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आलस्यं नयने साले जृम्भणं गौरवं क्लमः । ज्वलनातपवाय्वम्बु भक्तिद्वेषावनिश्चितौ ॥ २८ ॥
अविपाकास्यवैरस्ये हानिश्च बलवर्णयोः । शीलवैकृतमल्पं च ज्वरलक्षणमग्रजम् ॥ २९ ॥

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{"source": "Samhita : Charaka Samhita Part 2, Chapter :3, Sthanam :Chikitsasthanam, Shloka Number: 28 to 29", "explanation": "These verses (28-29) detail the premonitory symptoms of fever (Jwara Lakshana Agraja), the subtle signs that appear before the fever fully manifests.  Understanding these early indicators is crucial for timely intervention and management.\n\n**Verse 28:** This verse lists several initial symptoms:\n\n*   **Alasyam:** Lassitude, a general feeling of tiredness and lack of energy.\n*   **Nayane Saale:** Congested or watery eyes, often accompanied by a feeling of heaviness or stickiness.\n*   **Jrimbhanam:** Frequent yawning, indicating an imbalance of Vata dosha.\n*   **Gauravam:** Heaviness of the body, a feeling of sluggishness and lack of motivation.\n*   **Klamah:** Exhaustion or fatigue, even after minimal exertion.\n*   **Jwalana-Atapa-Vayu-Ambu Bhakti-Dweshau Anischitau:** Fluctuating and unpredictable desires and aversions towards heat (Jwalana/Atapa), wind (Vayu), and water (Ambu). This reflects the disturbed state of the doshas.\n\n**Verse 29:** This verse continues with further premonitory signs:\n\n*   **Avipakah:** Indigestion, characterized by discomfort, bloating, and impaired digestive function.\n*   **Asya Vairasyam:** Distaste in the mouth, a metallic or altered taste, often accompanied by a coated tongue.\n*   **Hanih Bala-Varnayoho:** Loss of strength (Bala) and complexion (Varna). The individual may appear pale and weak.\n*   **Sheela Vaikritam Alpam:** Slight behavioral changes, such as irritability, anxiety, or restlessness.\n\n**Summary Table of Prodromal Symptoms:**\n\n| Symptom (Sanskrit)     | Description                                     |\n| :---------------------- | :---------------------------------------------- |\n| Alasyam                | Lassitude, fatigue                             |\n| Nayane Saale           | Watery, congested eyes                          |\n| Jrimbhanam             | Yawning                                        |\n| Gauravam               | Heaviness of the body                           |\n| Klamah                 | Exhaustion                                     |\n| Jwalana/Atapa          | Fluctuating desire/aversion to heat              |\n| Vayu                   | Fluctuating desire/aversion to wind               |\n| Ambu                   | Fluctuating desire/aversion to water              |\n| Avipakah               | Indigestion                                    |\n| Asya Vairasyam          | Distaste in the mouth                           |\n| Hanih Bala-Varnayoho | Loss of strength and complexion                 |\n| Sheela Vaikritam Alpam | Slight behavioral changes (irritability, etc.) |\n\nThese prodromal symptoms are crucial for early diagnosis and treatment of fever.  Addressing these initial imbalances can prevent the fever from progressing and minimize its impact on the individual's health."}
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