Tuberculosis and Emaciation

  1. Raajyakshma (Tuberculosis):
  2. The four Aetiological Factors:
  3. Habitual suppression of the natural evacuatory urges.
  4. Excessive loss of vitality.
  5. Working beyond one’s capacity
  6. Improper meals

Tuberculosis and Emaciation effects on the bodyAbove are the four aetiological factors of the disease raajyakshama which originates due to the vitiation of all the three doshas.

  1. Pathogenesis: Obstruction of the nutrition-carrying channels predominantly by the kapha dosha leads to the depletion of all the tissues of the body; indulgence by a person in excessive sexual intercourse and excessive loss of semen also lead to the depletion of the tissues, thus the patient develops the disease.
  2. Prodromal Features:
  3. Dyspnoea
  4. Bodyache
  5. Spitting of mucus
  6. Dryness of the palate
  7. Vomiting
  8. Dyspepsia
  9. Dizziness
  10. Corrhyza
  11. Cough
  12. Sleepiness
  13. His eyes become white
  14. He develops a carving for meat and for sex.

In his dreams, such person is carried by the crows, parrots, peacocks, vultures, monkeys and lizards; he also visualizes rivers devoid of water and trees dried up and ravaged by winds, smoke and forest fire.

  1. Six Cardinal features of Raajyakshma (Shadroopa):
  2. Aversion to food
  3. Fever
  4. Dyspnoea
  5. Cough
  6. Haemoptysis
  7. Hoarseness of voice
  8. Eleven Doshaj Clinical features of advanced Tuberculosis:
  9. Hoarseness of voice
  10. Pain in shoulders and flanks
  11. Wasting of shoulders and sides of the chest due to vaayu
  12. Fever
  13. Burning sensation
  14. Diarrhoea
  15. Haemoptysis due to pitta
  16. Feeling of fullness in the head
  17. Aversion to food
  18. Cough
  19. Loss of voice due to vitiation of kapha
  20. Bad Prognostic features: The physician should give up the patient suffering from consumption having either the above eleven or the following six features, viz., cough, diarrhea, pain in flanks, hoarseness of voice, anorexia and fever, as also those manifesting the triad of cough, dyspnoea and haemoptysis.
  21. Selection of cases for treatment: Those consumptives should be discarded from treatment who go on getting emaciated inspite of taking large amounts of food, who are suffering from diarrhea and who have developed oedema on the scrotum and the abdomen.
  22. The untreatable complications: Tuberculosis kills a man who has whitened eyes, a dislike for food, labored breathing and who passes urine frequently and with difficulty.
  23. Good Prognostic features: One should treat a patient of consumption if the fever is not persistent, if his general condition is good and he can withstand the therapeutic measures, as well as if his appetite is good and he is not emaciated.
  24. Shosha or Non-tubercular Emaciation:
  25. Types of shosha: There are seven types of shosha based on the aetiological factors:
  26. Excessive sexual indulgence
  27. Grief
  28. Old age
  29. Hard work
  30. Travelling long distances on foot
  31. Chronic ulcers
  32. Chronic chest lesions


  1. Emaciation due to excessive sexual indulgence: The patient suffering from emaciation arising due to sexual intercourse in excess has the symptoms of loss of semen. His body looks anaemic and the preceeding dhaatus get depleted in a reverse manner.
  2. Emaciation due to the psychic trauma or grief: The patient suffering from emaciation as a result of grief i.e. shokjanya shosha, is always in a thoughtful mood and his body parts (limbs etc.) remain lax, in addition to the features described above.
  3. Senile Emaciation(Vridhhavasthajanya shosha): The patients suffering from emaciation due to old age presents with the body becoming thin, sexual weakness, mental dullness, reduced strength, weakness of the sensory and the motor organs, tremors and anorexia. His voice resembles the sound produced by a cracked bell-metal pot. He spits without the expectoration of the mucus. He feels heaviness in all the parts of the body and suffers from bodyache. Watery discharge keeps on flowing out from his mouth, nose and eyes. He passes dry faeces and has a dull appearance.
  4. Emaciation due to exertion of long travel (Adhva Shosha): The patients suffering from such emaciation show flaccidity of the limbs and his appearance seems to be parched and coarse. His body parts get numbed and his kloma i.e. the pharynx, throat and the mouth remain dry.
  5. Emaciation due to excessive exercise (Vayayaamjanya Shosha): The emaciation suffering from excessive physical exercise has all the above symptoms caused by excessive journey by the foot coupled with those of the ulcerative chest lesion except a wound.
  6. Emaciation due to ulcerative lesions in the body (Vran Shosha): In such an emaciation, there is a blood loss, pain and excessively restricted diet, so he should be considered incurable.


  1. Urahkshata
  2. Definition: Collection of pus in the thoracic cavity is known as urahkshata. It is generally known as pyothorax. Thoracic cavity is also known as chest cavity. Its diagnosis is confirmed when the chest is tapped with the needle and pus is obtained from inside of chest cavity. The pus is generally cultured to get a better treatment and to know what kind of organism is present and thus which kind of antibiotics are more helpful.
  3. Aetiology: The chest lesion of the serious urahkshata disease is produced by excessive drawing of the bow, heavy weight lifting, wrestling with stronger opponents, falling from a height on an uneven surface, trying to stop a running bull, attempting to kill others by throwing a rock, riding extremely long distances, swimming across big rivers, taking sudden long jumps, dancing with quick movements, being severely injured while performing similar violent actions and taking dry and deficient diet.
  4. Clinical Features:
  5. There is an extreme splitting or stabbing type of pain in the chest.
  6. Catching pain the flanks.
  7. Tremors
  8. Gradual loss of vitality, strength, complexion, appetite and digestive capacity
  9. Fever
  10. Distress
  11. Mental Depression
  12. Loose stools
  13. Failure of digestive system
  14. He repeatedly brings out large quantities of putrefied, blackish, foul smelling, yellow and clotted expectoration along with blood while coughing.
  15. The patient with his chest lesions also suffers from severe consumption due to the depletion of the semen and loss of the vitality.
  16. Prodromal Features: The prodromal signs of this disease are similar to those in a less manifested form.

Prognosis: The condition is curable when the clinical manifestations are mild, appetite is good, general condition of the patient is satisfactory and the disease is of recent origin. If it is one year old, it is curable but if all the clinical features mentioned above are present, the patient should be discarded.

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