Jvara-Nidāna-Lakṣaṇa: Causes, Doṣic Types, Āma/Nirāma Stages, and Prognosis of Fever
षट्चत्वारिंशदुत्तरशततमो ऽध्यायः धन्वन्तरिरुवाच / वक्ष्ये ज्वरनिदानं हि सर्वज्वरविबुद्धये / ज्वरो रोगपतिः पाप्मा मृत्युराजो ऽशनो ऽन्तकः / क्रुद्धदक्षाध्वरध्वंसिरुद्रोर्ध्वनयनोद्भवः
ṣaṭcatvāriṃśaduttaraśatatamo 'dhyāyaḥ dhanvantariruvāca / vakṣye jvaranidānaṃ hi sarvajvaravibuddhaye / jvaro rogapatiḥ pāpmā mṛtyurājo 'śano 'ntakaḥ / kruddhadakṣādhvaradhvaṃsirudrordhvanayanodbhavaḥ
അധ്യായം 147. ധന്വന്തരി പറഞ്ഞു—“സകല ജ്വരങ്ങളെയും ശരിയായി ഗ്രഹിക്കുവാൻ ജ്വരനിദാനം (കാരണങ്ങൾ) ഞാൻ പ്രസ്താവിക്കുന്നു. ജ്വരം രോഗങ്ങളുടെ അധിപൻ—പാപസ്വരൂപൻ, മരണരാജൻ, ഭക്ഷകൻ, അന്തകൻ; കോപത്തിൽ ദക്ഷയജ്ഞം ധ്വംസിച്ച ഊർദ്ധ്വനയനധാരിയായ രുദ്രനിൽ നിന്നാണ് അതിന്റെ ഉദ്ഭവം.”
Dhanvantari
Concept: Jvara is ‘lord of diseases’, a death-like devourer; understanding its nidāna is essential for comprehending all fevers; its origin is traced to Rudra’s wrath in the Dakṣa-yajña myth.
Vedantic Theme: Suffering in embodiment is both natural (prakṛti) and symbolically tied to cosmic order/disorder; knowledge of causes is a step toward mastery and relief.
Application: Study fever etiologies systematically; treat with seriousness and early intervention; cultivate reverence for forces that exceed individual control (humility in medicine).
Primary Rasa: raudra
Secondary Rasa: bhayanaka
Type: ritual arena
Related Themes: Garuda Purana medical chapters: jvara nidāna and classifications (Chapter 147 context); Garuda Purana: mythic framing of diseases as deities/forces (general motif)
This verse frames fever as the “lord of diseases,” so knowing its nidāna (causes) is presented as foundational for correctly grasping and managing all fevers.
It portrays fever as arising from Rudra—the deity associated with fierce transformative power—specifically recalling Rudra’s destruction of Dakṣa’s sacrifice, emphasizing fever’s formidable, destructive aspect.
Treat fever seriously, seek to understand its root causes (nidāna) rather than only suppress symptoms, and adopt disciplined conduct—since the verse also associates jvara with ‘pāpmā’ (harm/evil) as a warning against neglect and imbalance.