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ष्ठीवनं रक्तपित्तस्य कफेनोन्मिश्रितस्य च। शिरसो लोठनं तृष्णा निद्रानाशो हृदि व्यथा ॥१०६॥
h. Excessive fatigue i. Spitting of blood and bile mixed with phlegm (sputum) j. Swaying movements of head, thirst, sleeplessness and pain in the cardiac region
english translation
स्वेदमूत्रपुरीषाणां चिराद्दर्शनमल्पशः। कृशत्वं नातिगात्राणां प्रततं कण्ठकूजनम् ॥१०७॥
k. Sweat, urine and stool reduced in amount with delayed evacuation. l. Body is not excessively emaciated (due to accumulated dosha) m. Constant kujana (cooing sound) n. Urticaria and bluish – black or reddish circular patches appear on the skin
english translation
कोठानां श्यावरक्तानां मण्डलानां च दर्शनम्। मूकत्वं स्रोतसां पाको गुरुत्वमुदरस्य च ॥१०८॥
o. Patient speaks less or unable to speak p. Inflammation of srotasa q. Heaviness in the abdomen
english translation
चिरात् पाकश्च दोषाणां सन्निपातज्वराकृतिः। दोषे विबद्धे नष्टेऽग्नौ सर्वसम्पूर्णलक्षणः ॥१०९॥
r. The doshas undergo paka after a very long time (conversion into the healthy state of the doshas do not occur early). [Prognosis of sannipata jwara] If there is obstruction (or non – elimination) of the dosha, the agnis are completely destroyed and if all the signs and symptoms are fully manifested, then sannipata jwara is incurable; otherwise it is treatable with difficulty.
english translation
सन्निपातज्वरोऽसाध्यः कृच्छ्रसाध्यस्त्वतोऽन्यथा। निदाने त्रिविधा प्रोक्ता या पृथग्जज्वराकृतिः ॥११०॥
The clinical features of jwaras caused by the individual doshas vata, pitta and kapha have been described separately in the Nidana Sthana. From these sign and symptoms, the features of dwandaja types and the sannipataja types can be known and decided.
english translation