Rajayakshma or Tuberculosis by Dr.Sandeep sharma

RAJAYAKSHMA TUBERCULOSIS

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Synonyms ,[object Object],[object Object]

King Chandra married 28 daughters of Dakshaprajapati but unable to satisfy all except Rohini as he was more interested in her. So remaining complaint to their father and Daksha Prajapati became furious and his anger came out of his mouth through expiration and King Chandra suffered by Rajayakshma. Mythological history (charaka s.chi.8/3-12)

Due to occurrence of disease first time in Raja so called as Rajayakshma.

Hetu ,[object Object],[object Object],(c.s.ni.6/3 and s.s.u.41/9)

1) Sahasa or (over exertion) 2) Sandharana (suppression of natural urges 3) Kshaya (wasting) 4) Vishamashana (irregular dieting) There are four etiological factors Acc. To charaka

क्षयाद्वेगप्रतीघातादाघाताद्विषमाशनात् जायते कुपितैर्दोषै : व्याप्तदेहस्य देहिन :( सु . सं . उ . 41/9 )

There are four etiological factors acc. To susruta ,[object Object],[object Object],[object Object],[object Object]

When a person does the work which is out of his capacity is called as Sahasa. Acharya Charaka mentioned different examples of Sahasa like: 1.Sahasa or aaghataja

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Samprapti ,[object Object],[object Object],[object Object],[object Object]

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Lakshanas ,[object Object],[object Object],[object Object],[object Object]

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[object Object],[object Object],[object Object],[object Object],[object Object]

2) Sandharanaja or vega pratighataja (Suppression of natural urges) ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Samprapti of sandharana janya Rajayakshma ,[object Object],[object Object],[object Object],[object Object]

Lakshanas of sandharana janya Rajayakshma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

3. Kshaya hetu ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pratiloma kshayaja Hetu ,[object Object]

- Ati Maithuna leads to Shukra dhatu kshaya - after Shukra kshaya if person indulges in sexual activity - no semen ejaculation - vata enters the blood vessels and causes blood discharge having vata gunas from seminal passage. Samprapti of kshaya janya Rajayakshma

Lakshanas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vishamashana hetu ,[object Object]

Samprapti of vishamashanaja Rajayakshma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Samprapti of Rajayakshma ,[object Object],[object Object],[object Object],[object Object]

Samprapti: Acc. To susruta ,[object Object],[object Object]

Samprapti acc. To Vagbhata ,[object Object],[object Object]

Rajayakshma Samprapti ghatakas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sadhya asadhyatva ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],पूर्वरूप

Purvarupas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

त्रिरूप राजयक्ष्मा ,[object Object],[object Object],[object Object],[object Object]

षड् रूप राजयक्ष्मा Acc. To charaka ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

षड् रूप राजयक्ष्मा Acc. To susruta ,[object Object],[object Object]

एकादश रूपानि राजयक्ष्मा Acc. To charaka ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

एकादश रूपानि राजयक्ष्मा Acc. to susruta ,[object Object],[object Object],[object Object],[object Object]

Due to vata ,[object Object],[object Object],[object Object]

Due to Pitta ,[object Object],[object Object],[object Object],[object Object]

Due to kapha ,[object Object],[object Object],[object Object],[object Object]

साध्य लक्षण s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

असाध्य लक्षण s acc. to charaka ,[object Object],[object Object],[object Object]

acc. to susruta ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

कारणानुसार शोषभेदान् ,[object Object],[object Object]

Difference between sosa and Rajayakshma ,[object Object],[object Object]

उपशय ,[object Object],[object Object],[object Object],[object Object],[object Object]

Some terms related to the topic ,[object Object],[object Object],[object Object],[object Object]

Droplet infection ,[object Object],[object Object]

Causative organism ,[object Object],[object Object],[object Object],[object Object]

Mycobacterium Tuberculosis hominis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Atypical or non tuberculous mycobacteria ,[object Object],[object Object]

Mode of transmission ,[object Object],[object Object],[object Object],[object Object],[object Object]

Incubation period ,[object Object],[object Object],[object Object]

Spread of TB ,[object Object],[object Object],[object Object]

Evolution of tubercle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Types of Tuberculosis ,[object Object],[object Object],[object Object]

Primary TB ,[object Object],[object Object],[object Object],[object Object]

This type of TB consists of 3 components ,[object Object],[object Object],[object Object],[object Object]

Note : ,[object Object],[object Object]

Fate of Primary TB ,[object Object],[object Object],[object Object],[object Object]

Secondary Tuberculosis ,[object Object],[object Object],[object Object],[object Object]

Fate of sec. pulmonary TB ,[object Object],[object Object],[object Object],[object Object],[object Object]

HIV associated tuberculosis ,[object Object],[object Object],[object Object]

Clinical features ,[object Object],[object Object]

Referable to lungs ,[object Object],[object Object],[object Object],[object Object],[object Object]

Systemic features ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Milliary TB ,[object Object],[object Object],[object Object],[object Object]

1. Mantoux test ,[object Object],[object Object],[object Object]

Causes of death in Pulmonary TB ,[object Object],[object Object],[object Object],[object Object]

Prevention or vaccination ,[object Object],[object Object],[object Object],[object Object]

Dosage ,[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

The three basic concepts in TB treatment are as follows: ,[object Object],[object Object],[object Object]

Antituberculous drugs are classified as…..

First line antituberculosis drugs ,[object Object],[object Object]

Isoniazid ,[object Object],[object Object]

Rifampin ,[object Object],[object Object],[object Object]

Pyrazinamide ,[object Object],[object Object],[object Object],[object Object]

Ethamabutol ,[object Object],[object Object]

Streptomycin ,[object Object]

Second line antituberculosis drugs …..

Second line antituberculosis drugs ,[object Object],[object Object]

Para-aminosalicylic acid (PAS) ,[object Object],[object Object],[object Object]

Ethionamide ,[object Object],[object Object]

Cycloserine ,[object Object]

Treatment for the Latent (inactive) TB infection…..

Dots: directly observed therapy short course….. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Longer regimen ,[object Object],Isoniazid for 9 months daily or twice weekly OR Rifampin & pyrozinamide O.D. for 2 months. Mainly in isoniazid resistant TB. OR Rifampin O.D. for 4 months for one who cannot tolerate pyrazinamide.

For active TB ,[object Object],[object Object],[object Object]

Rajayakshma or Tuberculosis by Dr.Sandeep sharma

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Rajayakshma or Tuberculosis by Dr.Sandeep sharma