Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
AIAPGET Points
– Acharya Sushruta has described Ojonirodhaja Jwara in Chapter 39 of Uttara Tantra – Jwara Pratisedha
– It is a kind of Sannipataja Jwara with predominance of Vata and Pitta in the clinical picture. Ojas is destroyed by aggravated Vata and Pitta in this condition leading to Ojonirodhaja Jwara and subsequently its symptoms.
– Predominant symptoms – Gatra stambha, Shita, SHAYANEPSU (desire to always sleep), Achetana, API JAGRAT SWAPAN (gets into sleep and awakes often), Tandra, Pralapa, Romaharsha, Srastanga & MANDA SANTAPA VEDANA (mild increase of temperature and discomforts).
– Ojonirodhaja Jwara increases greatly on reaching the 7th, 10th or 12th day either subsides or kills the patient.
Ojo Nirodhaja Jwara is a special type of Jwara – fever explained by Acharya Sushruta. He has explained this in the context of Sannipata Jwara – fevers caused by simultaneous aggravation of all three doshas. From Sushruta’s description we also learn that Ojo Nirodhaja Jwara is a variant of Sannipataja i.e. it is also caused by simultaneous aggravation of all three doshas. In spite of that, the clinical picture is dominated by aggravated pitta and vata. These two doshas cause severe destruction and depletion of ojas – the essence of all the tissues and the fever and symptoms are consequently manifested.
Symptoms of Ojo Nirodhaja Jwara
Ref – Sushruta Uttara, Chapter 39, Verses 43-45
ओजो विस्रंसते यस्य पित्तानिलसमुच्छ्रयात् ॥
स गात्रस्तम्भशीताभ्यां शयनेप्सुरचेतनः ॥४॥
अपि जग्रत् स्वपन् जन्तुस्तन्द्रालुश्च प्रलापवान् ॥
संहृष्टरोमा स्रस्ताङ्गो मन्दसन्तापवेदनः॥४४॥
ओजोनिरोधनं तस्य जानीयात् कुशलो भिषक् ॥
सप्तमे दिवसे प्राप्ते दशमे द्वादशेऽपि वा ॥४५॥
पुनर्घोरतरो भूत्वा प्रशमं याति हन्ति वा ॥
Below mentioned are the symptoms of Ojonirodhaja Jwara as described by Acharya Sushruta. An intelligent physician should diagnose this condition based on the knowledge of these symptoms. The symptoms are –
– Ojo visramsate yasya pitta anila samuchchrayat – there is decrease of ojas due to aggravation of pitta and vata (this fever is caused due to aggravation of pitta and vata and consequent depletion of ojas)
– Gatra stambha – rigidity of the body,
– Shita – coldness,
– Shayanepsu – desire to sleep always,
– Achetana – loss of consciousness,
– Api Jagrat Swapan – gets into sleep and awakes often,
– Tandra – has stupor,
– Pralapavan – delirium,
– Samhrshta Roma – horripilation,
– Srastanga – weakness of the body parts,
– Manda Santapa Vedana – mild increase of temperature and discomforts
This fever increases greatly on reaching the seventh, tenth or twelfth day either subsides or kills the patient.
Treatment Principles
Though the treatment principles for Ojonirodhaja Jwara have not been specifically described by Acharya Sushruta, contextually, seeing the description of the jwara, we can infer the below mentioned principles and consider them in the treatment of the said condition –
– Balancing Agni
– Treating on the lines of Sannipataja Jwara
– Treating on the lines of Vata-Pittaja Jwara
– Brimhana & Santarpana – bulk-promoting and nutritious foods and similar such approaches
– Measures to increase Ojas and maintain its optimum levels
– Rasayana and Vajikarana medicines
– Daiva Vyapashraya Chikitsa – regularly chanting Vishnu Sahasra Nama
– Sattvavajaya – counseling and psychotherapy
