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तत्रादौ सर्पिषः पानं कफपित्तोत्तरो न चेत्। दौर्बल्याद्देहधातूनां ज्वरो जीर्णोऽनुवर्तते ॥२९१॥
the patient in such case should be given ghee to drink provided kapha and pitta dosha are not aggravated. [Management of jeerna jwara (chronic stage)] The fever turns chronic if there is weakness in the tissues of the body.
english translation
बल्येः सम्बृंहणैस्तस्मादाहारैस्तमुपाचरेत्। कर्म साधारणं जह्यात्तृतीयकचतुर्थकौ ॥२९२॥
Hence such patients should be given foods which promote the strength and are nourishing. [Management of dosha dominance in vishamajwara] The general line of treatment of jwaras should not be followed for the management of tṛtīyaka and chaturthaka jwara
english translation
आगन्तुरनुबन्धो हि प्रायशो विषमज्वरे। वातप्रधानं सर्पिर्भिर्बस्तिभिः सानुवासनैः ॥२९३॥
as these two types of fever are mostly associated with āgantu or extraneous factors as būtās or evil spirits including germs.
english translation
स्निग्धोष्णैरन्नपानैश्च शमयेद्विषमज्वरम्। विरेचनेन पयसा सर्पिषा संस्कृतेन च ॥२९४॥
When vāyu is predominantly aggravated in these two types of jwara, then they should be cured by the administration of ghee, niruha and anuvāsana bastīs (medicated enemas), unctuous and hot diet and drinks.
english translation
विषमं तिक्तशीतैश्च ज्वरं पित्तोत्तरं जयेत्। वमनं पाचनं रूक्षमन्नपानं विलङ्घनम् ॥२९५॥
When the pitta dosha is dominant the patient should be given purgation therapy, medicated milk, ghee and articles which are bitter and cold. In state of kapha predominance, then the patient should be administered emetic therapy, pachana (therapy which promotes the digestion and metabolism), ununctuous diet and drinks, fasting and hot decoctions are useful.
english translation