Critical understanding of Rajayakshma Samprapti with special reference to Respiratory Dominant Pulmonary Tuberculosis

Abstract

Rajyakshma is one among the Asthamahagada explained by Acharya Charaka and termed as king of the disease. It had always been challenge to diagnose and treat due to its syndromic manifestation and also the multisystem involvement. So before planning the treatment it is very necessary to understand the   Nidana and Samprapti in detail. Rajayakshma has been correlated to many Immunodeficiency Syndromes but on critical analysis on symptomatology, it clinically resembles a respiratory dominant multisystem disease. The condition was also identified as an Aupsargika Vyadhi and also a set of predisposing factors i.e., Chaturvidha Nidana. Due to the indulgence in Nidana there is viatiation of Tridoshas and Sapta Dhatu. In modern era Rajyakshma which affecting the Pranavaha Srotas can be correlated to pulmonary tuberculosis. Though there is difference in the pathogenesis of Rajayakshma and pulmonary tuberculosis the clinical picture of both is quite similar. The western medicine deals more with the infective focus, it method of spread and different modalities of diagnosis and standard WHO Antimicrobial agents. Aims and objectives of the paper to express the basic concept of Hetu and Samprapti of Rajayakshma which affecting the Prana Vaha Srotas w.s.r to pulmonary tuberculosis to its full perspective.