Changes

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

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

*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.  

*In ''Kshatakshina, kshata'' (injury) is caused due to indulgence in various physical activities beyond one’s capacity. ''Kshina'' 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 ''brihana''(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.  

• If the manifestation of disease is mild, the power of digestion (of the patient) is strong, patient has enough strength and if the disease is new (freshly occurred), then it is curable. The disease is yapya (palliable), if the disease is chronic i.e. more than one year. If however, all the signs and symptoms of the disease are simultaneously manifested, then the condition is incurable.

*If the manifestation of disease is mild, the power of digestion (of the patient) is strong, patient has enough strength and if the disease is new (freshly occurred), then it is curable. The disease is ''yapya'' (palliable), if the disease is chronic i.e. more than one year. If however, all the signs and symptoms of the disease are simultaneously manifested, then the condition is incurable.

• Milk, meat, ghee and honey processed with jivaniya herbs have significant role in treatment of kshata ksheena. Fresh blood of animals is also used in treatment of excess bleeding.  

*Milk, meat, ghee and honey processed with ''jivaniya'' herbs have significant role in treatment of ''kshatakshina''. Fresh blood of animals is also used in treatment of excess bleeding.  

• 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 ''kshatakshina''.

• 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.

*''Kshatakshina'' , if untreated, results in ''rajayakshma''. Therefore, treatment at appropriate time is necessary to prevent ''rajayakshma''.

=== Vidhi Vimarsha ===

=== Vidhi Vimarsha ===