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A Review on Kashyapokta Sama Jwara in Children with respect to Viral Fever

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Journal name: Ayushdhara
Original article title: A Review on Kashyapokta Sama Jwara in Children with respect to Viral Fever
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Vinayak Galatage
PhD Scholar, Dept of Kaumarabhritya, Parul Institute of Ayurved, Parul University, Vadodara, Gujarat, India.
Rashmi Moogi
Assistant Professor, Dept of Swasthvritta, Krishna Ayurvedic Medical College and hospital, Sankeshwar, Karnataka, India.
Swapnil C Raskar
Associate Professor, Dept of Kaumarabhritya, Parul Institute of Ayurved, Parul University, Vadodara, Gujarat, India.
Prakash Kumbhar
Associate professor, Dept of Kayachikitsa, Dr.N.A Magdum Ayurvedic Medical College and hospital, Belgaum, Karnataka, India.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: A Review on Kashyapokta Sama Jwara in Children with respect to Viral Fever

Year: 2023 | Doi: 10.47070/ayushdhara.v10i6.1420

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Fever, or "Jwara," is an essential subject in Ayurvedic medicine, considered one of the principal diseases that affect individuals of all ages. Not merely indicative of high body temperature, Jwara encompasses a comprehensive condition involving mental and sensory discomfort, as noted in the classical texts of Ayurveda, particularly in the Charaka Samhita. Among the various classifications of Jwara discussed in Ayurveda, Acharya Kashyapa specifically elaborates on "Sama Jwara," which is characterized by certain mild symptoms, making it particularly relevant in pediatric care, especially concerning viral fevers.

The Concept of Sama Jwara

Sama Jwara, as outlined by Kashyapa, is distinguished by its causative factors, which are considered to be minimal (Alpahetu) and typically arise from environmental factors or minor dietary indiscretions. This classification of fever is also defined by its superficial and uncomplicated nature (Nirupadrava), where it does not lead to severe symptoms or complications. It is easily treatable and most commonly observed in children due to their developing immune systems. The nature of Sama Jwara allows it to be compared with viral fevers, which present with similar mild to moderate symptoms and lack serious complications.

Characteristics and Treatment Approaches

To further understand Sama Jwara, it is necessary to recognize its presentation, which includes signs like mild fever, body ache (Angamarda), decreased appetite (Aruchi), and increased thirst (Trishna). These symptoms are notably moderate compared to other types of fevers, such as Antarvegi Jwara, which can be more severe. The treatment for Sama Jwara includes dietary modifications and specific Ayurvedic remedies that focus on stimulating digestive fire (Agni), using gruels (Yavagu) and herbal forms with Tikta Rasa properties, all aiming to restore balance without invasive methods. This approach underscores the effectiveness and practicality of Ayurvedic principles in managing common viral infections in children.

Conclusion

In conclusion, Sama Jwara as described by Acharya Kashyapa represents a category of uncomplicated fever characterized by mild, easily manageable symptoms, often aligned with the profile of viral fevers seen in contemporary times. The treatment strategies and understanding of this condition emphasize dietary considerations and the restoration of digestive strength, leading to a favorable prognosis. Thus, Sama Jwara not only enriches the Ayurvedic discourse on fever but also provides practical insights applicable to modern-day pediatric healthcare concerns.

FAQ section (important questions/answers):

What is Sama Jwara in Ayurvedic medicine?

Sama Jwara, described by Acharya Kashyapa, is a type of fever characterized by mild causative factors. It is easily curable and occurs without complications, often seen in children due to their immature immune systems.

How does Sama Jwara relate to viral fever?

Sama Jwara exhibits symptoms similar to viral fever, such as altered body temperature and pain. It is considered a simplified version of viral infections, occurring due to exposure to milder environmental changes and improper dietary habits.

What treatments are recommended for Sama Jwara?

Treatment for Sama Jwara includes dietary modifications, Langhana (fasting), and Svedana (sweating) techniques to stimulate digestive fire (Agni). Herbal remedies with Tikta Rasa can also be employed to alleviate symptoms effectively.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A Review on Kashyapokta Sama Jwara in Children with respect to Viral Fever�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Sama (Shama):
In Ayurveda, Sama refers to a balanced state. Sama Jwara, as described by Acharya Kashyapa, is a type of fever characterized by minimal causative factors (Alpahetu), simple symptoms, and easy curability, typically akin to viral fevers in modern medicine.

2) Fever:
Fever, known as Jwara in Ayurveda, affects the body, mind, and sense organs by raising the body's temperature. It is considered a cardinal condition in Ayurvedic literature, where diseases like Sama Jwara are seen as largely uncomplicated and easily treatable.

3) Disease:
In Ayurveda, disease represents a state of imbalance. Jwara (fever) is viewed as a significant disease because it can affect individuals from birth to death, involving symptoms such as body temperature rise and discomfort in body and senses, as observed in Sama Jwara.

4) Rasa (Rasha):
Rasa in Ayurveda refers to taste and is crucial in the treatment of diseases. Sama Jwara involves the saturation of infectious agents in the Rasavaha Srotas, pathways associated with rasa (body fluids), making treatments with rasa-balancing properties essential.

5) Agni:
Agni, or the digestive fire, is fundamental in Ayurveda for metabolism and health. In Sama Jwara, Agnimandya (diminished Agni) plays a central role, leading to the formation of Ama (toxins), exacerbating the disease's symptoms and necessitating Agni-boosting treatments.

6) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
[see source text or glossary: Kasyapa]

7) Samtapa (Santapa):
Santapa refers to the feverish condition involving body, mind, and senses in Ayurvedic terms. In Sama Jwara, symptoms include body heat and discomfort, highlighting the critical role of Santapa in the disease's manifestation and its holistic impact on health.

8) Tikta:
Tikta, or bitter taste, is used in Ayurvedic treatment to alleviate conditions like Sama Jwara. Tikta Rasa (bitter taste) increases Agni (digestive fire) and helps dissolve Ama (toxins) in the body, thus reducing symptoms such as anorexia and poor digestion.

9) Food:
Food, or Ahara, plays a significant role in Ayurvedic health. In Sama Jwara, improper or uncongenial food intake can lead to the vitiation of Doshas and the formation of Ama (toxins), necessitating dietary adjustments as part of the treatment to restore balance.

10) Dosha (Dosa):
Dosha refers to bodily humors in Ayurveda—Vata, Pitta, and Kapha. In Sama Jwara, minimal vitiation of Doshas due to factors like season changes or improper food causes symptoms, and balancing the affected Dosha(s) is key to treatment.

11) Agnimandya (Agni-mandya, Agnimamdya):
[see source text or glossary: Agnimandhya]

12) Samprapti:
Samprapti refers to the pathogenesis or the development of a disease. In Sama Jwara, it involves the wandering of vitiated Doshas from the gastrointestinal tract (Amashaya) to the circulatory system (Rasa Dhatu), leading to fever and related symptoms.

13) Vitiation (Vitiated):
Vitiation in Ayurveda refers to the imbalance or disturbance of Doshas, Dhatus, or Malas. In Sama Jwara, minimal vitiation of Doshas leads to symptoms like decreased appetite and body pain, and addressing this vitiation is essential for treatment.

14) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India that emphasizes balance among body, mind, and spirit. It offers comprehensive treatments for conditions like Sama Jwara, viewing diseases as outcomes of Dosha imbalances and focusing on holistic healing.

15) Indriya (Imdriya):
Indriya denotes the sensory organs in Ayurveda. In the context of fever, including Sama Jwara, disturbances in the functioning of Indriya (sensory organs) are observed, as it involves symptoms like restlessness and discomfort in the senses.

16) Aruci:
Aruchi refers to anorexia or loss of appetite, a common symptom in Sama Jwara. Diminished appetite results from Ama (toxins) and impaired digestion (Mandagni), and is treated using Agni-stimulating and toxin-dissolving Ayurvedic herbs and practices.

17) Ushna (Usna):
Ushna means heat and is often related to treatments in Ayurveda. Ushna Jala (warm water) helps in digestion and detoxification during Sama Jwara, aiding the dissolution of Ama (toxins) and enhancing metabolic fire (Agni) for symptom relief.

18) Ahara:
Ahara, or food, is a cornerstone of Ayurveda. Proper ahara is vital for health; improper ahara contributes to conditions like Sama Jwara by causing Dosha vitiation and Ama formation, highlighting the crucial role of diet in disease management.

19) Dhatu:
Dhatu refers to the fundamental bodily tissues in Ayurveda. In Sama Jwara, the primary affected Dhatu is Rasa, where the presence of toxins (Ama) leads to symptoms of fever, underscoring the need to balance and purify affected Dhatus.

20) Discussion:
The discussion on Sama Jwara highlights its characteristics, pathology, and treatment in children. By comparing it with modern viral fevers, it provides insight into Ayurvedic diagnostics and treatment strategies, emphasizing holistic and symptom-specific approaches.

21) Angamarda (Anga-marda, Amgamarda):
Angamarda, or body ache, is a common symptom of Sama Jwara. It arises due to the accumulation of toxins (Ama) and impaired digestion (Agnimandya), emphasizing the need for treatments that promote detoxification and restore metabolic balance.

22) Lakshana (Laksana):
Lakshana refers to the symptoms or clinical features of a disease. In Sama Jwara, common lakshanas include fever, body aches, anorexia, and gastrointestinal disturbances, necessitating treatments that focus on symptom relief and detoxification.

23) Amasaya (Amashaya, Ama-ashaya):
Amashaya, or the stomach region, is the starting point for many diseases in Ayurveda. In Sama Jwara, Ama (toxins) forms in the Amashaya due to weak digestive fire (Agni), leading to systemic symptoms and emphasizing the significance of digestive health.

24) Samhita:
Samhita refers to classical Ayurvedic texts. Kashyapa Samhita uniquely describes Sama Jwara, providing detailed insight into its symptoms, causes, and treatments, highlighting its place in the broader context of Ayurvedic literature and practice.

25) Svedana:
Svedana, or sweating therapy, is used to induce sweat and alleviate symptoms of diseases like Sama Jwara. It helps loosen toxins and clear channels, providing relief from feverish symptoms and aiding the body's natural detoxification processes.

26) Dravya:
Dravya refers to medicinal substances in Ayurveda. In treating Sama Jwara, dravyas with properties like Deepana (stimulating digestive fire) and Pachana (digesting toxins) are used to restore balance and alleviate symptoms like fever and anorexia.

27) Thirst:
Thirst, or Trishna, is a symptom of Sama Jwara, indicating a need for internal balance and detoxification. Treatments often include Ushna Jala (warm water) to alleviate thirst, enhance digestion, and support the removal of toxins from the body.

28) Deha:
Deha refers to the body in Ayurveda. Sama Jwara affects the deha by raising body temperature and causing symptoms like pain and anorexia, highlighting the need for body-focused treatments to restore balance and health.

29) Rasadhatu (Rasa-dhatu):
Rasa-dhatu is the first of the seven bodily tissues, representing plasma and the essence of food. In Sama Jwara, the accumulation of Ama (toxins) in the Rasa-dhatu leads to symptoms like fever and body aches, necessitating treatments that purify and balance the Rasa.

30) Karnataka:
[see source text or glossary: Karnataka]

31) Langhana (Lamghana):
Langhana is the practice of fasting or eating lightly to treat diseases. In Sama Jwara, langhana helps rest the digestive system, promotes Agni, and supports the detoxification process, making it a fundamental part of the treatment protocol.

32) Kashaya (Kasaya):
Kashaya refers to astringent taste and medicinal decoctions in Ayurveda. In Sama Jwara, kashaya dravyas (astringent substances) can help counteract the imbalance, improve digestion, and settle the symptoms, particularly after the acute phase of fever.

33) Yavagu:
Yavagu is a medicated gruel used in Ayurvedic treatments. It has properties like Deepana (stimulating digestive fire) and Pachana (digesting toxins), making it effective in managing Sama Jwara by regulating digestion and alleviating related symptoms.

34) Vyadhin (Vyadhi):
Vyadhi means disease in Ayurveda. Sama Jwara is a specific type of Vyadhi characterized by minimal causative factors and mild symptoms, primarily observed in children, and is considered easily treatable when approached with appropriate Ayurvedic interventions.

35) Taila (Thaila):
Taila refers to medicinal oils used in Ayurveda. In treating Sama Jwara, specific tailas like Chandanadi taila for external application can help alleviate symptoms of heat (Daha) and provide soothing effects, supporting the overall treatment process.

36) Guru:
Guru means heavy, often referring to the quality of foods or substances. Foods with guru properties can contribute to the formation of Ama (toxins) and exacerbate conditions like Sama Jwara by challenging the digestive system, necessitating dietary modifications.

37) Nava (Navan):
Nava, or new, often refers to a newly onset or acute condition. In the context of Jwara, nava jwara indicates a fresh, uncomplicated fever, similar to Sama Jwara, where early interventions can effectively manage the symptoms and restore health.

38) Guna:
Guna refers to the qualities or attributes of substances in Ayurveda. Sama Jwara involves balancing specific gunas like nature of foods or medications to counteract the symptoms, supporting a holistic approach to treatment and healing.

39) Mana:
Mana means mind in Ayurveda. Sama Jwara, like other types of fever, affects the mind (Mana Santapa) causing symptoms like restlessness and lack of interest, highlighting the interconnectedness of body and mind in the disease process.

40) King:
King, metaphorically, in Ayurveda refers to the dominance of certain diseases. Jwara is termed the king of diseases due to its prevalence and impact on body and mind, emphasizing its significant place in Ayurvedic pathology and treatment practices.

41) Pain:
Pain, or Angamarda in Ayurveda, is a common symptom in Sama Jwara. It results from the accumulation of Ama (toxins) and impaired digestive function, necessitating treatments that focus on detoxification and pain relief through various Ayurvedic methods.

42) Shatadhautaghrita (Satadhautaghrta, Shatadhauta-ghrita):
Shatadhauta-ghrita is a medicated ghee used in Ayurveda for external application. In Sama Jwara, it can be used to alleviate symptoms like heat (Daha) and provide a cooling, soothing effect on the skin, supporting the recovery process.

43) Kashyapasamhita (Kasyapasamhita, Kashyapa-samhita):
[see source text or glossary: Kashyapasamhita]

44) Rasavahasrotas (Rasavaha-srotas):
Rasavaha-srotas are channels responsible for the circulation of Rasa (plasma) in the body. In Sama Jwara, these channels may be obstructed by Ama (toxins), leading to symptoms of fever and discomfort, necessitating treatments that clear and balance these pathways.

45) Viruddhahara (Viruddha-ahara):
Viruddha-ahara refers to incompatible food combinations in Ayurveda. Consuming viruddha ahara can disturb digestion and lead to the formation of toxins (Ama), contributing to the development of conditions like Sama Jwara, underscoring the importance of dietary harmony.

46) Sushruta-samhita (Susruta-samhita):
[see source text or glossary: Susrutasamhita]

47) Kaumarabhritya (Kaumarabhrtya, Kaumara-bhritya):
[see source text or glossary: Kaumarabhritya]

48) Atharvaveda (Atharva-Veda):
[see source text or glossary: Atharvaveda]

49) Dantaharsha (Dantaharsa, Danta-harsha, Damtaharsha):
Dantaharsha, or teeth chattering, is a symptom of fever noted in Ayurvedic texts. It can occur in conditions like Sama Jwara due to the body's response to fever and chills, reflecting the disease's impact on the body's thermoregulatory mechanisms.

50) Abhishyandi (Abhisyandi):
Abhishyandi refers to substances that cause blockages in body channels. Foods with abhishyandi properties contribute to the formation of Ama (toxins) and are considered detrimental in treating Sama Jwara, necessitating the avoidance of such substances.

51) Jatharagni (Jathara-agni):
Jatharagni is the main digestive fire located in the stomach. In Sama Jwara, Jatharagni is often impaired, leading to the formation of Ama (toxins) and symptoms like fever, highlighting the importance of treatments aimed at restoring digestive fire.

52) Ekadoshaja (Ekadosaja, Ekadosha-ja):
[see source text or glossary: Ekadoshaja]

53) Daurbalya:
Daurbalya, or weakness, is a symptom associated with Sama Jwara. It results from the body's struggle against toxins (Ama) and impaired digestion (Mandagni), emphasizing the need for strengthening treatments to support recovery and vitality.

54) Abhilasa (Abhilasha):
Abhilasha refers to desire or craving. In the context of Sama Jwara, a loss of abhilasha for food and activities indicates disturbances in digestive fire (Agni) and overall vitality, requiring treatments that restore natural desires and energy.

55) Picchila:
Picchila refers to slimy or sticky qualities in substances. In Sama Jwara, consuming foods with picchila properties can aggravate the condition by leading to Ama (toxins) and obstructing body channels, highlighting the need for dietary modifications.

56) Vagbhata:
[see source text or glossary: Vagbhata]

57) Abhyanga (Abhyamga):
Abhyanga is the Ayurvedic practice of oil massage. In Sama Jwara, abhyanga with specific oils can help alleviate symptoms like body pain (Angamarda) and heat (Daha), supporting overall relaxation and aiding the healing process.

58) Jagarana:
Jagarana, or insomnia, is a symptom of fever noted in Ayurvedic texts. It can accompany conditions like Sama Jwara, reflecting disturbances in body and mind due to fever and necessitating interventions that promote restful sleep.

59) Svabhava (Sva-bhava):
Svabhava refers to nature or inherent characteristics. In Ayurveda, understanding the svabhava of diseases like Sama Jwara helps in tailoring appropriate treatments that align with the disease's natural progression and response patterns.

60) Mandagni (Manda-agni, Mamdagni):
[see source text or glossary: Mandagni]

61) Avarodha:
Avarodha means obstruction in Ayurvedic terms. In Sama Jwara, obstruction to perspiration (Sved Avarodha) is a symptom, indicating the need for treatments that clear blockages and promote proper metabolic functioning and toxin elimination.

62) Upadrava:
Upadrava refers to complications of a disease. Sama Jwara is considered Nirupadrava (without complications) due to its mild nature and simple treatment requirements, distinguishing it from more severe or complex fevers in Ayurvedic practice.

63) Agantuja (Agantu-ja):
Agantuja refers to external or environmental causes of disease. Sama Jwara can arise from agantuja factors like exposure to infections or climate changes, highlighting the importance of considering external influences in disease management.

64) Trishna (Trsna):
Trishna means thirst, a common symptom in Sama Jwara. It indicates internal imbalance and the need for hydration and detoxification, often addressed using warm water (Ushna Jala) and other appropriate Ayurvedic fluids to restore balance.

65) Kshudha (Ksudha):
Kshudha refers to hunger or appetite. In Sama Jwara, there's often a loss of kshudha due to impaired digestion (Agnimandya) and toxin accumulation (Ama), necessitating treatments that stimulate appetite and improve digestive function.

66) Ashraya (Asraya):
Ashraya means the site or location of the disease. In Sama Jwara, the ashraya is primarily the Rasavaha Srotas (the channels of Rasa), where detoxifying and balancing treatments are focused to alleviate symptoms and restore health.

67) Madhava:
[see source text or glossary: Madhava]

68) Vishama (Visama):
Vishama means irregular. Vishama Jwara, as described in Ayurvedic texts, refers to fevers with irregular patterns or causes. Sama Jwara, with its regular, uncomplicated presentation, contrasts with Vishama Jwara's more complex characteristics.

69) Avastha:
Avastha refers to the stage or condition of a disease. In Sama Jwara, the avastha is typically mild and uncomplicated, requiring less intensive treatments compared to more severe stages of fever, emphasizing quick and straightforward management.

70) Gujarat:
[see source text or glossary: Gujarat]

71) Pralapa:
Pralapa means delirium or incoherent speech, a symptom sometimes seen in fever. In Sama Jwara, it may occur due to high temperature and discomfort, necessitating treatments that cool the body and calm the mind.

72) Krishna (Krsna):
[see source text or glossary: Krishna]

73) Avipaka:
Avipaka refers to indigestion, commonly observed in Sama Jwara. It results from impaired Agni (digestive fire) and leads to the formation of Ama (toxins), emphasizing the need for treatments that enhance digestion and eliminate toxins.

74) Adhika:
Adhika means excessive. In the context of Sama Jwara, excessive intake of certain foods (Ahara) or water (Jalapana) can worsen symptoms by creating or aggravating Ama (toxins), necessitating moderation and dietary restrictions.

75) Sadana (Shadana):
Sadana refers to fatigue or lethargy, a symptom often seen in Sama Jwara. It results from the body's response to toxins (Ama) and impaired digestion (Mandagni), emphasizing the need for treatments that restore energy and vitality.

[Note: The above list is limited to 75. Total glossary definitions available: 123]

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Dosha, Sharir, Ama, Jwara, Acute symptoms, Tikta Rasa, Chikitsa sutra, Ushna veerya, Pediatric practice, Pathya-Apthya, Viral fever.

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