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निष्प्रत्यनीकः कुरुते तस्माज्ज्ञेयः सुदुःसहः| यथा धातूंस्तथा मूत्रं पुरीषं चानिलादयः ||५६||

Thus, it is known to be unbearable. Additionally, the other dhatu, urine, stool and vata etc. dosha, also get affected simultaneously in this fever.

english translation

niSpratyanIkaH kurute tasmAjjJeyaH suduHsahaH| yathA dhAtUMstathA mUtraM purISaM cAnilAdayaH ||56||

hk transliteration by Sanscript

युगपच्चानुपद्यन्ते नियमात् सन्तते ज्वरे| स शुद्ध्या वाऽप्यशुद्ध्या वा रसादीनामशेषतः ||५७||

If the involved factors like rasa are purified optimally the fever gets subsided in either 7 or 10 or 12 days, otherwise, the fever kills the patient within that period.

english translation

yugapaccAnupadyante niyamAt santate jvare| sa zuddhyA vA'pyazuddhyA vA rasAdInAmazeSataH ||57||

hk transliteration by Sanscript

सप्ताहादिषु कालेषु प्रशमं याति हन्ति वा| यदा तु नातिशुध्यन्ति न वा शुध्यन्ति सर्वशः ||५८||

If, some of the 12 constituents of this fever get purified, while some others remain unpurified

english translation

saptAhAdiSu kAleSu prazamaM yAti hanti vA| yadA tu nAtizudhyanti na vA zudhyanti sarvazaH ||58||

hk transliteration by Sanscript

द्वादशैते समुद्दिष्टाः सन्ततस्याश्रयास्तदा| विसर्गं द्वादशे कृत्वा दिवसेऽव्यक्तलक्षणम् ||५९||

then the fever goes in latent stage on the 12th day and reappears on the 13th day and may persist for longer duration.

english translation

dvAdazaite samuddiSTAH santatasyAzrayAstadA| visargaM dvAdaze kRtvA divase'vyaktalakSaNam ||59||

hk transliteration by Sanscript

दुर्लभोपशमः कालं दीर्घमप्यनुवर्तते| इति बुद्ध्वा ज्वरं वैद्य उपक्रामेत्तु सन्ततम् ||६०||

In this way, a physician should understand the causes and features of this type of fever and should initiate the treatment only after a proper understanding of these factors,

english translation

durlabhopazamaH kAlaM dIrghamapyanuvartate| iti buddhvA jvaraM vaidya upakrAmettu santatam ||60||

hk transliteration by Sanscript