An English Translation of the Sushruta Samhita, Vol. III: Uttara-tantra — trans. Kaviraj Kunja Lal Bhishagratna (1916)
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The translator’s English as printed (Kunja Lal Bhishagratna). The original-language text is not held; names are romanised as the translator printed them.
* The fever in which V£yu predominates gets aggravated on the 7th, that in which Pitta predominates becomes aggravated on the 10th and that in which Kapha predominates comes to be aggravated on the 12th day. According to some authority, however, Abhinydsa, Hataujasa, and Sannydsa types of fever are pacified on the 7th, 10th and 12th. day respectively. —Dalfana,
I THE SUSHRUTA SAMHITX. [Chap. XXXIX, symptoms of a case of Vita-rileshma-fever (due to the action of the deranged Vâyu and Kapha). Sensation of cold and heat, aversion to food, numbness, perspiration, epileptic fits, unconsciousness, vertigo, cough, lassitude and nausea are the symptoms which characterise a case of Pitta-rfleshma-fever (due to the action of the deranged Pitta and Kapha)* . 19—21,
Even a small residue of the deranged bodily Doshas in a patient just cured of an attack of fever but still sufferring from weakness and indulging in injudicious regimen of diet and rule of conduct, is apt to be augmented and aggravated by the deranged Vdyu of the body, and thus begets five different types of fever lodged in any of the five specific locations of Kapha f. These five types are known as the Satata, Anyedyushka, Tritiyaka, Chaturthaka and the Pralepaka The (residue of the) deranged Dosha of the body, shifting from one location of Kapha to the next in the course of the entire day of the limbs, pain in the head, catarrh, cough, scanty perspiration, slight sensation of heat, and pulsation not too quick nor too slow, are the symptoms of Vstta-sleslimafever' A bitter taste, a coating on the mouth, somnolence, unconsciousness, cough, disrelish for food, thirst, alternate and varying sensation of heat and cold are the symptoms of iheshma-pitta-fever • i The five locations of Kapha are the Amds'aya, chest, throat, head and the joints.
* Dallana in his commentary has quoted in eight lines with different wordings the symptoms of these kinds of Dwandvaja fever and these lines have been adopted by Madhava in his Nidana The lines when transtated would be thus : — Thirst, unconsciousness, vertigo, burning sensation, somnolence, pain in the head, dryness of the mouth and of the throat, vomiting, horripilation, disrelish for food, giddiness, pain in tbe joints, and yawning are the symptoms of Vsbta-pitta-fever. * Sensation of moisture ( over k°dy, pain in the joints, excessive sleep, heaviness
t There is another kind of Vishama J warn named Santata (cf. S'loka 31 of this Chapter) and Dallana remarks that it is begotten when the residue of the deranged Dosha is lodged in all the five seats of Kapha*
p. 177
and night, ultimately finds lodgment in the Amâfiaya , (stomach) and thus brings on the virulent attack of (those) fevers. Of these the type known as the Praiapaka appears in cases of Sosha (consumption) and though its attak is a mild one, it puts almost insurmountable difficulties in the way of its cure, brings about a loss or waste of Dhdtus (the seven fundamental principles of the organism) and thus ultimately ends in death. There are cases of Vishama-jwara known as the Viparyyaya type (reverse of the above type) which are the result of the deranged bodily Doshas being simultaneously located in two or four specific seats of the deranged bodily Kapha and arc hard to cure. 22 — 23.
Several authorities hold Vishama Jvara to be sui - generis in its origin. But whether spontaneously idiopathic or not, an extraneous fact (cither a passing psychic condition such as fear, grief, etc. or the presence of any foreign poisonous matter in the system) is always involved in and intimately connected with a case of Vishama fever. The pre-dominance of the deranged and aggravated Vayti is marked in cases of Tritiyaka (tertian) and Chaturthaka (quartan coming on every fourth day) fevers. A case of fever due to the abuse of any wine or ardent spirits as well as the one occuring in a low land at the foot of a mountain, should be supposed to involve a predominant action of the deranged and aggravated Pitta. A case of Pralepaka fever is due to' the concerted action of the deranged and aggravated Vayu and Kapha, of which the action of the latter should be regarded as more dominant. Cases of Vishama fever ushered in by epileptic fits should be regarded as the result of the concerted action of any two deranged Doshas of the body. 24 — 25,
The deranged Kapha and Vsiyu of the body, if lo23
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