An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)

t Kapha is aggravated in the morning, Pitta, at noon and V£yu, In 'the evening. Fever follows a distinct periodicity determined by the

spreading through the whole organism. The deranged bodily Doshas augmented or enraged by their specific aggravating causes, enter into the Amâs'aya and soon find lodgment in the Rasa (lymph-chyle) by virtue of their inherent heat ( U*hman ). The Doshas thus deranged and mixed with Rasa obstruct the Rasacarrying and sweat-carrying ducts, impair the digestive fire and cxpelthe inherent heat (Ushman) out of its seat in the Pakvdsaya, and spreading all over the body during the period of their specific dominance, bring on fever and causes its rise and exhibit. their specific colour on the skin, etc. (of the patient). 6 — 7.

Pathology : — The improper and excessive application of Sneha, etc., any kind of blow, the presence of any other affection in the organism, suppuration (of an existing boil or ulcer in the body), over-fatigue, any process of physical waste, indigestion, introduction of any extraneous poison or poisonous matter into the system, infringement of any habitual rule of diet and conduct, the sudden change or contrariety of seasons, the smelling of any kind of poisonous herb or flower, grief, the malignant influences of inaus picious stars or planets (at the time of birth), dynamics 2time of aggravation of the deranged bodily Doshas ushering in the attack An attack of fever due to the deranged Kapha comes on in the morning or after dusk ; one due to the deranged Pitta comes on at noon or midnight, one due to the deranged Vfiyu comes on in the afternoon or during the small hours of the night. In a case of Dvi-doshaja fever (due td the combined action of the two deranged bodily Doshas) the heat is aggravated during the specific hours of domination of ttjc stronger Dosha and continues through those peculiar to each of them. All night attacks should be regarded as connected with the action of the deranged Pitta. In a Tri-doshaja case, the heat comes on with the specific hour of the strongest one and is abated on the approach of the time peculiar to the weakest. V£yu is aggravated in the Varshi (rainy) season, Pitta, in the S'arat (autumn) and Kapha, in the Vasanta (spring), t/2 f HE SUSHRtlTA SAMHITX. [Chap. XXXIX, of deadly incantations or charms, curses (from Brâhmanas and superiors), any fancied dread or anxiety, effects of miscarriage or untimely parturition, injudicious conduct of life on the part of a woman after delivery, and the first accumulation of the milk in the breast (after delivery) are the causes which lead to an attack of fever, the derangement and aggravation of the fundamental vital principles, (Doshas) of the body being the existing origins of the disease. The stomachic heat is propelled by the extremely deranged and aggravated Doshas of the body, and, coursing through the wrong channels in the orgainsm, tends to escape through the surface (the skin of the body) and, by incarcerating the vitiated Rasa Dhâtu generally causes a rise in the bodily temperature and puts a stop to perspiration. 8 — 9.