later fever and shivering, feeling, alternately hot and cold, burning sensation, dry and rough skin, restlessness, thirst, dry tongue, rapid breathing, scanty and reddish urine, pain in the loins and spine, alternate constipation and diarrhoea, brain heaviness, and bad taste in the mouth. This fever never gets complete remission all at once. It goes on recurring in seven day cycles, though its symptoms may quiet down at any time of day or night. If fever continues for more than 3 or 4 days, you may suspect remittent fever. But don’t get nervous, or think that you must cure it all at once. This fever must run its course, and no amount of drugs will bring remission. Just see to it that no complications set in.
Treatment: Sadhana Pachan and Sarbajwara Bati are wonderful for this fever. If either is used timely, medicine is needed. But remittent fever no other sometimes brings on complications in the digestive track, lungs, and brain. If the patient has flatulence and bad diarrhoea, give him Siddha Praneswar with cyperus rotundus and honey; if there is only flatulence, acidity, and loss of appetite, give Ramban Ras with cuminum cyminum powder and honey. If there is constipation and body ache, give the same Ramban Ras with ginger juice and honey. If there is brain fever, give Mahalakshmibilas, and if the brain fever is very serious, give Naradiya Mahalakshmibilas. The juice of ripe jackfruit leaves with honey should accompany these two medicines. When there is cough, employ Chandramrita Ras with the juice of betel leaves and honey. If phlegm is being discharged, give Kafachintamani with ginger juice, pepper powder, and honey. Amritarista may also be used in remittent fever as an antidote of tridosh. Ayurveda speaks highly of this medicine, which has nectar-like properties. Prescriptions of Sadhana Pachan and Sarbajwara Bati or of Amritarista and Sarbajwara Bati are infallible. We say again, don’t be anxious to cure this fever all at once. When it has run its course, it will be off.
Diet: When the temperature is high, allow no food. When the temperature comes down, give curd water, barley, grapes, sugar candy, pomegranate, etc. Pour cold water on the head and then dry the head thoroughly. After full remission of the fever you may allow well-boiled rice (old stock) and unspiced fresh fish soup. If there is no danger of relapse, allow him to bathe.
INTERMITTENT FEVER:
Cause : When a fever patient thinks himself cured by a temporary remission due to strong drugs and moves about carelessly, eating as usual, he becomes prone to intermittent fever. Relapsing fever indicates intermittent fever. This fever tends to enlarge the spleen and liver.
Symptoms and kinds: Quotidian intermittent fever comes once every 24 hrs., tertian fever comes every alternate day, quartian fever comes every two days, double quotidian comes twice in one day. Where bile is the cause, there is one day of high temperature and one of low. Some types of intermittent fever come back regularly at the same time of day; others are irregular. The daily recurring fevers are called quotidian in Ayurvedic Medicine. They have three stages: cold, hot, and perspiring. In the cold stage the patient shivers, and sometimes so severely that three and four quilts cannot stop the shivering. In this stage the body aches, the head throbs with pain, there is thirst and whooping cough (sometimes). In the hot stage the patient generally has headache, red face, dry skin, thirst, burning sensation, and breathing difficulty. After some hours perspiration begins, and there is remission.
Treatment: Sarbajwara Bati and Amritarista are excellent medicines for this fever. Sadhana Pachan may be used in place of Amritarista. Both these medicines work on the spleen and liver, purifying the blood. This cures the disease. When either of these medicines is used in conjunction with Makaradhwaja, the results are especially marvellous. If dysentery accompanies the fever, give putpak Bisam Jwarantak Lauha with ground long pepper and honey. In any plethoric condition add only white hog-weed juice and honey to this medicine. When there is cough, use Kafa Chintamani with accompanying ginger juice and honey. Chandanadi Lauha is an excellnt medicine when intermittent fever has these symptoms: 1) the fever comes on slowly and stays for only a short time; 2) slow fever for a couple of days on the occurrence of full moon or dark moon, or slow fever with anaemia; 3) burning sensation and thirst, or burning sensation while passing urine which is of a reddish colour. Accompanying medicines for Chandanadi Lauha in such cases are Oldenlandia Carymbosa Extract and honey; These, however, should not be taken where the temperature is high. When there is no fever in the daytime but only at night, the best medicine is Ahabari Ras. Saptapadi Jwarchuramani and Naypadi Jwarchuramani may also be used for night fever. When intermission of fever comes, Brihat Jwarankus with tulsi or shefali leaf extract and honey is an excellent agent to give the fever a check. Brihat Sarbajwarhara Lauha (Sattar Bhabna ) also cures this fever.
Diet: During fever use light foods, such as, barley, sago, sati. When the fever is cured, give fresh fish soup, bread, boiled rice (old stock ), and milk.
MALARIA:
Cause : Malaria is an Italian word meaning bad air or poisonous gas. When the rays of the sun create gas from decomposed plants and damp earth, the malaria microbe plasmodium gets its birth and is carried by the anopheles mosquito to the human body. In Ayurveda this fever is included in the chapter on intermittent or chronic fever. Nowadays bacteriologists distinguish fevers as separate according to the different bacilli that they have seen in the blood, stools, and sputum. Ayurveda maintains that these bacilli are not the main causes of the disease. Rather, they say, it is the unbalanced and unbalancing condition of the tridosh (air, bile, and phlegm) that is the underlying cause, and that bacilli are only instrumental factors taking advantage of the underlying condition to attack the organism. In this connection Dr. Rogers once made an interesting experiment. He ate some cholera bacilli when in sound health and was not attacked with the disease. Again, after making the bile weak by taking only soda, he ate the bacilli, and was attacked.
Symptoms: Quotidian intermittent fever comes once every 24 hrs., tertian fever comes every alternate day, quartian fever comes every two days, double quotidian comes twice in one day. Where bile is the cause, there is one day of high temperature and one of low. Some types of intermittent fever come back regularly at the same time of day; others are irregular. The daily recurring fevers are called quotidian in Ayurvedic Medicine. They have three stages: cold, hot, and perspiring. In the cold stage the patient shivers, and sometimes so severely that three and four quilts cannot stop the shivering. In this stage the body aches, the head throbs with pain, there is thirst and whooping cough (sometimes). In the hot stage the patient generally has headache, red face, dry skin, thirst, burning sensation, and breathing difficulty. After some hours perspiration begins, and there is remission.
Treatment: Sarbajwara Bati and Sadhana Pachan are the best medicines for malaria. They kill the microbes of any kind of malaria. Another good medicine is Brihat Sarbajwar Hara Lauha (Sattar Bhabna). Those who have suffered long from malaria become anæmic. Their blood becomes impure, and they take on a pale and gloomy hue. For them Saribadi Salsa, Lauhasab, and Amritarista are prescribed.
Diet: During fever sago, barley, arrowroot, and all such light foods are to be given. When the fever is gone, give fresh fish soup, vegetable curry, and boiled rice (old stock); at evening milk with sago or milk with wheat bread or vegetables with wheat bread may be given. Things not allowed are bathing in cold water, hard labour, daytime napping, remaining in the sun, and sexual intercourse. The malaria patient should not walk mornings and evenings on an empty stomach, and he should use a mosquito net at night. The malaria patient usually becomes impatient after suffering repeated attacks. Then he becomes careless, eats at random, and refuses to go the doctor. He takes patent medicines, enlarging the spleen and liver. By and by the disease becmoes incurable. Be warned in time and see that your patient gets a good doctor and good medicines.
KALAJAR:
Cause : In 1916 Sir Leonard Rogers discovered the leisman danovan or kalajar bacillus, of which bugs are the carriers. Ayurveda has put this disease in the same as intermittent or chronic fever, claiming category impurity of blood to the cause.
Symptoms: Slow but irregular fever, enlarged spleen, indigestion, dysentery, anaemia (sometimes), enlarged liver, blood trickling from the gums, emaciation, complexion pale and dark. The differences between kalajar and malaria are considerable: 1) In malaria there is high fever with shivering, while in kalajar there is slow fever with slight or no shivering; 2) In malaria the fever comes at regular intervals, while in kalajar it has no fixed time though it generally comes twice daily and increases slowly; 3) After full remission in malaria there are relapses, but this is not the case with kalajar; 4) The liver and spleen do not quickly get enlarged in malaria, while in kalajar they do; 5) In malaria there is loss of appetite with constipation, whereas in kalajar there is appetite with indigestion and dysentery; 6) In malaria the skin is yellowish, whereas in kalajar skin and hair becomes dull; 7) In malaria there are scabies and skin itches, while in kalajar there is bleeding from the nose and from sores on the gums and in the mouth. These are outward symptomatic differences, but the blood should be examined.
Treatment: Same as for simple fever if the temperature is high; i. e., Sarbajwara Bati, Sadhana Panchan, Mritunjoy Ras, and Hinguleswar Ras. See how the teperature falls. When the fever becomes chronic, it falls automatically. But the main symptom of kalajar is slow fever gradually rising. If the patient has enlarged spleen, constipation, anæmia, weakness and medium temperature, prescribe Putpak Bisham Jwarantak Loaha with long pepper powder and honey. When there is dysentery, prescribe fried cummin powder and honey with Sarbajwara Bati and Shdhana Pachan. If he is pale from anæmia, give him Nabayas Lauha with ghee and honey, or with menispermum glabrum extract and honey. If there is slow but repressed fever with biliousness, enlarged liver, and red or yellow urine, use Sarbajwara Bati both in fever and out. Sadhana Pachan and Chandanadi Lauha are two alternatives; all are to be used with menispermum glabrum extract and honey. Abhaya Lavan is good on all occasions of enlarged liver and spleen. When this condition is chronic, give Brihat Jakridari Lauha with long pepper powder and honey. Jakridari Lauha is stomachic and stimulant ; in it there are many substances for the spleen. Some people find that they don’t need Abhaya Lavan when they have Jakridari Lauha. When there is dropsy, give Punarnabasab or Sothodarari Lauha. In case of tooth sore, gum sore, wizened tooth root, rheumy eyes, loss. of sight, otorrhoea, phlegm prominence, headache, and heavy feeling, with an increase of fever on the dark or full moon, use Slesmasailendra Ras with extract of vitex negundo or of betel leaves with honey. Brihat Khadir Batika cures tooth sore when it is properly retained in the mouth. Brihat Sarbajwarhara Lauha (Sattar Bhabna ) acts excellently in kalajar, especially where there is also dropsy, chronic spleen and liver complaints, diarrhoea, anæmia, and jaundice. Accompanying medicines are: in spleen and liver complaints, long pepper powder and honey; in diarrhoea, cummin powder and honey. When the patient has suffered for 6 or 7 months with kalajar, he should be asked to take Sree Joymangal Ras and Sudarsan Churna.
Diet: When the fever is high, prescribe gruel of puffed rice, sago, barley, arrowroot, etc. When there is little or no fever, prescribe old-stock rice, soup of mugh or mushuri lentils, eggplant, trichosanthes dioica, figs, aram, green maringa sticks, vegetables, kai fish and magur fish soup, and a small quantity of once-boiled milk. At night, if it is not too late, according to his hunger, feed him bread made of sago or suji.
INFLUENZA:
Cause : According to medical science influenza is a contagious disease springing from germs. Many men may get infected at one time, bringing on an epidemic. In its first stage it appears to be a cold fever. Ayurveda calls it rheumatic fever. It has such a beginning, but it lasts longer than a cold fever and often turns to bronchitis and pneumonia.
Symptoms: Headache, sneezing, running eyes and nose, body aches, slow fever, cough, brain fever, profuse perspiration, shivering, dullness, constipation etc.
Treatment: Juice of tulsi and betel leaves, rocksalt, and Makaradhwaja (by weight 1. 875 or 3. 750 agains) to be given twice or thrice daily. Sarbajwara Bati and Sadhana Pachan are excellent remedies; both are antipyretic; selection should be made according to symptoms. If there is head and body ache, recommend Mahalakshmibilas with betel juice, ginger juice, and rocksalt. If there is much phlegm, give Naradiya Mahalakshmibilas. Where there is cough, Chandramrita Ras is to be taken. For children extract of tulsi and betel leaves, honey and Makaradhwaja (.9375 grains by weight) should be administered twice daily. If a child has severe cold and cough along with the influenza, get it to suck Chandramrita Ras with sugar candy.
Diet: Very light food, such as barley, sago, etc. Good air and light are necessary. The patient should live in an airy room and he should have complete rest. His body should be washed with hot water and well dried.
DENGU FEVER:
Cause : According to medical science, small black mosquitoes are the carriers of dengu fever germs. These mosquitoes live and breed in water tanks, water pots, dark places behind closets, and unused jars. All utensils should be washed before using, and mosquito nets should be hung at night.
Symptoms: Fever is sometimes high and sometimes low, great pain in the joints, vomiting, shivering, loss of appetite, constipation etc. Its usual duration is from 3 days to a week.
Treatment: Sarbajwara Bati and Sadhana Pachan are to be administered according to the state of the disease. Batgajankus is good in combatting pain. If there is constipation, ginger extract and rocksalt should be given. If the bowels are clear, vitex negundo extract and honey is advisable. Where there is loss of appetite and flatulence, you are to give Sree Ramban Ras, ginger juice and honey together. This Ras can also cure body pain. If there is vomiting tendency, give Chandrakanti Ras with ground cucumber, seed-kernel and honey.
Diet: Sago, barley, and arrorwroot during fever.
TYPHOID:
Cause : Modern medical science says the presence of the bacillus typhosus in the stomach causes the fever. Ayurveda finds the underlying cause to be an upset of tridosh, the three temparamental factors.
Symptoms: Uneasiness, headache, weakness, loss of appetite, insomnia, chills, etc. in the preliminary stage. This stage usually lasts for 3 weeks but may extend itself to 6. By the end of the first week fever and thirst have become oppressive, there is night delirium, stomach pain (particularly on one side), flatulence, green and yellow vomit (watery), bleeding from nose. By the end of the second week there is weakness, emaciation, scanty urine, diarrhoea and constipation, trembling of muscles, dry cough, eruptions on the skin, etc. The third week sees more weakness, emaciation, inability to urinate, loss of pressure in excreting and urinating, deep sleep, hallucination feelings, lung troubles, intestinal haemorrhage, scratching, forgetfulness, non-recognition of known faces, If the fever is of a mild variety, these symptoms decline after the third week, and the patient begins to feel appetite. The tongue clears and strength returns. If the fever is severe, the second and third week symptoms are pronounced and fever comes irregularly. To know if the fever is severe, observe if the following symptoms are present: Pain on the right side of the stomach, sensitiveness all over the body, rose colored eruptions on the body now subsiding and now reappearing, rumbling in the stomach when pressed, and yellow orpiment stools with blood.
Treatment: At the beginning use Sarbajwara Bati, Sadhana Pachan, and 1.875 grains by weight of Makaradhwaja. The first two medicines are anti-pyretic and normalise the temperamental factors. Makaradhawja also performs this last function. That is why these medicines are outstanding. If these medicines fail to cure the fever within a week, use Mahalaksmibilas with betel leaf juice and rocksalt in the mornings of the second week, and Brihat Kasturi Bhairab with ginger extract and rocksalt in the evenings.
Beware of typhoid symptoms; they are dire warnings of possible fatality. Flatulence, inability to urinate, breathing trouble, and hiccough are serious symptoms. Vomiting, thirst, swooning diarrhoea, shivering, drowsiness and senselessness are hardly less serious. One bad symptom may bring a train of others. For example, excessive vomiting may bring hiccough, perspiration, low temperature, stomach troubles, and flatulence. Flatulence can bring in its train: breathing troubles, thirst, diarrhoea, restlessness, etc. Continuous coughing makes breathing difficult. In all such cases the parent symptom should be attacked first. Chandrakanti Ras with ground cucumber seed-kernel and honey is very good where there is a vehement vomiting tendency with bad diarrhoea, hiccough, etc. When urine is retained and stools form mucus in the intestines, the stomach and rectum become swollen and there is dysentery, constipation, breathing difficulty, and pain on one side of the stomach which gives a rumbling sound. When urination and bowel movements are impeded, give Chaturmukh Ras with honey and the water-wash of sun-dried rice. If there is thirst, flatulence, and restlessness due to diarrhoea, prescribe Brihat Siddha Praneswar, cummin powder, and water to be taken together. If there is bad cough and congestion in the give Kafa lungs, rattling respiration in sleep, etc., Chintamani with powder of long pepper and water. If there is pain all over the body, in the joints and head, give Batgajankus. If there is only body pain, prescribe Mahalakshmibilas.
If pneumonia symptoms appear, give Basantatilak, juice of vaisca leaves, honey, and long pepper powder every four hours. Massage the chest with old ghee, after which give a fomentation of calotropis gigenta and muffle the chest with flannel. Linseed poultice excellent too. When the patient is in a serious condition, with sinking pulse and very low temperature, give 1.875 grains by weight of Makardhwaja and half that quantity of Kasturi with honey and ginger extract twice or thrice daily. As soon as the temperature rises, reduce the doses. Basantatilak works wonderfully in the initial stages. Brihat Kasturi Vairab acts as a nectar; it may always be given in the second week without hesitation. Some patients find that this medicine alone is enough and that all bad symptoms gradually disappear on its use. But this is not the case with all.
When the patient has red eyes and headache, soak a piece of linen in cold, iced, or rose water, and place it on his head for a few hours. The hair on the top of the head may be cut short and the cold linen placed there but, be careful that no other part of the body should come in contact with cold. Massage the chest from time to time with old ghee, and calotropis gigenta or betel leaf fomentation should be applied afterwards. Wrap the chest in flannel and keep the feet warm. The room should be well ventilated. Good nursing is the principal treatment. A bed pan is essential, and a little carbolic solution should be put in it before the patient uses it.
Diet: The patient should drink only boiled water. Only barley water, soda-water, lemonade, etc. should be given in the first period. When the patient has diarrhoea, a drink of curd and water (why) is excellent. If the stomach is all right and there is digestive power, you may give the patient sago, barley, and arrowroot. If there is digestive power but great weakness, allow him fresh fish soup (unspiced) and a little once-boiled milk.
The patient’s clothing must be kept clean. He should not be left alone, nor subjected to big audiences. Silence should be observed. Sunlight should not fall on his eyes. To prevent bed sores put a soft pillow under the thigh. Medicines and food materials should be kept in another room.
POLYPUS FEVER:
Cause : An irritation in the three temperamental factors of air, bile, and phlegm sometimes sends the the circulation upward to the head. On its descent the unpurified blood may create a fever, sometimes a garlic- like boil on the nose.
Symptoms: Somtimes high and sometimes low temparature, shooting pains in the nose, heavy head, headache, constipation, and body pain.
Treatment: Amritarista is the specific drug. If there is headache, use also Naradiya Mahalakshmibilas and extract of the yellow leaves of the jackfruit tree. Chandramrita Lauha and Chandanadi Lauha are also good for this disease. Chitrak Haritaki is a preventive of it and should be used in all cases of long-standing or frequent ploypus fever. If fever remains after the boil subsides, use Amritarista. Usually fever vanishes when the purulent matter of the polypus boil comes out:
Diet: When temperature is high, bath and rice are not to be allowed.
HYDROCELE FEVER:
Cause : The full and dark moon may bring on a swelling of the scrotum (usually of one side) and fever.
Treatment: Makaradhwaja with extract of white hog weed, trifala powder and honey. The bowels must be kept clear. Where they are not clear, use Kosthasuddhi pills.
Diet: During fever bath and rice are not allowed. Travelling, horse-back riding, sexual intercourse, and daytime napping are stricty prohibited. The patient should fast on the dark and full moon and on the eleventh day of each lunar fortnight.
SPLEEN AND LIVER FEVERS:
Cause : Enlargement and inflammation of liver and spleen due to phlegmatic and biliary diet in fever, malaria, living in a malarial place, blood pressure, alcoholic liquors, piles, and manstrual disorders. The spleen is located to the left of the stomach, and the liver to the right. When they are normal, they cannot be easily felt by fingers. When enlarged, they are easy to feel. The enlargements are called respectively splenitis and hepatitis.
Symptoms: Slow fever with daily rising of temperature, shivering with high temperature on alternate days, pain, biting sensation in liver or spleen, constipation, scanty urine or blood-coloured urine, coughing, gasping, loss of hunger, physical depression, emaciation, weakness, paleness, thirst, vomitting, gloomy face, bloodless eyes and lips and finger nails, hazy gaze, fainting fits, pain in the loins, burning in the limbs, etc. In the worst types of this disease blood spurts out from nose and gums, and there is haematemesis, diarrhoea, piorrhea, dropsy, anæmia, and deathly palor.
Treatment: For enlargement of spleen or liver with fever use Sarbajwara Bati, Sadhana Pachan, Brihajjwar Churamani Ras, Brihajjwar Chintamani, or Brihat Sarbajwarhara Lauha (Sattar Bhabna ), and Abhaya Lavan with hot water in the evening. Where there is diarrhoea with fever, use Mahasankhadrabak instead of Abhaya Lavan. Where there is little or no fever, Rohitakarista and Abhaya Lavan should be given. The former medicine is a specific for liver and spleen. Pay heed to the bowel movements; see that they are clear. When not clear, Kosthasuddhi is to be given even though there is no constipation. If there is stomach pain due to the enlargement of liver or spleen, massage the stomach with Brihat Jwarabhairab Taila or Mahakiratadi Taila or Mahalaksmadi Taila and the pain will subside. If there is dropsy, use its marvellous remedy, Punarnabasab. For children, Brihat Gurpippali is recommended. When they have diarrhoea in this fever, give Mahasankhadrabak. This medicine works particularly well in splenitis with dysentery and stomach complaints. Specifically for the liver are Jakridari Lauha and Chitrakadi Lauha, which should be accompanied by ginger extract and honey or long pepper powder and honey. If the eyes and face are pale or yellow, the patient should be given Nabayas Lauha with Kalamegh Ras, and honey. If the is strong cough with fever, give Chandramrita Ras or Lakshmibilas Ras along with the aforesaid accompanying medicines. Fever and bad cough can lead to more serious symptoms.
Diet: Same as for simple fever when temperature is high. When temperature is low, allow boiled rice (old stock), fresh fish soup, and in the evening milk and sago or milk and wheat bread with vegetables and wheat bread. Fried and spiced foods are not allowed. When the stomach is not in order, do not give milk. Hard labour, remaining awake at night, and cohabitation are prohibited. Liquor is absolutely forbidden as it can cause serosis of liver.