Santapshamak Mishran – Medicinal Properties, Ingredients, Indications, Dosage & More

Classical Reference : Ras Tantra Saar and Siddha Prayog Sangreha

Classical Indication : Jwara

Introduction

High fever, clinically defined as a body temperature above 39 °C (102.2 °F), represents an intensified systemic response to infection, inflammation, or metabolic disturbance. Scientifically, fever occurs when pyrogens stimulate the hypothalamic thermoregulatory center, leading to elevated prostaglandin E₂ levels and a reset of the body’s temperature set point. While moderate fever supports immune defense by inhibiting pathogen replication, sustained high fever increases metabolic demand, accelerates dehydration, and may impair neurological function, especially in children and the elderly. Today we will discuss one such formulation which manages high fever and the name of the formulation is Santapshamak Mishran. Let’s discuss!!

Ingredients

1. Godanti Bhasma – (Gypsum)- 8 Tola
2. Giloya Satva – Tinospora cordifolia – 4 Tola
3. Pravala Pishti – Processed coral calcium- 4 Tola
4. Jahar-Mohra Pishti – Magnesium silicate (processed mineral)- 2 tola
5. Kajjali (From purified Mercury & Sulphur) – Mercuric sulphide (HgS)- 2 Tola
6. Jatamansi – Nardostachys jatamansi- 1 tola
7. Small Elaichi (lesser cardamom) seeds – Elettaria cardamomum- 1 tola
8. Khas (Vetiver) – Chrysopogon zizanioides (syn. Vetiveria zizanioides)- 1 tola
9. Bhimsenī Kapur (Natural Camphor) – Cinnamomum camphora- 6 Masha

Description Of Ingredients

1. Godanti Bhasma

Godanti Bhasma is Sheeta virya and Pitta-shamaka, traditionally used to relieve excessive heat, thirst, and burning sensations in fever. It stabilizes Agni without aggravating Pitta and supports strength during prolonged Jwara.

2. Giloya Satva

Giloya Satva is Tikta and Kashaya in rasa with Ushna virya, making it a prime Jwaraghna and Rasayana. It digests Ama, balances all three Doshas, and supports recovery in recurrent and chronic fevers.

3. Pravala Pishti

Pravala Pishti is Sheeta, Madhura, and Pitta-nashaka, especially beneficial in fevers accompanied by burning sensation and debility. It nourishes Rasa and Raktha dhatu while calming internal heat.

4. Jahar-Mohra Pishti

Jahar-Mohra Pishti possesses Sheeta guna and is traditionally indicated in high-grade and toxic fevers. It pacifies aggravated Pitta and stabilizes the system during excessive Daha and restlessness.

5. Kajjali (Parad–Gandhak Yoga)

Kajjali is Ushna, Tikshna, and Yogavahi, enabling deep penetration into Srotas. It enhances Agni, digests Ama, and strengthens the action of accompanying Jwaraghna drugs in complex fevers.

6. Jatamansi (Nardostachys jatamansi)

Jatamansi is Tikta and Kashaya with Sheeta virya, helping pacify Pitta and calm the mind during fever. It alleviates restlessness, insomnia, and weakness associated with Jwara.

7. Small Elaichi (Sukshma Ela)

Elaichi is Madhura and Katu in rasa with Sheeta virya. It acts as Deepana and Pachana, relieving nausea, heaviness, and loss of appetite commonly seen in fever.

8. Khas (Ushira)

Khas is Tikta and Madhura with Sheeta virya, traditionally used to reduce burning sensation, thirst, and excessive heat in fevers. It soothes aggravated Pitta and supports comfort during Jwara.

9. Bhimsenī Kapur

Bhimsenī Kapur is Sheeta yet Tikshna, helping clear obstruction and relieve discomfort in fever. It pacifies Kapha and Pitta and promotes lightness and clarity in febrile conditions.

Method Of Preparation (Vidhi)

Mix all the ingredients together and triturate them thoroughly until a uniform mixture is obtained.

Indications And Clinical Use

• Santāpashāmaka Miśraṇa is used when fever intensity is high. In fever accompanied by burning sensation, thirst, vomiting, headache, and restlessness, it alleviates these symptoms and also reduces the severity of fever.
• In Pitta-predominant fever, malarial fever, and toxic fevers, when the body temperature rises above 102°F, intake of this formulation protects the brain, relieves excessive heat, and reduces fever by inducing cooling.
• This formulation is also used in several other types of fevers, including those arising from internal abscesses.

Dosage

1–1 māsha administered with honey 3–3 times at intervals of 3–3 hours. After this, administer Amritādyaka decoction, prepared from Giloy (Tinospora cordifolia), Neem inner bark (Azadirachta indica), Kutki (Picrorhiza kurroa), Nagarmotha (Cyperus rotundus), Indrayava (Holarrhena antidysenterica), Saunth (Zingiber officinale), Patolapatra (Trichosanthes dioica), and Rakta Chandan (Pterocarpus santalinus).

Precautions

• Avoid using it in pregnancy and lactation.
• Always used under the guidance of Ayurveda experts.

Conclusion

In the end, it can be concluded that the Santapshamak Mishran is a thoughtfully crafted Ayurvedic formulation that embodies the timeless wisdom of classical texts. Each ingredient, carefully selected for its Jwaraghna, Pitta shamaka, and Deepana Pachana properties, works in harmony to restore balance, calm internal heat, and support the body’s natural healing processes. Ayurveda, with its deep understanding of Doshas, Agni, and Ama, has gifted us this wonderful formulation, offering gentle yet effective support during fever and related discomforts. By combining the cooling, digestive, and restorative actions of these herbs, Santapshamak Mishran stands as a testament to Ayurveda’s holistic and intelligent approach to health.