Seat of Vishama Jwara:— Even a small residue of the deranged bodily Dosha, lurking in the system after the apparent cure of fever, is aggravated by a course of injudicious conduct and indifference to strict regimen of diet, and thus invites a fresh attack *[1] which is known as the Vishama Jwara. A case of Santata(remittent or continuous) fever has its seat in the vitiated Rasa (serum) and blood †[2] of the organism; while a case of Anyedyuh finds location in the contaminated flesh of the body. The type known as the Tri-tiyaka(tertian-fever coming on every third day) affects the principle of Meda (fat), while the one called Cháturthaka(quartan-fever coming on every fourth day) affects and is infiltrated into bones and marrow. The last named type is very dangerous. It brings on a simultaneous attack of several other diseases and often terminates fatally. Several authorities include cases of fever due to the malignant influence of evil spirits within the category of Vishama Jwara. 30.
Duration of Vishama Jwara:— The type of fever which continues for seven, ten or twelve days without any break or remission, is called Santata. A case of Satataka fever is characterised by two distinct aggravations in the course of day and night. Fever of the Anyedyushka type comes on only once a day and one of the Tri-tiyaka type comes on every third i.e., on every alternate day, while a case of Cháturthaka fever sets in every fourth day. 31.
- ↑ * A case of fever may lapse into a Vishama type even from the very commencement of the attack.
- ↑ † Vijaya Rakshita, the commentator on Mádhava Nidána, says, on the authority of Charak, that by the term Santata are meant here both Santata and Satataka and that they have their origin in the vitiated Rasa and blood respectively.
