Changes

Once, however, there is any obstruction to ''srotas'' or if there is diminution of stable tissue elements like ''rakta'' or if there is diminution of ''dhatu-ushmas'' or ''dhatvagnis'' then ''rajayakshma'' is manifested. In such a case, whatever food is digested in the gastrointestinal tract by ''jatharagni'' is mostly reduced to waste products and very little of it contributes to the formation of ''ojas'' (nourishment). The patient is depleted of all tissue elements and strength. The patient’s stool should be preserved and it is the only source of strength left with him. Because of the obstruction to the ''srotas, rasa dhatu'' becomes ''vidagdha'' (improperly metabolized) in its own location (heart) and this vitiated ''rasa'' comes out through the upper passages in different forms by way of coughing. Subsequently, six or eleven symptoms (or forms of diseases) are manifested, and their aggregation is the syndrome called ''rajayakshma''. Cough, distress in shoulder, change of voice, fever, pain in flanks, headache, vomiting of ''rakta'' and ''kapha'', dyspnea, diarrhea and anorexia are the eleven symptoms of ''rajayakshma'' ; or they are also six viz., cough, fever, pain in flanks, hoarseness of voice diarrhea and anorexia. With eleven, six or even three of the symptoms, a patient is incurable if he is losing ''mamsa'' (flesh tissues) and strength, but he is curable if he is behaving otherwise in spite of showing all the symptoms. [39-47]

Once, however, there is any obstruction to ''srotas'' or if there is diminution of stable tissue elements like ''rakta'' or if there is diminution of ''dhatu-ushmas'' or ''dhatvagnis'' then ''rajayakshma'' is manifested. In such a case, whatever food is digested in the gastrointestinal tract by ''jatharagni'' is mostly reduced to waste products and very little of it contributes to the formation of ''ojas'' (nourishment). The patient is depleted of all tissue elements and strength. The patient’s stool should be preserved and it is the only source of strength left with him. Because of the obstruction to the ''srotas, rasa dhatu'' becomes ''vidagdha'' (improperly metabolized) in its own location (heart) and this vitiated ''rasa'' comes out through the upper passages in different forms by way of coughing. Subsequently, six or eleven symptoms (or forms of diseases) are manifested, and their aggregation is the syndrome called ''rajayakshma''. Cough, distress in shoulder, change of voice, fever, pain in flanks, headache, vomiting of ''rakta'' and ''kapha'', dyspnea, diarrhea and anorexia are the eleven symptoms of ''rajayakshma'' ; or they are also six viz., cough, fever, pain in flanks, hoarseness of voice diarrhea and anorexia. With eleven, six or even three of the symptoms, a patient is incurable if he is losing ''mamsa'' (flesh tissues) and strength, but he is curable if he is behaving otherwise in spite of showing all the symptoms. [39-47]

==== Signs of pratishyaya ====

==== Signs of ''pratishyaya'' ====

घ्राणमूले स्थितः श्लेष्मा रुधिरं पित्तमेव वा|  

घ्राणमूले स्थितः श्लेष्मा रुधिरं पित्तमेव वा|  

मारुताध्मातशिरसो मारुतं श्यायते प्रति||४८||  

मारुताध्मातशिरसो मारुतं श्यायते प्रति||४८||

प्रतिश्यायस्ततो घोरो जायते देहकर्शनः|  

प्रतिश्यायस्ततो घोरो जायते देहकर्शनः|  

तस्य रूपं शिरःशूलं गौरवं घ्राणविप्लवः||४९||  

तस्य रूपं शिरःशूलं गौरवं घ्राणविप्लवः||४९||  

ज्वरः कासः कफोत्क्लेशः स्वरभेदोऽरुचिः क्लमः|  

ज्वरः कासः कफोत्क्लेशः स्वरभेदोऽरुचिः क्लमः|  

इन्द्रियाणामसामर्थ्यं यक्ष्मा चातः [१] प्रजायते||५०||

इन्द्रियाणामसामर्थ्यं यक्ष्मा चातः [१] प्रजायते||५०||

ghrāṇamūlē sthitaḥ ślēṣmā rudhiraṁ pittamēva vā|  

ghrāṇamūlē sthitaḥ ślēṣmā rudhiraṁ pittamēva vā|  

mārutādhmātaśirasō mārutaṁ śyāyatē prati||48||  

mārutādhmātaśirasō mārutaṁ śyāyatē prati||48||

pratiśyāyastatō ghōrō jāyatē dēhakarśanaḥ|  

pratiśyāyastatō ghōrō jāyatē dēhakarśanaḥ|  

tasya rūpaṁ śiraḥśūlaṁ gauravaṁ ghrāṇaviplavaḥ||49||  

tasya rūpaṁ śiraḥśūlaṁ gauravaṁ ghrāṇaviplavaḥ||49||  

jvaraḥ kāsaḥ kaphōtklēśaḥ svarabhēdō'ruciḥ klamaḥ|  

jvaraḥ kāsaḥ kaphōtklēśaḥ svarabhēdō'ruciḥ klamaḥ|  

indriyāṇāmasāmarthyaṁ yakṣmā cātaḥ [1] prajāyatē||50||

indriyāṇāmasāmarthyaṁ yakṣmā cātaḥ [1] prajāyatē||50||

ghrANamUle sthitaH shleShmA rudhiraM pittameva vA|  

ghrANamUle sthitaH shleShmA rudhiraM pittameva vA|  

mArutAdhmAtashiraso mArutaM shyAyate prati||48||  

mArutAdhmAtashiraso mArutaM shyAyate prati||48||  

pratishyAyastato ghoro jAyate dehakarshanaH|  

pratishyAyastato ghoro jAyate dehakarshanaH|  

tasya rUpaM shiraHshUlaM gauravaM ghrANaviplavaH||49||  

tasya rUpaM shiraHshUlaM gauravaM ghrANaviplavaH||49||  

jvaraH kAsaH kaphotkleshaH svarabhedo~aruciH klamaH|  

jvaraH kAsaH kaphotkleshaH svarabhedo~aruciH klamaH|  

indriyANAmasAmarthyaM yakShmA cAtaH [1] prajAyate||50||

indriyANAmasAmarthyaM yakShmA cAtaH [1] prajAyate||50||

The kapha or blood or pitta located at the root of the nasal passage cause nasal catarrh in the patients whose head is afflicted with vayu. This results in severe pratishyaya (coryza) affecting entire body of the patient, This leads to emaciation of the body; its signs and symptoms are headache, heaviness in the head, loss of smell, fever, cough, increase of mucous secretion, change of voice, anorexia fatigue and asthenia of the senses and then rajayakshmais manifests.  [48-50]

 

The ''kapha'' or blood or ''pitta'' located at the root of the nasal passage cause nasal catarrh in the patients whose head is afflicted with ''vayu''. This results in severe ''pratishyaya'' (coryza) affecting entire body of the patient, This leads to emaciation of the body; its signs and symptoms are headache, heaviness in the head, loss of smell, fever, cough, increase of mucous secretion, change of voice, anorexia fatigue and asthenia of the senses and then ''rajayakshma'' manifests.  [48-50]

==== Appearance of sputum ====

==== Appearance of sputum ====