By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
The fevers which are deep seated inside one or the other tissue in a stubborn way are called as dhatugata jwaras. Dhatugata – seated in, Jwara – fever
Fever is caused due to the localization of doshas in the tissues leading to their vicious amalgamation. This step is mandatory in the pathogenesis of any disease caused by vitiated doshas. This is called dosha dushya sammurchana and is caused in the 4th stage of pathogenesis.
Read – Shat Kriya Kala – ‘Stage-Wise Disease Management’
But this condition is a different scenario. The disease i.e. fever has already manifested. It is the fever which gets localized in the tissues and not the doshas. Therefore this condition is formed in the later stages of the fever. This may occur when one of the below mentioned conditions persist –
– Improper treatment of fever
– Incomplete evacuation of residue of fever causing doshas in the body
– Reduced immunity
– Weaker tissues unable to recover the damage occurred during the process of long standing fever
– Improper follow up after fever wherein one consumes unwholesome foods and activities
The fever may be located in any of the tissues. When this happens, the fever produces specific symptoms related to those tissues in which it gets lodged. These symptoms are characteristic to those fevers and are also diagnostic tools. The dhatugata fevers and their symptoms are as mentioned below.
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| Sl No | Tissue in which fever is located | Symptoms | |
| 1 | Rasa dhatu/ lymph, plasma | Charaka Heaviness of the body Helplessness Agitation / anxiety / distress Exhaustion / laxity of body Vomiting Anorexia Rise of temperature on the surface Pain in body parts Yawning |
Sushrutha Heaviness of the body Discomfort in the cardiac region Weakness Vomiting Anorexia Helplessness |
| 2 | Blood | Red colored / hot blisters Thirst Repeated spitting of blood Burning sensation Redness of body parts Giddiness Intoxication Delirium |
Spitting of blood Burning sensation Bewilderment Vomiting Uneasiness / confusion Delirium Blisters Thirst |
| 3 | Muscle | Excessive burning sensation inside the body Thirst Delusion / bewilderment / hallucination Fatigue Excessive defecation / diarrhea Foul smell emitted from the body Throwing of body parts / convulsions |
Painful cramps in the calf muscles Excessive thirst Excessive discharge of feces and stools Excessive rise in temperature Burning sensation inside the body Convulsions Tiredness |
| 4 | Fat | Excessive sweating Excessive thirst Delirium Repeated and excessive vomiting Intolerance to one’s own body smell Fatigue Anorexia |
Excessive sweating Excessive thirst Fainting / loss of consciousness Delirium Vomiting Foul smelling from the body Anorexia Fatigue Intolerance to sound and other sensory perceptions |
| 5 | Bone | Diarrhea Vomiting Simultaneous vomiting and diarrhea Splitting pain in the bones Indistinct voice coming from the throat with pain Throwing of body parts / convulsions Dyspnea / breathlessness |
Same symptoms as those mentioned by Charaka |
| 6 | Bone Marrow | Hiccough Dyspnea / breathlessness Cough Repeated spells of darkness in front of the eyes Splitting pain in the vital regions / organs of the body Coldness on the surface of the body and burning sensation inside the body |
Same as those explained by Charaka |
| 7 | Semen | Excessive discharge / elimination / ejaculation of semen and destruction of semen / sperms by the soul Death due to escape of light element and destruction of prana vayu, vital fire and water elements of the body |
Stiffness of penis Excessive discharge of semen Death |
Read – Dhatu – 7 Body Tissues As Explained In Ayurveda
Prognosis of fevers seated in the tissues
| Sl No | Fevers located in | Prognosis |
| 1 | Lymph / plasma Blood Muscle Fat |
Curable |
| 2 | Bones Bone marrow |
Curable with difficulty |
| 3 | Semen | Incurable |
Read – Shukra Shodhana Gana: Semen Detoxifying Herbs: Review, Formulations
Treatment principles
| Sl No | Fevers located in | Treatment |
| 1 | Lymph / plasma | Emesis Fasting |
| 2 | Blood | Sprinkling / showering medicinal fluids Anointment of medicinal pastes Palliative medicines |
| 3 | Muscles and Fat | Purgation Fasting |
| 4 | Bones and Bone Marrow | Decoction enemas Oil / unctuous enemas |
Rasayana therapies should be used after the cure of these fevers to prevent further progression of the disease and also to rejuvenate the system and enhance immunity. This will also help in preventing the recurrence of these fevers.
Read – Causes, Symptoms, Treatment Of Recurring Fevers Punaravartaka Jwara
Clinical significance
Many fevers will leave back their footprints. The reasons for why the fevers may get lodged in the tissues have been mentioned earlier. After the treatment of fevers when the symptoms stay for a long time and keep bothering with or without evident fever one can diagnose them as fevers lodged in the tissues. Symptoms of these fevers will give a hint towards the tissue in which the fever is lodged. This helps in treating them promptly and saving the tissues from getting damaged further or permanently destroyed. Tissues are the building blocks of the body and their collective balance of health denotes a good immunity. When the immunity is less the fevers get lodged in the tissues. On the other hand, when the fevers are lodged in the tissues, the immunity takes a beating. Therefore it is important to diagnose and treat these fevers at the earliest.
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