Jvara-Chikitsa: Doṣa-wise Fever Management, Medicated Waters, and Escalation Therapies
पित्तज्वरघ्नः समधुः क्वाथः पर्पटनिम्बयोः / विधाने क्रियमाणे ऽपि य्सय संज्ञा न जायते
pittajvaraghnaḥ samadhuḥ kvāthaḥ parpaṭanimbayoḥ / vidhāne kriyamāṇe 'pi ysaya saṃjñā na jāyate
पर्पटनिम्बयोः समधुः क्वाथः पित्तज्वरघ्नः; विधाने क्रियमाणेऽपि यस्य संज्ञा न जायते, तस्यायं विधिः।
Lord Vishnu (speaking to Garuda)
Dosha: Pitta
Concept: Prompt, appropriate intervention for the vulnerable; duty of care even when the patient is insensible.
Vedantic Theme: Karunā as practical dharma; sustaining life as a prerequisite for higher pursuits.
Application: For pitta-jvara, administer parpaṭa-nimba kvātha with honey; in cases of persistent insensibility, this is stated as the prescribed measure (to be applied with clinical caution).
Primary Rasa: karuna
Secondary Rasa: shanta
Related Themes: Garuda Purana 1.175 (pitta-jvara remedies; management when consciousness does not return)
A decoction (kvātha) of parpaṭa and nimba (neem), administered with honey, is stated to destroy pitta-fever.
It points to a severe state where consciousness/awareness does not return; the verse frames the remedy as applicable even when treatment is ongoing for such an insensible patient.
It underscores pitta-pacifying bitter herbs (like neem) and supportive adjuvants (honey) in fever care; severe fever with reduced consciousness is an emergency requiring immediate medical attention.