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अनेकरोगानुगतो बहुरोगपुरोगमः । राजयक्ष्मा क्षयः शोषो रोगराडिति च स्मृतः ॥ १ ॥
Nirvachana (Definition) Follower of many diseases and leader of many others,Rajayakshman is known also as Kshaya, Shosha and Rogarat.
english translation
नक्षत्राणां द्विजानां च राज्ञोऽभूद्यदयं पुरा । यच्च राजा च यक्ष्मा च राजयक्ष्मा ततो मतः ॥ २ ॥
Since it affected the king of the stars (the moon) and the twice born (Brahmanas) long back (in the previous aeon) and since it is the king of Yakshmas (disease syndromes) it is called Rajayakshma.
english translation
देहौषधक्षयकृतेः क्षयस्तत्सम्भवाच्च सः । रसादिशोषणाच्छोषो रोगराट् तेषु राजनात् ॥ ३ ॥
Because it leads to loss/depletion of the body and of medicines (because of its persistence for long time in the body) and also because it is the cause of many diseases (which cause depletion of the body and medicines) it is called Kshaya. It is Shosha, because it produces depletion (drying up, diminution or loss) of Rasa and others (Dhatus/tissues) and Rogarat – king of diseases – since it reigns (overpowers, subdues, controls) over them.
english translation
साहसं वेगसंरोधः शुक्रौजःस्नेहसङ्क्षयः । अन्नपानविधित्यागश्चत्वारस्तस्य हेतवः ॥ ४ ॥
Exertion, suppression of the urges (of urine, feces, flatus etc.) loss of Shukra, (semen), ojas, (essence of the tissues) and Sneha (unctuousness, lubricating material of the tissues) and avoidance of proper regimen of food and drink – these four are its causes. Samprapti (pathogenesis)
english translation
तैरुदीर्णोऽनिलः पित्तं कफं चोदीर्य सर्वतः । शरीरसन्धीनाविश्य तान् सिराश्च प्रपीडयन् ॥ ५ ॥
Aggravated by these (causes), Anila (Vata) produces increase of both Pitta and Kapha, spreads to and compresses all the joints of the body and the Siras (veins and other channels of Rasa).
english translation