मलसङ्गाज्ज्वरः क्रुद्धैर्दोषैः सम्प्राप्य देहम्"

The sloka "मलसङ्गाज्ज्वरः क्रुद्धैर्दोषैः सम्प्राप्य देहम्" is from Sushruta Samhita, Uttara Tantra (39.3) and explains the pathogenesis of Jwara (fever) according to Ayurveda.

Meaning & Explanation:

• मलसङ्गात् (Mala Sangat) – The accumulation of metabolic waste (Ama) and improper elimination of toxins.
• ज्वरः (Jwara) – Fever arises as a result.
• क्रुद्धैः दोषैः (Kruddhaih Doshaih) – When the doshas (Vata, Pitta, and Kapha) become aggravated.
• सम्प्राप्य देहम् (Samprapya Deham) – These imbalanced doshas spread throughout the body, affecting different systems and causing fever.

Clinical Interpretation:

This sloka emphasizes that fever is a result of improper digestion (Agni Mandya), accumulation of toxins (Ama), and the aggravation of doshas. If these factors are not addressed, they circulate in the body, leading to fever and systemic disturbances.

Treatment Approach Based on This Sloka:

1. Langhana (Fasting & Light Diet): Helps in digestion of Ama.
2. Deepana & Pachana Herbs: Trikatu, Hingwashtaka for digestion improvement.
3. Shodhana (Detox Therapies): Vamana, Virechana for chronic fevers.
4. Shamana Therapy: Sudarshana Churna, Amrutottaram Kashayam based on dosha involvement.

This highlights the Ayurvedic root-cause approach to fever, focusing on Ama elimination and dosha balance rather than just symptom suppression.