Indian Medicine (Medicin), translated by C. G. Kashikar c12.12

c12.12

Particularly dangerous is the fever caused by the derangement of all dosas (samnipātajvara) which, if coming in quite a pronounced form, is either incurable or curable with difficulty, and even if cured it leaves behind some permanent defect. On the 7th, 10th or 12th day this fever assumes a dangerous character whereupon it either disappears or leads to death. General symptoms : sudden change of heat and cold, pain in the bones, joints and head, the eyes drop water and are dim, irritated and crazy, the ears are ringing and painful, the throat is as if covered with thorns, there is sleepiness, senselessness, delirium, cough, difficult breathing, nausea, giddiness, the border of the tongue is of a burnt colour and the tongue is rough to touch, there is looseness of limbs, spitting of blood and pitta mixed with phlegm, shaking of head, thirst, want of sleep, beating of heart, seldom and sparing secretion of sweat, urine and faeces, feebleness of limbs, continual noise in the throat, dark-red pustules and eruption, dumbness, inflammation of the passages, heaviness of the abdomen, slow digestion, madness, irrelevant speech, black teeth, excessive sleepiness by day, sleeplessness by night, excessive perspiration or no perspiration, constipation or frequent (but insufficient) stools, loss of strength, hoarseness etc. There is thirteen kinds of this fever the nomenclature of which varies and is differently reckoned and described. The *abhinyāsajvara* is commonly known in which eyes and ears do not function, smell and touch also disappear, the patient groans, speaks little or remains dumb, helpless, sleepy, and lies breathing heavily, delirious, desires no food, the tongue is stiff, the throat is dry, sweat, urine and faeces are stopped, the eyes drop and so on. Closely connected with this is *hataujas* or *hṛtaujas* characterized by complete loss of strength. At the termination of *sannipātajvara* a swelling appears on the "ear-root" which can easily become fatal (*Car* 6.3.101 ff.; *Su* 6.39.35 ff.; *AS* 3.2; *AHr* 3.2.27 ff.; *MN* 34 ff.; *Bhav* 2.1.70 ff.; *Vang* 34 ff. ).