Changes

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

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

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.

Here, Charaka says that the regimen described in the chapter of [[Kshatakshina Chikitsa]] should also use for the management of ''Rajayakshma'' 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.         

 

Thus it is clear that the management of kshata- kshina should be adjuvant with the management of Rajayakshma for proper treatment or it can be said that Kshata kshina management is applicable in emergency condition with acute manifestations like hemoptysis and hematuria whereas management of Rajayaksma is applicable for chronic stage of disease.

In this chapter (that has been revised by Dalhana), it is mentioned that with due regard to ''agni'' (power of digestion), nature of disease, wholesomeness diet and regimens prescribed for ''rajayakshma, kasa'' and ''raktapitta'' should be used for the management of ''kshatakshina''.  

Basically the controversy in accepting Kshata-Kshina as advanced state or complication of Rajayaksma appears because of misinterpretation of following sloka:

          

Thus it is clear that the management of ''kshatakshina'' should be adjuvant with the management of ''rajayakshma'' for proper treatment or it can be said that ''kshatakshina'' management is applicable in emergency condition with acute manifestations like hemoptysis and hematuria whereas management of ''rajayakshma'' is applicable for chronic stage of disease.

 

Basically the controversy in accepting ''kshatakshina'' as advanced state or complication of ''rajayakshma'' appears because of misinterpretation of following verse:

 

उपेक्षिते भवेत्तस्मिन्ननुबन्धो हि यक्ष्मणः| प्रागेवागमनात्तस्य तस्मात्तं त्वरया जयेत्| (Ca. Ci. 11/95)

उपेक्षिते भवेत्तस्मिन्ननुबन्धो हि यक्ष्मणः| प्रागेवागमनात्तस्य तस्मात्तं त्वरया जयेत्| (Ca. Ci. 11/95)

If the patient suffering from kshata- kshina is not given appropriate treatment on time, then this may lead to rajayakshma. Therefore well before the arrival of this ailment (attack of rajayakshma), the kshata- kshina should be treated, subdued (cured).  

 

In the above discussion, we see that there is conflict between the statements given in chapter originally written by Acharya Caraka (Ca.Ci. 8/183) and that restored by Acharya Dalhana (Ca. Ci.11/94). In chapter 8th, Acharya says that the treatment given in next chapter is also applicable for Rajayaksma whereas in chapter 11th, Acharya says that the regimens given in the chapter of Rajayaksma should be given to the patient of Kshata- Kshina. Thus it is clear that the management of both the diseases is interrelated but the controversy appears in accepting the sequence of protocol to be followed for the management of diseases. Therefore it can be concluded that Kshata- Kshina is the specific state of Rajayaksma that appears acutely and required prompt treatment. Accepting Kshata- Kshina 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 autoantibodies pervading the specific loci and destructing the body tissues that ultimately results in dreaded consequences.

If the patient suffering from ''kshatakshina'' is not given appropriate treatment on time, then this may lead to ''rajayakshma''.

 

Therefore well before the arrival of this ailment (attack of ''rajayakshma''), the ''kshatakshina'' should be treated, subdued (cured).  

In the above discussion, we see that there is conflict between the statements given in chapter originally written by Charaka (Ca.Ci. 8/183) and that restored by Dalhana (Ca. Ci.11/94). In chapter 8th, Charaka says that the treatment given in the next chapter (i.e., this one) is also applicable for rajayakshma whereas in chapter 11th, Charaka says that the regimens given in the chapter of ''rajayakshma'' should be given to the patient of ''Kshatakshina''. Thus it is clear that the management of both the diseases is interrelated but the controversy appears in accepting the sequence of protocol to be followed for the management of diseases.  

 

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.

==== Management of kshata-kshina ====

==== Management of kshata-kshina ====