Mukesh 37 yrs

Clinical Features

Bleeding piles, drop by drop bleeding, occassional hard stool and pile mass

 Treatments

1. Dusparshakadi ks+ bahushala gulam 2 tsp at 6 am
2. Abhayarishtam before food
3. Dasamoolahareetaki 2 tsp at bed time
4. If there is profuse bleeding mahatiktaka ks+ satavari gula

Pippalyadi anuvasana taila causes shrinkage of pile mass only in dry arsas in obese

A lady with pain in lower abdomen, pain & burning sensation after micturition, motion with blood, heart burn etc

Treatments

1. Guduchyadi kashayam (15 ml+60 ml hot water) + pushyanuga churnam (1 tsp) 
2. Sathavari gulam with milk
3. Parushakadi lehyam (2 tsp)  bt

Feedbacks

After two weeks complaints relieved, admitted in hospital with fever retention of urine, chills diagnosed as rt. ovarian cyst

Now Clinical Features

1. lower abdominal pain, heaviness after micturition, low backache since 1 week, pain aggravated during menstruation
2. Here arsas is the main problem, as it causes block in mutravaha srotas too. Apana vatha functions are impaired

Standard effective Treaments for Cysts

1. Sukumara kashaya + misraka sneha (1 tsp) 6 am 
2. Sukumara kashaya + kanchanara guggulu 6 pm
3. Bahusalagulam – bed time
4. Hinguvachadi churna – before food 11 am & 4 pm

Notice Board 

Sapthasara could have been taken but it is very ushna and the inflammation prevents its selection

1. Mahatikthakam kashayam 200 ml, 6 am 6 pm
2. Kutajatwakadi lehyam 200ml, 2 tsp bd 6 am 6 pm
3. Pushyanuga Choornam 100gm, 2 tsp + milk 10 am, 4 pm

Treatment Principles

First tikta rasa then kashaya rasa for stambhana

1. Use tikta rasa as snigdha 
2. Maha Thiktakam kashayam + Satavari ghrtam
3. Vrusha ghrtam – after lunch
4. Onion ksheera kashaya at night

New Zealand Malayalee

Clinical Notes

When in India had bleeding of piles. He had p/c joint problems & udwartanam was done. On 3rd day bleeding started. It was stopped by Pushyanugam churnam & Tiktakam ghritham

Dr Geetha’s mother

Clinical Features

1. Breathlessness in the mid of night ,jerky movements at night
2. Gas trouble
3. Constipation due to piles
4. Dyspnea occurs with heavy food in the night therefore avoids it

Treatments     

1. Here the action is aimed in koshta

1. Chiruvilvadi kashayam
2. Ashta choorna with takra in kalasaka leaf + Turmeric powder
3. Abhayarista + Dhanwantaram gullika

Here treatment is aimed at piles to be removed

Sir advices piles gets cured, burning sensation decreased by

Treatments

1. Thikthaka ghritham + Bahusala gulam 1 tsp each bd
2. Advice regarding a case of syphillis        pls bear in mind Aathurasya antharathmana get in to the soul of patient
3. Cap Rasa Sindhoora 1 – 0 – 1
4. Madhusnuhi in Guggulu Thikthaka ghritham
5. Chyavanaprasam
6. Ksheerabala 101 bd

Sir was asking has antibiotics been administered for visual issues; for neuropathy; syphillis. siro taila dhara with ksheerabala and same as pizhichil. only taila dhara has effect

Narayanan

Diagnosis

Anal fistula

Treatments

1. Chiruvilwadi Kashayam
2. Chandraprabha Gulika
3. Guggulu Thikthakam Ghritham 1 tsp with Honey
4. Madhukadi Thailam L/A

Feedbacks

By these medications anal discharge decreased; bowel not fully clear

Treatments

Now treat with Kalyanaka Gulam, Sukumaram Ghritham

A Lady 64 years

Clinical Features

Fistula in ano with pain & decresed discharge

Treatments

1. Chiruvilwadi kashayam
2. Guggulu thikthaka ghrtham 1 tsp – HS
3. Madhukadi thailam – E/A at night

Clinical Features

Sneezing, allergy

Treatments

Vasarishtam, Kanakasavam, Draksharishtam

Clinical Features

Leg pain, swelling, h/o fever – 2 months ago

Treatments

1. Punarnavadi kashayam + Panchakola Churna
2. Dasamoola Harithaki 1 tsp
3. Gokshuradi Guggulu

Jeevan 56 yrs

 Clinical Features

Peri Anal Abscess since 5 yrs

Special Notes

In such condition we should enquire about

1. Any obstruction in urine passage
2. Any difficulty in sitting
3. Sleeplessness
4. DM
5. Will severe pain arises which leads to unconsciousness

Usually when this comes, appetite is reduced, bitter taste in mouth

 Clinical Features

He has constipation for 3 days, pain which was unbearable, aversion for food – 3 days and fever with cold

Treatments

1. Thikthaka ghrutham + Guggulu panchapala choornam
2. Somavalyadi kashayam + Guloochyadi kashayam
3. Rasasindoora 1 bd
4. Rsagandi mezhuku capsule 1 bd

Feedbacks

By medication now no pain around anus

Kavitha 21 yrs

Clinical Features

1. Anal area burning and bleeding 2 days
2. Recurrent axillary area abcess. Trilodinal sinus and she is taking antibiotics
3. pramehina  api etha jayanthe dushta medasa
4. cholesterol is found high in some of these kind of patients and once anti medas are done it resolves off completely

Treatments

1. Guloochyadi kashayam + Khadirarishtam bd
2. Gugguluthikthakam ghritham cap 1 – 0 – 1
3. Bhasala gula 1 tsp bd

Malavika 6 yrs

Clinical Features

1. Neck pain, Range of movement of neck intact since 3 months
2. x ray normal of her own the attempts extension

Treatments

1. Dasamoolarishtam + Draksharishtam + Balarishtam + Dhanwantharam gulika + Murivenna + Dhanwantharam thailam
2. Seborhoeic deermatitis – avoid egg by all means