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कफपित्तात्त्रिकग्राही पृष्ठाद्वातकफात्मकः| वातपित्ताच्छिरोग्राही त्रिविधः स्यात्तृतीयकः ||७१||

The tritiyaka jwara manifests in three types – 1. When the kapha and pitta dosha are aggravated then it afflicts the trika pradesh (sacral region) 2. When the vata and kapha dosha are aggravated then the back (prishtha) region are affected 3. The head region is affected in the case of aggravation of vata and pitta dosha.

english translation

kaphapittAttrikagrAhI pRSThAdvAtakaphAtmakaH| vAtapittAcchirogrAhI trividhaH syAttRtIyakaH ||71||

hk transliteration by Sanscript

चतुर्थको दर्शयति प्रभावं द्विविधं ज्वरः| जङ्घाभ्यां श्लैष्मिकः पूर्वं शिरस्तोऽनिलसम्भवः ||७२||

Similarly chaturthaka jwara is also of two types – 1. Calf region is afflicted in the in the beginning by the vitiation of kapha 2. Head region is afflicted in the beginning by the vitiation of vata.

english translation

caturthako darzayati prabhAvaM dvividhaM jvaraH| jaGghAbhyAM zlaiSmikaH pUrvaM zirasto'nilasambhavaH ||72||

hk transliteration by Sanscript

विषमज्वर एवान्यश्चतुर्थकविपर्ययः| त्रिविधो धातुरेकैको द्विधातुस्थः करोति यम् ||७३||

Chaturthaka viparyaya jwara is another variety of vishama jwara. Each of the three dosha i.e. vata, pitta and kapha cause this disease by afflicting the two dhatu viz asthi (bone) and majja (bone marrow).

english translation

viSamajvara evAnyazcaturthakaviparyayaH| trividho dhAturekaiko dvidhAtusthaH karoti yam ||73||

hk transliteration by Sanscript

प्रायशः सन्निपातेन दृष्टः पञ्चविधो ज्वरः| सन्निपाते तु यो भूयान् स दोषः परिकीर्तितः ||७४||

These five types of jwara are mostly caused by sannipata (simultaneous vitiation of the three dosha), however, the dosha, which is predominant among the three doshas is generally attributed as the causative factors.

english translation

prAyazaH sannipAtena dRSTaH paJcavidho jvaraH| sannipAte tu yo bhUyAn sa doSaH parikIrtitaH ||74||

hk transliteration by Sanscript

ऋत्वहोरात्रदोषाणां मनसश्च बलाबलात्| कालमर्थवशाच्चैव ज्वरस्तं तं प्रपद्यते ||७५||

[Dhatugata jwara] Manifestation of jwara at a particular time or a change in the time of manifestation takes place due to following factors: Jwara occurs according to the strength or weakness of factors like dosha, seasons, day, night, mental status and artha (deeds of previous life).

english translation

RtvahorAtradoSANAM manasazca balAbalAt| kAlamarthavazAccaiva jvarastaM taM prapadyate ||75||

hk transliteration by Sanscript