🔺CASE STUDY NO : 57 🔺PART NO : 02 🔺RAJAYAKSHMA (TUBERCULOSIS ) 🔺 Differential Diagnosis of Tuberculosis *Pneumonia (especially non-resolving bacterial) *Lung cancer *Sarcoidosis *Chronic fungal infections (e.g., histoplasmosis) *COPD with acute exacerbation *Bronchiectasis *Lymphoma *Metastatic lymphadenopathy *HIV-related lymphadenopathy *Cat scratch disease *Disseminated fungal infections *Sarcoidosis *Lymphoma *Hematologic malignancies *Viral meningitis *Fungal meningitis (cryptococcus in HIV) *Carcinomatous meningitis 🔺 SAMPRAPTI (Pathogenesis) *Aggravation of Tridosa due to Nidanas. *Dosas affect the Rasa Dhatu first → progressive Dhatu ksaya. *Depletion of Ojas → loss of immunity. *Leads to systemic weakening and classic symptoms of Rajayaksma. (Reference: Charaka Nidana Sthana 6, Madhava Nidana)Rajayakshama sma Nidana 🔺 UPASAYA AND ANUPASAYA (PALLIATIVE & NON-PALLIATIVE FACTORS) Upasaya: -Use of Rasayana (rejuvenatives) -Milk, ghee, nourishing food -Rest and avoidance of exertion -Supportive therapies for digestion and nutrition *Anupasaya: -Fasting -Excessive exertion -Ruksa (dry) and Tiksna (sharp) substances *Reference: Inferred from Charaka Chikitsā Sthāna 8, Ashtanga Hridaya Chikitsā Sthāna 4 🔺 SAMANYA CHIKITSA (GENERAL TREATMENT) *Brhmanaa therapy (nourishing therapy) *Use of *Ksira (milk) *Ghrta (ghee) *Mamsa Rasa (meat soup) *Rasayana therapy (e.g., Chyavanaprasa, Pippali Rasāyana) *Avoidance of Nidanas and stress *Reference: Charaka Chikitsa Sthana 8/31–60, Ashtanga Hridaya Chikitsa Sthana 4 🔺 Vishesha Chikitsa (Specific Treatment) *Depending on Doṣa predominance: *Vataja type: Sneha (ghee), Vata-anulomana herbs *Pittaja type: Sheeta and Pittahara drugs (like Chandana, Draksa) *Kaphaja type: Kasa-hara and Kaphahara drugs (Vasa, Pippali) *Formulations: -Pippali Rasayana -Chyavanaprasa *Vasa Avaleha *Dashamula Kwatha (Reference: Charaka Chikitsa Sthana 8, Ashtanga Hridaya Chikitsā Sthāna 4) 🔺Chyawanprash Avaleha Dose: 10–20 grams twice daily with warm milk 🔺Sitopaladi Churna Dose: 1–3 grams twice daily with honey or warm water 🔺Talisadi Churna Dose: 1–3 grams twice daily with honey 🔺Vasavaleha Type: Avaleha Dose: 10–15 grams twice daily 🔺Pippalyasava Dose: 15–30 ml twice daily after food with equal water 🔺 Suvarna Vasanta Malati Rasa (If Rasoushadhis are used) Dose: 125–250 mg twice daily with honey 🔺 Guduchi Satva Dose: 500 mg – 1 gram twice daily with honey or warm water 🔺Ashwagandha Churna or Avaleha Dose: 3–6 grams powder (or 10–15 grams avaleha) twice daily with milk 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB