1

LAKSHANA

11 SYMPTOMS OF RAJAYAKSHMA CAUSED DUE TO EXCESS PHYSICAL EXERTION:

When the aggravated VataDosha is located in head, it causes –

1. Shiroruja – Headache

When located in the throat it causes

2. Kanthodvamsa – Irritation in the throat, loss of voice

3. Kasa – Cough

4. Svarabhedam- Hoarseness of voice and

5. Aruchi – Anorexia

When located in the sides of the chest, it causes

6. Parshvasula (pain in the sides of the chest)

When located in the anus, it causes

7. Atisara – Diarrhoea;

When located in the joints, it causes

8. Yawning and

9. Jwara – Fever and

When located in the chest, it causes

10. Urashoola – Pain in the chest.

Because of the injury to the chest, as well as coughing the patient

11. Spits out phlegm along with blood.

Thus the patient suffers from unbearable pain in his chest die to the pulmonic damage (Jarjarena Urasa).

11 SYMPTOMS OF RAJAYAKSHMA CAUSED DUE TO SUPPRESSION OF NATURAL URGES:

CAUSES OF RAJAYAKSHMA CAUSED BY SUPPRESSION OF NATURAL URGES:

When a person suppresses the manifested natural urges of flatus, urine and stool because of bashfulness, aversion and fear, the Vata gets aggravated due to obstruction to its movement, and it aggravates Kapha, Pitta along with VataDosha.

This aggravated Vata, moving upwards, downwards and sidewards, causes 11 symptoms or disorders as below.

1. Pratishyaya (coryza)

2. Kasa – Cough

3. Svarabheda – Hoarseness of voice

4. Aruchi – Anorexia’

5. Parshvashula – Pain in the sides of the chest

6. Shiroruja – Headache

7. Jwara – Fever

8. Amsaavamardanam – Kneading pain in the shoulder region

9. Angamardam – Malaise

10. Muhurchardi – Frequent vomiting and

11. Varchobhedam – Diarrhoea having the signs and symptoms of all the 3 Doshas. [20-23]

11 SYMPTOMS OF RAJAYAKSHMA CAUSED DUE TO KSHAYA – TISSUE DEPLETION:

CAUSES OF RAJAYAKSHMA CAUSED BY KSHAYA (DIMINUTION OF TISSUES):

Shukra (semen) and Ojas (immune system) get diminished because of excessive emaciation as a result of jealousy, anxiety, fear, apprehension, anger, grief, excessive indulgence in sex, fasting and intake of less nourishing food and aggravation of VataDosha.

This aggravated Pitta and Kapha, and produces 11 signs and symptoms as below.

1. Pratishyaya (coryza)

2. Jwara – Fever

3. Kasa – Cough

4. Angamarda – Malaise

5. Shiroruja – Headache

6. Shwasa – Dyspnoea

7. Vitbheda – Diarrhoea

8. Aruchi – Anorexia

9. Parshvashula -Pain in the chest

10. Swarakshayam – Aphasia

11. Burning sensation in the shoulder region. [24-27]

11 SYMPTOMS OF RAJAYAKSHMA CAUSED DUE TO VISHAMASHANA – IRREGULAR DIET:

CAUSES OF RAJAYAKSHMA CAUSED BY VISHAMASHANA (DIET IRREGULARITIES):

Irregularity in intake of foods and drinks leads to Vata aggravation, resulting in the manifestation of acute diseases with irregular increase of Doshas.

The aggravated Doshas caused due to food irregularities obstruct Srotas – channels of tissues like blood channels. This causes obstruction to flow of nutrition from one Dhatu (tissue) to the other leading to tissue depletion. This leads to manifestation of below 11 symptoms

(1) Pratishyaya – coryza

(2) Praseka – excessive salivation

(3) Kasa – Cough

(4) Chardi – Vomiting and

(5) Aruchi – Anorexia the aggravated Pitta causes

(6) Jwara – Fever

(7) Mamsaabhitapa – Burning sensation in the shoulders and

(8) RudhiraChardi – Hemoptysis and the aggravated Vayu causes

(9) Parshvashula – Pain in the sides of the chest

(10) Shirashula – Headache and

(11) Svarabheda – Hoarseness of voice 

2

NIDANA

RAJAYAKSHMANIDANA – FOUR FOLD CAUSATIVE FACTORS:

The causative factors of the Rajayakshma are of 4 categories, namely

1. Ayathabalamaarambham – Over exertion (exceeding one’s own capacity)

2. Vega sandharana – Suppression of natural urges

3. Kshaya – Depletion of tissue elements’

4. Vishamashanam – Irregular dieting

ETIOLOGY OF RAJAYAKSHMA CAUSED BY OVER- EXERTION:

Vata gets aggravated due to chest injury caused by

Yuddha – fighting,

Adhyayana – reading(reciting Mantras) loudly,

Bhara – carrying excessive weight,

Adhva – walking long distance,

Langhana – observing fast for a long time,

Plavana – excess swimming,

Patana – falling

Abhighata – assault and other forms of over exertion exceeding one’s own capacity.

The above activities aggravates Vatadosha. Vata in turn stimulates Pitta and Kapha and rapidly circulate allover the body (Pradhavati). 

3

PURVARUPA

RAJAYAKSMAPURVAROOPA- PREMONITORY SIGNS AND SYMPTOMS:

1. Pratishyaya (Coryza) and Daurbalyam – weakness

2. Doshadarshanam – Finding fault with right things

3. Beebhatsadarshanam – Appearance of ugly signs and symptoms in the body

4. GhrunitvamAshnataha – Feeling of disgust towards food

5. Balamamsakshaya – Diminution of strength and muscle tissue

6. Strimadyamamsapriyata – Liking towards women, alcohol and meat

7. Priyataavaghuntane – Liking for isolation

8. His food and drinks are infested with the fall of flies insects, hair and nails

9. Assault by birds, wasps and animals

10. Climbing of heaps of hair, bones and ashes in dreams and

11. Dreams of ponds, mountains and forests, which are already dried, or getting dried and fall of planets. [33-38] 

4

SAMPRAPTI

Nidana sevana-> viprakat hetu(4) -> sosha & upasarga(infection)->rajyakshma

Now we shall describe details of signs and symptoms along with remedies of this disease.

The Dhatus (tissues) get nourished with the help of their own Dhatuagni. Rasa dhatu digests food to nourish Rasa Dhatu by means of Rasa Dhatuagni, Rakta gets nourished with the help of RaktaDhatuagni and so on.

But when there is obstruction of Rasavahasrotas, the rest of the Dhatus lack nourishment (VizRakta, Mamsa, Meda, Asthi, Majja and Shukra).

When Dhatus lack nourishment, they undergo Kshaya – depletion. and Dhatuagni (digestion and metabolism strength also deplete).

Hence, the food fails to nourish all the tissues and gets converted to stools. All the nourishment and Ojas gets wasted in the form of stool (Pureesha). Hence, in the patient of Rajayakshma, patient’s stool should be protected. (Measures should be taken to channelise nutrition from the stools containing the nutritious part).

Due to obstruction to channels carrying nutritious part of food (RasavahaSrotas), Rasa dhatu (end product-nutritious part of food) is struck, leading to symptoms like Kasa – cough etc, in the disease Rajayakshma. This leads to manifestation of 6 or 11 symptoms as explained below. The syndrome that manifests with 6 or 11 symptoms is together called Rajayakshma.

5

SAMPRAPTI GHATAKA

DOSHA- tridosha ,vata-kapha pradhana

DUSHYA- rasadi samasth datu

ADHISTHANA- fuffush & sarva sarira

SHROTAS- rasa & raktvaha

SVABHAVA- daruna & chirkari AGNIDUSTI- agnimandya

SADHYAASADHYATA- krichsadhya

- Prasent with all symptoms is asadhya

- In strong rogi may be yapya

- Old person all kasa are krichsadhya 

6

11 LASKHANAS (FEATURES) OF RAJAYAKSHMA: 

Thereafter, 6 or 11 forms of diseases are manifested. Their conglomeration is called Rajayakshma.

1. Kasa – Cough

2. Amsaabhitapa – Burning sensation in the shoulders

3. Svarabheda – Impairment of the voice

4. Jwara – Fever

5. Parshvashoola – Pain in the sides of the chest

6. Shiroruja – Headache

7. Rudhirachardi – Hemoptysis

8. Spitting of phlegm

9. Shvasa – Dyspnoea

10. Varcha -Diarrhoea and

11. Aruchi – Anorexia

These are the 11 forms of diseases which constitute Rajayakshma (tuberculosis)

6 SYMPTOMS OF RAJAYAKSHMA

1. Kasa – Cough

2. Jwara – Fever

3. Parshvashoola -Pain in the sides of the chest

4. Svarabheda – Impairment of the voice

5. Atisara – Diarrhoea and

6. Aruchi – Anorexia-

These 6 ailments also constitute Rajayakshma.

If there is diminution of muscle tissue and strength then the patient of Rajayakshma having all the 11 or 6 or any of the 3 signs and symptoms should not be treated. (He will die soon)

If there is no diminution of muscle tissue or strength, then the patient of Rajayakshma is treated even if all the signs and symptoms are manifested. [38-47]

Pratishyaya (Coryza)- running nose

VataDosha obstructs Kapha, Rakta (blood) and Pitta at the root of nose, leading to Pratishyaya – running nose. Body tissue gets depleted leading to below symptoms –

Shirashula – headache

Gauravam – heaviness

Ghranaviplavah – stuffy nose

Jwara – fever

Kasa – cough

Kaphotklesa – mucous nausea

Svarabheda – Hoarseness of voice

Aruchi – Anorexia,

Klama – fatigue and

IndriyanamAsamarthya – Inability of sensory and motor organs to perform their functions [48-50]

Characteristics of Cough:

The patient of Rajayakshma, while coughing, spits out

Rasa (Plasma or mucoid secretion) mixed with Phlegm

Pichila – slimy

Bahalam – Thick

Visra – Putrid in odour and

Harita, swetapeeta – green, white or yellow in color [51]

Characteristics of fever:

The characteristic features of Jvara in Rajayakshma:

Amsaparshvaabhitapa – Burning sensation in the shoulders sides of the chest

Kara padadaha – burning sensation in the hands and feet and

Jwara – increased temperature all over the body [52]

Svarabheda (Hoarseness of Voice):

If caused by Vata, Pitta, Kapha, and Rakta, then the symptoms will be –

Svarabheda (Hoarseness of voice)

Kasavega (Strain of coughing) or

Pinasa (Chronic rhinitis) occurs.

If it is caused by Pitta, then there will be

Burning sensation in the palate and throat, and

The patient will refrain from speaking

If it is caused by Kapha,

The voice becomes Vibaddha (obstructed or choked) and Khurakhura (rubbing noise)

If it is caused by Rakta, then the voice becomes low and because of obstruction, the voice comes out with difficulty.

If the hoarseness of the voice is caused by strain of excessive coughing, then it is associated with injury to the throat.

If it is caused by Pinasa (chronic rhinitis) then the signs and symptoms of Kaphaja and Vatika types (mentioned above) are manifested. [53-55]

Pain in the sides of the chest and head:

In a patient of Rajayakshma, pain in the sides of the chest is indeterminate, it is associated with the contraction of chest and sometime it is associated with the expansion of the chest.

In the patient of Rajayakshma, headache is associated with burning sensation and heaviness. [56]

Spitting of blood:

When the body of the patient suffering from Rajayakshma becomes emaciated, the accumulated and excited blood and phlegm comes out from the throat. [57]

Cause of Bleeding

Because of obstruction to the channels of the blood, it becomes incapable of getting converted into Mamsadhatu ( Muscle tissue) etc. this gets accumulated in excess in Amashaya ( stomach) and being excited, it comes out( Eti= to come) thought the throat. [58]

Dyspnoea and Diarrhoea:

The patient of Rajayakshma suffers from Shwasa by Vata and Kapha.

This patient passes the quantity of stool along with mucus because of the suppression of Agni (enzymes) by the vitiated Doshas. [59]

Aruchi (Anorexia or Aversion for food)

Arochaka (aversion towards food) is caused by individual Doshas and by all the Doshas simultaneously vitiated.

These vitiated Doshas are located in the tongue as well as heart.

In Vata aggravation, mouth will have astringent taste, in Pitta, bitter taste and in Kapha, it gets sweet taste. [60-61]

Chardi (vomiting):

Chardi (vomiting) is caused due to Arochaka (anorexia), strain of coughing, excitation of Doshas and fear. This vomiting might also occur as a complication in other diseases. [62] 

7

PRICIPAL OF CHIKITSA 

RAJAYAKSHMA CHIKITSA – TREATMENT:

All varieties of Rajayakshma are caused by simultaneous vitiation of all the 3 Doshas. After ascertaining the proportionate dominance of Doshas, the physician should treat the patient suffering from these diseases, on the basis of the stage of the ailment.

Various treatments for Pratishyaya (Coryza), headache, cough, dyspnoea, Swarakshaya (Aphasia) and pain in the sides of the chest, in general, will now be described. [63-64]

CHIKITSA SUTRA – LINE OF TREATMENT

The hot soup of the meat of Lava, Tittiri – Partridge, Daksha and Vartaka, added with Salt, sour as well as pungent herbs and Sneha (oil, ghee etc.) is used for preparing thick gruel. It is used for Swedana, Abhyanga, Dhuma (herbal smoking), Alepana( external application), Parisheka (sprinkling of liquids), Avagaha (dipping, bath). YavakaVatya ( preparation of barley water) is used in the treatment of Pinasa( Coryza).

The patient should take the soup of the meat of goat added with barley, horse gram, ginger, pomegranate (Dadima), Amalaka and ghee. By this, the ailments like Pinasa (Coryza) etc. get cured.

The soup of radish (Mulaka) and horse gram (Kulattha) is properly prepared. Along with this soup, the patient should take food preparations made of barley, wheat and rice depending suitability.

The patient should drink the upper portion of Varuni (a type of alcoholic drink) or water boiled with Panchamoola (Bilva, Shyonaka, Gambhari, Paatala and Agnimantha).

For food preparations, the water boiled with coriander and ginger or tamalaki or Parnichatustaya (Shalaparni, Prishnaparni, Mashaparni and Mudgaparni) is used [65-70] 

8

SODHANA CHIKITSA 

PANCHAKARMA TREATMENT FOR RAJAYAKSHMA

The patient suffering from Rajayakshma having excessively vitiated Doshas is given Snehana and Swedana therapies and thereafter, Vamana (emetic therapy) and virecana (purgation therapy) is administered.

The recipe for these therapies should contain Sneha (ghee, oil etc), and these recipes should not have depleting (Karsana) effect.

The patient of Rajayakshma will die if there are loose bowels. Therefore, the dose of these recipes is such, which a weak person can stand, and he should never be given a strong purgation. [87-88] 

DIFFERENT TYPES OF SWEATING TREATMENTS FOR RAJAYAKSHMA:

Below, different types of Swedana – sweating treatments are explained. To learn in detail about each of these sweating methods,

Sankara type of Swedana is administered over throat, sides of the chest, chest and head

( vide ) and for this purpose,

Krushara – thick gruel, Utkarika – pudding and Payasa (milk preparation boiled with black gram, horse gram and barley) is used.

Parisheka (sprinkling) type of Swedana is administered with Patrabhanga (decoction of leaves having Vata alleviating properties) or The lukewarm decoction of Bala – Country mallow (root) – Sidacordifolia, Guduchi – Tinosporacordifloia and Madhuka– Licorice – Glycyrrhizaglabra.

Nadisveda is done on throat, head and sides of chest with The head of the goat and fish or The decoction of Vata balancing herbs.

For Nadisveda these may also be used:

The meat of aquatic and semi- aquatic animals,

The decoction of Panchamul (bilva, Syonaka, Gambhari, Patali and Ganikarika), Sneha (oil, ghee etc.) and Aranala (sour Gruel) , Upanaha (hot ointment) is done if there is Shiroruja – headache, Parshvashoola – pain in the sides of the chest and Amsashoola – shoulder pain

The following ingredients are used:

Jivanti – Leptadeniareticulata, Shatapushpa – Anethumsowa

Bala – Country mallow (root) – Sidacordifolia,

Madhuka– Licorice – Glycyrrhizaglabra,

Vacha – Acoruscalamus Linn

Veshavara – a non veg soup recipe

Vidari- Ipomoea paniculata / Puerariatuberosa

Mulaka – Raphanussativus and

Meat of aquatic as well as semi- aquatic animals sizzled and mixed with 4 types of Sneha (oil, ghee, muscle fat and bone marrow) is useful. [71-76]

RECIPES FOR EXTERNAL APPLICATION

The ingredients used: Paste of Shatapushpa – Anethumsowa, Madhuka– Licorice – Glycyrrhizaglabra, Kushta – Saussurealappa,

Tagara – Valerianawalichii and Chandana (Sandalwood – Santalum album) along with ghee

Cures: Shiroruja – headache and Parshvaamsashoola – pain in the sides of the chest as well as shoulders,

Praseka (external application of thick ointment):

Useful in the treatment of- Shiroruja – headache and Parshvaamsashoola – pain in the sides of the chest as well as shoulders caused by the simultaneous vitiations of 2 Doshas.

Other combinations for paste application for headache, chest and shoulder pain –

1. Bala – Country mallow (root) – Sidacordifolia,

Rasna – Alpiniagalanga, sesame seeds, ghee, Yashtimadhu and Blue Lily (Neelotpala)

2. Palankasha (Guggulu (Commiforamukul Engl.),

Devadaru (Cedrusdeodara),

Chandana (Sandalwood – Santalum album),

Kesara and Ghee

3. Veera,

Bala – Country mallow (root) – Sidacordifolia,

Vidari (Ipomoea paniculata / Puerariatuberosa),

Krsnagandha and

Punarnava – Boerhaviadiffusa and

4. Shatavari – Asparagus racemosus

Payasya – Impomoeapaniculata,

Ksheerakakoli – Liliumpolyphyllum

Kattrna,

Madhuka– Licorice – Glycyrrhizaglabra and Ghee

For these patients, Navana( Inhalation therapy), Dhumapana ( smoking therapy), administration of Sneha ( Ghee,etc) after the intake of food, massage with medicated oils and medicated enema( Basti) are useful.[77-81]

RAKTA MOKSHANA

Raktamokshana – Blood-letting Therapy, etc

The patient suffering from headache and pain in the sides of the chest as well as shoulders is administered blood-letting therapy with:

Srunga (Horn) Alabu (gourd) and Jalauka (leeches) or Siravyadha – venesection

For such patients, Pradeha (external application of thick ointment) with the paste of

Padmaka – Prunuscerasoides

Ushira – Vetiver – Vetiveriazizanioides and

Chandana (Sandalwood – Santalum album) added with ghee or

The paste of

Durva (Cynodondactylon),

Madhuka– Licorice – Glycyrrhizaglabra,

Manjistha – Rubiacordifolia and

Kesara mixed with ghee is useful. 

9

TREATMENT OF DIFFERENT STAGES OF TUBERCULOSIS: 

Therapeutic measure described earlier for the treatment of different types of Jwara is employed along with ghee for the treatment of fever and burning sensation of the patient suffering from tuberculosis. [117]

Treatment of Excessive Phlegm

If there is excessive expectoration of phlegm, if the patient is strong (i.e not too weak) and if is of KaphaPrakruti (constitution dominated by Kapha), then he is given emetic therapy with the following recipes:

1. Milk boiled with Madanaphala

2. Milk boiled with the decoction of Madhuyasti (Licorice) and

3. Yavagu (thick gruel) prepared by boiling with emetic drugs and added with ghee.

After the administration of the emetic therapy, and during the meal- time, the patient is given light diet which is prepared with such drugs as are stimulant of digestion like Shunti. [118-119]

DIET AND DRINKS FOR EXCESSIVE PHLEGM:

Intake of yava, Godhuma – wheat – Triticumsativum, Madhvika,Sidhu, Arista, Sura, Asava, meat of animals inhabiting arid zone and Shoolya type of Meat (meat roasted on a spike preparation overcomes kapha. [120]

ROLE OF VATA IN EXPECTORATION:

During excessive expectoration of Phlegm, it is Vata which stimulates the phlegm to come out. Therefore, a wise physician should treat such a condition (of expectation of phlegm) with the help of unctuous and hot remedies. [121]

TREATMENT OF VOMITING:

Therapeutic measures described for the treatment of expectoration of phlegm is employed if there is vomiting [in the patient of tuberculosis]. To such a patient, diet and drinks which are Hrudya (useful for the heart), which alleviate Vata and which are light are given. [122]

TREATMENT OF BURNING SENSATION

If there is burning sensation in hands, feet or in the body, and if there is fever and bleeding from the upper channels of the body, then the patient is given Vasaghirta or Shatavarighrita.

TREATMENT OF DIARRHOEA:

In the patient of tuberculosis, generally Agni (enzymes responsible for digestion and metabolism) is afflicted. This causes diarrhoea accompanied with mucus and Asyavairasa (distaste in the mouth). Such a patient does not relish any food.

To such a patient, the following recipes which stimulate the power of digestion, which stop diarrhoea, which cleans the mouth and which counteract anorexia is administered:

1. Indrayava – Wrightiatinctoria with Nagara is mixed with Tandulambu (rice- wash) and the patient is given Yavagu (thick gruel) cooked along with Changeri – Oxalis corniculata, butter- milk and Dadima – Pomegranate – Punicagranatum.

2. Patha – Cycleapeltata, Bilva – Aegle marmelos and Yavani – Carumcopticum is mixed with butter milk. The patient should drink this potion.

3. Duralabha – Fagoniacretica, srngavera – Zingiberofficinale and Patha – Cycleapeltata is taken along with Sura (a type of alcoholic drink) and

4. Pulp of the seeds of jambu – Syzygiumcumini and Amra – mango – Mangiferaindica, Bilva – Aegle marmelos, kapittha – limoniaacidissima and Nagara are mixed with the Manda (upper portion) of Peya (thin gruel).

The above mentioned recipes cure diarrhoea. [123-127] 

DIET AND DRINKS FOR DIARRHOEA

The soup of different types of meat which are light for digestion is mixed with astringent ingredients. These Vyanjanas (non- cereal side Dishes) along with red variety of Shali rice is useful in diarrhoea.

The patient should drink water boiled with

Laghupanchamula (Shalaparni, Prishnaparni – Urariapicta, Brihati – Solanumindicum, Kantakari – Solanumxanthocarpum and Goksura – Tribulusterrestris),

Butter

Sura

Chukrika – Rumexvesicarius and

the juice of Dadima – Pomegranate – Punicagranatum.

Thus medicines which are digestive stimulants and Grahi (constipative) for the patient of tuberculosis having Diarrhoea are described. [132- 134]

Regime to remove Distaste in Mouth:

Now, hear the excellent measures for the removal of distaste in the mouth and for the promotion of the liking for food. These are as follows:

1. One should brush his teeth both the times ( morning and evening ) with the help of tooth- twigs and use Mukhadhavana (drugs to be chewed for correcting the aggravated Doshas in the mouth);

2. Similarly, he should wash the mouth and use Kavala Graha ( keeping mouthful of drugs in thin paste from in the oral cavity) and

3. One should smoke (medicated cigars) and thereafter, take such drugs, food and drinks which are stimulant of take such drugs, food and drinks which are stimulant of digestion as well as carminative, which are useful and which are deliciously prepared. [ 134 

10

LINCTUS (LEHA) FOR COUGH, VOICE HOARSENESS, ASTHMA ETC. 

Intake of ghee added with

Kharjura – dates,Mrudvika – Vitisvinifera, Sharkara – sugar, Honey and Pippali – Long pepper fruit – Piper longum

Cures: Vaisvarya – Hoarseness of voice, Kasa – cough, Svasa – dyspnoea and Jvara – fever

The ghee which is collected freshly from the milk boiled with the

Decoction of Dashamula is mixed with Pippali and honey.

This is an excellent recipe for the promotion of voice.

It also cures:

Shiroruja – headache,

Parshvashoola and amsashoola – pain in the sides of the chest as well as shoulders,

Kasa – cough, Svasa – dyspnoea and Jwara – fever.

Ghee is collected from the milk boiled with 5 varieties of Panchamoola;

Brhat Panchamula (Bilva – Aegle marmelos, Syonaka, Gambhari –Gmelinaarborea, Patali and Ganikarika),

Ksudrapanchamula (Shalaparni, Prishnaparni – Urariapicta, Brihati – Solanumindicum, Kantakari – Solanumxanthocarpum and Goksura – Tribulusterrestris), Trnapanchamula (Saraiksu, Darbha, Kasa and Sali),

Kantakapanchamula (JivakaRishabhaka – Manilkarahexandra, meda, Jivanti – Leptadeniareticulata and Shatavari – Asparagus racemosus) and

Vallipancamula (Punarnava – Boerhaviadiffusa, Shalaparni, Prishnaparni – Urariapicta, Bala – Country mallow (root) – Sidacordifolia and Eranda –Ricinuscommunis )

This ghee (one part) is cooked by adding the decoction of 5 varieties of Panchamula (3 parts) and milk (1 part). This recipe cures all the 7 ailments of Rajayakshma.

The following 4 recipes, when taken in the form of linctus along with honey and it cures Kasa (cough), Svasa (Dyspnoea) and pain in the sides of the chest. They also promote voice.

1. Kharjura – Phoenix dactylifera

Pippali – Long pepper fruit – Piper longum,

Draksha – Raisin – Vitisvinifera,

Pathya – Haritaki

Karkatashrungi and

Duralabha – Fagoniacretica

2.Triphala (Haritaki, Bibhitaki and Amalaki)

Pippali – Long pepper fruit – Piper longum

Musta – Motha – Cyperusrotundus

Shringataka – Singhada / Shrungat

Guda – Jaggery

Sharkara – Sugar

3. Veera,

Shati – Hedychium spicatum

Puskaramula – Inularacemosa, Basil, jaggery and sugar

4. Nagara –

Chitraka – Leadwort – Plumbagozeylanica,

Laja,

Pippali – Long pepper fruit – Piper longum,

Amalaki – Phyllanthusemblica and

Jaggery [89-102] 

The patient suffering from Rajayakshma having excessively vitiated Doshas is given Snehana and Swedana therapies and thereafter, Vamana (emetic therapy) and virecana (purgation therapy) is administered.

The recipe for these therapies should contain Sneha (ghee, oil etc), and these recipes should not have depleting (Karsana) effect.

The patient of Rajayakshma will die if there are loose bowels. Therefore, the dose of these recipes is such, which a weak person can stand, and he should never be given a strong purgation. [87-88] 

DIFFERENT TYPES OF SWEATING TREATMENTS FOR RAJAYAKSHMA:

Below, different types of Swedana – sweating treatments are explained. To learn in detail about each of these sweating methods,

Sankara type of Swedana is administered over throat, sides of the chest, chest and head

( vide ) and for this purpose,

Krushara – thick gruel, Utkarika – pudding and Payasa (milk preparation boiled with black gram, horse gram and barley) is used.

Parisheka (sprinkling) type of Swedana is administered with Patrabhanga (decoction of leaves having Vata alleviating properties) or The lukewarm decoction of Bala – Country mallow (root) – Sidacordifolia, Guduchi – Tinosporacordifloia and Madhuka– Licorice – Glycyrrhizaglabra.

Nadisveda is done on throat, head and sides of chest with The head of the goat and fish or The decoction of Vata balancing herbs.

For Nadisveda these may also be used:

The meat of aquatic and semi- aquatic animals,

The decoction of Panchamul (bilva, Syonaka, Gambhari, Patali and Ganikarika), Sneha (oil, ghee etc.) and Aranala (sour Gruel) , Upanaha (hot ointment) is done if there is Shiroruja – headache, Parshvashoola – pain in the sides of the chest and Amsashoola – shoulder pain

The following ingredients are used:

Jivanti – Leptadeniareticulata, Shatapushpa – Anethumsowa

Bala – Country mallow (root) – Sidacordifolia,

Madhuka– Licorice – Glycyrrhizaglabra,

Vacha – Acoruscalamus Linn

Veshavara – a non veg soup recipe

Vidari- Ipomoea paniculata / Puerariatuberosa

Mulaka – Raphanussativus and

Meat of aquatic as well as semi- aquatic animals sizzled and mixed with 4 types of Sneha (oil, ghee, muscle fat and bone marrow) is useful. [71-76]

RECIPES FOR EXTERNAL APPLICATION

The ingredients used: Paste of Shatapushpa – Anethumsowa, Madhuka– Licorice – Glycyrrhizaglabra, Kushta – Saussurealappa,

Tagara – Valerianawalichii and Chandana (Sandalwood – Santalum album) along with ghee

Cures: Shiroruja – headache and Parshvaamsashoola – pain in the sides of the chest as well as shoulders,

Praseka (external application of thick ointment):

Useful in the treatment of- Shiroruja – headache and Parshvaamsashoola – pain in the sides of the chest as well as shoulders caused by the simultaneous vitiations of 2 Doshas.

Other combinations for paste application for headache, chest and shoulder pain –

1. Bala – Country mallow (root) – Sidacordifolia,

Rasna – Alpiniagalanga, sesame seeds, ghee, Yashtimadhu and Blue Lily (Neelotpala)

2. Palankasha (Guggulu (Commiforamukul Engl.),

Devadaru (Cedrusdeodara),

Chandana (Sandalwood – Santalum album),

Kesara and Ghee

3. Veera,

Bala – Country mallow (root) – Sidacordifolia,

Vidari (Ipomoea paniculata / Puerariatuberosa),

Krsnagandha and

Punarnava – Boerhaviadiffusa and

4. Shatavari – Asparagus racemosus

Payasya – Impomoeapaniculata,

Ksheerakakoli – Liliumpolyphyllum

Kattrna,

Madhuka– Licorice – Glycyrrhizaglabra and Ghee

For these patients, Navana( Inhalation therapy), Dhumapana ( smoking therapy), administration of Sneha ( Ghee,etc) after the intake of food, massage with medicated oils and medicated enema( Basti) are useful.[77-81]

RAKTA MOKSHANA

Raktamokshana – Blood-letting Therapy, etc

The patient suffering from headache and pain in the sides of the chest as well as shoulders is administered blood-letting therapy with:

Srunga (Horn) Alabu (gourd) and Jalauka (leeches) or Siravyadha – venesection

For such patients, Pradeha (external application of thick ointment) with the paste of

Padmaka – Prunuscerasoides

Ushira – Vetiver – Vetiveriazizanioides and

Chandana (Sandalwood – Santalum album) added with ghee or

The paste of

Durva (Cynodondactylon),

Madhuka– Licorice – Glycyrrhizaglabra,

Manjistha – Rubiacordifolia and Kesara mixed with ghee is useful.  

Pathya(DO):

Mamsa & mamsa rasa, yava, godhuma,sathi rice,munga, kulathha, bajara, green saka, butter, dugdha, ghrita, dadhi,anara, santara, seb, angur, anjeer, alubukhara, akhroth, badam, manuuka, pista, sonth, pipeer, lavana, ela, lehsuna, dalchini,

Abhyang, ubtan, snana, purn vishram,

Apathya(DON’T):

Ruksha anna pana, viruddha ahara, vidahi & tikshna drava, rai, karela, kundaru, tambula, amla, tikta,katu, kasaya rasa, taila, hinga, udad, kshara.

Krodha, shram, diwaswapna, ati maithuna,vega dharana, vyayama   

SITOPALADI CHURNA

Ingredients:

16 parts of Sitapala (misri or sugar with big crystals),

8 parts of Tugaksheeri (bamboo salt)

4 parts of Pippali – Long pepper fruit – Piper longum,

2 parts of Bahula (Bruhadela) Greater cardamom and

1 part of Tvak is made to a powder.

This is mixed with honey and ghee, and given to the patient to lick.

Indicated in –

Svasa – dyspnoea, Kasa – cough, Kapha – phlegm, Suptajihva – numbness of the tongue, loss of sensation of taste and touch, Arocaka – anorexia, Alpagni – low power of digestion and Parshvashula – pain in the sides of the chest [103- 104]

DURALABHADI GHRITA

1 pala of each of

Duralabha – Fagoniacretica

Svadamstra – Tribulusterristeris

4 varieties of Parni (Salaparni, Prishnaparni – Urariapicta, Mashaparni – Teramnuslabialis and Mudgaparni – Phaseolustrilobus),

Bala – Country mallow (root) – Sidacordifolia and

Parpataka – Fumariaparviflora is boiled by adding

10 times of ghee, i.e. the Prasthas of water and reduced to 1/10th.

Thereafter, the decoction is properly strained out.

To this in fine paste of

1 Karsha of each of Sati – Hedychium spicatum, Puskaramula – Inularacemosa, Pippali – Long pepper fruit – Piper longum, Trayamana – Gentianakurroa, Tamalaki – BhiAmla, Kiratatikta – Swertiachirata, Fruits of Kutaja – Connessi (Holarrhenaantidysenterica Wall.) and Sariva – Indian Sarsaparilla – Hemidesmusindicus is added.

Thereafter, 1 prastha of ghee and 2 Prasthas of milk are added and cooked.

This medicated ghee cures

Jvara (fever), Daha (burning sensation), Bhrama (Giddiness), Kasa (cough)

Amsaruja; Parshvaruja; shiroruja – Pain in shoulders, sides of the chest and head, Trshna – morbid thirst,Chardi – Vomiting and Atisara – Diarrhoea [106-110]

JIVANTYADI GHRUTA

All these drugs is taken in equal quantity and made to a paste. Ghee is cooked along with this paste:

Jivanti – Leptadeniareticulata

Madhuka– Licorice – Glycyrrhizaglabra

Draksha – Raisin – Vitisvinifera,

Fruits of Kutaja – Connessi (Holarrhenaantidysenterica Wall.),

Shati – Hedychium spicatum

Puskaramula – Inularacemosa

Vyaghri – Solanumsurattense

Goksura – Tribulusterrestris

Bala – Abutionindicum

Nilopala – Water lily

Tamalaki – Phyllanthusniruri

Tryamana – Gentianakurroo

Duralabha – Fagoniacretica and

Pippali – Long pepper fruit – Piper longum

This excellent recipe of medicated ghee cures all the 11 signs and symptoms of this serious disease (tuberculosis) which is a conglomeration of several ailments. [111-113]

BALADIK SHEERA

Bala – Sidacordifolia

Sthira – Desmodiumgangeticum

Prishnaparni – Urariapicta

Brihati – Solanumindicum and

Nidigdhika – Solanumsurattense is boiled, and a decoction is prepared.

To this decoction,

Cow’s milk,

Nagara

Draksha – Raisin – Vitisvinifera,

Kharjura – Phoenix dactlyfera

Ghee and

Pippali – Long pepper fruit – Piper longum is added and cooked.

Intake of this recipe along with honey cures

Jwara – fever

Kasa – cough, and

Svaryam – promotes voice.

While using this recipe, the patient should take goat- milk and the soup of meat of animals inhabiting arid zone. He should also take the Yusa (vegetable soup) of Canaka, mudga and Makustha [114- 116]

Preparations of Khada

The recipes described in verses 126-127 can also be prepared in the form of Khada (a type of sour drink) by adding pulses, fats and sour ingredients. Such Khada preparations are useful in stopping diarrhoea. [128]

Recipes of Khada

Leaves of Vetasa – Garcinia pedunculata, Arjuna (terminaliaarjuna), Jambu – Syzygiumcumini, Mrnali, Krsnagandha, Sriparni – Gmelinaarborea, Madayanti – Lawsoniainermis and Yuthika – Jasminumauriculatum is mixed with Matulunga – Citrus medica , Dhataki – Woodfordiafruticosa, Dadima – Pomegranate – Punicagranatum, fats, sour ingredients and salt for preparing Khadas which are excellent for counteracting diarrhea.

Similarly, Khadas can be prepared of Changeri – Oxalis corniculata, Chukrika – Rumexvesicarius and Dugdhika –Euphorbia thymifolia mixed with cream of curd, ghee and Dadima – Pomegranate – Punicagranatum. [129-131]

- 136]

Recipes for Mukhadhavana

The following 5 recipes are useful for Mukhadhavana (drugs to be chewed) for correcting the aggravated Doshas in the mouth:

1. Tvak – Cinnamomumzeylanica ,

Musta (Cyperusrotundus)

Ela (ElettariacardamomumMaton) and

Dhanya

2. Musta – Cyperusrotundus,

Amalaka – Emblicaofficinalis, and

Tvak- Cinnamomumzeylanica

3. Darvi – Berberisaristata,

Tvak – Cinnamomumzeylanica and

Yavani – Carumcopticum

4. Tejohva(Cavika) and

Pippali – Long pepper fruit – Piper longum

5. Yavani – Carumcopticum and

Tintidika – Rhusparviflora

The above mentioned recipes can be prepared in the form of pills and are kept in the mouth and sucked.

In the form of powder, these recipes can be used for the massage of gums and teeth for cleaning the mouth.

Mixed with water, the powder or paste of these recipes can be used as Kavalagraha (keeping mouthful of drugs in thin paste from in the oral cavity). [137-139]

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Mukta pisti-(mukta)

- Swasa kuthar rasa-(parad,gandhak,vatsanabh,tankan,manasheela,trikatu)

- Kaphaketu rasa-(vatsanabh,pippali,sankh bhasma,tankan)

- Mahalaxmi vilash rasa-(parad,gandhak,hartal,abhrak,vanga bhasma,tamrabhasm)

- Swaskasa chintamani rasa-(parad,swarmakshik,swarna,mukta,gandhak,abhrak,loh)

- Nagarjunarbh rasa-(abhrak,arjuna)

- Kaphakuthar rasa-(parad,gandhak,loha bhama,tamra bhasma,trikatu)

- Basant malti rasa-(swarn,mukta,khrpar,marich)

- Sankh bhasma-(sankh)

- Tankan bhasma-(tankan(suhaga)

- Rajmriganga rasa-(parad,gandhak,manashila,svarna,tamra,varatika)

- Hem garbh pottali rasa-(parad,gandhak,svarna,tamra)

- Kshayakesari rasa-(triphala,trikatu,trijata,rasasindura loha,

- Yogendra rasa-(rasasindura,vanga,abhrak,mukta,loha)

VATI-(250-500MG WITH USHNA JALA)

- Sheelajatvyadi vati-(sheelajeet)

- Shiva gutika-(harad,bhivbitaki,amlaki,sheelajeeta)

- Sansamani vati-(Guduchi)

- Chitakadi vati-(shadushna,dvikshar,panchlavan,hing)

- Shobhagya vati-(rasasindur,dvikshar,trilavan,loh,trikatu,triphala)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Talisadi curna-(talisa,maricha,sunthi,pippali,vanshlochan,mishri)

- Shitopaladi curna-(sita,vanslochan,pippali,tringashiri)

- Baladi curna-(bala,asagandh,satavari,punarnava)

- Lavangadi curna-(lavang,sital cheeni,khas,svet chandana)

- Eladi curna-(chaturjata,lavanga,ela,draksha,mulethi)

- Yavani sadav curna-(ajwain,sonth,amlaveta,anardana)

- Ashwagandha curna

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Dashamularista

- Draksharista,

- Drakshasava

- Kharjurasava

- Dashamula kwatha

- Chittachandirasava

GHRITA(20-30ML WITH USHNODAKA)

- Jeevantyadi ghrita-(jeevanti,mulethi,manukka,indrayava,pushkermula)

- Panchpanchmula ghrita-(kantak panchmula,dashamula,jeevaniya panchmula)

- Kharjuradi ghrita-(kharjura,pippali,ghrita)

- Dashamuladi ghrita-(dashmula,pipper,sunthi,yavakshar)

- Baladi ksheera-(balamula,sariva,prasnaparni,brihat,kharjura,ghrita)

AVLEHA/PAKA(20GM WITH DUGHDHA) 

- Vasavaleha-

- Sheetopaladi leh-(sita,dalcheeni,mulethi,pushkermula,jeevak,satavari,cheeni,ghrita,madhu)

- Talisadi leh-(talisha,maricha,sunthi,pippali,vanshlochan,madhu,ghrita)

- Sarpi guda-(amlaki,vidarikanda,ikshu,goghrita,godugdha,mishri,madhu)

RASAYANA-(20GM DUGDHA)

- Chywanprasha Rasayana-(Dashmula,Amlaki,Kuth,Pushkarmula)