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Ayurveda > Ayurveda Case Notes > Vaat Jwar-Chikitsa By Dr. Satish Kulkarni Mr. John Doe (name has been changed to protect identity) came to me with a complaint of repeated fever since one month. He mentioned that there were ups and downs in his fever. I started taking down his health history. Mr. Doe is 56 years old and he is a factory worker. He stated that he was sensitive to allopathic medicines and that he developed an allergic rash on the body if he took a tablet of paracetamol or a tablet of nimesulide which are both common allopathic prescriptions for fever. I talked to him about ayurvedic medicines and we unanimously decided to start an ayurvedic regime for his sickness. I first diagnosed his prakruti (body constitution as defined by ayurveda) Mr. Doe’s body structure is short, thin and weak. His lean body frame, scanty and dry hair, dry and rough skin, big, protuberant, irregular teeth, his blackish and unsteady eyes all suggested that he is of vaat prakruti (vaat, pitta and kafa are the three basic body constituents which govern the functioning of our body). Everybody’s prakruti is made up of these three constituents. In Mr. Doe’s case, vaat is the dominant constituent and the other two are the recessive constituents. In short we can say that he is of vaat prakruti. When I examined him, his body temperature was somewhat less than normal. His palms and feet were cold but he said that the temperature increased in the evening and he felt the increase throughout the night. A few other notable facts are that Mr. Doe is in his late fifties, he goes to work early in the morning. In addition, his tendency towards vaat aggravating food with regular consumption of alcohol were adding to his vaat prakop (aggravation of vaat). I noted this on his case paper. Mr. Doe told me that he experienced low grade fever with slight shivering. In addition to this he talked about his tendency towards blackish hard stools, scanty urination, less sweating, experiencing cramps in the calf muscles and tastelessness in the mouth. I did a nadi pariksha (pulse examination). My diagnosis was that Mr. Doe was suffering from vaat predominant fever. To start with, I advised him complete bed rest for a minimum of five days followed by light work for the next ten days. I also explained to him certain dietary restrictions. Mr. Doe said that he would not be able to observe complete fasting even for a day because he cannot control hunger. Therefore the next choice was light food and plenty of fluids by mouth. For breakfast I advised cooked pulses, rice and real ghee; for his lunch and dinner I suggested jawar/bajra roti (a kind of flattened bread made from millet), cooked green vegetables, butter milk and plenty of fruit juices like pomegranate juice, sweet lemon juice, etc. three to four times a day. I prepared a decoction out of kade chirait (a diaphoretic herb) and gave it to him three times a day for five days. In the evening I prepared a decoction out of pimpal mool (piper longum), gulvel (tinospora cordifolia), nagarmotha and sunth (dry ginger) and gave that to him to take at bedtime. This helped in reducing his aches and pains. I recommended an alternate day late afternoon shower or tub bath with hot water. I also suggested wearing warm sweaters for induced sweating. After four to five days Mr. Doe started feeling better. He was comfortable with his diet of pulses, rice and real ghee. Ghee served the purpose of internal snehan (olation therapy.) Mr. Doe needs panch karma treatment i.e. snehan (systemic olation therapy) for long term relief. It will serve as a lubricant to the body system. It will help in reducing dryness. Snehan enters the dhatu (body tissues) and strotasa (body passages) and ultimately helps in driving impurities out of the body. Snehan mobilizes unwanted stuff lodged in the body. Mr. Doe has now stopped consuming alcohol. He has started doing regular exercise. These days he takes real ghee and lukewarm milk at bed time and maintains that he is much better than before.
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