Usuku lweSifo sePhepha seLizwe: Unyango lwe-Ayurvedic lweSifo sePhepha sePulmonary

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Umntu unokufumana isifo sephepha (i-TB) ngokuphefumla ngamathontsi omoya akhohlela okanye akhohlele umntu osulelekileyo ^[1] . I-TB yingxaki yezempilo kwihlabathi liphela. Malunga neepesenti ezingama-25 zamatyala e-TB ehlabathini afunyanwa e-India ^[Mbini] . Isifo sephepha siyaqhubeka nokuhlala njengesona sifo sokuqala sisifo esasulelayo kumazwe asakhasayo nanamhlanje.

Ngaphandle konyango lwangoku lwenzululwazi kunye nobuchule, i-Ayurveda nayo ibonakalise indlela ethembisayo nenomdla yokubonelela ngesisombululo kunyango olusebenzayo lwe-TB. Ngolu Suku lweSifo sePhepha lweHlabathi, funda ukuze wazi ukuba i-Ayurveda ingasetyenziswa njani kulawulo lwesifo sephepha semiphunga.

Inkcazo ye-Ayurvedic yeTulmonary Tuberculosis

Kwi-Ayurveda, isifo sephepha semiphunga sithelekiswa neRajayakshma. URajayakshma ikakhulu unxulunyaniswa noDhatukshaya (ukubola kwethishu okanye ilahleko). UDhatukshaya uqalise i-pathogenesis kwizigulana ze-TB. URajayakshma ukwabona ukungasebenzi okungenakuthinteleka (Dhatwagninasana) ^[3] . Kule Rasa (ulwelo lwethishu), iRakta (igazi), iMamsa (umsipha), iMeda (izicubu zeadipose) kunye neSukra (izicwili ezivelisayo) zilahlekile. Ekugqibeleni, ukonakala kokugqibela kokungakhuseleki (Ojokshaya) kwenzeka ^[4] .

Utshintsho olungaqhelekanga lwe-metabolic olwenzeka ngexesha lika-Rajayakshma lukhokelela ekuphulukaneni ne-Dhatus (izicwili) ezahlukeneyo ezinje nge-Ojokshaya, Sukra, Meda Dhatus elandelwa kukuphulukana no-Rasa Dhatu (inkqubo ebizwa ngokuba yi-Pratilomakshaya) ^[5] .

Oonobangela beRajayakshma (isifo sephepha sephepha)

I-Ayurvedic Acharyas yakudala ichaze izizathu zeRajayakshma kwezi ndidi zine zilandelayo ^[6] :

• Sahas: Ngaphandle kokuba buthathaka ngokwasemzimbeni, ukuba umntu wenza umsebenzi ogqithisileyo womzimba (ongaphaya kwamandla akhe) iVata dosha iye ihanjiswe. Imiphunga ichaphazeleka ngokuthe ngqo ngenxa yoku, ibangela isifo semiphunga. Vata dosha vitiates Vaphaates Kapha dosha kwaye bobabini, ngokulandelelana, vitiate Pitta dosha ebangela Rajayakshma.
• ISandharan: IVata dosha iyacaciswa xa iminqweno icinezelwe. Oku, kwenza ukuba uPitta noKapha doshas bajikeleze emzimbeni obangela iintlungu. Isiphumo esibonayo sinokubonwa ngohlobo lokukhohlela komkhuhlane kunye nokuthimliswa. Ezi zigulo zibangela ubuthathaka bangaphakathi kwaye zikhokelele ekuphelisweni kwezicubu.
• UKshaya: Ukuba umntu ubuthathaka emzimbeni kwaye unengxaki yoxinzelelo, uxinzelelo kunye noxinzelelo, uthambekele ekuchaphazelweni zizifo ezahlukeneyo. Kwakhona, ukuba umntu obuthathaka uzila ukutya okanye uthatha ukutya okungaphantsi kunoko kufunwa ngumzimba wakhe, iRas Dhatu iyachaphazeleka ekhokelela eRajayakshma. Ukutya oku-ruksh (okomileyo) komntu obuthathaka kukwabangela imiba emininzi yezempilo.
• Visham Bhojan: U-Acharya Charak uthethe malunga nemithetho esibhozo yokutya kwi-Charak Samhita. Ukuba umntu uthatha ukutya ngokuchasene nalo mthetho, ezi dosa zintathu ziyahlanjululwa. Ukulungiswa kwedoshas kuthintela imiqolo yeSrotas. Izicubu zomzimba ziyeke ukufumana nasiphi na isondlo ekutyeni komntu. Oku kuyayiphelisa iDhatus. Iimpawu ezahlukileyo ziyaqatshelwa emzimbeni kweli nqanaba. Okokugqibela, ubuthathaka bangaphakathi bulandelwa kukwenzeka kukaRajayakshma ^[7] .

Iimpawu zeRajayakshma (isifo sephepha sePulmonary) kwisiseko seDoshas ^[8]

1. UVataj Rajayakshma - ukuduma kwelizwi, iintlungu ezisemacaleni ^[9]

2. UPittaj Rajayakshma - umkhuhlane, igazi, isikhohlela esixubileyo, ukutshisa emzimbeni, urhudo ^[10]

3. UKaphaj Rajayakshma - ukhohlokhohlo, anorexia, ubunzima entloko ^{[Shumi elinanye]}

Amanqanaba eRajayakshma (isifo sephepha sephepha) kwisiseko seempawu ^[12]

1. UTrirupa Rajayakshma (inqanaba lokuqala lesi sifo): Eli nqanaba libandakanya le miqondiso kunye neempawu ezilandelayo ^[13] :

• Umkhuhlane (pyrexia)
• Intlungu egxalabeni kunye neembambo (indawo ethe tyaba), iintlungu ezisemacaleni
• Iintlungu zesifuba
• Ukutsha kweentende zezandla kunye neentende zeenyawo
• Pneumothorax

2. UShadarupa Rajayakshma (inqanaba lesibini lesi sifo): Eli nqanaba libandakanya le miqondiso kunye neempawu ezilandelayo ^[14] :

• Ifiva
• Khohlela
• Ukugquma kwelizwi
• Anorexy
• Haematemesis
• Dyspnoea

3. U-Ekadash Rupa Rajayakshma (inqanaba lesithathu lesi sifo): Eli nqanaba libandakanya le miqondiso kunye neempawu ezilandelayo ^{[Shumi elinantlanu]} :

• Ubuhlungu emagxeni (ummandla we-scapular) kunye neeflanks
• Khohlela
• Ifiva
• Intloko ebuhlungu
• Ukugquma kwelizwi
• Dyspnoea
• Anorexy
• Urhudo
• Haematemesis

Unyango lweRajayakshma (isifo sephepha sephepha)

1. Sanshaman Chikitsa - Yenziwa xa isigulana sibuthathaka ^[16]

• Unobangela ophambili uphathwa kuqala.
• Ukucoca ngokucokisekileyo komzimba kufuneka kulandelwe ukuthanjiswa komzimba usebenzisa iBala Tail.
• Amayeza anyusa ukutya kufuneka anikwe emva kweShodan yeSrotas.
• Ubisi, i-ghee, inyama, amaqanda, ibhotolo, njl, kufuneka zibandakanywe kukutya. Oku kubonelela ngesondlo seDhatus.
• Isigulana kufanele ukuba sigcinwe kwigumbi elahlukileyo.
• Ukulala ngesandi komguli kubalulekile. Isigulana ke kufuneka sigcinwe kwigumbi elithe cwaka nelitofontofo, ngakumbi ebusuku.
• Kubalulekile ukuba iqondo lobushushu lomzimba wesigulana lihlolwe amaxesha amaninzi ngemini.
• Kubalulekile ukuba uqaphele ukuba unyango lweempawu luyathandwa kunye neendlela ze-Ayurvedic zeRajayakshma.

2. Sodhan Chikitsa - Yenziwe xa isiguli siphilile ^[17]

• Ukucocwa kunye ne-emesis kufuneka kunikwe isigulana phantsi kweliso leengcali ze-Ayurvedic.
• Ubumnene beAsthapan Vasti bunokunikwa ngokubhekisele kwimfuno, yeSodhan Karma ^[18]
• Ukutya okulula, okunencasa kunye nokunambithekileyo kwindalo kufuneka kunikwe.
• Ioyile kunye namanqatha esuphu edibeneyo eyenziwe ngenyama yebhokhwe kufuneka inikezwe.
• UGhee ulungiselele ukusebenzisa u-Anar, u-Amla kunye no-Sounth kufuneka banikwe isigulana.
• Kukwabalulekile ukuba uqaphele ukuba unyango lweempawu lukhethwa ecaleni kweefomathi zeAyurvedic, kodwa nxibelelana nengcali yeAyurvedic ngaphambi kokuqhubeka noku.

Ukuqulunqwa kwe-Ayurvedic yeRajayakshma (isifo sephepha sephepha)

Izifundo ezininzi zenziwe ngenjongo yokulinganisa isiphumo sokunyanga i-TB kunye naleyo ye-Ayurvedic formulations. Inkqubo yeRasayana esetyenziselwa ukulawula abaguli abaneRajayakshma yenziwe ^[19] :

• Amalaki - pericarp, 1 inxenye
• Isiqu seGuduchi, icandelo elinye
• I-Ashwagandha-ingcambu, inxalenye e-1
• Yashtimadhu - ingcambu, 1 inxenye
• IPippali - iziqhamo, kunye nenxalenye ye-frac12
• I-Sariva - ingcambu, kunye nenxalenye ye-frac12
• I-Kustha-ingcambu, kunye nenxalenye ye-frac12
• IHaridra-rhizome, kunye nenxalenye ye-frac12
• I-Kulinjan-rhizome, kunye nenxalenye ye-frac12

Le Rasayana ihlala ifumaneka kwifomule. Kwaxelwa kwizifundo zophando ezininzi ukuba le ndawo yeRasayana inganciphisa ukukhwehlela (malunga neepesenti ezingama-83), umkhuhlane (malunga neepesenti ezingama-93), idyspnea (malunga neepesenti ezingama-71.3), ihemoptysis (malunga neepesenti ezingama-87) kwaye yonyusa ubunzima bomzimba (malunga 7.7 pesenti) ^{[Amashumi amabini]} .

Izifundo zaye zaqhutywa kuphando lokusebenza kwe-Bhringarajasava njengoNaimittika Rasayana ekunyangeni isifo sephepha sephepha. Bhringarajasava ^{[amashumi amabini ananye]} iyafumaneka kwifom engamanzi kwaye inezinto zilandelayo:

• Bhringaraja
• IHaritaki
• Pippali
• UJatiphala
• Lavanga
• I-Twak
• Ngaba ingaphaya
• I-Tamalapatra
• Nagakesara
• Indawo yokugcina

Olu qulunqo lungentla lwachongwa njengonyango olululo lwe-Amsaparsabhitapah (iintlungu kwingingqi eneendleko kunye ne-scapular), iSamtapakarapadayoh (ukutshisa okutshisayo ezintendeni nasezandleni) kunye neJwara (pyrexia).

Kwinqaku lokugqibela ...

Njengokuba i-TB iyeyona ngxaki yezempilo yoluntu kumazwe asakhasayo, kubandakanya ne-India, kukho imfuneko engxamisekileyo yokufumana iindlela zokulwa ukusasazeka kwesi sifo. Ngokonyuka kweentlobo zebacteria ezibangela i-TB, iingcali zonyango ngoku zijonga ezinye iindlela ngaphandle kwamayeza aqhelekileyo okufumana unyango lwesi sifo sosulelayo- i-Ayurveda yenye yazo.

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