Describe anuloma samprapti of rajyakshma.

• A. Accumulation of Kapha in the Lungs
• B. Depletion of Rasa Dhatu Leading to Subsequential Emaciation of All Following Dhatus
• C. Blockage of Channels in the Chest
• D. Depletion of Ojas Leading to Retrograde Depletion of Tissues

Answer: (B)

Anuloma samprapti in rajyakshma centers on the idea that the disease begins with depletion of a primary tissue, and from there the effect cascades through subsequent tissues. In Rajyakshma, the first target is rasa dhatu—the refined essence that nourishes all other dhatus. When rasa dhatu is reduced, its nourishing influence on the next dhatus weakens, so there is progressive, systemic emaciation as rakta, mamsa, meda, asthi, and majja become depleted in turn. This downward sequence of tissue wasting matches the concept of anuloma samprapti, where the pathology starts with rasa dhatu and then affects all following dhatus, leading to overall decline.

Other options don’t capture this pattern. Accumulation of Kapha in the lungs describes a different etiopathogenesis focused on kapha obstruction rather than tissue depletion. Blockage of channels in the chest points to srotodushti without specifying the sequential dhatu decline. Depletion of Ojas with retrograde depletion of tissues describes a different course where ojas is the primary focus rather than rasa dhatu driving the cascading dhatu kshaya seen in rajyakshma.