Charaka-Samhita — trans. Kaviraj Avinash Chandra Kaviratna
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The translator’s English as printed (Avinash Chandra Kaviratna). The original-language text is not held; names are romanised as the translator printed them.
The diverse causes from which fever is born have been explained in that Division of this treatise which has been named Nidana. If the patient’s strength is not impaired, if the faults have not been excited greatly, and if the fever is not accompanied by supervening symptoms, it is easily curable. 46
That fever which is born of many causes of great strength and which is characterised by many symptoms, leads to the death of the person afflicted by it.
That fever also which quickly destroys the senses leads to dissolution. 47
Fever characterised by great intensity and delirium, vertigo, and hard breathing, kills the patient on the seventh, the tenth, or the twelfth day. 48
The fever of a person who has been weakened and whose limbs have become swollen, if it affects any of the internal ‘dhatus’ and if it lasts for the whole night, is incurable.
That fever also which is vident and in which the hair of the head becomes parted in lines, is incurable. 49
Faults which have been excited intensely, which spread through those ducts that bear the ‘dhatu’ called ‘Rasa’ (or juice into which the food taken is first converted), which pervade through the entire body, and which are motionless, generate fever that is called Remittent. 5°
In consequence of the quickness of its action, such fever, which is difficult to cure, becomes quickly alleviated before seven days, or ten days, or twelve days, or terminates the life of the patient. 5*
When the nature of the fault excited is correspondent with that of the season, the ‘dhatus’ affected, and the constitution of the patient, it generates fever that is called Remittent.
explained). In consequence of the liquidity of the bile and the phlegm, as also of the virti of the season of Giving, when all creatures become stronger, fasting is not detrimental.— T.
CHARAKA-SAMHITA.
p. 1103
This fever is difficult to treat. Hence it should be known to be very painful.* S2
Verily, the wind and the other faults (t. e., bile and phlegm), being .excited, simultaniously affect the ‘dhatus’, as also the urine and the stools, in Remittent fever. 53
Through the correction or the reverse (by administration of proper remedies) of the ‘dhatus’ beginning with ‘Rasa’, and the rest, this fever is either alleviated or terminates in death within seven, ten, or twelve days.-]- 54
If the twelve (i. e., the seven ‘dhatus’, the three faults, and the urine and the stools) are not thoroughly corrected (by proper re¬ medies), or, if all of them are not corrected, they become the refuge of Remittent fever.J 55
In some Remittent fevers intermission takes place on the twelfth day. The symptoms, however, remain without outward manifesta¬ tion. Their cure is difficult. Indeed, such fevers last for a long time. 56
Taking note of these facts, the physician skilled in the ordinances about the successive steps of treatment, should take up the treatment of Remittent fever by means of fasts at the outset. 57
A particular fault, generally making blood as its refuge, generates fever called Double Quotidian.
This variety of fever is capable of cure by treatment.
The excited fault that causes this fever increases or decreases (in intensity) in course of its continuance. 58 t ‘A?eshatah’ implies ‘of Rasa and the other dhatus, as also of the rest that are affected.’ — T.
* ‘Suduhsahah’ is, literally, ‘very difficult or painful to endure.’ . What is stated in this verse is this : a particular fault is excited. It happens to be correspondent with the season, as also with the particular ‘dhatu’ that is affected, and also with the constitution of the patient. The result is the appearance of Remittent fever. Thus if it is the phlegm that is excited, and if the season be spring, and if the ‘dh5tu’ affected be ‘Rasa’ (i. the juice into which the food taken is first converted), and lastly if the constitution of the patient be such that the phlegm is preponderant over the other two faults, the result is the appearance of remittent fever. Such fever is not only difficult of treatment but is very painful. — T.
X ‘Na atiQudhyanti’ implies ‘are not thoroughly corrected. ‘Na v5 Qudhyanti sarvaQah’ means ‘or are not all corrected.’ The latter implies ‘if any are left uncorrected.’
Some of the Bengali translators take the words ‘the twelve’ as meaning ‘twelve days’, this is ap error.— T.
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p. 104
CHAR A KA -SAM HIT A.
Double Quotidian fever has two paroxysms in course of a day and night (viz., four and twenty hours), receiving strength from one or another of these, viz., time, the nature of the patient’s constitution, and the ‘dhatu’ or ‘dhatus’ affected. 59
A particular fault, obstructing those ducts that bear the adeps, causes fever that is called Quotidian.
This fever is capable of cure by treatment. Its paroxysms appear once in course of a day and night. 60
When a fault affects the bohe or the marrow, it causes either Tertian or Quartan fever, respectively.
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