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<big>'''Abstract </big>'''
 
<big>'''Abstract </big>'''
 
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''Kshatakshina'' is a condition with ''kshaya'' (wasting, debility, emaciation) due to injury/trauma. Trauma is usually from external injury but in the present context this term signifies rupture of lung tissue due to exogenous as well as endogenous causes. The etiology includes significant exertion beyond one’s capacity. The disease shows close resemblance with ''rajayakshma'' in pathogenesis, as both involve ''anuloma kshaya'' (the depletion of ''dhatus'' takes place in the direction of their nourishment i.e. ''rasa'' then ''rakta'' then ''mamsa'' and so on) and ''pratiloma kshaya'' (depletion of ''dhatus'' in the direction opposite to their nourishment i.e. ''shukra'' then ''majja'' then ''asthi'' and so on). Nourishment therapy is the principle of management in ''kshatakshina''. Various formulations to regain strength and replenishment of depleted tissues are described in this chapter.     
 
''Kshatakshina'' is a condition with ''kshaya'' (wasting, debility, emaciation) due to injury/trauma. Trauma is usually from external injury but in the present context this term signifies rupture of lung tissue due to exogenous as well as endogenous causes. The etiology includes significant exertion beyond one’s capacity. The disease shows close resemblance with ''rajayakshma'' in pathogenesis, as both involve ''anuloma kshaya'' (the depletion of ''dhatus'' takes place in the direction of their nourishment i.e. ''rasa'' then ''rakta'' then ''mamsa'' and so on) and ''pratiloma kshaya'' (depletion of ''dhatus'' in the direction opposite to their nourishment i.e. ''shukra'' then ''majja'' then ''asthi'' and so on). Nourishment therapy is the principle of management in ''kshatakshina''. Various formulations to regain strength and replenishment of depleted tissues are described in this chapter.     
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'''Keywords''': ''Kshatakshina,'' adventures, occupational disease, pneumo-thorax, tuberculosis, nourishment therapy.
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'''Keywords''': ''Kshatakshina,'' adventures, occupational disease, pneumo-thorax, tuberculosis, nourishment therapy. </div>
    
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== Introduction ==
 
== Introduction ==
 
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In [[Ayurveda]], rather than disease, mainly the syndromes are described and ''kshatakshina'' is also a syndrome. ''Kshata'' means injury and ''kshina'' means depletion of tissue. The term literally means depletion of tissues due to injury. It includes various pathologies leading to depletion of tissues in the body as a result of external and internal injuries. It shows close resemblance with tuberculosis, however the cardinal cause in ''kshatakshina'' is injury. Hemoptysis (symptom of pulmonary tuberculosis), hematuria (symptom of renal tuberculosis) and diarrhea (symptom of intestinal tuberculosis) all have cardinal symptoms of tuberculosis which are described as the symptom of ''kshatakshina''. It refers to those dreaded complications of tuberculosis that  appear suddenly and require prompt treatment just as acute onset of chest-pain in patient of tuberculosis who suddenly develops pneumothorax due to rupture of subpleural blebs and massive painless hematuria in the patient of genitourinary tuberculosis. Similar to tuberculosis, there is impaired immunity in ''kshatakshina'' patients also. ''Kshatakshina'' refers to cluster of diseases like spontaneous pneumothorax and renal tuberculosis, whereas presence of hemoptysis and hematuria in a single disease suggests a pulmonary-renal syndrome (eg, Goodpasture's syndrome, Wegener's granulomatosis). The diseases due to excess exertion during work or occupational hazards can also be referred to ''kshatakshina''.
 
In [[Ayurveda]], rather than disease, mainly the syndromes are described and ''kshatakshina'' is also a syndrome. ''Kshata'' means injury and ''kshina'' means depletion of tissue. The term literally means depletion of tissues due to injury. It includes various pathologies leading to depletion of tissues in the body as a result of external and internal injuries. It shows close resemblance with tuberculosis, however the cardinal cause in ''kshatakshina'' is injury. Hemoptysis (symptom of pulmonary tuberculosis), hematuria (symptom of renal tuberculosis) and diarrhea (symptom of intestinal tuberculosis) all have cardinal symptoms of tuberculosis which are described as the symptom of ''kshatakshina''. It refers to those dreaded complications of tuberculosis that  appear suddenly and require prompt treatment just as acute onset of chest-pain in patient of tuberculosis who suddenly develops pneumothorax due to rupture of subpleural blebs and massive painless hematuria in the patient of genitourinary tuberculosis. Similar to tuberculosis, there is impaired immunity in ''kshatakshina'' patients also. ''Kshatakshina'' refers to cluster of diseases like spontaneous pneumothorax and renal tuberculosis, whereas presence of hemoptysis and hematuria in a single disease suggests a pulmonary-renal syndrome (eg, Goodpasture's syndrome, Wegener's granulomatosis). The diseases due to excess exertion during work or occupational hazards can also be referred to ''kshatakshina''.
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#Pandey Manisha, Sonker Kanchan, Kanoujia Jovita, Koshy M. K., Saraf Shubhini A. Sida Veronicaefolia as a Source of Natural Antioxidant. International Journal of Pharmaceutical Sciences and Drug Research 2009; 1(3): 180-182.  
 
#Pandey Manisha, Sonker Kanchan, Kanoujia Jovita, Koshy M. K., Saraf Shubhini A. Sida Veronicaefolia as a Source of Natural Antioxidant. International Journal of Pharmaceutical Sciences and Drug Research 2009; 1(3): 180-182.  
 
#Bhattacharya A, Chatterjee A, Ghosal S, Bhattacharya SK. Antioxidant activity of active tannoid principles of Emblica officinalis (amla). Indian J Exp Biol. 1999 Jul;37(7):676-80.
 
#Bhattacharya A, Chatterjee A, Ghosal S, Bhattacharya SK. Antioxidant activity of active tannoid principles of Emblica officinalis (amla). Indian J Exp Biol. 1999 Jul;37(7):676-80.
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