Dengue fever, also known as break-bone fever. It is an infectious disease caused by dengue virus. Dengue Virus is transmitted by several species of mosquito within the the genus Aedes, principally A. aegypti. The virus has five different types. Dengue virus is a leading cause of illness and death in the tropics and subtropics. As many as 400 million people as infected yearly. Symptoms of dengue include fever, headache, muscle and joint pain, characteristics skin rash. In a small number of cases, the disease develops into life threatening threatening dengue hemorrhagic fever (DHF), resulting in bleeding, low levels of blood platelets and plasma leakage or into dengue shock syndrome, where dangerously low Blood pressure occurs.
According to Ayurveda, dengue fever comes under the category of Abhishanga-Jawra predominantly Pittaj Jawra ( Fever) is a large disease in Ayurveda which is described in broad spectrum. It is a condition in which the body temperature goes beyond the normal temperature and is characterized by disturbance in normal functioning of the system. It is acute and infectious disease. Fever suddenly rise and felling very weak. This fever mostly subsides within a week ; however, it is more dangerous for children and old age people.
History of dengue virus?
Dengue virus was isolated in Japan in 1943 by inoculation of serum of patients in mice and at Kolkata in 1944 from serum samples of US soldiers. The first epidemic of clinical dengue like illness was recorded in Madras in 1780 and the first virologically proven epidemic of dengue fever in India occurs in Kolkata and Eastern waste of India in 1963 -1964.
Signs and symptoms?
Dengue fever usually starts with high fever that’s why the temperature with Dengue fever is called as “saddleback” type temperature
Symptoms, which usually begin 4-5 days after infection and last for up to ten days, may include-
- Sudden and high fever
- Severe headache
- Retro- orbital pain behind Eyes
- Loss of appetite
- Skin rashes developed 3 to 4 days after onset of fever
- Severe joint and muscle pain (the joint pain in the body has given dengue fever the name that is break-bone fever)
The common symptoms of dengue fever may go in around 10 days but complete recovery from dengue can take more than a month.
People with weekend immune system as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.
Diagnosis of Dengue fever?
Diagnosis of dengue virus infection is routinely done by demonstration of anti dengue virus –IgM antibodies for recent infection or in IgM for previous exposure. Molecular method (reverse transcriptase PCR) being increasingly used in diagnosis of dengue viral infection. Blood platelets count of patient should be also done.
Patient presenting with fever and severe headache should be evaluated for both dengue and malaria. Peri- orbital pain along with the severe backache is characteristic of dengue.
Management of Dengue fever?
There is no actual treatment is available for dengue fever. Only a symptomatic treatment is given and patient gets relief in fever. Modern medicines gives relief only for sometimes and Side Effects are more developed. Ayurveda plays an important role in management of dengue fever because there are many medicinal plants are effective in Dengue Fever which are already mentioned in ancient Ayurveda text.
- Take 10 to 15 Holy basil leaves( Tulsi) and 10 to 15 gram coriander, boiled in 1 litre of water for 10 minutes have it when cooled to room temperature 3 to 4 times a day.
- Guduchi Ghan vati
- Godanti Bhasma
- Guduchi Satva
- Mahasudarshan Ghan Vati
Drug( Herb) of choice-
Guduchi (Tinospora cardifolia)–
Also known as Amrita is an anti inflammatory and antipyretic herb. The bitter properties present in Guduchi shows antispasmodic properties which is helpful in preventing infectious disease. In Dengue platelet count is decreases and body strength is very weak. Guduchi plays amazing role in increasing platelet count, strengthening our natural immune system. Recently guduchi or America has given the title of national herb.
Papaya ( Carica papaya)–
In recent times, papaya leaves are very effective and useful in management of dengue fever especially in increasing platelet count. In Dengue patient with low platelet count and those who develop hemorrhagic dengue fever papaya leaves and seeds are inhibiting haemolysis, increases thrombolytic Counts. Papaya Leaves also contains important nutrients including vitamin –A ,E and E they support the body immune system.
Recommended diet and Lifestyle for dengue patient?
- Always have homemade Fresh Food, plenty of luke-warm liquid
- Liberally use ginger and turmeric in foods
- Always avoid food prepared from unhygienic conditions, contaminated and stable food, cold drinks, beverages ect.
- Have cold milk with sugar candy
- Take proper rest and sleep and maintenance of personal and environmental hygiene
Prevention and control for dengue fever?
- Remove water from cooler and other containers frequently
- Use mosquito nets for repellents
- Wear long- sleeve clothes
- Cover water tanks /containers with lids
- Do not keep open water and regular clean water lodging
- Consult doctor before taking any medicines
Written by: Dr. Ranjeet Singh