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ज्वरः प्राणान्तकृद्यश्च शीघ्रमिन्द्रियनाशनः| सप्ताहाद्वा दशाहाद्वा द्वादशाहात्तथैव च ||५१||

[Asadhya (incurable) jwara] Jwara having the following characteristics are incurable and lead to death – 1. Which is caused by either greater amount of / strong etiological factors 2. Which manifests with many clinical features 3. Which destroys the sense organs immediately.

english translation

jvaraH prANAntakRdyazca zIghramindriyanAzanaH| saptAhAdvA dazAhAdvA dvAdazAhAttathaiva ca ||51||

hk transliteration by Sanscript

सप्रलापभ्रमश्वासस्तीक्ष्णो हन्याज्ज्वरो नरम्| ज्वरः क्षीणस्य शूनस्य गम्भीरो दैर्घरात्रिकः ||५२||

Bad prognosis: Tikshna jwara (severe, associated with delirium, giddiness and breathlessness causes death of the patient either on the seventh, tenth or twelfth day. Jwara occurring in a weak and emaciated person (kshina), associated with edema (shunasya), seated in deeper body tissues (gambhira), severe (balvan) and that occurring for very long durations (dirgha ratrika) are incurable ones.

english translation

sapralApabhramazvAsastIkSNo hanyAjjvaro naram| jvaraH kSINasya zUnasya gambhIro dairgharAtrikaH ||52||

hk transliteration by Sanscript

असाध्यो बलवान् यश्च केशसीमन्तकृज्ज्वरः| स्रोतोभिर्विसृता दोषा गुरवो रसवाहिभिः ||५३||

The jwara in which, the mid hair part of scalp becomes visible, is also considered incurable (kesha simanta krita). [Five types of jwara as per frequency Santata jwara] The aggravated dosha circulate through the channels carrying rasa (the first nutritional dhatu equivalent to plasma) and spread all over the body and gets stagnated, causes santata jwara.

english translation

asAdhyo balavAn yazca kezasImantakRjjvaraH| srotobhirvisRtA doSA guravo rasavAhibhiH ||53||

hk transliteration by Sanscript

सर्वदेहानुगाः स्तब्धा ज्वरं कुर्वन्ति सन्ततम्| दशाहं द्वादशाहं वा सप्ताहं वा सुदुःसहः ||५४||

This santata jwara is extremely difficult to treat and manifests its symptoms very quickly. In this type the patient either gets cured (on the pacification of dosha) or killed (on the further aggravation of dosha) on the 10th, 12th or 7th day.

english translation

sarvadehAnugAH stabdhA jvaraM kurvanti santatam| dazAhaM dvAdazAhaM vA saptAhaM vA suduHsahaH ||54||

hk transliteration by Sanscript

स शीघ्रं शीघ्रकारित्वात् प्रशमं याति हन्ति वा| कालदूष्यप्रकृतिभिर्दोषस्तुल्यो हि सन्ततम् ||५५||

The dosha involved in the manifestation of santata jwara is in accordance with season (kala), vitiated factors (dushya), and the physical constitution of the patient (prakriti) due to which it is nispratyanika (having no opponent / which cannot be inhibited).

english translation

sa zIghraM zIghrakAritvAt prazamaM yAti hanti vA| kAladUSyaprakRtibhirdoSastulyo hi santatam ||55||

hk transliteration by Sanscript