DECODING VISHAMA JWARA: A CRITICAL REVIEW OF THE CONCEPT, SAMPRAPTI AND CONTEMPORARY PERSPECTIVES

In classics Vishama Jwara is one among the classification of Jwara and the name has come with the Vaishamya or irregularities with respect to pattern of fever spikes and sheeta and Ushna Svabhava of Jwara. The etiological factors can be either Svabhavaja (innate factors) or Agantuja (aquired). There are 5 types of Vishama Jwara based on pattern of fever spike and they are Santata, Satata, Anyedushka, Trutiyaka and Chaturthaka. The Dosha and Kaala Bala play an important role in understanding Vishamata in Jwara Vega. The Dosha takes Ashraya in different Dhatu in different Vishama Jwara and once they gets favourable factors they will aggravate and comes to Amashaya to cause Jwara Vega. This understanding of Dhatugatatva and Sthana of Dosha in its Leenavastha plays an important role in understanding the fever spikes. The treatment in Vishama Jwara can be planned only after considering all these factors. Even in contemporary science, the fever patterns were given importance in diagnosing various diseases, especially before the evolution of various diagnostic laboratory tools. Till date fever of unknown origin poses the similar diagnostic challenge and management as well. Such fevers can be understood and treated in the lines of Vishama Jwara successfully, by understanding the concept of Vishama Jwara and its Samprapti, which forms the aim of this article.