Changes

[[File:nidana.png|800px]]

[[File:nidana.png|800px]]

==== Contemporary Treatments ====

Contemporary Treatments:

 

Priniciples of treatments:  Deepana, Srotoshodhana, Balya and Brumhana

'''Priniciples of treatments:''' ''Deepana, Srotoshodhana, Balya'' and ''Brimhana''

Main drugs: Bala, Abhraka, Suvarna, Kushmanda

Medicine formulations used:

'''Main drugs''': ''Bala, Abhraka, Suvarna, Kushmanda''

I. Sahasaja rajayakshma /urakshata:  

 

1. Laksha mixture 10 to 20 grams frequently with vasavaleha  

===== Medicine formulations used =====

2. Amrutaprasha 10 to 20 grams after meals with milk  

#'''Sahasaja rajayakshma /urakshata''':  

II. Vishamashanaja :

##''Laksha'' mixture 10 to 20 grams frequently with ''vasavaleha''

1. Swarna vasanta 250 to 500 mg between two meals with milk  

##''Amritaprasha'' 10 to 20 grams after meals with milk  

2. Drakshasava 10 to 20 ml after meals with water

#'''Vishamashanaja''' :

III. Vegarodhaja:

##Swarna vasanta 250 to 500 mg between two meals with milk  

1. Chaturbhuja kalpa 125 to 250 mg before meals with milk and chyavana prasha  

##Drakshasava 10 to 20 ml after meals with water

2. Chaturmukha rasa 60 to 120 mg after meals with brahmi prasha  

#'''Vegarodhaja''':

IV. Kshayaja rajayakshma :

##''Chaturbhuja kalpa'' 125 to 250 mg before meals with milk and ''chyavana prasha''

1. Laksmivilasa rasa 250 to 500 mg between two meals with milk  

##''Chaturmukha rasa'' 60 to 120 mg after meals with ''brahmi prasha''

2. Vanga mixture 500 to 1000mg between two meals with milk  

#'''Kshayaja rajayakshma''' :

Cautions for purification treatments:

##''Laksmivilasa rasa'' 250 to 500 mg between two meals with milk  

Panchakarma( therapeutic purification) treatments are indicated only in strong patients with excess aggravation of doshas in rajayakshma. In a patient with low strength, purification is not done. If at all, it needs to be done due to excess dosha, then mild purification is prescribed after taking every care of strength of the patient.  

##''Vanga'' mixture 500 to 1000mg between two meals with milk  

 

==== Cautions for purification treatments ====

[[Panchakarma]]( therapeutic purification) treatments are indicated only in strong patients with excess aggravation of doshas in rajayakshma. In a patient with low strength, purification is not done. If at all, it needs to be done due to excess dosha, then mild purification is prescribed after taking every care of strength of the patient.  

Role of rasayana in enhancing the immunity:

Role of rasayana in enhancing the immunity:

Rasayana drugs have got an important role in the management of rajayakshma. Mandagni (at the level of jatharagni and dhatwagni both) and srotovarodha play an important role in the pathogenesis of this disease. Rasayana drugs act at various levels to promote nutrition. Some of them work at the level of rasa (enriching nutrient plasma) while others work at the level of agni (improve digestion and metabolism). Some other work at the level of srotas by promoting the competence of microcirculatory channels in the body leading to better bio-availability of nutrients to the tissues and improved tissue perfusion.[2] Hence, rasayana acting at all three levels may prove beneficial in the management of rajayakshma. Rasayana drugs also improve the status of ojas in the body by their immunomodulatory action. Thus these drugs are used as an adjuvant to anti-tubercular drugs and they enhance efficacy of treatment at various levels. Details about rasayana drugs have already been described in first chapter of chikitsa section.  Nidana parivarjan (removal of the causes) is yet another aspect of treatment.

Rasayana drugs have got an important role in the management of rajayakshma. Mandagni (at the level of jatharagni and dhatwagni both) and srotovarodha play an important role in the pathogenesis of this disease. Rasayana drugs act at various levels to promote nutrition. Some of them work at the level of rasa (enriching nutrient plasma) while others work at the level of agni (improve digestion and metabolism). Some other work at the level of srotas by promoting the competence of microcirculatory channels in the body leading to better bio-availability of nutrients to the tissues and improved tissue perfusion.[2] Hence, rasayana acting at all three levels may prove beneficial in the management of rajayakshma. Rasayana drugs also improve the status of ojas in the body by their immunomodulatory action. Thus these drugs are used as an adjuvant to anti-tubercular drugs and they enhance efficacy of treatment at various levels. Details about rasayana drugs have already been described in first chapter of chikitsa section.  Nidana parivarjan (removal of the causes) is yet another aspect of treatment.