Complain:

A 27 year old male resident of Gurgaon visited us with symptoms of high temperature, loose stools of dark colour, fatigue, pain in the abdomen after meals and rashes on the forehead. He was found to be of a Vata Pitta Prakriti. 

He complained that his fever would go after taking paracetamol, but according to him, antibiotics do not work on him.

The patient is a young entrepreneur, teetotaller, non-smoker, not in the habit of doing regular physical activity but appears to lead an active lifestyle.  He was found not to be lazy or living a sedentary life. His food preferences include pure vegetarian meals.

Investigation & Diagnosis

The patient was found to have a history of Typhoid.  He had suffered from it 3-4 times in the last 3 years. 

BP - 120/70 mm Hg at the time of visit 

PR / Respiratory rate - normal 

Blood report - revealed Paratyphoid Saturation Positive 

On further questioning and examination, it was found that he had travelled to Chennai and his village in Haryana and eaten at a lot of local hotels and food joints.

Further, examination revealed the following:

Tongue - white coating 

Stools - loose and dark in color 

Sweating - heavy 

Sweet cravings, craves for chocolate and sweets

Intolerance to spice. 

Weight loss - 6 kgs in the last 3 months 

Fatigue and weakness 

Nadi - Pitta Vata Pradhana  

The patient was diagnosed with Antrik Jwara / Vishama Jwara in Ayurveda

Treatment 

His treatment started with Amrutarishtam, Vettumaran Gulika Tablets, Vilwadi Gulika and herbs like Kiratatikta, Guluchi, Hareetaki, Shunti, Drakshadi Kashayam and Vilwadi Lehyam among other Ayurvedic medicines. 

During the latter part of the treatment, medicines like Narasimha Rasayanam and Chyavanaprasham were prescribed to improve strength.

The patient was advised a diet of simple Mung dal khichdi, Vegetable soup of Ghiya (Bottle Gourd) and Pumpkin and buttermilk. He was asked to avoid curd, leafy vegetables and excessive consumption of milk.

Juices of fresh fruits and vegetables like Pomegranate, Apple, Beetroot, and Carrots were recommended to be taken in combinations.

Barley boiled water and rice boiled water were prescribed to be taken once a day.

The medications were continued for about 2 months. 

Relief

The recurrent fever came down in 1 week and loose motions stopped. 

Basic Jwara Chikitsa was given, with Ama pachana (detoxification )and Agni Deepana (to promote digestion and metabolism), followed by strength promoting medications. 

He was strongly advised not to eat/drink water or cold beverages from unhygienic places and to sanitize his hands regularly throughout the day and especially before eating. 

It has now been 8 months after the treatment, and there have been no relapses.