Abstract

Dengue fever is one of arthropod born and epidemiological disease caused by Arbovirus carried by vector Aedes aegypti. Dengue is the most rapidly spreading mosquito borne viral disease in the world. The survey findings indicated that 49% of country's population had been previously infected with DENV. Due to rapid urbanization, lifestyle changes and deficient water management including improper water storage practices in urban, peri urban and rural areas, leading to proliferation of mosquito breeding sites. Dengue fever has a seasonal pattern, the cases peak after monsoon not uniformly distributed throughout the year. Incubation period of 2-7 days. Fever, malaise, retro-orbital pain, headache, arthralgia, petechiae, itching are common features. Thrombocytopenia is common. Macular rash may occur on first day. Illness may last a week with additional symptoms such as nausea, vomiting, anorexia, marked cutaneous hypersensitivity. Maculopapular rash begins on the trunk spreading to extremities and face. Leucocytes and platelets numbers decreases. Serum aminotransferase level may rise. IgM ELISA or paired serology test should be done at the phase of recovery. Antigen detection ELISA or RT-PCR during acute phase should be done. Due to Jwara Nidan, Pachakagni produces Doshakar Dravya which imbalances Tridosha. Ushma is necessary for Jwalan (burning) of this Doshkar Dravyas. Doshkar Dravya causes Kshobh to Vata Dosha and particularly Saman Vayu, causes more Agni Prajwalan and increases Ushma. Excessive increase in Ushma leads to Ojasthana Hriday Dushti, Tarpak Kapha in Shira Dushti, Shirashta Indriyadushti, Pranasthana Dushti. According to Samhita study, dengue fever can be correlated to Agantu Jwara, Sannipatik Jwara, Dandak Jwara and Vishamjwara. Keywords: Doshakar Dravya, Jwara Nidan, Pachakagni, Tridosha, Ushma

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