Dengue fever is a benign, acute, febrile syndrome occurring in tropical regions. Dengue has been called the most important mosquito-transmitted viral disease in terms of morbidity and mortality. Fever, skin rash, bone pain and nausea and vomiting are common symptoms of this condition. In a small proportion of cases, the virus causes increased vascular permeability that leads to a bleeding condition which is similar to disseminated intravascular coagulation (DIC) and is known as dengue hemorrhagic fever (DHF). Dengue fever is not contagious through person-to-person contact.
The rapid, clinical response of dengue fever to aggressive treatment, including fluids and electrolytes, even in very serious patients, is among the most dramatic events in clinical medicine. Treated promptly, children in shock and coma can wake up and return to near normalcy within hours. The Ayurvedic treatment of dengue fever is aimed at treating the symptoms and preventing complications. Medicines like Panch-Tikta-Ghrut-Guggulu, Triphala-Guggulu, Sukshma-Triphala, Kamdudha-Ras, Chandrakala-Ras, Laxmi-Narayan-Ras, Maha- Sudarshan-Churna and Praval- Bhasma are used to treat fever. Skin rash is treated using medicines like Mahamanjishthadi-Qadha, Saarivadi-Churna, Arogya-Vardhini and Panch-Tikta-Ghrut.
Bone pain in dengue fever can be severe and may last for several weeks. This is treated using medicines like Laxadi-Guggulu, Panch-Tikta-Ghrut-Guggulu, Triphala-Guggulu, Vish-Tinduk-Vati, Vat-Gajankush-Ras, Maha-Vat-Vidhwans-Ras, Maha-Rasnadi-Qadha, Dashmool-Qadha, Godanti-Bhasma, Shrung-Bhasma, Sarpagandha (Rauwolfia serpentina), Khurasani ova (Hyoscyamus niger), Nirgundi (Vitex negundo), Rasna (Pluchea lanceolata), Vishwa (Zinziber officinalis) and Jayphal (Myristica fragrans). Nausea and vomiting can be treated using medicines like Shankh-Vati, Sutshekhar-Ras, Laghu-Sutshekhar and Praval-Panchamrut.
DHF can manifest as bleeding patches on the skin, bleeding from the nose or gums, bleeding from the gastro-intestinal tract and heavy vaginal bleeding. Severe internal bleeding can lead to serious circulatory collapse and shock. Bleeding can be controlled, reduced or prevented using medicines like Chandrakala-Ras, Kamdudha-Ras, Haridra (Curcuma longa), Amalaki (Emblica officinalis), Naagkeshar (Messua ferrea), Sphatik-Bhasma (Purified alum), Laxa (Purified wax), Vasa (Adhatoda vasaka), Chandan (Santalum album), Usheer (Vetiveria zizanioidis), Manjishtha (Rubia cordifolia) and Saariva (Hemidesmus indicus).
In most patients, the fever usually settles with treatment within 7 to 8 days. Patients with DHF require hospital admission in order to prevent complications like circulatory collapse and death. In such patients, survival is related directly to early hospitalization and aggressive, supportive care.