Astanga Hrudaya

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निवर्तते पुनश्चैष प्रत्यनीकबलाबलः । क्षीणे दोषे ज्वरः सूक्ष्मो रसादिष्वेव लीयते ॥ ६६ ॥

and disappears at the time when the doshas are made weak by the strength of the adversaries (dhatus, malas, habitat, season etc.). Lurking of the fever into the rasa etc. tissues in vishama jvara: When the doshas which cause vishama jvara become decreased, the fever becomes mild and lurks in the rasa etc.

english translation

nivartate punazcaiSa pratyanIkabalAbalaH । kSINe doSe jvaraH sUkSmo rasAdiSveva lIyate ॥ 66 ॥

hk transliteration by Sanscript

लीनत्वात् कार्श्यवैवर्ण्यजाड्यादीनादधाति सः । आसन्नविवृतास्यत्वात् स्रोतसां रसवाहिनाम् ॥ ६७ ॥

(rasa and other dhatus). Because of such lurking, it produces emaciation, discolouration, lassitude etc. Reasons for fevers being continuous and having remissions in vishama jvara: Because of nearness and open mouthness (clearance of the lumen) of the channels of rasa,spreading of the doshas throughout the body takes place quickly.

english translation

lInatvAt kArzyavaivarNyajADyAdInAdadhAti saH । AsannavivRtAsyatvAt srotasAM rasavAhinAm ॥ 67 ॥

hk transliteration by Sanscript

आशु सर्वस्य वपुषो व्याप्तिर्दोषेण जायते । सन्ततः सततस्तेन विपरीतो विपर्ययात् ॥ ६८ ॥

Hence santata jvara is continuous (for seven, ten or twelve days without remission); whereas others (Satata, Anyedyushka, Tritiyaka, Chaturthaka and Chaturthaka Viparyaya) are opposite (have remissions in between).

english translation

Azu sarvasya vapuSo vyAptirdoSeNa jAyate । santataH satatastena viparIto viparyayAt ॥ 68 ॥

hk transliteration by Sanscript

विषमो विषमारम्भक्रियाकालोऽनुषङ्गवान् । दोषो रक्ताश्रयः प्रायः करोति सततं ज्वरम् ॥ ६९ ॥

Reasons for fevers being continuous and having remissions in vishama jvara: Vishama jvara is irregular (inconsistent) in its arambha (nature of onset, commencement), kriya (actions, production of symptoms) and kala (time of appearance) and possesses anushanga (persistence for long periods). Nature of satata, anyedyu and tritiyaka jvaras: Doshas residing in rakta (blood) produce satata jvara generally.

english translation

viSamo viSamArambhakriyAkAlo'nuSaGgavAn । doSo raktAzrayaH prAyaH karoti satataM jvaram ॥ 69 ॥

hk transliteration by Sanscript

अहोरात्रस्य स द्विः स्यात्सकृदन्येद्युराश्रितः । तस्मिन् मांसवहा नाडीर्मेदोनाडीस्तृतीयके ॥ ७० ॥

It (fever) manifests twice in a day and night (24 hours). Anyedyu (ska) jvara manifests once (in 24 hours) with the doshas residing in the channels of mamsa (muscles), with (the involvement of) the channels of medas (fat tissue).

english translation

ahorAtrasya sa dviH syAtsakRdanyedyurAzritaH । tasmin mAMsavahA nADIrmedonADIstRtIyake ॥ 70 ॥

hk transliteration by Sanscript