Astanga Hrudaya

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ग्राही पित्तानिलान् मूर्ध्नस्त्रिकस्य कफपित्ततः । सपृष्ठस्यानिलकफात् स चैकाहान्तरः स्मृतः ॥ ७१ ॥

Tritiyaka Jvara manifests with an interval of a day (every alternate day) with the predominance of pitta and vata it manifests with catching pain in the head,with predominance of kapha and pitta, with catching pain in the upper part by the backand with predominance of vata and kapha with catching pain in the entire back.

english translation

grAhI pittAnilAn mUrdhnastrikasya kaphapittataH । sapRSThasyAnilakaphAt sa caikAhAntaraH smRtaH ॥ 71 ॥

hk transliteration by Sanscript

चतुर्थको मले मेदोमज्जास्थ्यन्यतमस्थिते । मज्जस्थ एवेत्यपरे प्रभावं स तु दर्शयेत् ॥ ७२ ॥

Chaturtaka & chaturtaka viparyaya jwaras: Doshas residing in the medas (fat), majja (marrow) and asthi (bone) produce chaturthaka jvara, some opine that they (doshas) reside only in the majja (marrow); it appears with an interval of two days (every fourth day) and manifests in two ways;

english translation

caturthako male medomajjAsthyanyatamasthite । majjastha evetyapare prabhAvaM sa tu darzayet ॥ 72 ॥

hk transliteration by Sanscript

द्विधा कफेन जङ्घाभ्यां स पूर्वं शिरसोऽनिलात् । अस्थिमज्जोभयगते चतुर्थकविपर्ययः ॥ ७३ ॥

viz, with the predominance of kapha, the symptoms commencing in the calves first and with the predominance of vata, symptoms commencing in the head first. Doshas residing in both the asthi (bone) and majja (marrow) simultaneous produce chaturthaka viparyaya jvara,

english translation

dvidhA kaphena jaGghAbhyAM sa pUrvaM ziraso'nilAt । asthimajjobhayagate caturthakaviparyayaH ॥ 73 ॥

hk transliteration by Sanscript

त्रिधा द्व्यहं ज्वरयति दिनमेकं तु मुञ्चति । बलाबलेन दोषाणामन्नचेष्टादिजन्मना ॥ ७४ ॥

it is of three kinds with the predominance of each dosha separately) fever appears for two days continuously and disappears for a day, to reappear again. Strength of doshas, mind, tissues, seasons etc. in the manifestation of vishama jvaras: By the strength and weakness of the doshas derived from the food, activities etc. of the body.

english translation

tridhA dvyahaM jvarayati dinamekaM tu muJcati । balAbalena doSANAmannaceSTAdijanmanA ॥ 74 ॥

hk transliteration by Sanscript

ज्वरः स्यान्मनसस्तद्वत् कर्मणश्च तदा तदा । दोषदूष्यर्त्वहोरात्रप्रभृतीनां बलाज् ज्वरः ॥ ७५ ॥

Strength of doshas, mind, tissues, seasons etc. in the manifestation of vishama jvaras: Likewise from the functions / deeds, and of the mind, these fevers (vishama jvara or remittent and intermittent fevers) get manifested. Fever appears at such specific times whenever the doshas (become predominant in relation to the dusyas i.e. dhatus and malas involved), rtu (season), and ahoratra (periods of day and night) ,

english translation

jvaraH syAnmanasastadvat karmaNazca tadA tadA । doSadUSyartvahorAtraprabhRtInAM balAj jvaraH ॥ 75 ॥

hk transliteration by Sanscript