GASTRO INTESTINAL TUBERCULOSIS W.S.R. TO KOSHTHA GATA RAJYAKSHMA
Tuberculosis is one of the world's major health problems. According to WHO India has world's largest tubercul sis epidemic, cause may lies into over crowed population, lack of health education, poverty (only 1.5 million p tients under govt. care get free treatment).Tuberculosis can tuberculosis is the 6 most frequent form of extra pulmonary site. Tuberculosis bacteria reaches the gastrointest nal tract via haematogenous spread, ingestion of infected sputum or from infected contiguo gross pathology is characterised by transverse ulcer, fibrosis, thickening and stricturing of bowel wall, enlarged and matted mesenteric lymph nodes, omental thickening and peritoneal tubercles. acute, chronic, and acute on chronic form. Most commonly illiocecal region involvement is seen in gastrointest nal tuberculosis. Illiocecal and small bowel tuberculosis presents with palpable mass or complication of obstru tion, perforation or malabsorption, stricture. nal involvement. Haematochezia, lower abdominal pain due to colonic tuberculosis. tiple perianal fistulasin rectal involvement. shana(likekasa, pratishaya, chardi, raktavamana ing to Charaka (Charakasamhita, nidan sthana Though there is no clear cut description of gastrointestinal type. But in on this aspect. He divided rajyakshma in various forms according to clinical fe