• Gentleman with spectacles came with 25ons complains of heart valve contraction exertional dysnoea, lethargy, hearing problem (found in heart patient) digestion etc impaired.
• Rx
• Established heart patient
• Rasonadi Kashayam + Paartharistam + Dhanwantharam gulika – am/pm
• Balaristam + Paartharistam after lunch 1 ounce
• Dashamoola hareetaki bed time

 

• A heart patient had hearing problem and was put on these medicines within 2 weeks hearing better without doing anything specific for it.

Name : Shaji

Age : 27 years

C/O    1. No balance during walking.

2.oscillating  movement even standing for 1 minute.

3. falling  forward  while taking class.
4. giddiness.
5. insomnia.

6.constipation

 

Rx : its vathika in nature. Take as akshepaka.

1. Dhanadanayanadi + brihath chaghala ghrita
2. Dhanwantharam thaila- pichu on head ½ hr
3. Lasunaksheera – margavisodhana & brimhana
4. Balarishtam
5. (Consider his work environment)

C/o. lumbar lesion, hypertension, capsule and basal ganglia

Treatment:

1. Cheriya rasnadi + chandraprabha vati
2. Punarnavasavam
3. Brhatyadi choornam- 15 gm powder boiled in 1 liter water for drinking
4. Kottamchukkadi tailam + panchamla tailam + karpooradi tailam – 150 ml E/A

MS

Merina Chacko 36yrs

Started in 3/97

c/o numbness of left side of body. Started on left palm spreading to other parts of the body. Contractions developed later. It is not able to hold things. Had a feel of electric shock in various body parts. Boy wt↓. burning sensation of both foot. Spastic movements of left arm and left leg

PI/-  strong viral fever ’96 for 1week. Head ache at times

Tx steroid. After 1yr eye sight decreasing

Food – katu amla lavana        mood- angry

Tx

Snehapanam – amrtaprasam

Pizhichil + dhara with madhuyashtyadi

Vidaryai kashayam – 6am & 6pm

Vidaryadi ghrtm bd

Madhuyashtyadi ext.

After Tx

Spasticity of left arm ↓

Eyesight improved

Numbness of index an little finger an left knee joint persist

Snehapana – madhuyashtyadi

Pizhichil, sirodhara –   “

Vasti  – rajayapana

numbness↓↓  occasional numbness of index finger

continue – vidaryadi kashayam

amrtaprasam

ksheerabala

madhuyashtyadi tailam

advice by DR.Rjagopalan  sir regarding MND

Mahendra 53yrs

Diagnosis MND  fulfilling E1 escorical criteria for laboratory probable ALS; Anterior horn cell desease.h/o feb 2010 with difficulty  running 10km which was easy before , unable to exert more. Because the legs were weak (R.Thigh)

Aug – climbing stairs difficulty

Nov jan – difficult to ran at all .

Now  complaints of twitching of  thighs,cramps, twitching in shoulder,can walk long way,but develops cramps if he does , weakness of distal muscle of lowerlimb.

h/o 1995 –appendix removed , DM

1997 –started stains

But he is normo cholestremic

No family h/o seizures, parkinsons , dementia, mnd

On examination – cranial nerves, speech normal .

Upperlimb+ fasciculation rt shoulder, no wasting ,normal tone, full power

Lowerlimb – wasting +ve ,fasciculation rt thigh

Power grade 4 in thigh

Jaw jerk absent.brisk reflex – UL

Abductor reflex , hoffman’s sign , finger jerk – not present.

Sensory testing normal

MRI spine normal

EMG  – Acute and chronic denervation in lowerlimbs rt worse than Lt with chronic partial degeneration change , fasciculations,and myohymia in upperlimbs

Pmg – tongue normal

Slow progress

h/o progressive lowerlimb weakness, fatigue when walking , no sensory symptoms,arms are affected, swallowing speech normal , brisk reflexes upperlimb.nerve conduction study un remarkable.

March 2011

Scored 43/48 on ALS functional rating scale a day which is  nearly a year after onset of symptom.so progressing more slowly than average.

Exmn of U/L  fasciculation & wasting –UL

Power 5/5

Pyramidal distribution of weakness 4/5

Brisk reflexes R, UL < LT. UL

MRI cervical lumbar

Some degenerative changes but no neural compression.

Sir’s comment.

MND- ALS  ant.horn cell desease

Very tough to cure.

DM is problem here , so no rasayana

• Narasimha ghritha without sugar
• Taila dhara
• Pizhichil
• Kashaya – satavari,mustha ,kasthuri ,rohini
•           Devadaru
• Njavara kizhi
•  Eranda tailam + saindhavam at am
•                           + jeera + sugar  at pm

Diabetic neuropathy

Danwanthram ks.-bd

Dhanwantharam(101)

Brhath manjishtadi ks.

Fbs-230

PPBS-290

Thundil Varsha 8years+4= 12 years

Signifivcant cerebellar atrophy

Since 6 years- can not walk, stand on herself , very lean,  hand fingers flexed, father lifting and carrying her, DTR- decreased knee

Very lean leg, almost nil calf muscles, she is totally dependent (for ambulation) on parents.

Peripheral sensory motor demyelinating.

h/0 fever during 6 years of age, injection was taken- no more fever- but weakness of legs developed

since childhood, muscle is lean, speech very limited

-indukantham kashayam bd

-kalyanakam kashayam+honey bd

-aragwadharishtam+saraswatharishtam 15ml bd

h/o hypoxia? 8am-6pm

birth weight-2.1kg

-aphthous ulcer- best and long lasting medicine is patoladi choornam of grahani chikitsa

Or dusparsakadi kashayam-bd –good effect

Ravindran 67years numbness of foot with h/o DM

Treatment-

maharasnadi kashayam+somavalyadi kashayam

panchakola choornam

hinguvachadi choornam with butter milk

) in hyperaesthesia

• cotton pad soaked in pinda taila can be used as bandage.

Feeling of falling down, doubts on walking , avarana of vyana vayu is the reason.

• Indhukantham kashayam
• Vidaryadhi kashayam + atmagupthadhi churnam
• ( proven yoga of Parkinson found by sir.

Chadrashekara Panicker:

Peripheral neruropthy+DM

#Rx:

Ashtavimsadika choornam 1tsp bd

Maharaja prasarani Thailam 10ml

Maha Manji Ks+ Chandhraprabha( effective combination decrease the symptoms of D.Neuropathy)

*He had imbalsce during walking On medication: Nerurobion ,Renerve plus

any chronic DM  neuropathy

Brihath manjishtadhi kashayam

Localised pizhichil

ex service man who stopped meat and drinks.

Numbness of both foot , decreased blood circulation

• Kaisora guggulu + jeera water
• Sudarsana churnam 5gm bd

Dr.Sethu’s father met with an accident/ paralysis

LMN Lesion –

If no pain- musthadhi marma kashayam

After the disappearance of ama – Nayopayam kashayam + vatagajankusa gulika

Lator on – maharaja prasarini tailam / gandha tailam

Plain  abhyanga-  dhanwantaram+ murivenna

If constipation – matravasthi with eranda tailam.

Yogamritham – banga rx

Male 35 year has DM; dry……………doppler …………….. done; Ischemia , blackish below knee both limb; sensory loss above knee

PIZHICHIL WITH PINDA THAILAM after 3 days sensation achieved

He had hardened inguinal lymph node

KOKILAKSHAM + AMRITHAM KASHAYAM with KAISORAGUGGULU

GGT KASHAYAM HS to cure vrana

Pathya is must : oats wheat raagi dosha etc:-