A case study of Dengue Fever with Ayurveda line of management

Vijayendra G. Bhat; Nishanth Pai; M Ansha

A case study of Dengue Fever with Ayurveda line of management

G. Bhat V.^1*, Pai N.², Ansha M.³

DOI:

^1* Vijayendra G. Bhat, Associate Professor, Dept. of PG studies in Kayachikitsa and Manasaroga, Shri Dharmasthala Manjunatheshwar College of Ayurveda, Kuthpady, Udupi, Karnataka, India.

² Nishanth Pai, Assistant Professor, Dept. of PG studies in Kayachikitsa and Manasaroga, Shri Dharmasthala Manjunatheshwar College of Ayurveda, Kuthpady, Udupi, Karnataka, India.

³ M Ansha, Second Year Post Graduate Scholar, Dept. of PG studies in Kayachikitsa and Manasaroga, Shri Dharmasthala Manjunatheshwar College of Ayurveda, Kuthpady, Udupi, Karnataka, India.

Innumerable invaders infecting the body every point of time and body immune system fights against it to maintain the health in the body. Physiology of triggering the immune system is closely associated with the rise in the body temperature which is diagnosed as fever. Treatment approach to this condition through conventional medicinal system and contemporary medicinal system are entirely different. Especially a case of Dengue fever which was successfully treated on the basis of Jwara Chikitsa is presented here and advantage of Ayurveda treatment is appreciated.

Keywords: Dengue fever, breakbone fever, Ayurveda intervention, Case Report

Corresponding Author	How to Cite this Article	To Browse
Vijayendra G. Bhat, Associate Professor, Dept. of PG studies in Kayachikitsa and Manasaroga, Shri Dharmasthala Manjunatheshwar College of Ayurveda, Kuthpady, Udupi, Karnataka, India. Email:	Vijayendra G. Bhat, Nishanth Pai, M Ansha, A case study of Dengue Fever with Ayurveda line of management. J Ayu Int Med Sci. 2022;7(7):146-149. Available From https://jaims.in/jaims/article/view/1929

Introduction

Dengue is the most rapidly spreading vector-borne viral disease transmitted by the bite of female mosquitoes of the species Aedes aegypti.^[5] It is named as ‘breakbone fever’ with the symptoms range from high fever, severe head ache, intense muscle and joint pain, rashes and in one third patients haemorrhagic shock leads to death.^[6] There are four closely related dengue viruses, which are called dengue serotypes. Although recovery from infection gives immunity from the same dengue serotype, various residual symptoms like joint pain, debility and less immunity against infectious diseases have been recorded when it is treated through modern medicines. Dengvaxia, a Dengue tetravalent live vaccine, will increase the risk of dengue haemorrhagic fever.^[7] As per a study, in India, the actual number of dengue cases was 282 times the number reported by the national vector-borne disease control programme.^[8] A case of fever detected with dengue test positive, early treated with only Ayurveda medicine has limited to attain only moderately severe symptoms. He got discharged after treatment for ten days with only Ayurveda medicines since onset of fever. He was found to be completely recovered from all the signs and symptoms without any residual prostrations.

Case Report

A male patient aged 43years got admitted to our hospital on 2/11/21 for low back pain and diagnosed with sciatica. He was started with Kati Basti and oral medications and found relief with his chief complaints. Later on 11/11/21 he started complaining of headache and sneezing for that he was prescribed with Sitolpaladi Choornam^[9] 3gms with honey every third hourly. On the same day he had difficulty in sleep, hence one dose of Saraswatharishtam^[10] was given at night which resulted him a sound sleep. On 12/11/21 he had raised temperature of 99.6°F at 6 am, Amritharistham^[11] 20ml stat given and all the treatments for lumbago was put on hold. At 9:30 fever attained to 102°F and evening it was 103°F blood test done has revealed Dengue positive along with decreased platelet counts. He was prescribed with 1 Sudharshana Ghana Vati^[12], Sitolpaladi Choornam 2 gm with honey, Lakshmivilasa Ras^[13] 1 tab, 5ml of Amritharistham and 5 ml of Syrup Kalamega. All these oral medicines

were consumed by the patient once in every three hours irrespective of food intake. Diet restricted to only rice gruel. At 3pm temperature was 103°F. Temperature was monitored at every three hourly and platelets were checked twice daily. Second day in the morning temperature was 98.7°F, same pattern of medications was followed for another three days. Temperature was sustained at normal from second day onwards and platelets counts got raised to normal on 8^th day of treatment.

Changes	During Ayurveda Treatment of first 3-4 days	After Ayurveda Treatment for 8 days
Temperature	103°F on first day evening	98.7°F on second days onwards.
Platelet counts	1.4 on 3-5th day	2.2 on 8th day
Symptoms like sneeze	Moderate	No sneeze 2nd day onwards
Head ache especially occiput area	Severe on first day	Cured on 2nd day
Muscle, joint pain	Moderately severe	No Muscle, joint pain 5th day onwards
Rashes, bleeding, severe debility	None	None

Discussion

There is no specific anti-viral treatment currently available for dengue fever in modern science. For the past years it is managed by supportive care with analgesics, fluid replacement, and bed rest and other symptomatic treatment with NSAID’s^[14] When the antibiotics are also consumed, it is evident that patients suffers from severe fatigue, variation in the digestion and becoming susceptible for further more infections since passive immunity subsides active immune system of the body. When fever is suppressed by antipyretic drugs, temperature tends to raises further more once the effect of drug has over, intended to trigger immune mechanism to fight against invaders. Repeatedly suppressing the fever will open the gateway for invaders to get deep route in to the system with a significantly greater risk of developing severe disease.

In Ayurveda Dengue fever can be correlated with Dandaka Jwara^[15] is given in the Parishishta chapter of Madhava Nidana. This case was early diagnosed and treated through Ayurveda medications. First one was Sitolpaladi Choornam which is explained in Sharangdhara Samhita Madhyama Khanda which consists

of drugs mainly of Sitolpala, Pippali, etc. which enhances health against fever, breathing distress, digestive pathologies, anorexia etc. also Vata Kaphahara which showed good results for ILI symptoms. Saraswatharishtam with reference of Sahasrayoga which contains drugs such a Brahmi etc. which is a good tranquilizer hence, enhances sleep. Amrutharishtam which also mentioned in Sahasrayoga as well as Bhaishajarathnavali in Jwara Adhikara. It consists of Amrita, Bilva, Shyonka, Agnimantha etc. which have Jwarahara properties.

Sudharshana Ghana Vati which is described in Bhaishaja Rathanavali as well as Sahasrayoga. Main ingredients are Kaleeyaka, Musta, Hareetaki etc. which all have excellent Jwarahara properties. Lakshmivilasa Rasa which has strong Kaphavatahara properties which palliates phlegm and respiratory related disorders such as cough, cold and Asthma. It has antipyretic and expectorant properties and also helps in balancing Tridosha like Vata, Pitta, and Kapha in the body. Kalamegha (Bhoomyamalaki) which is best known liver tonic which is also results in normalising blood components, normalises metabolic activity and enhances immune system. Proper administration of medications every 3 hourly for three days has developed good enough immunity against the disease causing virus hence temperature set back to normal soon and platelets count also came back to normal without any bleeding complication. Lab tests were also done on time helped to monitor the changes in platelets counts. Also there were no side effects found after the course of treatment as well.

Conclusion

Fevers below 104°F (40°C) associated with common viral infections, such as the flu, may help the immune system fight disease and are generally not harmful. In such conditions instead of consuming drugs of antipyrexia, natural immunomodulators of Ayurveda, as a part of Jwara Chikitsa, results in avoiding later complication and in improving general health. It is evident that Dengue Fever can managed wisely with the Ayurvedic medications through timely intervention.

Variables depicted down here in the bar diagram from the first day of treatment to the day where everything got under control within a short span of time with limited amount of medications without any complications.

Reference

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Manuscript Received	Review Round 1	Review Round 2	Review Round 3	Accepted
2022-06-25	2022-06-27	2022-07-04	2022-07-11	2022-07-18
Conflict of Interest	Funding	Ethical Approval	Plagiarism X-checker	Note
Nil	Nil	Yes	16%

Case Report

Dengue fever

Journal of Ayurveda and Integrated Medical Sciences