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प्रवृत्तिस्तु परिग्रहात् । निदाने पूर्वमुद्दिष्टा रुद्रकोपाच्च दारुणात् ॥ १४ ॥

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{"source": "Samhita : Charaka Samhita Part 2, Chapter :3, Sthanam :Chikitsasthanam, Shloka Number: 14", "explanation": "This shloka explains the initial manifestation of fever (Jwara). It highlights two main causes:\n\n1. **Parigraha (Receiving/Contracting):** This refers to the intake or contact with causative factors of fever.  These factors can be broadly categorized as:\n\n    * **External Factors (Bahya Parigraha):**\n        * **Vitiated Doshas:** Exposure to excessively cold, hot, or dry environments can vitiate Vata, Pitta, or Kapha doshas, respectively, leading to fever.\n        * **Infectious Agents:** Contact with individuals carrying infectious diseases can transmit the illness and cause fever.\n        * **Unwholesome Diet and Lifestyle:** Consuming contaminated food or water, irregular sleep patterns, and excessive physical exertion can weaken the body's defenses, making it susceptible to fever-causing agents.\n\n    * **Internal Factors (Abhyantara Parigraha):**\n        * **Ama (Undigested Toxins):** Accumulation of ama due to improper digestion can obstruct the flow of Srotas (body channels) and lead to fever.\n        * **Suppressed Emotions:**  Repressed emotions like anger, fear, and grief can disrupt the body's balance and manifest as fever.\n\n2. **Rudra Kop (Wrath of Rudra):** Rudra, a fierce form of Lord Shiva, is associated with natural calamities and diseases.  This concept signifies the role of powerful, unseen forces in causing diseases. In the context of fever, it can be interpreted as:\n\n    * **Epidemics:**  Sudden outbreaks of infectious diseases that affect a large population can be seen as a manifestation of Rudra's wrath.\n    * **Difficult-to-Treat Fevers:**  Fevers that are resistant to conventional treatments and have a severe impact on the body can be attributed to this concept.\n\nThe shloka refers to a previous section (Nidana Sthana, Chapter 1) for a more detailed explanation of these concepts.  This suggests a layered approach to understanding fever, where the initial causes are introduced here, and further elaborated upon in the designated chapter."}
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