Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Akshepaka = convulsions

JWARA = FEUS
Akshepaka Jwaras are fevers which manifest together with convulsion – ‘convulsive fevers’ or ‘febrile seizures’.
We don’t discover ‘Akshepaka Jwara’ being talked about or described within the context or predominant chapters coping with Jwara. We discover a brief description of this fever within the ‘Parishishta’ part of Madhava Nidana.
On this article I’ll focus on Akshepaka Jwara.
Akshepaka jwara

Definition of Akshepaka Jwara
from which they’re attracted, Prayaenangani They go Sankam.
Ghoro and fever The noun-heart is a subordinate clause spoken.
When an individual suffers from severely troublesome fever related to the under talked about signs, will probably be thought of as Akshepaka Jwara –
– Akshepa – convulsions / seizures
– Anga samkocha – contractures of the physique components
– Samjna hrt – lack of consciousness
Nidana: Etiological Elements of Akshepaka Jwara
Bahujanasamvayo wherever Within the nation Specialty f and If All the time There could also be a discharge of mud.
I notad Rakshayati Vasan there Bacteri Fever Iha Khalu That is the reason for ache.
Akshepaka Jwara is brought on when the microorganisms have an effect on the individuals –
– Dwelling in thickly populated areas – locations congested because of inhibition by many individuals, the locations being unclean and unhygienic not ultimate for well being (and therefore having loads of microorganisms round)

– Dwelling in locations that are excessively dusty, polluted and smoky
These fevers are stated to be dreadful and life-threatening.
Samprapti: Pathogenesis of Akshepaka Jwara
For the explanations talked about above venom H, Cereal Manujasya whose.
most likely Absolutely Round Sushumnakandam f and The tuberculosis.
in orderlasikamatipooyatulyam Prone They’re indignant with all of the faults.
Cheshtavahanadikavrajanamsyuttejanaheturo of the individuals.
Bahvakshidangani Branches Hesitant Psychosis Acutely aware and.
Objection Sampraptivaidhyanishchita.
Prayaenatra Nrnanam Lok loke Life hardly ever possibly.
The toxins produced by the microorganisms
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Enters the meningeal layers of the spinal twine located on the base of the mind
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Impacts the lasika (cerebrospinal fluid?) therein and largely converts it into pus like materials (contaminated materials) and later
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Would trigger aggravation of all of the doshas and
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Excessively excites the chestavaha nadis – motor nerves which
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Consequently causes extreme fever
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Related to extreme convulsions within the physique components and contractions within the limbs together with lack of consciousness
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Such a fever related to convulsions, contractions and lack of consciousness known as Akshepaka Jwara, the pathogenesis of such fevers is thus, as defined by the clever physicians and
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Survival of people that undergo from these fevers change into tough i.e. it carries dangerous prognosis
Lakshanas: Signs of Akshepaka Jwara
Ugra Damage is born whose Shirshni Christ Shaityyam Jatu and Chidvepathu.
The neck column Prasahyath Tops Later the place he’s drawn to the adha’maya Tu.
They go to the limbs Hesitation Syatam Vaktre Chakshushi Nunmev.
Branches Stoppage are Enhance in fever Prayao Lakshyate Even clearly.
Tandra Mohopi Publice Sharavat It might be an objection In Gatara of the individuals.
Absolutely Bloodshopful arthritis Nasho of the senses. Rejoice.
Goal fever Nikhilam Tu Chihnametanmatam Subhishajaan Gaditam Mayettham.
Syad wherever Rogipurushe S Lifeless Bhavedekahanch Kashchidathava It’s needed for 3 days.
And Clicks Weekend or somebody beneath the management of future Tenumeful Sanjhati
sure Purwater Sannchikitsaprasangyagenatena Even affected by fever.
Beneath talked about are the signs of Akshepaka Jwara –
– Extreme headache
– Vomiting
– Feeling ‘chilly’ within the physique
– Tremors / shivers
– Stiffness / catch within the neck
– Head is pulled backwards / really feel of pulling within the occiput
– Contractions / contractures of the physique components
– Crookedness / deviation of eyes
– Stiffness / rigidity of the limbs
– Common enhance of fever
– Stupor
– Unconsciousness / confusion
– Delirium
– Repeated convulsions of the physique / physique components
– Manifestation of pink or blackish brown coloured spots / patches on completely different components of the physique
– Lack of energy of notion by respective indriyas
The affected person of Akshepaka Jwara having most of those signs would ultimately die in 1, 3, 4 or 7 days after having suffered from troubles of intense nature because of misfortune. Typically, because of luck or the impact of fine deeds, some individuals affected by these signs of Akshepaka Jwara would fortunately survive.
Fashionable Correlation
Akshepaka Jwara has been intently correlated to cerebro-spinal fevers or meningitis. It can be correlated to febrile seizures.
Ayurveda therapy ideas
Particular therapy of Akshepaka Jwara has not been defined but it surely shall be handled on the final ideas of treating jwara. Nidana Parivarjana – avoidance of causative elements is essential.
Because the convulsions or seizures are half and impact of fevers, separate therapy for Akshepaka is mostly not wanted. If convulsions or episodes of seizures proceed even after remission of fever, it shall be handled on the traces of akshepaka, vata vyadhi or apasmara.
Brimhana and Balya – strengthening medicines and Rasayanas – immune modulators will probably be required within the restoration interval.