Shoash is one of the major diseases in which involvement of all Datus and Strotas. Shosh is the synonym of Rajyakshma. It is a major public health problem in India. Due to the Changes in Diatec habits, Population Explosion, Under Nutrition, and Lack of Awareness about cause of disease. In modern era Shosha is considering as tuberculosis. In 2005 there were 8.8 million new patients with tuberculosis all over the world, and of these, 7.4 million were in Asia and sub Saharan Africa. The Involvement of the spine reportedly occurs in less than 1-2% of patients who contract TB.  The male to female ratio is reportedly 1.5-2.1. Here an effort was made to treat the male patient of age 46 year old using multiple Ayurvedic treatment. Aim and objective: To study efficacy of ayurvedic Shodhan and shaman Chikitsa in the management of Shosh vyadhi. Material and Method: The patients were selected from the OPD and IPD of concern institution Result: At the end of 3 month of treatment resulted in the improvement of overall symptoms. Conclusion: The case report shows that combine ayurvedic chikitsa is potent and safe effective in the treatment.
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