Dandaka Jwara (Dengue Fever): Care & cure by Ayurveda

Dandaka Jwara (Dengue Fever): Care & cure by Ayurveda
By Nagaland Post | Publish Date: 8/19/2019 5:42:05 AM IST

 Dengue is now one of the most important tropical diseases. While it doesn't kill that many people, it has tremendous economic and social impact.  - DUANE GUBLER

Dengue fever is a disease caused by viruses that are transmitted to people by mosquitoes. The disease has also been termed "break bone fever" or "dandy fever" Dengue is caused by Aedesa egypti mosquito. Dengue is a viral disease that is similar in symptoms and etiology to the disease, Chikungunya. In allopathic, there is no treatment of this disease, treatment is based on the symptoms.

In Ayurveda, Dengue Fever is known as Dandaka Jwara. Jwar is a condition in which the body condition goes beyond the normal temperature and is characterized by disturbance in normal functioning of the system. Dandak jwara is acute and infectious disease in which fever suddenly rise and the patient fells very weak. Description of dengue as Dandaka Jwara is found in the parishishta chapter of Madhava Nidana. It has been described that a particular species of mosquito is the basic cause of spread of fever called Dandaka Jwara. This fever mostly subsides within a week; however, it is more dangerous for the children and old people.

History- Dengue virus was isolated in Japan in 1943 by inoculation of serum of patients in suckling mice and at Calcutta (now Kolkata) in 1944 from serum samples of US soldiers. The first epidemic of clinical Dengue-like illness was recorded in Madras (now Chennai) in 1780 and the first virologically proved epidemic of DV in India occurred in Calcutta and Eastern Coast of India in 1963-1964.

Signs And Symptoms: Dengue fever usually starts suddenly with

• Rapidly climbing high fever that’s why the temperature in dengue fever is called a “Saddle back” type temperature.

• Retro-orbital pain behind the eye.

• Rashes develop on the feet or legs 3 to 4 days after the beginning of the fever.

• Nausea, vomiting and loss of appetite. 

• Swelling and pain in muscles and joints

• The joint pain in the body has given dengue fever the name that is “break bone fever”. 

The common symptoms of dengue fever may go in around 10 days, but complete recovery from Dengue fever can take more than a month.

Purvarupa and Rupa of Dandaka Jwara (Signs And Symptoms):

• Angmard- Bodyache (Severe breaking pain in bone and joints)

• Klam -Tiredness without exertion

• Aruchi- Anorexia, Nausea (Loss of appetite)

• Avsaad- Depression.

• Slow Nadi (Pulse)

• Jwara (High temperature of 103 to 105 degrees F. may occur which gets subside and may relapse again within three to four days (Saddle back fever). On 8th day, it subsides on its own) 

Symptoms of common cold (Pratishyaya) cough and throat pain are also common symptoms of Dandaka Jwara.

Diagnosis: Diagnosis of DV infection is routinely done by demonstration of anti DV IgM antibodies or by NS-1 antigen in patients’ serum depending upon day of illness using ELISA kits.

Danger Signs: Visit your nearest qualified doctor or health service centre immediately if you develop any symptoms of dengue like:

• Fever

• Rash 

• Body ache

• Headache

• Joint pains

• Pain in eyes

• Unexplained bleeding  

Drug: The following anti-pyretic formulations may be added:  

For Fever: 

• In initial phase, Kwath prepared of Dhamasa, Parpat, Kiratatikta, Musta may be advised.

• In case of Raktaja Jvara (Hemorrhagic condition), add Vasa, Rakta Chandana & Yashtimadhu along with sugar candy (Mishri).

• Shamshamani Vati (Guduchi Ghana Vati)

• Sudarshanaghana Vati

• Godanti Bhasma

• Amritottara Kwath

• Tulsi Svarasa

For Dehydration:

• Shadanga Paneeya

• Dhanyakadi Hima (Dhaniya, Amla, Vasa, Draksha, Parpat)

• Water of cardamom and clove

• Green coconut water

Any of these liquid preparations may be given in suitable quantity in 3 – 4 hours interval.

Diet and Life style adoption:

Ahara (diet):

• Take light, nutritive, warm and easily digestible foods and 

• Always have home made fresh food, plenty of Luke warm liquids, light and warm diet, liberally use ginger and turmeric in foods.

• Always avoid food prepared under unhygienic conditions, contaminated and stale food, cold drinks, beverage etc. 

• Avoid chilled foods & drinks, strenuous exertion and stressful conditions.  

• Have cold milk with sugar candy

Vihara (life style): 

• Avoid visiting the disease prevalent areas.

• Take proper rest and sleep and maintain personal and environmental hygiene.

• Proper sanitation measures to be followed. 

Amrita (Guduchi), Tulsi (Holi basil), Shunthi (Dried ginger), Erand-karkati (Papaya) are the commonly available medicinal plants and used to prevent its complications by potentiating immune system so that disease gets controlled within a period of 4to 8 days.

• Consume 2 gram Shunthi (Dry Ginger) powder twice daily with infusion prepared by adding 5 gram (one teaspoonful) of Guduchi (Giloye) powder in 100 ml (1/2 glass) of boiled water. Dose for children between 6 to 12 years of age will be half and for children below 6 years will be one fourth. One teaspoon of honey can be added to the infusion; and/or.  \

• One liter of water boiled with 10-15 Tulsi leaves and 10-15 gram Dhania (Coriander) powder for ten minutes and cooled to room temperature may be consumed at intervals of 3-4 hours in a day.

GUDUCHI( Tinospora cordifolia): 

Giloy or Amrita is an anti-inflammatory (that reduces inflammation) and antipyretic (that reduce fever) herb. It is also known as Ayurveda Plant of India

Botanical name- Tinospora cordifolia

Family- Menispermaceae

Chemical composition- Columbin, tinosporaside, jatrorhizine, palmatine, berberine, tembeterine, tinocordifolioside, phenylpropene disaccharides, choline, tinosporic acid, tinosporal, and tinosporon have been isolated from Tinospora cordifolia.

Part used - Most used part is stem. Almost all the pharmacies use stem of Guduchi. Leaves and areal roots are also used for medicinal purpose.

Dose - Stem powder = 3-6 gram, Water decoction= 50-100 ml. There is a special extraction technique for Guduchi, called as Guduchi satva. It is useful in fever. Guduchi satva = 1-2 gram.

Action of Guduchi-

This wonderful Ayurvedic herb helps in raising the efficiency of protective WBC (white blood cells) and builds up the body's own protection mechanism known as immune system. 

Giloy has antibacterial, anti-inflammatory, anti-rheumatic, and anti-allergic actions. In dengue, platelets count is decreases and body strength is very weak. Guduchi increase platelet counts. Guduchi an amazing role in strengthening our natural immune system by helping the White Blood Cell count to increase in our body. This action of Guduchi as a major immunity booster is very remedial especially during the dengue spell. In dengue, immune power is very weak. 

Guduchi boost immunity in dengue fever. Tinospora is effective in promoting regeneration of the liver. Dengue is sometimes associated with the problems of degeneration of liver. This herb fights this degeneration by raising the efficacy of the WBCs in the body.

PAPAYA (Carica papaya):

In recent times, papaya leaves are very effective and useful in management of dengue fever especially in increasing platelet count in dengue patients with low platelet count and those who develop hemorrhagic dengue fever.

Botanical name - Carica papaya

Family- Caricaceae

Chemical constituents- Papaya contains a chemical called papain, which is commonly used as a meat tenderizer. Papain breaks down proteins, carbohydrates, and fats. That’s why it works as a meat tenderizer.

Useful part - leaves, fruit, seeds.

Dose- Seed powder= 0.5 gram, Leaves water decoction= 40-80 ml.

Uses- Papaya is used for preventing and treating gastrointestinal tract disorders, intestinal parasite infections, and as a sedative and diuretic.It is also used for nerve pains (neuralgia).

Action- Papaya seeds are collect and leave for few days to dry them. When seeds properly dry, powdered them, seeds powder is used in accurate dose. Papaya leaves and seeds are inhibiting heamolysis. Platelets are very low in dengue. Papaya leaves increases thrombolytic counts. Papaya leaves also contain important nutrients, including vitamin A, C and E, they support the immune system.

General Instructions for prevention:

• Screens/nets on doors and windows.

• Wear full sleeved shirts, pants, shoes and socks to keep body covered.

• Use mosquito net.

• Use mosquito repellents.

• Patient should be kept inside mosquito net.

• Do not keep open water and clean water logging.

NOTE: Ayurvedic medicines and treatments should be taken under Qualified Ayurvedic Doctor/Physician. The drugs described in this article are for general information/educational purpose only. Anyone should not use these without consulting a qualified Ayurveda doctor/physician. The dose and duration of the treatment may be decided by the physician according to the condition of the patient. Data collected from Guidelines for Ayurvedic Practitioners for Clinical Management of Dengue- CCRAS, Ministry of AYUSH and Dengue In Ayurvedic Perspective And Its Management- Janagal Bhageshwary.

 Dr. Imlikumba, Medical Officer (Ayurveda), North Eastern Institute of Folk Medicine (NEIFM), Ministry Of AYUSH, Govt. of India, Pasighat: Arunachal Pradesh

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