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Abnormalities of Breast
milk | Disorders
of Breast
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Puerperal Pains
| Introduction
| Postpartum Bleeding
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The puerperal woman suffers from six types of fevers classified
under two major groups
- Nija (endogenous i.e. Vataja, Pittaja, kaphaja and Sannipataja) and
- Agantuja (exogenous i.e. stanyottha and grahottha).
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| Etiology of fever |
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- The woman either having abnormal delivery or consuming non-congenial diet after normal delivery suffers from fever.
- Due to suppression of natural urges, dryness (usage of fat free diet or other dry measures).
- Excessive exercise.
- Excessive haemorrhage (PPH).
- Grief .
- Excessive use of bitter, sour and hot articles.
- Sleeping during the day.
- Consumption of heavy and abhisyandi (moisture producing) diet.
- Appearance of milk in the breasts.
- Affliction by grahas (planets).
- Indigestion.
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| Factors responsible for vitiation of dosas which produce fever in a puerperal woman |
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As the body of puerperal woman becomes languid due to over exertion caused by continuous strong labour pains, vata etc. dosas are irritated, indriyas (conative and congnitive organs) are exhausted and dhatus
lose their sara (essence) due to haemorrhage, hence even if one dosha gets aggravated it gives too much trouble.
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The causes of increase or aggravation of fever
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Due to use of cold articles, fasting, exercise, tiredness, consumption of non-congenial food and use of other things capable of causing fever, the virulence of fever increases immediately.
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Clinical features
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The clinical features of vataja fever are
- Irregular temperature (low temperature in some body parts and high in other body parts)
- Body ache
- Excessive yawning
- Tastelessness or astringent taste of mouth
- Dislike for cold and desire for hot articles
- Morbid sensitiveness of the teeth
- Delirium
- Dry eructation (without association of vomiting)
- Insomnia
- Flatulence and feeling of contraction / spasm of body parts etc.
The clinical features of pittaja fever
are
- Thirst
- Burning sensation
- Delirium
- Vomiting
- Bitter taste of mouth
- Yellow appearance of face, nails, teeth, eyes, faeces and urine
- Dryness of throat
- Feeling as if every thing is burning, giddiness, and desire for cold things.
Clinical features of fever due to
slesma - Liking for hot or spicy things
- Cough
- Headache
- Heaviness of body
- Comparatively low grade temperature
- White colouration of urine and faeces
- Sleepiness, drowsiness
- Dislike for cold articles
- Repeated spitting
- Sweet taste of mouth
- Feelings of exhaustion.
Clinical features of fever due to sannipata or all the three
dosas
- At one time feeling of coldness while at the other burning sensations.
- Frequent rise and fall in temperature.
- Sometimes normal and sometimes abnormal agni (fever and digestive power); difficulty in excretion of faeces.
- Urine and flatus alongwith pain in abdomen due to vitiation of vayu.
- Due to vitiation of pitta burning sensation, thirst, delirium and unstability of mind;
Heaviness.
- Feeling of obstruction in throat, shivering etc. due to vitiation of kapha.
Clinical features of milk fever
- On the third or fourth day after childbirth, the milk starts appearing in the breasts.
- This milk reaches the stanyavahasrotasa (breasts), influences them and produces stiffness of breasts, thirst, hrdayadrava (tachycardia), pain in abdomen, flanks and sacral region, bodyache and headache.
- These are the symptoms of milk fever. The fever subsides as soon as the milk is properly drained.
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Clinical features of fever caused by grahas
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Clinical features of fever arising due to sight (effect) of grahas, fear, vata, trauma and shaking or trembling are as
follows
- Tremours of whole body
- Crying or deep breathing
- Abnormal visual perception
- Tiredness
- Twitching of hands and eyes
- Yellowishness of face and eyes
- Quick alteration in body complexion into blackness or normal colour.
- Inspite of full consciousness, crying and plucking of hair and other features of fever caused by vata are the clinical features of fever caused by grahas.
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General principle of treatment
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Methodically used sudation, fasting, use of digestive drugs or measures, drugs, decoctions, massage and ghrta cure fever.
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Prognosis
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- Fever due to sannipata having manifestation of all the clinical features is incurable, while with few signs and symptoms is cured with difficulty.
- In the puerperal woman having lost her bala (strength) and agni (digestive or metabolic capacity) also this fever never gets cured.
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The family
way
