PULMONARY TUBERCULOSIS
PULMONARY TUBERCULOSIS
Tuberculosis
In Ayurveda Pulomonary Tuberculosis has been described as Rajyakshma.
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SYNONYMS OF RAJAYAKSHMA
In Ayurveda Rajayakshma has been given many names such as
1. RAJAYAKSHMA
Yakshma is a disease and it is called king of diseases in Ayurveda so it is called Rajayakshma.
2. SHOSHA
It leads to depletion of body tissues so it is called Sosha
3. KSHAYA
It leads to diminish or restrict internal as well as external activities of body so it is known as Kshaya.
CAUSES OF RASJYAKSHMA
In Ayurveda Ancient Ayurvedic Acharyas have classified causes of Rajyakshma into four categories.
1.SAHAS
2.SANDHARAN
3.KSHAYA
4.VISHAM BHOJAN
SAHAS
When physically weak person does physical work much more than his capacity then vataj dosha gets vitiated due to which lungs get diseased and thus Rajayakshma is caused as vitiated vataj dosha vitiates kaphaj dosha and both of them vitiates pitaj dosha .
SANDHARAN
Sandharan means supperession of urges due to which vataj dosha gets vitiated which in turn makes pitaj and kaphaj doshas to move around in the body and cause pain as a result of which cough,fever and rhinitis occurs which in turn causes internal weakness and leads to depletion of tissues.
KSHAYA
When a physically weak person suffering from anxiety,tension ,depression takes ruksh(dry)diet ,keeps fast, and takes meal much less than the requirement of his body then his Ras dhatu starts getting depleted which leads to disease Shosha(Rajyakshma).
VISHAM BHOJAN
When person takes diet against the eight laws of diet as discussed by Acharya Charak in Charak Sannhita then all th three doshas get vitiated due to which passages of sarotas gets blocked and his tissues does not get nutrition from diet so his dhatus get depleted due to which different types of symptoms starts occurring which leads to internal weakness and thus rajyakshma occurs.
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CLASSIFICATION OF RAJYAKSHMA
In Ayurveda Rajyakshma has been classified into different categories on the basis of
1. Causes of rajayakshma
2. Doshas
3. Symptoms of rajayakshma
SYMPTOMS OF RAJAYAKSHMA ON THE BASIS OF CAUSES
| SAHSAJ | VEGAVRODHAJ | KSHAYAJ | VISHAMASHNAJ |
| Headache | Headache | Headache | Headache |
| Pain in flanks | Pain in flanks | Pain in flanks | Pain in flanks |
| Fever | Fever | Fever | Fever |
| Cough | Cough | Cough | Cough |
| Change in voice | Change in voice | Change in voice | Change in voice |
| Anorexia | Anorexia | Anorexia | Anorexia |
| Loose stool | Loose stool | Loose stool | Loose stool |
| Chest pain | Running nose | Running nose | Running nose |
| Hoarseness of voice | Body aches | Body aches | Body aches |
| Blood mixed sputum | Vomitting | Respiratory distress /Breathlessness | Vomitting |
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SYMPTOMS OF RAJAYAKSHMA ON THE BASIS OF DOSHAS
1. VATAJ RAJAYAKSHMA
-Hoarseness of voice
-Pain in flanks
2. PITTAJ RAJYAKSHMA
-Fever
-Burning in body
-Diarrhoea
-Blood mixed sputum
3. KAPHAJ RAJYAKSHMA
-Heaviness in head
-Anorexia
-Cough
IN AYURVEDA ON THE BASIS OF SYMPTOMS RAJYAKSHMA HAS BEEN CLASSIFIED INTO FOUR CATEGORIES
1. Triroop rajyakshma
2. Shadroop rajyakshma
3. Ekadash roop rajyakshma
• Trirupa Rajyakshma (first stage of the disease)
o Pain in shoulder & ribs (scapular region), flanks
o Pneumothorax
o Chest pain
o Burning of palms of hands and soles of feet
o Fever (pyrexia)
• Shadarupa Rajyakshma (second stage of progress of disease)
o Anorexia
o Fever
o Dyspnoea
o Cough
o Haematemesis
o Hoarseness of voice
• Ekadash Rupa Rajyakshma (third stage of progress of disease)
o Cough
o Pain in shoulders (scapular region) & in flanks
o Hoarseness of voice
o Fever
o Headache
o Haematemesis
o Dyspnoea
o Anorexia
o Diarrhea
o Pain in flanks
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PATHYA(DO’S) |
APATHYA(DONOT’S) |
| Massage of body with oils medicated with ayurvedic medicines | Black grams |
| Bathing with medicinally prepared hot or cold water according to season | Ruksh(dry) diet |
| Milk,ghee and curd should be involved in diet according to appetite | Contaminated food |
| Meat of chicken,peigon,duck,and fish should be taken in diet which ever available | Karela |
| Water prepared using laghupanchmul should be used for preparing diet | Suppression of urges |
| Juice of anar,grapes,apple,oranges should be given | Kundru |
| Butter extracted from goat’s milk is extremely usefull | Oil in oral diet |
| Ghee extracted from goats milk is extremely usefull | Sexual intercourse |
| Anxiety | |
| Fatigue | |
| Day sleep |
TREATMENT OF RAJAYAKSHMA
If patient is weak then sanshaman chikitsa should be done
• First of all treat the cause
• After thorough cleaning of the body a massage should be done with bala tail
• Appetite increasing medicines should be given after shodan of sarotas
• For nutrition of dhatus milk,ghee,butter,meat,eggs should be involved in diet
• Patient should be kept in separate room
• Patient should be kept in silent and comfortable room for good sound sleep
• Boby Temperature should be checked many times in a day
• Symptomatic treatment should be done along with usefull ayurvedic formulations for rajayakshma.
USEFULL AYURVEDIC FORMULATIONS FOR TREATMENT OF RAJAYAKSHMA ROGA
SWARAN SUTSEKHAR RAS
CHANDRODAYA RAS
SWARAN BHASAM
MAHALAKSHMIVILAS RAS
SHILAJITVADI VATI
SHIVA GUTIKA
HEMGARBPOTLI RAS
LOKNATH RAS
YOGENDAR RAS
JATIFALADI CHURAN
TAPYADI LAUHA
CHYAWANPRASH AVALEHA
VASAAVALEHA
KUSHMAND KHAND
DRAKSHARISHAT
RASONKSHIR JOG
RAS SINDHUR
TRIKATU CHURAN
DADIMASHTAK CHURAN
VARAT BHASAM
PANCHAMRIT PARPATI
ETC SHOULD BE USED ACCOREDING TO NEED AS ADVISED BY THE AYURVEDIC SPECIALIST.
If patient is healthy then sodhan chikitsa should be done
- Emesis and purgatrion should be given under supervision of ayuvedic specialists
- For sodhan karama mild asthapan vasti should be given according to need
- After sodhan karam light diet appetizing in nature and good to taste should be given
- Oil and fats mixed soup of goats meat should be given
- Ghee prepared by using sounth.anar,amla should be given
- Symptomatic treatmernt should be given as advised by ayurvedic specialist.
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