Changes

Thus, ends the eleventh chapter dealing with the treatment of ''kshatakshina''; in the section on the therapeutics of Agnivesha’s work as redacted by Charaka and not being available, restored by Dridhabala.

Thus, ends the eleventh chapter dealing with the treatment of ''kshatakshina''; in the section on the therapeutics of Agnivesha’s work as redacted by Charaka and not being available, restored by Dridhabala.

===Tattva Vimarsha ===

===''Tattva Vimarsha'' ===

• In Kshata ksheena, kshata (injury) is caused due to indulgence in various physical activities beyond one’s capacity. Ksheena is a consequence of that injury with improper dietary habit and excess sexual intercourse.  

*In ''Kshatakshina, kshata'' (injury) is caused due to indulgence in various physical activities beyond one’s capacity. Ksheena is a consequence of that injury with improper dietary habit and excess sexual intercourse.  

• The dhatu kshaya (depletion of tissues) is major pathological event in this disease. Hence bruhana(nourishment) and replenishment of depleted tissues is principle of management.  

• The dhatu kshaya (depletion of tissues) is major pathological event in this disease. Hence bruhana(nourishment) and replenishment of depleted tissues is principle of management.  

• The onset is acute without appearance of any premonitory symptom.  

• The onset is acute without appearance of any premonitory symptom.  

• Food and drinks which are nourishing, cooling, avidahi (which do not cause burning sensation), wholesome and light to digest, should be used by the patient suffering from kshata- kshina.

• Food and drinks which are nourishing, cooling, avidahi (which do not cause burning sensation), wholesome and light to digest, should be used by the patient suffering from kshata- kshina.

• With due regard to the agni (power of digestion), nature of disease, wholesomeness of diet, and regimens prescribed for rajayakshma, kasa and raktapitta.   

• With due regard to the agni (power of digestion), nature of disease, wholesomeness of diet, and regimens prescribed for rajayakshma, kasa and raktapitta.   

• Kshata- kshina , if untreated, results in rajayakshma. Therefore, treatment at appropriate time is necessary to prevent rajayakshma.  

• Kshata- kshina , if untreated, results in rajayakshma. Therefore, treatment at appropriate time is necessary to prevent rajayakshma.

=== Vidhi Vimarsha ===

=== Vidhi Vimarsha ===