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Therefore it can be concluded that ''kshatakshina'' is the specific state of ''rajayakshma'' that appears acutely and required prompt treatment. Accepting ''kshatakshina'' as a singular disease refers to a cascade of autoimmune reactions that results in a complex syndrome known as Pulmonary-Renal Syndrome. Indulgence in the specific etiological factors provokes the activity of specific auto-antibodies pervading the specific loci and destructing the body tissues that ultimately results in dreaded consequences.
 
Therefore it can be concluded that ''kshatakshina'' is the specific state of ''rajayakshma'' that appears acutely and required prompt treatment. Accepting ''kshatakshina'' as a singular disease refers to a cascade of autoimmune reactions that results in a complex syndrome known as Pulmonary-Renal Syndrome. Indulgence in the specific etiological factors provokes the activity of specific auto-antibodies pervading the specific loci and destructing the body tissues that ultimately results in dreaded consequences.
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==== Management of kshata-kshina ====
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==== Management of ''kshatakshina'' ====
    
Herbs used for the management of Kshata-kshina can be classified in two category viz. (1) having antioxidant properties and (2) having hemostatic and bone healing properties.
 
Herbs used for the management of Kshata-kshina can be classified in two category viz. (1) having antioxidant properties and (2) having hemostatic and bone healing properties.
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Different views on formulations:  
 
Different views on formulations:  
 
In the verse 16, in the place of ‘savatsaka’ there is a variant reading ‘dvivatsaka’. If this variant reading is accepted, then two parts of vatsaka are to be added in this recipe, other being one part each. According to some scholars, both the male and female varities of vatsaka, described in Kalpa 5:5, are to be used in this recipe.
 
In the verse 16, in the place of ‘savatsaka’ there is a variant reading ‘dvivatsaka’. If this variant reading is accepted, then two parts of vatsaka are to be added in this recipe, other being one part each. According to some scholars, both the male and female varities of vatsaka, described in Kalpa 5:5, are to be used in this recipe.

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