Swine Flue (संनिपातिक ज्वर)

Right now the epidemic of swine flu has frightened our nation. But our ancient Indian medicine system that is Ayurveda has a solution to it. Only what we need to fine it out.
As the first incidence of swine flu in humans was reported in 1918. There is no clear direct classification or an ayurvedic name for swine flu available in a ancient authorized text of ayurveda.

But as per guidelines given by our great acharyas we can classify the disease in a category of sannipatic jwar.
And as per the symptoms found in patient (निदान) further classification could be done as Prakruti-sama-samavay (प्रक्रुतिसमसमवाय), Prakruti-visham-samavay (प्रकृतीविशमसमवाय), ekolban (एकोल्बन), Dulban (दुल्बन), Sama ( सम ).
And accordingly it should be treated.
Now lets approach the details of disease in an ayurvedic way.

Causes (हेतू)

As it is an epidemic (जनपदोध्वंसक व्याधी) the basic causes are, Area affected with epidemic (देश) , time period in which epidemic has occurred (काळ), water (जल), Air(वायू). As per modern science the virus is transmitted through aerial route.
Hence a person should keep isolation from affected patient, and stay away from epidemic affected area to avoid infection.

Signs and symptoms ( पूर्वरूप व रूप )
Fever (ज्वर)
Fatigue (अंगमर्द)
Cough (कास)
Running Nose(पीनस)
Sore throat (गलशूल)
Nausia (मळमळ)
Diarrhea (द्रव मल प्रवृत्ती)
All or few symptoms may be present, cardinal symptoms are Fever, Body ache, Headache & Running nose.

How it is diagnosed?
There is a nasal Swab test available to diagnose.

Prognosis (साध्यासाध्यत्व)

As it is a epidemic and a big threat in today’s era one should primarily think about the prognosis of a disease.
As it is a mutated viral infection and presented in a n epidemic form & the infecting organism(virus) has also developed resistance for some modern medicines itself proves the strength and ability of a virus to fight hence as per ayurvedic view it is उत्तम व्यधिबल. That means the disease is going to be कष्टसाध्य (difficult to treat).
Patients with preexisting diseases like Asthma, Diabetes, hypertension, cardiac problems, C.O.P.D., other lung infections , immunocompromised patients, renal impairment. Prognosis becomes bad. They are at more risk.
Patient in age group of below 5 years and above 60 years areat more risk. Because of हीन रुग्णबल
Patient who has ignored the disease for long time and left it untreated are at great risk because of व्याधीप्रसार
Secondary Complications (उपद्रव)
Most Common secondary infection is a pneumonia, patient may land up in A.R.D.S., and if vomiting and diarrhea are not controlled then there may be severe electrolyte imbalance or patient may suffer acute renal failure.
Pathophysiology of a disease as per ayurveda (संप्राप्ती)
As it is a Jwar pathophysiology starts from Aamashay. As any other jwar there is a obstruction of Sweating System (स्वेदोवाःस्त्रोतसावरोध). Hence there is rise in body temperature.
Systems Involved :-
1) Digestive System. (अन्नवह स्त्रोतस)
2) Sweating System (स्वेद्वह स्त्रोतस)
3) Respiratory System (प्राणवह स्त्रोतस)
4) Circulatory System (रसवह स्त्रोतस)
5) Renal System (मूत्रवह स्त्रोतस)
Dhatus involved
1) Rasa Dhatu

Treatment (चिकित्सा)
लंघनम स्वेदनम कालो यावग्वस्तीक्तको रसः
With newly diagnosed patient a doctor can approach with above mentioned chikitsa sutra. Which means keep patient for fasting ,. Let patient sweat, let the time pass, and advice alighter diet there after which is bitter in test and has some antipyretic properties.
This is very basic and freely applicable treatment protocol for fever or Jwar as per ayurvedic principle.
In case of Swine Flu as it is a epidemic (जनपदोध्वंसक व्याधी) treatment should be in two aspects.
1) With respect to community which give priority to prophylaxis.
2) With respect to patient.
With respect to community
As it is an epidemic there should be an isolation system available for the treatment of infected patient. Secondarily visit to an epidemic affected area should be avoided. Or a person coming from an epidemic affected area should be kept in isolation and diagnosed thoroughly whether he is infected or not.
Secondly as it is an areal infection hence Dhupan is very good to avoid infection. Dhupan should be done by Guggul, ral, shirish, vacha, neem, cow dung,ghee etc..
One should wash hand, face every time after coming to home from outside. One should gargal with Jeshtimadh Kadha, or tulsi swaras. One can inhale steam madeup with Tulsi, Neem, vacha, Shirish, Sunthi, vics etc..

With respect to patient
As mentioned earlier it is a sannipatik jwar hence the treatment should be started as per the dosha which is dominant in samprapti. And then subsequent doshas should be treated.
While doing treatment basic treatment protocol for jwara shold be kept in mind.

Kalpas which are helpful in treatment of Swine Flu are:-
1) Tribhuvankirti Ras
2) Aanand Bhairav Ras
3) Rasapachak
4) Mahalaxmivilas Ras
5) Madhumalini Vasant
6) Laghumalini Vasant
7) Suvarnamalini vasant
8) Agnitundi Vati
Aasav / Arishta/ Kadha which are helpful in treatment of Swine Flu are:-
1) Amrutarishtam
2) Kumari aasav
3) Paripathadi Kadha
4) Mahasudarshan Kadha
5) Kanakasav
6) Dashamoolarishtam
Powders which are helpful in treatment of Swine Flu are:-
1) Guduchi
2) Musta
3) Kiratatikta
4) Pitta papda
5) Patol
6) Usher
7) Shirish
8) Sitopaladi
9) Dhatupachak
10) Kantakari
11) Trikatu
12) Sukshma Triphala
One should incorporate appropriate medicine as per severity of symptoms and dominance of doshas.

Some Basic tips:-
1) As a disease belongs to Respiratory System (प्राणवह स्त्रोतस) Medicine should be administered in small regular intervals that is मुहुर्मुहु चाटण is more preferable.
2) As it is a jwar and has origin is in Aamashay and there is gross samavastha in system and we have to concentrate on pachan chikitsa, one should avoid giving heavy to digest medicine and keep number of medicine as low as possible.
3) Use ghrutapan in jirna Avastha
4) Keep close watch on preexisting diseases
5) Try to avoid secondary infections
6) Perform daily necessary pathological /radiological investigations.
7) Isolation of patient is must to avoid cross infection.


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