Changes

From the above table it is obvious that Kasa appears in Kshayaja rajayakshma is elaborated under the heading of Kshataja Kasa. As the Sahasajanya Rajayaskshma is a very serious and emergency condition and managemnt of which is lacking in the chapter of Rajayakshma. its emergency management is described in a separate chapter under the heading of Kshata Kshina. Use of Sandhaniya drugs like laksha (mainly indicated for the healing of fracture of bone) and madhuyashti clearly indicates that in Kshata Kshina there is external trauma (ribs fracture leading to pneumothorax) that should be managed with quick remedies. As Acharya has given only conservative management for the Kshata- Kshina it excludes the possibility of surgical interventions in Kshata-Kshina (tube drainage with or without medical pleurodesis, vacuum-assisted thoracostomy (VATS) with pleurodesis and/or closure of leaks and bullectomy, and open surgical procedures such as thoracotomy for pleurectomy or pleurodesis) at that time. In the chapter of Rajayakshma, the symptomatic treatment is described and therefore it is necessary to elaborate the management of acute dreaded complications like pneumothorax and hematuria in separate chapter.

From the above table it is obvious that Kasa appears in Kshayaja rajayakshma is elaborated under the heading of Kshataja Kasa. As the Sahasajanya Rajayaskshma is a very serious and emergency condition and managemnt of which is lacking in the chapter of Rajayakshma. its emergency management is described in a separate chapter under the heading of Kshata Kshina. Use of Sandhaniya drugs like laksha (mainly indicated for the healing of fracture of bone) and madhuyashti clearly indicates that in Kshata Kshina there is external trauma (ribs fracture leading to pneumothorax) that should be managed with quick remedies. As Acharya has given only conservative management for the Kshata- Kshina it excludes the possibility of surgical interventions in Kshata-Kshina (tube drainage with or without medical pleurodesis, vacuum-assisted thoracostomy (VATS) with pleurodesis and/or closure of leaks and bullectomy, and open surgical procedures such as thoracotomy for pleurectomy or pleurodesis) at that time. In the chapter of Rajayakshma, the symptomatic treatment is described and therefore it is necessary to elaborate the management of acute dreaded complications like pneumothorax and hematuria in separate chapter.

==== Kshata –Kshina as complication of Rajayakshma ====

==== ''Kshatakshina'' as complication of ''Rajayakshma'' ====

 

यच्चोपदेक्ष्यते पथ्यं क्षतक्षीणचिकित्सिते| यक्ष्मिणस्तत् प्रयोक्तव्यं बलमांसाभिवृद्धये| (Ca.Ci.8/183)

यच्चोपदेक्ष्यते पथ्यं क्षतक्षीणचिकित्सिते| यक्ष्मिणस्तत् प्रयोक्तव्यं बलमांसाभिवृद्धये| (Ca.Ci.8/183)

Here, Acharya Caraka says that the regimens as described in next chapter of Kshata – Kshina should also use for the management of Rajayaksma for enhancing strength and muscle mass.

 

Here, Charaka says that the regimen described in the chapter of [[Kshatakshina Chikitsa]] should also use for the management of Rajayaksma for enhancing strength and muscle mass.

यच्चोक्तं यक्ष्मिणां पथ्यं कासिनां रक्तपित्तिनाम्| तच्च कुर्यादवेक्ष्याग्निं व्याधिं सात्म्यं बलं तथा| (Ca.Ci. 11/94)

यच्चोक्तं यक्ष्मिणां पथ्यं कासिनां रक्तपित्तिनाम्| तच्च कुर्यादवेक्ष्याग्निं व्याधिं सात्म्यं बलं तथा| (Ca.Ci. 11/94)

In the chapter Kshata- kshina that is restore by Acharya Dalhana, it is mentioned that with due regard to the agni (power of digestion), nature of disease, wholesomeness diet and regimens prescribed for rajayakshma, kasa and raktapitta should be used for the management of Kshata- kshina.         

In the chapter Kshata- kshina that is restore by Acharya Dalhana, it is mentioned that with due regard to the agni (power of digestion), nature of disease, wholesomeness diet and regimens prescribed for rajayakshma, kasa and raktapitta should be used for the management of Kshata- kshina.