A History of Indian Medical Literature v1.c23.512.3

v1.c23.512.3

some assume that an outside factor or inherent nature (svabhāva) produces irregular fevers; usually, however, an exogenous (āgantu) factor is secondarily involved (anubandha) in an irregular fever (39.56); 488 tṛtīyaka and caturthaka fever are characterized by a predominance of vāta; 489 the fever occurring in lowlands at the foot of mountains (aupatyaka), 490 as well as the fever caused by (the abuse of) alcoholic drinks, are due to pitta; kapha is the predominant doṣa in the fevers called pralepaka and vātabalaśaka; 491 irregular fevers with fainting (mūrcchā) as a secondary development (anubandha) usually arise from a combination of two doṣas (39.57–58); kapha and vāta, staying in the skin, generate a fever beginning with shivering; later, after the pacification of these two (doṣas), pitta brings about a burning sensation; pitta, staying in the skin, causes an intense burning sensation at the onset (of fever); later, after the pacification of pitta, shivering arises due to kapha and vāta; these two fevers, beginning with a burning sensation or shivering, are caused by a combination of two doṣas; out of the two, the fever beginning with a burning sensation is troublesome and difficult to cure (39.59–61); the same applies to protracted (prasakta) fevers of traumatic or mental origin (39.62ab); an irregular fever may become manifest during any of the six parts of day and night;