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Chikitsa Sthana Chapter 11- Kshata-Kshina

==([[Chikitsa Sthana]] Chapter 11, Chapter on the Management of Emaciation due to Trauma) ==

(Management of emaciation due to trauma)

Abstract:

=== Abstract ===

Kshata- kshina is a condition with kshaya (wasting, debility, emaciation) due to injury/trauma. Trauma is usualy 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 kshata kshina. 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 usualy 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 kshata kshina. Various formulations to regain strength and replenishment of depleted tissues are described in this chapter.     

Keywords: Kshata-kshina, adventures, occupational disease, pneumo-thorax, tuberculosis, nourishment therapy.   

'''Keywords''': Kshata-kshina, adventures, occupational disease, pneumo-thorax, tuberculosis, nourishment therapy.   

 

In Ayurveda, rather than disease, mainly the syndromes are described and kshata- kshina 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 resemblence with tuberculosis, however the cardinal cause in kshata kshina 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 kshata- kshina. 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 kshata- kshina patients also. Kshata- kshina 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 kshata kshina.

In Ayurveda, rather than disease, mainly the syndromes are described and kshata- kshina 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 resemblence with tuberculosis, however the cardinal cause in kshata kshina 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 kshata- kshina. 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 kshata- kshina patients also. Kshata- kshina 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 kshata kshina.