Jwara Introduction and Differential diagnosis

INTRODUCTION Jwara is a disease of Rasavaha Srotasa hav­ing its origin from Amashaya, resulting due to Agnimandya and presented with Santapa (raised body temperature), Swedaavrodha anhidrosis and Angamarda body ache as its cardinal features.All most all the infec­tious diseases (viral/bacterial) presenting with raised body temperature as predom­inant feature have been categorized under Jwara. On the basis of predominance of Dosha and Dhatugata Avastha, Jwara has been classified into various types and while deciding the line of treatment, all these types are to be considered. For deciding the line of treatment, differential diagnosis among the Doshic varieties, Sama – Nirama Avastha, Nava- Jirna Avastha or Dhatugata Avastha or other presentations like Punaravartaka Jwara are considered. Case Definition: Patients presenting with raised body temper­ature associated with anhidrosis, associated with body ache, anorexia, headache, fatigue, weakness and lethargy. Differential Diagnosis: Differential diagnosis is essential for diag­nosing the type of Jwara and its stage. For the purpose of deciding line of management, the following stages should be diagnosed. Sama / Nirama Avastha of Jwara Taruna / Jirna Jwara Eka / Dwi / Tridoshaja Jwara Dhatugata Jwara Sharira / Manasa Agantuja / Nija Jwara Punaravartaka Jwara Jwara due to specific conditions like Romantika, Masurika, Pratishyaya, Kasa, Mutrakrucchra, Rajyakshma etc. should be diagnosed and treated accordingly. Clinical Diagnosis: Patient should be diagnosed on the basis of history of illness, degree of fever, onset, associated symptoms, chronicity, complications etc. The body temperature above the normal range of 36.5–37.5 °C (97.7–99.5 °F) or temperature in the rectum is at or over 37.5–38.3 °C (99.5–100.9 °F) or temperature in the mouth (oral) is at or over 37.7 °C (99.9 °F) or temperature under the arm (axillary) is at or over 37.2 °C (99.0 °F) shall also be taken into account. Investigations: CBC Peripheral blood smear   @#cap Admin Ayurveda

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Dear Dr. Nitin Goje, Very good article on Jwara and differential diagnosis.

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