Jvara-Chikitsa: Doṣa-wise Fever Management, Medicated Waters, and Escalation Therapies
पादयोस्तु ललाटे वा दहेल्लौहशलाकया / तिक्ता पाठा पर्पटाश्च विशाला त्रिफला त्रिवृत् / सक्षीरो भेदनः क्वाथः सर्वज्वरविशोधनः
pādayostu lalāṭe vā dahellauhaśalākayā / tiktā pāṭhā parpaṭāśca viśālā triphalā trivṛt / sakṣīro bhedanaḥ kvāthaḥ sarvajvaraviśodhanaḥ
One may cauterize, for therapy, either the soles of the feet or the forehead with a heated iron rod. A decoction of bitter herbs—tiktā, pāṭhā, parpaṭa, viśālā, triphalā, and trivṛt—taken with milk acts as a purgative and purifies the body from all kinds of fevers.
Lord Vishnu (Śrī Bhagavān) instructing Garuda
Concept: Śarīra-śuddhi (bodily purification) as a support for right living; disciplined treatment to remove jvara (fever) and restore balance.
Vedantic Theme: Instrumentality of the body (śarīra-sādhana) for pursuing puruṣārthas; purification as a preparatory aid (sādhana) rather than the final end.
Application: Use of cauterization at specified points and a bitter-herb decoction with milk as purgation for fever-management under competent guidance.
Primary Rasa: shanta
Secondary Rasa: adbhuta
Related Themes: Garuda Purana 1.176.1-4 (adjacent medical recipes for hair/skin conditions)
This verse presents a specific kwātha (decoction) formula and a supporting therapy (cauterization) aimed at cleansing the system and reducing fevers, reflecting the Purana’s practical Ayurvedic guidance.
Purification here is bodily: the trivṛt-based decoction taken with milk is described as bhedana (purgative), and thus a viśodhana (cleansing) that helps remove fever-causing impurities.
It highlights a classical approach: bitter herbs and regulated cleansing as part of fever management—best understood today as historical Ayurvedic guidance and applied only with qualified clinical supervision.