SlideShare una empresa de Scribd logo
1 de 130
Shree Ganeshaya namah
WELCOME WELCOME
RAJAYAKSHMA        TUBERCULOSIS
Shree Ganeshaya Namah…..
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Acc. to Ayurveda
Synonyms ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
King Chandra married 28 daughters of Dakshaprajapati but unable to satisfy all except Rohini as he was more interested in her. So remaining complaint to their father and Daksha Prajapati became furious and his anger came out of his mouth through expiration and King Chandra suffered by Rajayakshma. Mythological history (charaka s.chi.8/3-12)
Due to occurrence of disease first time in Raja so called as Rajayakshma.
Hetu ,[object Object],[object Object],(c.s.ni.6/3 and s.s.u.41/9)
1) Sahasa or (over exertion) 2) Sandharana (suppression of natural urges 3) Kshaya (wasting) 4) Vishamashana (irregular dieting)   There are four etiological factors Acc. To charaka
क्षयाद्वेगप्रतीघातादाघाताद्विषमाशनात् जायते कुपितैर्दोषै : व्याप्तदेहस्य देहिन :( सु . सं . उ .  41/9 )
There are four etiological factors acc. To susruta ,[object Object],[object Object],[object Object],[object Object]
When a person does the work which is out of his capacity is called as Sahasa. Acharya Charaka mentioned different examples of Sahasa like: 1.Sahasa or aaghataja
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],.
Samprapti ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Lakshanas ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
2)  Sandharanaja or vega pratighataja  (Suppression of natural urges) ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Samprapti of    sandharana janya Rajayakshma ,[object Object],[object Object],[object Object],[object Object]
Lakshanas of sandharana janya    Rajayakshma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3.   Kshaya hetu ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Pratiloma kshayaja Hetu ,[object Object]
- Ati Maithuna leads to Shukra    dhatu kshaya   - after Shukra kshaya if person   indulges in sexual activity   - no semen ejaculation   - vata enters the blood vessels    and causes blood discharge    having vata gunas from seminal   passage. Samprapti of kshaya janya Rajayakshma
[object Object],[object Object],[object Object],[object Object]
Lakshanas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Vishamashana hetu ,[object Object]
Samprapti of vishamashanaja Rajayakshma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Samprapti of Rajayakshma ,[object Object],[object Object],[object Object],[object Object]
Samprapti: Acc. To susruta ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Samprapti  acc. To Vagbhata ,[object Object],[object Object]
Rajayakshma Samprapti ghatakas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sadhya asadhyatva ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],पूर्वरूप
[object Object],[object Object],[object Object],[object Object]
Purvarupas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
त्रिरूप राजयक्ष्मा ,[object Object],[object Object],[object Object],[object Object]
षड् रूप राजयक्ष्मा Acc. To charaka ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
षड् रूप राजयक्ष्मा   Acc. To susruta ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
एकादश रूपानि राजयक्ष्मा   Acc. To charaka ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
एकादश रूपानि राजयक्ष्मा   Acc. to susruta ,[object Object],[object Object],[object Object],[object Object]
Due to vata ,[object Object],[object Object],[object Object]
Due to Pitta ,[object Object],[object Object],[object Object],[object Object]
Due to kapha ,[object Object],[object Object],[object Object],[object Object]
साध्य लक्षण s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
असाध्य लक्षण s   acc. to charaka ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
  acc. to susruta ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
कारणानुसार शोषभेदान् ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Difference between sosa and Rajayakshma ,[object Object],[object Object]
[object Object],[object Object],[object Object]
उपशय ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acc. To modern science…..
[object Object],Pulmonary
Some terms related to the topic ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Droplet infection ,[object Object],[object Object]
Causative organism ,[object Object],[object Object],[object Object],[object Object]
Mycobacterium Tuberculosis hominis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Atypical or non tuberculous mycobacteria   ,[object Object],[object Object]
Mode of transmission   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Incubation period   ,[object Object],[object Object],[object Object]
Spread of TB   ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evolution  of tubercle   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Tuberculosis   ,[object Object],[object Object],[object Object]
Primary TB   ,[object Object],[object Object],[object Object],[object Object]
This type of TB consists of 3 components   ,[object Object],[object Object],[object Object],[object Object]
Note : ,[object Object],[object Object]
Fate of Primary TB   ,[object Object],[object Object],[object Object],[object Object]
Secondary Tuberculosis   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Fate of  sec. pulmonary TB   ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIV associated tuberculosis   ,[object Object],[object Object],[object Object]
Clinical features   ,[object Object],[object Object]
Referable to lungs   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic features   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Milliary TB ,[object Object],[object Object],[object Object],[object Object]
1. Mantoux test   ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of death in Pulmonary TB   ,[object Object],[object Object],[object Object],[object Object]
Prevention or vaccination   ,[object Object],[object Object],[object Object],[object Object]
Dosage   ,[object Object],[object Object],[object Object],[object Object]
Treatment   ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
The three basic concepts in TB treatment are as follows: ,[object Object],[object Object],[object Object]
Antituberculous drugs  are classified as…..
First  line antituberculosis drugs   ,[object Object],[object Object]
Isoniazid ,[object Object],[object Object]
Rifampin   ,[object Object],[object Object],[object Object]
Pyrazinamide   ,[object Object],[object Object],[object Object],[object Object]
Ethamabutol   ,[object Object],[object Object]
Streptomycin   ,[object Object]
Second line antituberculosis drugs …..
Second line antituberculosis drugs   ,[object Object],[object Object]
Para-aminosalicylic acid (PAS)   ,[object Object],[object Object],[object Object]
Ethionamide   ,[object Object],[object Object]
Cycloserine   ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment for the  Latent (inactive) TB infection…..
Dots: directly observed therapy short course….. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Longer regimen ,[object Object],Isoniazid for 9 months daily or twice weekly OR         Rifampin & pyrozinamide O.D. for 2 months.          Mainly in isoniazid resistant TB.    OR          Rifampin O.D. for 4 months for one who cannot tolerate pyrazinamide.  
For active TB   ,[object Object],[object Object],[object Object]
THANK YOU.....

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

Hikka shwas
Hikka shwasHikka shwas
Hikka shwas
 
Prameha (Rogavastha)
Prameha (Rogavastha)Prameha (Rogavastha)
Prameha (Rogavastha)
 
Ashtasthana pareeksha
Ashtasthana pareekshaAshtasthana pareeksha
Ashtasthana pareeksha
 
A presentation on vata rakta chikitsa ppt
A presentation on vata rakta chikitsa pptA presentation on vata rakta chikitsa ppt
A presentation on vata rakta chikitsa ppt
 
Amavata by Dr.Swatika Sharma
Amavata by Dr.Swatika SharmaAmavata by Dr.Swatika Sharma
Amavata by Dr.Swatika Sharma
 
Kamala - An Ayurvedic View
Kamala - An Ayurvedic ViewKamala - An Ayurvedic View
Kamala - An Ayurvedic View
 
Vamanakarma
VamanakarmaVamanakarma
Vamanakarma
 
Pakshaghate virechanam
Pakshaghate virechanamPakshaghate virechanam
Pakshaghate virechanam
 
Understanding the samprapti of rajayakshma in contemporary context
Understanding the samprapti of rajayakshma in contemporary contextUnderstanding the samprapti of rajayakshma in contemporary context
Understanding the samprapti of rajayakshma in contemporary context
 
Abhyantara Snehana (internal oleation)
Abhyantara Snehana (internal oleation)Abhyantara Snehana (internal oleation)
Abhyantara Snehana (internal oleation)
 
Understanding sadyovamana & it’s various application
Understanding sadyovamana & it’s various applicationUnderstanding sadyovamana & it’s various application
Understanding sadyovamana & it’s various application
 
Shodananga snehana swedana
Shodananga snehana swedanaShodananga snehana swedana
Shodananga snehana swedana
 
Vaitarana basti,krimigna basti,lekana basti
Vaitarana basti,krimigna basti,lekana bastiVaitarana basti,krimigna basti,lekana basti
Vaitarana basti,krimigna basti,lekana basti
 
Panchakarma in vatarakta
Panchakarma in  vataraktaPanchakarma in  vatarakta
Panchakarma in vatarakta
 
Virechana vyapat
Virechana vyapatVirechana vyapat
Virechana vyapat
 
Ajeerna
AjeernaAjeerna
Ajeerna
 
Virechana karma
Virechana karmaVirechana karma
Virechana karma
 
Gridhrasi (sciatica)
Gridhrasi (sciatica)Gridhrasi (sciatica)
Gridhrasi (sciatica)
 
Abhyantara sneha
Abhyantara snehaAbhyantara sneha
Abhyantara sneha
 
Madatyaya - alcoholism
Madatyaya - alcoholismMadatyaya - alcoholism
Madatyaya - alcoholism
 

Destacado (10)

Pulmonary tuberculosis..ptt
Pulmonary tuberculosis..pttPulmonary tuberculosis..ptt
Pulmonary tuberculosis..ptt
 
Paralysis new
Paralysis newParalysis new
Paralysis new
 
रस
रसरस
रस
 
Rasa prakasha sudhakara
Rasa prakasha sudhakaraRasa prakasha sudhakara
Rasa prakasha sudhakara
 
Immune System_ST.ppt
Immune System_ST.pptImmune System_ST.ppt
Immune System_ST.ppt
 
Gradhrasi
GradhrasiGradhrasi
Gradhrasi
 
Immune system
Immune systemImmune system
Immune system
 
Alcoholism
AlcoholismAlcoholism
Alcoholism
 
Classification of Immunity
Classification of ImmunityClassification of Immunity
Classification of Immunity
 
Tuberculosis presentation
Tuberculosis presentationTuberculosis presentation
Tuberculosis presentation
 

Similar a Rajayakshma or Tuberculosis by Dr.Sandeep sharma

Understanding the samprapti of gulma in Charak Nidan Sthana
Understanding the samprapti of gulma in Charak Nidan Sthana Understanding the samprapti of gulma in Charak Nidan Sthana
Understanding the samprapti of gulma in Charak Nidan Sthana Priyanka Buragohain
 
Dhatu sarata
Dhatu sarataDhatu sarata
Dhatu sarataaparna007
 
Tamaka swasa re edited
Tamaka swasa re editedTamaka swasa re edited
Tamaka swasa re editedKeshaw Gautham
 
Stanya ( स्तन्य ) & physiology of lactation.pptx
Stanya ( स्तन्य ) & physiology of lactation.pptxStanya ( स्तन्य ) & physiology of lactation.pptx
Stanya ( स्तन्य ) & physiology of lactation.pptxSimran942930
 
VISHA.pptx Visha samprapti and visha classification
VISHA.pptx Visha samprapti and visha classificationVISHA.pptx Visha samprapti and visha classification
VISHA.pptx Visha samprapti and visha classificationPakhi Sharma
 
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...AYURVEDA
 
Vyadhi Bheda( Classification of diseases) Ayurveda
Vyadhi Bheda( Classification of diseases) AyurvedaVyadhi Bheda( Classification of diseases) Ayurveda
Vyadhi Bheda( Classification of diseases) AyurvedaRaghavendraPujari1
 
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)Asrigdara in Ayurveda (Abnormal Uterine Bleeding)
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)Dr. Shalini Upadhyaya
 
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES USED IN CHILDHOOD BRONC...
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES  USED IN CHILDHOOD BRONC...CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES  USED IN CHILDHOOD BRONC...
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES USED IN CHILDHOOD BRONC...Ayurveda Network, BHU
 
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptx
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptxCONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptx
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptxKrishna2017
 
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdf
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdfAushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdf
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdfDr Anitha M
 
Kala Sharir: Physiological and applied perspectives
Kala Sharir: Physiological and applied perspectivesKala Sharir: Physiological and applied perspectives
Kala Sharir: Physiological and applied perspectivesAyurveda Network, BHU
 

Similar a Rajayakshma or Tuberculosis by Dr.Sandeep sharma (20)

PPT on Kampavata.pptx
PPT on Kampavata.pptxPPT on Kampavata.pptx
PPT on Kampavata.pptx
 
Understanding the samprapti of gulma in Charak Nidan Sthana
Understanding the samprapti of gulma in Charak Nidan Sthana Understanding the samprapti of gulma in Charak Nidan Sthana
Understanding the samprapti of gulma in Charak Nidan Sthana
 
Role of pathya in Arsas
Role of pathya in ArsasRole of pathya in Arsas
Role of pathya in Arsas
 
Dhatu sarata
Dhatu sarataDhatu sarata
Dhatu sarata
 
kshata ksheena.pptx
kshata ksheena.pptxkshata ksheena.pptx
kshata ksheena.pptx
 
Tamaka swasa re edited
Tamaka swasa re editedTamaka swasa re edited
Tamaka swasa re edited
 
Ayushkamiya Adyaya of Astanga Hridaya 1st chapter by Dr.Mahantesh Rudrapuri
Ayushkamiya Adyaya of Astanga Hridaya 1st chapter by Dr.Mahantesh RudrapuriAyushkamiya Adyaya of Astanga Hridaya 1st chapter by Dr.Mahantesh Rudrapuri
Ayushkamiya Adyaya of Astanga Hridaya 1st chapter by Dr.Mahantesh Rudrapuri
 
Stanya ( स्तन्य ) & physiology of lactation.pptx
Stanya ( स्तन्य ) & physiology of lactation.pptxStanya ( स्तन्य ) & physiology of lactation.pptx
Stanya ( स्तन्य ) & physiology of lactation.pptx
 
VISHA.pptx Visha samprapti and visha classification
VISHA.pptx Visha samprapti and visha classificationVISHA.pptx Visha samprapti and visha classification
VISHA.pptx Visha samprapti and visha classification
 
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...
AN APPROACH TOWARDS AYURVEDIC - MODERN ASPECT ON MANAGEMENT OF SNAKE & THEIR ...
 
Raktamokshana in gridhrasi
Raktamokshana in gridhrasiRaktamokshana in gridhrasi
Raktamokshana in gridhrasi
 
KRIYAKALA.pptx
KRIYAKALA.pptxKRIYAKALA.pptx
KRIYAKALA.pptx
 
Dhatu poshan nyayas
Dhatu poshan nyayasDhatu poshan nyayas
Dhatu poshan nyayas
 
Vyadhi Bheda( Classification of diseases) Ayurveda
Vyadhi Bheda( Classification of diseases) AyurvedaVyadhi Bheda( Classification of diseases) Ayurveda
Vyadhi Bheda( Classification of diseases) Ayurveda
 
Snayu Sharira.pptx
Snayu Sharira.pptxSnayu Sharira.pptx
Snayu Sharira.pptx
 
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)Asrigdara in Ayurveda (Abnormal Uterine Bleeding)
Asrigdara in Ayurveda (Abnormal Uterine Bleeding)
 
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES USED IN CHILDHOOD BRONC...
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES  USED IN CHILDHOOD BRONC...CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES  USED IN CHILDHOOD BRONC...
CRITICAL ANALYSIS OF DIFFERENT PANCHKARMA PROCEDURES USED IN CHILDHOOD BRONC...
 
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptx
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptxCONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptx
CONCEPTS OF IMMUNITY- A Non Pharmacological Approach.pptx
 
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdf
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdfAushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdf
Aushadha Sevana Kala, Sevana Avadhi, Pathya & Apathya.pdf
 
Kala Sharir: Physiological and applied perspectives
Kala Sharir: Physiological and applied perspectivesKala Sharir: Physiological and applied perspectives
Kala Sharir: Physiological and applied perspectives
 

Último

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 

Último (20)

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 

Rajayakshma or Tuberculosis by Dr.Sandeep sharma