On World Tuberculosis Day , let’s focus on the role of Ayurveda in combating Tuberculosis .
Tuberculosis can be correlated with Yakshma or Rajyakshma in Ayurveda .In Rajyakshma , dhatukshaya ( loss of essence of tissues ) is the main reason of pathogenesis and can affect any organ .
TB of female genital tract is common amongst all the communities where pulmonary or other forms of extra genital tuberculosis are prevalent and this despite early recognition and effective treatment of such lesions .
It follows that genital tuberculosis is nearly always secondary to a focus elsewhere in the body but spread takes place at a very early stage of disease – usually in adolescence or early maturity .
Thus by the time lesion is found , which can be at any age , the primary has often healed and is inconspicuous .
How it spreads :
The tubercle bacilli reach the genital tract by one of the following mechanisms:
Bloodstream : The primary focus being most often situated in the lungs , lymph nodes , urinary tract , bones and joints – in that order .
Descending : In this type the infection reaches pelvic organs by direct or lymphatic spread from infected adjacent organs such as peritoneum , bowel etc .
Ascending : There is a theoretical possibility that a few cases of Tuberculosis of vulva and vagina and of primary tuberculosis of cervix are explained by – children sitting unclothed where others have spat or coughed and in adults having coitus with a male suffering from urogenital tuberculosis .
Any part of the genital tract can be affected but the common sites are fallopian tubes and the endometrium . Tubes are involved in atleast 90% of cases .
Clinical features :
a) This is often a silent disease . It may be present for 20 or more years without producing any symptoms , the woman remaining in apparently excellent health .
The presence of Pelvic Tuberculosis is most often revealed by the investigation of childlessness and therefore is usually discovered in women aged 20 – 40 years .
c) Ectopic pregnancy
d) Menstrual disorders
e) Pain in lower abdomen
f) General disturbances : Malaise , loss of weight , night sweats , pyrexia ,are only seen during an unusually active phase of disease .
General : It is important to improve the patients natural resistance to the disease by paying attention to the diet and general well being . Until infection is controlled , husband should use condom to prevent possibility of contracting urogenital tuberculosis .
Medicine : The treatment of Pelvic Tuberculosis is similar to that of Pulmonary Tuberculosis.
Ayurvedic Management :
Panchakarma ( Purification measures ) should be done according to condition of the patient .
Diet : Rice ,wheat ,barley ,green gram, horse gram, pomegranate , raisins , tamarind , long pepper , dry ginger , coriander , cinnamon , small cardamom , garlic , bishop’s weed , freshly prepared butter , goat’s milk , honey , candy sugar ( mishri) can be taken .