2)Vijay chandran kumaran pillai

coming from TVM area 56 yrs has diabetes mellitus, swelling in the fingers is diagnosed psoriatic arthritis and is on aspirin intake for cardiac issues and also 7.5mg of methotrexate

Sir opined that many young doctors out of over confidence make a mistake of withdrawing methotrexate immediately on starting ayurveda medicines and that flares up the problem.

• Brihatmanjishtadi kashayam bd (sir’s favourite for  psoriatic arthritis)
• Patoladi gana kashayam

Adhithya 7 yr girl with parents  with red lesions on chest and legs ; clear bowels ;after bursting of pustule the lesions spread across itching.

Sir asked any feverish condition ??  NO

• Guduchyadhi kashayam + avipathi churnam
• Patoladhi gana tab ½ tab+ honey
• Nili dhaladhi keram L/A

NB: If fever was present and severe infection  and then pain.then

• Rasa sindhoora cap 1 bd
• Would have been used  which bring down infection by 4th day . rasa sindhoora cap to be triturated strongly in  ardraka swarasa for atleast  10 minutes.

Premkumar 39 yrs lesion like scale of fish.head itching black lesion . sir asked how the bowel movoment

Psoriasis …. Pancha

Dadru kera  combination .

Aragwathaghi kashayam bd

Khadirarishtam bd

Kalanaka gulam, 2 tsp HS

) lady c/o recurrent abscess , on ecosprin , HTN , DM ???

Bowel clear fissure doubted,3 trip antibiotic used.now afraid of boils.coming again( recurrent boils )thyroid ?? normal . menses on ?? yes,

Healing delayed abscess.

Rx.. avoid fry,non veg ,spicy

• Somavallyadhi kahaya +vara churnam itsp+ honey  bd
• Annabhedhi  cap 1 bd after food.
• Jathyadi  ghritham- local
• Medas should be purified.guggulu use for  making medoushadhi, Haridra  churnam processed wth cconut oil.for fungal infection.
• Without correcting medas no use of Rx.

Kalyana churnam of  BR  very very effectivefor cp,parkinsonism,best for all tremors and psychosomatic conditions.try to know which all medicines in which  condition of which desease.

saraswathi 40 yrs

Severe itching on skin, blackish discouloration , bowel ? once /3 days

• Kalyana gulam
• Madhusnuhi rasayanam 1 tsp bd
• Somavallyadhi kashayam
• Rasothamadhi lepam   ext appln
• Only sodhana can make an impact.

) vijaya kumaran pillai was on 12/6/11

• brihath manjishtadhi kashayam tab 2-0-2
• patoladhi gana kashaya tab 1-0-1

diagnosis – psoriatic arthritis

mary blackish thick skin lesions

Aragwadha       snehapana followed by vamana or virechana

Here charmadala = exfoliative dermatitis , here skin keeps on peeling off

• nalpamaradhi / dineshavallyadhi / nilidhaladhi keram – L/A
• daily laxative
• thikthaka ghritham+ rasothamadhi lepam
• patoladhi gana kasayam + thikthaka ghritham bd  HS
• doubt of dr. Sajeev sir  myopathy muscle destruction  muscle biopsy needed.1972 a theory for myopathy.  Snigdhopachara is useless
• Problem at dhathu parinama of raktha mamsa meda. Some masses appear swollen like actually fatty mass.
• Management is formulated in 1972.
• muscle destruction  causing  cpk ?
• myopathy not mentioned in ayurveda .
• limb girdle will get better
• panchakola churnam ½ + aswagandha churnam ½ tsp – best option kuladha containing kashaya , taila , ( BR )
• srothorodha has to be removed .

IN THESE PATIENTS ONCE IN 6 MONTHS FOR MAINATANANCE

Hashim 53 yrs, came with wife reporting

c/o black spot resembling blood sprouts.- both legs 3 months.

Pcv   below  32 , Hb below 12; platelet normal.

• Drakshadhi kashayam + avipathi churnam am
• Thikthaka ghritham evng
• If BPis high the same symptoms may appear, check BP, REGULARLY

Biju , skin lesions on palms, soles – rough black scales ,coarse,itching present, dry, allergic,

• Kalyanagulam bd – size of amalaki
• Aragwadhadhi kashayam
• Madhusnuhi rasayanam 1 tsp bd
• Dadru+ panchavalka tailam

muslim man ,severe itching ,black colour BP ?? Bowel ?? clear ;DM

In the fold of foot.

Eczematous hard ,dry,whether oozing type ??

•  Kalyanaka gulam bd – size of amalaki
• Madhusnuhi rasayanam
• Rasagandhi cap
• Twakroga samhari churnam + honey L/A
• Dadru+ panchavalka tailam
• Aragwadhadhi kashayam

For dry eczema ,allergic dermatitis – lesions caused by itching.

Simon 65yrs

2yrs of chronic blackish skin lesion  and opened up areas,

• Kalyanaka ghritham HS –amalaki size
• Aragwadhadhi+ patoladhi+ guluchyadhi kashayam

man, DM,Lt.leg has varicose veins

Oedema of left leg after 4pm.within 4 days the oedematous leg undergo suppuration,swelling,occurs occasionally . surgery was done.it was the case of vranasopha – cellulitis.

Aspirin –continue

Diagnosis- cellulitis –due to DM. (recurrent)

• Punarnavadhi kashayam+ guluchyadhi kashayam.
• Chandraprabha gulika

kalpana 57 yrs  DM; wound is non healing type.RFT needs to be seen.

• Amalaki churnam+ amritha churnam+ gokshura churnam+ swarnamakshika bhasma

Below knee itching, sajith 33 yr, bank worker,

No  change I in skin.

Constipation?? If there is any suppurtation; joint pain

• Aragwadhadhi kashayam + avipathi ch+ yogaraja guggulu
• Khadirarishtam  bd
• Panchamla tailam+ dadru tailam – L/A
• Madhu snuhi  rasayana bd
• GGT ghritham + mandoora vatakam 3 tsp

infantile eczema , common in NRI kids

½ yr old

c/o reddish macular lesion with itching.

Karappan- 30 types.no more present. Now a days 4-5 are present.

• Uramarunnu gulika ½-0-1/2
• Saribadhyasavam 1tsp 3 times
• Chembarathyadhi keram L/A

Horrible scalp skin lesion like furrows; depression

KALYANAGULAM HS February 2011

MADHUSNUHI RASAYANAM + SWARNAMAKSHIKA BHASMAM

GULUCHYADI KASHAYAM

NILI THAILAM

NIMBAMBUVANTO NIMBAMBUSAADHITAM PADMAKANDAKE /

PIBETH KSHAUDRANVITAM SARPI NIMARAGVAA LEPANAM // (AH .Su)

C/O Itching since 6 months

Microalbumin0.3ng/Ml     (0.0- 3.4)

Immunoglobulin A 4.47 high (0.60- 4.20)

K  3.3 – 5.1

Na  133 -145

GFR  > 60

ELADI KERAM + ELADI CHOORNAM FOR L/A (first line)

If itching always ask for LFT , RFT, and then do the above

NIMBA TWK KWATHAM + SUGAR + KALKA OF NIMBA

THIKTAKAM GRITHAM  better in senile dermatitis

Saraswathi c/o skin lesion of right leg better by

SOMAVALYADI KASHAYAM

KALYANA GULAM

MADHUSNUHI RASAYANAM

He had got feverish

SOMAVALYADI KASHAYAM

SUDARSANAM TAB 1 BD

RASNERANDADI now needed as an antibiotic

Amritha mom reporting for her c/o skin right foot dorsum, whitish discolouration, no itching, suspecting foot wear allergy, ruled out 2 years

THIKTAKAM GRITHAM HALF TSP BD

ARAGWADHADI KASHAYAM

PANCHAVALKALA THAILAM FOR L/A

Lady 58 years , burning sensation on palm and soles; no discolouration;

THIKTAKAM GRITHAM 1 TSP BD( VATASONITHAM CONSIDERATION )

DRAKSHADI KASHAYAM

PINDA THAILAM

Boy with bubblus face, 4 years age; look for anesthesia in the skin; leprosy sometimes present like this

ARAGWADADI KASHAYAM

ARAGWADA LEAF

KASAMARDA 50%

GAIRIKA 25%

KARAVI 25%

9 year old kid, reddish macular lesions on the body; 3 days- 7 days remaining as such; relapse and recover; Rakthapittahaarikriya happens

VASAKALKAM + DRAKSHADI KASHAYAM

SATHADHUATA GRITHAM

GOPADMAJADI KERAM

Amlapittam, rakthapittam, raktha vatam- thulya hetu; kayadhatuagni vaishamyam

SONITHA AMRITHAM KASHAYAM

HAREETAKI, SARIBA, MANJISHTA for paithika kotham

Allergic dermatitis ; no ointment used

ARAGWADHADI KASHAYAM

…………..SAMHAARI

AVIPATHI CHOORNAM

KALYANA GULAM

He has dyspnea too

PATOLADI GANAM TAB

NILI DALADI KERAM

Sobha 37 years; blackish skin below knee; subserous fibroid; 11mm*9mm

VARANADI KASHAYAM size lowered

Now c/o blakish skin below knee and elbow; had relief totally by NISOTHAMADI KASHAYAM + GULUCHYADI KASHAYAM for 1 tsp

TIKTHAKAM GRITHAM ½ TSP

MADHUKA ASWAGANDHA CHOORNAM MORNING / HS

MADHUSNUHIRASAYANAM 1 TSP 4 PM

NILIDALAADI KERAM L/A

ASHTAVIMSATHIKI CHOORNAM ( madhyama kanda Su. Su. )

Best for tramvore myelitis for AVM  arterial venous malformation; lady of vayala;

AMRITHALEPANAM L/A

MAHATIKTHAKAM GRITHAM 1 TSP  BD

Dinesan 36 years; blackish discolouration of left leg; itching present; rejected by dermatologist; smooth wide path

PURGATION 1 TSP WITH HONEY

SWARNAMAKSHIKA BHASMAM HS

MADHUSNUHI RASAYANAM + ANNABHEDI MORNING

MAHARASNADI + SOMAVALYADI

NILIDALADI + PINDATHAILAM + PANCHAVALK ATHAILAM

Was on warface before; skin specialist has ruled out

Simon is on relief by

KALYANAGULAM JS

ARAGWADHARISTHAM

GULUCHYADI KASHAYAM

PATOLADI GANA TABLET

DADRU THAILAM + PANCHAVALKALA THAILAM

The lesions were thick , spread out; rounded through out leg; chronic; reoccurred; white, red or black. This condition is very chronic, non healing condition, difficulty to heal; skin lesion started as papule; and burst opened.

Diagnosis: possible dadru

In charaka samhitha: 15 lakshanas are told

And that is enough by skin ailments

Pitta_ kabha swabhava occur

Psoriasis best ARAGWADHADI TAKRADHARA

RASGANDHI MEZHUKU

ARAGWADHA MAHATIKTAKAM GRITHAM

Daily sodhana is essential

MAHATIKTHAKAM

MAHAMANJISHTADI

GGT KASHAYAM as per patients situation

# MADHUSNUHI+ RASASINDOORAM VERY GOOD RESULT

RASMANIKYA too very good

CHERIYAMADHUSNUHI

Some show itching

SNEHAPANAM must be done_ if deeper dhatu vyapthi

Some find Rahu ? Sarpa: coonection with skin

 

# If psoriatic arthritis, the above plan ( case 31)+ below

MAHAMANJISHTADI + YOGARAJAGUGGULU

MAHATHIKTHAKAM OR GUGGULU TIKTHAKAM GRITHAM

RASASINDOORAM OR RASAGANDHI MEZHUKU PAKAM

# Sarala 24/07/2011

Burning spots on hands

good relief by drakshadi , guluchyadi kashayam

PINDATHAILAM + TIKTHAKA GRITHAM L/A

# Non healing ulcer , germen lady, cancerous

MADHUSNUHI KASHAYAM ( SAHASRAYOGAM)

MADHUSNUHI + KRISHNA JEERAKAM

Psoriasis of CP officer; Sodhana is effective

KALYANA GULAM HS

CHERIYA MADHUSNUHI RASAYANAM BD

RASAGANDHI MEZHUKU 1 BD

PATOLADI KASHAYAM TAB

TIKTHAKAM KASHAYAM

ARAGWADADI KASHAYAM BD

RASASINDOORAM CAP 1 BD

The above will help surely for very busy CPD level people

# Sanjeev 35 years ; contact dermatitis; blackish scales in the hand; hyperpigmentation; thick lichenification

KALYANKA GULAM

MADHUSNUHI RASAYANAM 1 TSP BD

PATOLAKATUROHINYADI TAB

ARAGWDHAOATRA LEPA L/A very effective

SOMAVALYADI + GULUCHYADI KASHAYAM

DADRUTHAILAM + ELADI KERAM

If creatinine level is increased: VARANADI CHOORNAM

GOKSHURADI CHOORNAM

AMALAKI CHOORNAM

# Diabetic gangrene

Dipping in triphala Kashaya

GUGGULU TIKTHAKAM KASHAYAM

RASAGANDHA MEZUKU + DHANWANTARAM GULIKA

PARANTHYADI KERAM- DHARA ( PIDAKA ADIKARANA OF PRAMEHA)

DHANWANTARA GRITHAM

# Psoriatic arthropathi; Pagets disease; reduces alkaline phosphatase

BHASMA – always dosha shamanam

SINDOORAM – always dhatu protection

YOUVANA PITAKA

7 days- RAS PANCHAKA KASHAYAM- vishama jwaram

Next 7 days – Rasna panchakam kashayam (on kashtartava also )

…………………- Kalinga, patola patram,katurohini

……………….- patola ,sariba, musta,pata, katukarohini

Anyeduka- meda, mamsa

Tritiya – mamsa,medas

Chaturtaka- asthi, majja

? A boy (8 year old) whitish patch / bulk/ tuft of greying (white ) hair- 3 year duration

Internally: TIKTHKA GRITHAM 1TSP

ANNABHEDI BHASMAM 1 BD

NARASIMHA RASAYANAM 1BD WITH ANNABHEDI BHASMAM

Greying of hai- upto 40 years curable; after that incurable

 

All formulations of Sargadhara Samhita are very effective

Externally; bringaraja rasenevam lohakittam phalatrikam

Saribha cha parpataka …..tailam darunanasanam

Akalapalitham kanduni indraluptham cha nasayeth//

 

Purve vayasi madhye vatht prayojya nimaghna /

 

30-40years ideal for rasayana seva

17 years old girl

Chronic skin lesion with oozing for last 4 years. dyspnea  in every 2 month surely asthma attack 2 months later skin eruption & oozing, life is now really miserable . Allergic dermatitis.s

Shodhana is must here due to chronicity of the case

Aragwadadi kasayam+avipathy choornam

Daily sodhana  with patola katurohinyadi kashayam

(Do the above atlest for 2 week)

Then only start with mahathikatha ka ghratham

Kasamarda samoolam-50%+karavi-25%+madhu snuhi-25%+for healing ulcer

Madhu snuhi rasayanam with gandaka –from 2 week

Madhu snuhi+karavi+paranthi flower kashayam m-ulcer cured

Rakesh 23year,vayanadu

Head ache,throat pain ,pidakas present  sometimes

Thirst also present on inquiry

DM suspects

Rx  somavallyadi kashayam+dasamoola rasayanam

Vara+pippali+madhusnuhi choornam

C/Odark shadesin face ,white patches in the body

Maha nillini ghratham is best option for swithram(A.H)

thikthaka ghrtha+swarna makshika bhasmam

annabhedi Sindooream cap-1 BD

C/O urtcaria -1 ½ years gland enlargement dectected ,sir advised to take  biopsy,some cases of lymphoma wiil presented as urticarial

She also had constipation ,diarrohea,and digesive problems

Rx-amrutha rajanyadi kashayam

Haridra khanadam

Aqvipathy choorna –daily

priya, 34 years c/o “kuruppukal varunnu” since 10 months

ESR-60,12KCT(WBC)

Sir asked whether she had hypercholestremia?  Whether had used steroids?

All these complaints started since December 2010

Sir opines that, in many(not all) cases metabolic defects causes high level of cholesterol which in turn leads to..”kurukkal..parukkal..”

This is found in many times.

She says now that since 15 years,she is taking steroids(immunosuppressant) for asthma, it made the immunity to decrease further

One piece of alum dipped and applied- good antibacterial action

(in older days it was used like a scrub in barber shop)

Treatment-

Somavalyadi kashayam+arogyavardhini vati

Triphala choornam 1tsp with honey

Avoid oily food, check DM , Cholesterol

cattrene- 12 years-

Dermatomycosis diagnosed

Her mom reporting control of ESR. Now 18 from 40(4 months ago)

In 2009, amruthotharam kashayam+sudarsanam choornam

From first day, siddhamakaradhwajam 1 packet daily

In 2011 january, dasamoola hareetaki

Dasamoolarishtam+balarishtam

This girl started with PUO with fever always in the segment of 103f-105f

Anf not responding to any antipyretics and had complains of fever, severe body tiredness, pain in abdomen

In three months, she became bedridden and ESR was 160. And the joints became deformed and stiff.

3 months in KIMS spent,omnacortic 40mg.

Huge moon faced, but within one month of coming to Rajagopalan sir, changes started.

Man -40 years- right lower leg-reddish

-somavalyadi kashayam

-twakroga samhari choornam

-Madhusnuhi rasayanam

-avoid sea fish , curd in all allergies

man- infective skin-left dorsum of foot- pus oozing present

Broken,edematous, painful, not responding to chandraprabha, arogyavardhini

Sir recommended- rasagandhi mezhuku capsule 1-0-1

Has antibiotic action

Abdul khadar 22 years,has keloids, some times pus came from it, undergone treatment from different doctors for about 2 years.

Investigations- cholesterol-must

TC,DC, ESR

Also suspect cancer also

Treatment-

-Somavalyadi kashayam

-twagroga samhari powder bd

-madhusnuhi rasayanam 1 tsp bd+swarnamakshika bhasma

-turmeric+nimba for EA

NB:I thought that it was keloid, but sir told, not at all, localized lesion in the left neck,shoulder,upper arm

TB glands, DD apachi-m…. glands presents over lymph

Itching  very positive,

Treatment-

-aswagandhadi kashayam+ avipathy choornam+gokshura guggulu at night

-neelidaladi+panchavalkala keram for EA

Muraleedharan,50 years, c/o chronic itching and darkening of skin

Treatment-

1.Guloochyadi kashayam+rasagandhi tab bd

2.Rasothamadi EA

3.Twakroga samhari+triphala choornam

4.Kalyana gulam at alternate nights

• Biju c/o palm itching, and hyper keratitis since 6 months -Kalyana gulam -aswagandhadi kashaya?   Panipadodaramughaprapthasopha nitharayeth
• Phalathrikolbhavam kwatham gomoothreneva paayayeth
• Guduchi chithrako bhargi devadaru cha …
• “punarnava chaarunisa nisa sundhi hareethaki
• Sarangadhara samhitha
• -madhusnuhi rasayana
• -twakroga samharik
• Treartment-

Vatha sleshmakrutham hanthi sopham vrushanasambhavam

Abhishek, -c/o ezcema of right dorsum, redness and itching since 1 year

Treatment-

-Guduchyadi kashayam+avipathy choornam

-khadirarishtam+draksharishtam

-chembarathyadi keram- EA

• Lady complains of skin lesions on right leg with oozing pus, since 5 years, under antibiotics for long time
  • Day1- sadyo vamanam with milk+sugar+curd+ ysshti madhu
  • Day2- sadyo virechanam- with avipathy choornam
  • Day3, day4- guggulu thikthakam gritham-15 ml bd(7am,6pm)
  • Drink lot of water
  • Sundi+dhanyaka+ela+ laja+ jeeraka+ water- muhurmuhur after 2 hours- gruel
  • Sapthathidvaram tab 1 bd
  • Day 5,6,7,8,9,10,11- 15 ml dose
  • After snehapana- severe pain
  • Day 12.13-swedana
  • Day14-vamana(classicalk) with milk
  • Day15-classical virechana with nimbamruthadi erandam+milk
  • Day17-sira vyadha
  • Day 18,19,20- again sadyasneha-1tsp bd(gugguluthikthakam grtham)-3days
  • Day21- pracchanadone-severe pain, now itching subsided -giggulu tikthakam gritham
  • -nithyamanulomakam-kalyana gulam
  • Follow up-RGM-10 d

Tamil man , 35 years with follicular eczema below kneewith itching since 10 years

-siravyadha

-pracchana

wasp bite???

Makewater of  tobaco(kashaya or swarasa) and fill in opposite ear. The symptom subside????

c/o purpura

Platelet count-3.75 (16/8/11)

ESR=12

TREATMENT-

Drakshadi kashayam

Gudoochyadi kashayam

Drakshavaleham

Tikthaka gritham

Siman c/o sebaceous ?dermatitis

Treatment-

kalyana gulam

aswagandhadi kashayam bd

guduchyadi kashayam bd

patolakaturohinyadi kashayam tablet

panchavalkala thailam+dadru tailam

a man with skin lesion and H/o DM

Treatment

Amruthadi choornam+Amalaki choornam+gokshura choornam+swarnamakshika choornam+vara choornam+ twak roga choornam

Aragwadhadi kashayam

Rasagandhi mehuku

Kalyana gulam

Maharasnadi kashayam

-on 3/7/11 simon reported that he had very much relief for sebaceous dermatitis by taking

-kalyana gulam 10g

-aragwadhadi kashayam bd

-guluchyadi kashayam bd

Patolakaturohinyadi kashayam tab

Panchavalkala thailam+dadru thailam

>keloid scar- In some patients it raise up to 2 months.

Rx

Rakthamoksha with jalooka-lepanam

Vyano griheetwa sleshmanam karothyasou twacho bahi

Externally-Kalyanaka ksharam+Guggulu thikthakam ghritham mixed and used as  lepana on the area

It is a special paste reduces scar

Internally Bahusal gula /Turadi lehya

Guda vyosha vara vella thila arushkara chitrakai

Arsamsi hanthi twak vikara cha sheelitha

(A.H. Arso chikitsa)

It has activated effect.

It mitigates the scar surely

>Vijayamma from chavara-61 years presented with recurrent non healing ulcer-4 years

Lerishes syndrome may be kept in mind one gastric

Ask whether the dull ache present in buttocks area or not

Venous doppler on both lower limb. Should check the normal study of spleen

Asthma present

 

She is on steroid treatment.Immunity is compromised.After started the steroids starts to wheep the wounds-daily at night dragging type of pain is present.

-Patient said that she suffer severe pain.This questions were asked

How many child

Anybody suffer asthma

Anyone affected with skin diseases.

Only this area covered.

Here only external iliac crest-superior femoral –popliteal view-anti tibial-post tibial

Allergy causes allergic skin lesion

 

Tretment

Koshta sudhi is must.

Must stay in dust free eviornment

Before 7 pm-dinner must.

Venous  and arterial doppler on both lower limb-no pathology

Whether the patient milking cow?-no

Whether any domestic animals in home?-no

Check HbAc-CRP-Absolute oosinophil count-blood picture-platelet count-esr

At the are of bifurcation of iliac artery F/A pressure will increase

Lot of cases lady with non healing eczema have the triggering and precipitating factor due to  cow milking.Many eczymatic  dermatitis of hand even in foot.

This disease can be came anywere in body.There are  many many experiences.It is milk allergy.

Outside application  that makes such

>Sudarsini 42 years

Seetha pitha like features, has diabetes mellitus,itching all over the body.all these symptoms are found following an unknown snake bite.In the context of vajeekarana last chapters,

Visham kasya jaram yathi mootrathasravidarjitham

Ka praptha paschadruthe rohinikadishu

This is in dooshee vish a context.

Rx

Patoladi ganam tab

Guloochyadi  kashayam(vilwadi gulika and avipathy choornam)

Mahathikthakam kashayam

>Gopika 4 ½ years

Reddish lesion on face and 8 of them erupting

In left leg one big  spot

No constipation and fever

Rx

Drakshadi kashayam+Guloochyadi kashayam+ Patoladi gana tab ½ bd

Neelidaladi kera+eladi kera

>Sudarsini 42 years

Seetha pitha like features, has diabetes mellitus,itching all over the body.all these symptoms are found following an unknown snake bite.In the context of vajeekarana last chapters,

Visham kasya jaram yathi mootrathasravidarjitham

Ka praptha paschadruthe rohinikadishu

This is in dooshee vish a context.

Rx

Patoladi ganam tab

Guloochyadi  kashayam(vilwadi gulika and avipathy choornam)

Mahathikthakam kashayam

>SR Chandrodayan-72 years

Skin itching

8 years chronic on and off oozing and burning

Rx

Vatha sonitha visarpa managnement- rakthadhika vathasonitham

Skin is hard rough and thin peeling

Kalyanaka gulam-hs

Madhusnuhee rasayanam bd

Rasagandhi mehuku capsule

Mahathikthakam

Guloochyadi

Somavalyadi kashayam

Nilidaladi keram

Vitamine D3 tested

Bence john protein negetive

>Sudeshine  42 years

Reporting severe burning of face and heal  on sweating out

Anxious and restless looking

Avipathy choornam

Patoladi gana

Kalyanaka kashaya

Drakshadi kashaya

>in most inflammatory conditions

Sudarsanasavam+Vettumaran gulika

Even for arm and neck pain

>Lady Juliana Lenna Jangania

Since 2 years blackish lesios

No itching..no pain..no scales but black waxy coating just like smeared with mud

Mahathikthakam ghritham(1 tsp)

Rule out/Suspect melanoma by biopsy

Shodhana in small doses

Kalyanaka avaleham/Manibhadra gulam

During theses days several diseases are occurring due to lack of proper shodhana

Cholesterol doesn’t increase by Indukantham or Gugguluthikthakam ghritam

>Kaidaryadi kashayam (Mahodaram/yogamritham)

Induppu thippalikal menpodi kolka pakshe

Ravinkalunnuvathinpodu munpil vendu

Saindhava and Pippali

Action recides in vipaka

Using Rycle’s tube

Kalasakadi kashayam is different.

Pureesham yath cha krichrena kadhinavath vimunchadi

Sa ghritham lavanairyuktham naro annavagraham pibeth

Medicine->food->medicine

 

>Deepa of 22/4/12

Itching no more..RFT normal..she is able to feel pulse

Rx

Prabhakara vati

Thrimarma chikitsa done

Lot of improvement happened in just 2 weeks

Amritha kashayam+Maricha choornam

Vacha +Nagara kalkam with hotwater

Dasamoola kashayam

 

) 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.

Pimples on cheek

Female – Kadhiraristam – 1 ounce – am & pm

Eladi Keram for external application

Male    –   Punarnavaravam – am & pm

Eladi Keram for external application

Anandavalli 56yrs, complains of hair falling profoundly following hysterectomy

For oil

Dhatooraleaves  – 8 palam

Water   – 2 idangazhi

Yastimadhu Kalkam –  6 Kazhanju

Coconut oil –  2 Naazhi

Buffalomilk –    1 idangazhi

Anjana Kallu    – 5gm

For internal

• Chiragrandyadi Kashayam + Abhayaristam

• An old lady was having numerous small holes in the body/limbs and pus used to come out of it when sir first saw her Rx
• Triphala Kashayam + Gulggulu tincure as anupana and externally was with same
• Jatyadi Keram

Total relief

20 yrs ago the lecturer of ollur Ayu. College referred a 19 yrs old girl with premature graying as she had a proposal and was to get married.

Graying hair is a VPT and she was advised a simple formula told to sir by a Vrdha Vaidya Kayyoni and Vilwapatra cut into pieces and make oil

Internally – Guloochyadi Kashayam aimed at Pitta

Within 1 ½ months all hair turned black

• Man from Thodupuzha was full bald and not a single straw of hair
• Rx
• Kayyoni + vilwa patra (oil)
• Dashamoola hareetak at bed time\

Female, 19 yrs. C/o premtur greying of hair

Rx    Greying hair is a rpt condition and she was advised a simple formula.  Bhringaraja patram + vilwa palram cut into pieces and boil and use as care for head.

 

Internally – Guloochyadi Kashayam to decrese pitta with in 1½ months all hair turned black.  Mele pilient full bald and not a single hair on head.

Rx

• Brnganaja whole + Vilva leafs boiled oil.
• Dashamoolahareetaki at bed time as it is VKT condition.

Rajeev C/o legs and arms black scaly and dry foot has scales like and weeping eczema like. The palms are scaly too.

 

Rx.

• Indukantham Kashayam + Amrtaaristam am&pm
• Mahavilvadi Lehyam at bedtime
  • Punarnavadi Kashayam + Punarnavasavam, Manibhadram Lhyam came today complaining fever
  • Rx
  • Vilvadi gulika twice a day at honey
• Jwara as well visha angle – Skin complaint)
• (dry ginger, coriander water to drink)  Rx
• Male at prescription for Kushta like below both knee joints, black hard patches oozing weeping exzema

Girl C/o ulceration on the toe and skin peeled off, complaint that the skin is peeling off

Rx.

•  Punarnavadi Kashayam + Punarnavasavam + Kaisora gulggule
• Madhusnudhi Rasayanam at bedtime 10gm Jatyadi Keram

Lady C/o burning sensation from neck to sternum, sour belchings

Rx

• Chiruvilvadi + Abhayaristam

Man C/o itching, reddish patches in the arms and legs, cold increases at he develops swelling over the thin and face

1. Punarnavadi Kashayam + Navayasa Choornam
2. Manibhadram Lehyam

Lady C/o fissure  like in the soles, painful pus from leg sometimes, foot locked very dry and pain in the dry season, itching

 

Rx.

Punarnavadi + Punarnavasavam

Jatyadi Keram ext

Manibhadram Lehyam at bedtime

Male C/o dandruff and greying hair

Rx

• Chemparatyadi keram over head
• Draksharistam + Tiktakam Kashayam am-p.m
• (Its Paikthika as Pitta is inifailor of color)
• Dashamoolahareetaki at bedtime

Boy 17 yrs

Pimples all over face, steching

• Punarnavasam + Lohasavam
• Jatyadi Keram external

Girl C/o Itching of both legs upto knee joint blackish discolouration, oozing

Rx

• Punrnavadi Kashayam + Punarnavasavam
• Jatyadi Keram for external application
• Manibhadra gulam at bedtime

 

 

 

 

Girl at skin discolouration black and ulcer heating. Improvement noted. Lesions on the dorsum of foot

Rx

• Punarnavadi Kashayam + Punarnavasavam am & pm/ 1ouce
• Manibhadram lehyam at bed time
• Jatyadi Keram externally

 

 

Though Punarnavadi Kashayam doesnot have Kustha as indication the (Rakta dhatu dushti) is better rectified by thiktarasa and the dhatumala are best expelled by Mutramarga and Punarnava does it well

 

Man after heart operation at Keloids in the line of selenium. They undergo suppuration

Rx

• Punarnavasavam + Punarnavadi Kashayam
• Agastyarasayanam at bed time

A male patient C/o severe burning sensation of the entire face, herpes like eruptions red colour, thirst etc. a case of Visarp

Rx

• Punarnavadi Kashayam + Punarnavasavam am & pm
• Manibhadra lehyam at bed time
• Jatyadi Keram externally

Female C/o falling hair and indrluptam on the back of head

Rx.

• Powder  of dry Kusta apply at Nirgundi processed oil
• Agastya Rasayanam at bedtime

Lady at C/o hair falling

Rx

• Draksharistam + Tiktakam Kashayam, Paithika disorder
• Small onion, blackjeera + Chettupoov

Male patient C/o cough, loss of smell due to nasal conjestion, heaviness of head

Brouchites 40yrs Dr. said holes in lungs, spulum comes always

Rx

• Indukantam  250 ml + Paartharistam  500ml – mix and taken
• 15ml + 45 ml — water at am &pm
• ———————-
• Drink water of lasuna & Shunti
• Mahavilwadi Lehyam at bedtime

Body at fibroid ulcer

Rx.

• Chiruvilvaadi Kashayam + Abhayaristam – am &pm
• Dashamoolahareetaki  10 gm at bed time

Boy at itching on the toes, blockish discolouration and vrana

Rx

• Punarnavadi Kashayam + Punarnavasavam
• Jatyadi Keram externally
• Madusnuhi Rasayanam  10gm at bed time

Male C/o hair falling and dandruff, constipation digestive troubles

Rx

• Chemparathyadi Keram overhead
• Chuivilwadi Kashayam + Abhayarishtam
• Dasamoolahareetaki

Female C/o Whitish discolouration in the jorum of right arm. No specific complaints as such

Rx

• Tiktakam Kashayam + Punarnavasavam
• Jatyadi Keram externally
• Dashamoolahareetaki Lehyam

Lady at raised goose fleshy like eruptions in the right elbow

Rx

• Jatuadi Keram externally

19 yrs old give C/o of pustules in the face and head at oozing

Rx

• Punarnavadi Kashayam + Punarnavasavam am &pm
• Jatyadi Keram externally
• Manibhadram at bed time

 

————— pustules on the face and forehead

Rx

• Punarnavadi Kashayam + Punarnavasavam
• Jatyadi Keram – externally
• Agastyarasayanam 10 gm at bed time

Male C/o aphthon ulcer like, pain when anything is had. Had digestive complaints too

Rx

• Punarnavadi Kashayam + Punarnavasavam 1 month ago
• Now Tiktakam Kashayam + Manibhadra lehyam

Male C/o blackish discolouration on the foot—dorsum at itching and the 3 black spots in the right arm

Rx

Punarnavadi Kashayam + Punarnavasavam am & pm

Manibhadra gulam at bed time

Jatyadi Keram externally

Lady at skin lesion on left foot, oozing

Rx

• Tiktakam Kashayam + Punarnavasavam am &pm
• Jatyadi Keram externally
• Manibadragulam at bed time

Mrs. vimala,                         date :08/03/03

Age:51 yrs

c/o :

itching and burning sensation

low grade fever

thickening all over body

H/o :

insect bite-3yrs ago

Itching and swelling

 

NB: no sustained relief even after consulting many doctors

Rx:

1. Patolakaturohinyadi kashayam   -15 ml ks+60ml luke warm water+2tspn lehya 6am &6pm
2. Manibhadra gula-
3. Kaisora guggulu-20 ;  1tab in kashaya at 6pm
4. For drinking take 10 gm each of crushed khadira sara tuber of sariba and root of punarnava & add 1&1/2 litre of water and boil well.

 

Pathya

Avoid mamsa, masha, dadhi,amla lavana

 

Date: 5/04/03

On repeating itching reduced 80%

No more low grade fever

1. Take patolakaturohinyai ks in morning and evening. Along with ks take kaisoraguggulu tablet in morning.
2. Manibhadra gulam
3. 2 tsp at bed time
4. Aragwadharishtam +mandooravatakam – take 1 ounce arishta at 10am &4 pm along with one mandooravataka
5. Triphala choorna – for udwarthana ;  500 grm each of hareethaki amalaki &vibhitaki.

Date: 6/05/03

On repeating itching reduced ,

still at night fever reduced skin became smooth &normalized.

SHAMA, 13 yrs   Indraluptam          18/01/04

Rx.

1. Aragwadadi ks +kaisora guggulu.
2. Saribadyasavam+ khadiraristam.
3. Manibhadram bed time.
4. For drinking khadirasara (15gm) is boiled in 11/2 litre of water.

Sir opined that there is no local involvement without systemic involvement. Patients friend said that there was a big area earlier now very smaller. No more indralupta and the hair is thick.

Oil of sarangadhara samhita

Kizhi

Leaf of amleeka& leaf of sigru- one hand full

Satapushpa choorna-100 gm

Lemon- 4

Saindavam-2 tsp

Make a kizhi. Apply oil and retain for ½ hr .Then start kizkhi for 45 min.

Veppenna best for kizhi.

Change kizhi once in 3 days.

Bath after one hour only.(to avoid stambhana)

• Akshay              25/1/04Vastrakshepa donePama like lesions in elbow calf muscle, now dry.Rx
  1. Bakuchi- 1 kg
  2. Khadira sara+asana -500 gm each. On 8/2/ 2014
  3. Itching reduced profoundly earlier itching with oozing very pronounced.
  4. It is boiled in 12 l waer and reduced to 1 l, drym up bakuchi Avoid iddli dosha dadhi
  6. Skimmed milk can be given because he may get weakened.
  7. Food- no masha in any form.
  8. Repeat this for 7 times. Take 1 tsp daily.

Mrs Kamalam  44yrs

Come first- 30 /11 03

Then 4/1/04

Location of switram

• Hand palm legs lip forehead
• Rx

1. Mahatiktakam ghrtam + vajrakam ks 6 pm -2tsp mahatiktakam ghrtam
2. 6am- 2 tsp avipathy choornam
3. Kumaryasavam +madhukasavam- 1 ounce 10 am & 4 pm
4. Avalguchadi choornam-  E.A with water

After the formation of boiled lesions apply nalpamaradi tailam for one hr

Reporting on 4/1/04

One weak before it was burned and vesicles were formed. Then applied nalamaradi and punarnavadi ks taken. Later it reduced but reddish discolouration existed. In the area of switra small black spots formed. Edema of legs and feet relieved in one week.

Reporting on 18/1/04

Came today 8/02/04 with more black spots in the lesion she says.

c/o burning abdomen ,hence chandana ,sariba, useeera( 5gm each) boiled in 11/2 L of water.

Adviced to take juice of kusmanda.

She is complaining of tiredness hence juice.

• SANTHA 44yrs   01/02/04Burning sensation of legs, shoulder, face , head, body pain, varicose veins, black colour of legsh/obleeding pilesconstipationabd burning distensionhernia and surgery donepain in lt inguinal regiondiscolouration of urine, dust in urine

   

  Rx.

  1. Mahatiktakam ks +satavari gulam
  2. Amrtu +satavari ksheerapakam + eranda
  3. 3.pindathaila for abhyangam
  4. Useera+ sariba+ gokshura+ danyaka   – toyam +chandraprabha gulika. c/o dysponea and productive cough changed to gandharvahastadi ks + swasanandam
  5. Pnt with jnt swelling and pain on cheriya rasnadi

Arun

15yrs

 

karsya and pimples

 

Treatment- 1) indukantham ghrta 2 tsp+ ashtachurna 1 tsp twice a day

2) eladi kera external application over face

3) khadirarishtam 25ml-25ml-25ml

SRILA-

Age: 30

• Weeping exceema

 

• Treatment

 

• Patoladi ks+2 spoon avipathi choornam
• Water-njerinnjil+khadira
• Punarnnavasavam+chandraprabha gulika
• Sodhanam should be perfect in kushta chikitsa then only apply ointment
• Misrakasneham 8 drops in rasnadi kashayam initiates better bowel movement in vatasonitham patients
• Amrthotharam ks very effective in vijarchika
• Vijarchika kshalanam with triphala ,nimba,naalpamarapatta

Vijayalakshmi

Blackish skin lesion.

• Bakuchi 2kg – wash dry – soaked in araghwadadi ks- dry it.
• Repeat 3 times – powder it and keep.
• Powder + aragwadha mahatiktakam ghrtam – 2 tsp melted and use – 6am-6pm
• 50 gm of this powder is boiled in ½ ltr  tuvaraka tl, take out when froth vanishes. This is for external use.
• If for internal use, then take out when froth starts to appear. ( mezhuku pakam)
• Nimbadi choornam + eladi keram _ E/A

Radha

 

with severe case of Indralupta

 

Treatment

Karanja beeja, citrakam, pichaka leaf, kanaveera moola 60gm each triturated and mixed with 1 and half litre oil and 4 litre water. It is used for external application which yielded very good result.

She came again with complaint of burning sensation over head. For that same yoga was used with 1 litre pichaka leaf swarasa, 1 litre oil and 2 litre water. Since this yoga is very usna, milk was also added to this.

Milk decoction made of guduci and satavari 5gm each with 1 litre milk and 3 litre water is also given.

2 teaspoon Mahatiktaka ghrta is also given twice a day.

Bathing is contra indicated in indralupta. If must, can take bath in amalaki kwatha.

RADHA  (Indraluptham)

Lekhanam  with “therakam”  leaf completed in 3 days. When large area it will bleed. Its followed by           swarasam dipped in cotton for (swarasa of leaves of dhatura) 2 days. Then hastidantamashi mix with oil and bandage is done.

Fibroid bleeding: this contains bhallathakam

BHAVANA  25yrs     mukhadooshika

1. Face wash  :lodra/amalaki water
2. Kumkumadi tailam for prathimarsa nasyam
3.   Eladi choornam+ takra paste for application

 

Name – Prasad

Age – 20yrs

c/o- hair falling

greaying hair

thinning of hair

nidanam- excess lavana which leads to raktapitta, vatasonitha ,khalitha , palitha

Rx-

1. Narasimha rasaanam-3 tspn (am $ pm)
2. Nalpamaradhi keram – pichu ½ hr
3. (kashaya rasa ; here lavana is nidana)

Name : Vasudevan

C/O         black spots with itching

(krishnaruna kapalabham)

Rx ;

1. Aragwadadi kashayam  + manibhadragulam  (instead of avipathi , need VK haram)
2. Eladhi tailam – E/A (instead of nalpamaradi)
3. Panchathiktha kashayam
4. Gandhaka rasayana + honey

Name – prajitha

 

on 26/07/2002

 

c/o-  raised red swelling all over the body

 

diagnosis –seethapitta (aganhu sopha) bhallathaka , kapikachu , himanila seawind

 

Rx –

1.  Aragwadhadhi kashayam + chandraprabha gulika
2. Punarnavasavum + kanmadarasam
3. Pladhekere e/a
4. Maanibhadra gulam bed time 10gms

On 11/08/2002 good improvement

During cerebral hemorrhage maintain lieing down position do thalam with ksheerabala+ kachooradhi choornam

 

 

 

 

Rx continued

1. Bakuchi choornam 2 tspn with kashayam at evening
2. Avalgujabeejadi choornam apply with water for 1 hr followed by use of sathadaudha ghrtha application

The white patches is now red slowly it will become skin color as per sankaran sir

Name – leela

 

c/o- switram at right side of nose – 1month

 

Rx –

1.mahatiktam ks with 2 tsp avipatty choornam at 6am, with 2tsp bakuchi choornam at 6 pm

2.Annabhedi sindooram -2 times

3. avalguja beejadi lepam followed by sathadowdha gritam.

MR  RAFEEK    SHEETAPITHAM

1.punarnavadi kashyam+2 tsp  eladi choornam

2.dashamoolahareetaki  bd

3.argwadarishtam   [10 am 4pm]

Patient had slight  relief

He daily  had fish,egg,curd,daily .so adviced to stop that

Mr s  ANITHA 34Yrs

Burning sensation

Very  fair  lean glowing  skin

Swelling of blood vessels

1.maatiktaka kashayam

2.abhayarishtam

3.shatadowta ghritam   e/a

3.triphala 2 tsp  bd

Anything and  everything  of git.add  abhayarishtam

Reporting relief from  burning  sensation

She stayed  along with  husband  in Kuwait .so in a desert region  adopt  greeshma ritucharya

Ksheerabala[101 A] 10 drop  with  milk

Akshay- 6 years

Complaining of  vicharchika -3 years

Red spots with oozing

Treatment:

1. Amruthotharam ks + vettumaran gutika
2. Manibhadram  1tsp at bed time

repetition : dark spots over but itching increases

kashayam : bark of nimba,khadhira,madhuka,krisnajeeraka,katuki ,thechi veru ,amari-                               veru,pathya,vellarikkamook- 4 kazhanju wash &  boil in 4L water & reduced to 1L + 1ounce honey ½ kaisoraguggulu

 

no external application now: the kid has cough & sputum

skin & lungs are same like two surface of a pot

(great utility concept of practical experience)

Leela / 34yrs  -12/6/03

Svitram on right nostril side

Treatment:

1. Mahathiktaka ks +3tsp avipathi churna- 6am & 6pm
2. Annabhedhi sinduram (250mg)+avalguja powder(50gm) fried in oil(200ml) apply over
3. Avalgujadi curna lepa

7/12/03 no more svitra

Akshay – 21/12/03

Spreading lesion

Winter season ( in Nov,Dec & Jan usually aggrevate skin lesions in kerala)

Treatment : –

1. Eladi curna 1tsp with honey before food (bd)
3. Manibhadram 1tsp –bed time
4. Khadira,sundi,punarnnava –  5gm each boil with 1L water

Mr umesh22yrs

1 vist– 22/9/05

c/o hair fall

Rx     1. Narasimha rasayanam 2 tsp morning and bed time

2. danwantaram tailam dip in 4 fold cotton and hold for 1 hr
3. anu tailam prathimarsa nasyam

Name     : X

Date       :7/10/01

Diagnosis : palitham, khalathi

Rx-

1. Narasimha rasayanam   -3 tspn,6am & bedtime
2. Kunthalakanthi thailam

On 13/1/02-    60% improvement

*Oil prepared with Kaidarya and “mailanchi” is good for hair growth and prevents hairfall.

*Kaidarya is more pithasamana than kalasakadh

Name     : X

Date       :7/10/01

Diagnosis : palitham, khalathi

Rx-

1. Narasimha rasayanam   -3 tspn,6am & bedtime
2. Kunthalakanthi thailam

On 13/1/02-    60% improvement

*Oil prepared with Kaidarya and “mailanchi” is good for hair growth and prevents hairfall.

*Kaidarya is more pithasamana than kalasakadh

c/o – pustules & oozing – head

Rx- 1.amrutothara + manibhadram

2.amrutotharam + kaisoraguggulu

3.nimbamrutasavam – bd

4.sarshapa tailam – 1l + eladi – 125g-2 tsp HS

Indraluptham :

Karaveera root + leaves of jaathi + fruit of karanja + gunja seeds + yashti + datura leaves – 10 gm each in 250 ml coconut oil applied over head.

C/o: Guggulutiktakam kashayam allergy

Treatment :

1. Patolakadurohinyadi kashayam + avipatty choornam 2 tsp – 6am
2. Patolakadurohinyadi kashayam + vilwadi gulika – 6pm
3. Eladi choornam- apply over itching area.

Switram:

Treatment:

1. Mahatikthakam kashayam + avipathy choornam
2. Annabhedi sindhooram – 1 pinch with honey twice after food
3. Avalgujadi choornam + water – apply over white patches
4. Satadhouta ghrtam- 25 gm- apply over burned areas.
5. Mahatikthakam ghrtam (1 tsp) + bakuchi choorna (1tsp) for internal use.

C/o  Vicharchika ; eczema

Treatment :

1. Patolakadurohinyadi kashayam + kaishoraguggulu – 1 gulika 6am, 6pm
2. Guggulutiktakam ghrtam – 2tsp HS
3. Karanja tailam –  apply and retain for 2 hours and then wash by applying sarshapa paste. Apply continuously. ( In nasarshas the mass will get absorbed)
4. Mustamrtadi choornam (10 gm) + rasasindhooram (5gm) – mix and apply, retain for 1 hour, then remove and apply tailam.
5. Karanja tailam + eladi choornam – apply soon after froth disappears.

C/o  Lichen warts with itching in legs and hands since 2-3 months. Was present in palms, skin got removed and new lesions appeared. Black, round, oval structures.

Treatment:

1. Aragwadhadi kashayam – 5am with manibhadragulam 2tsp; 5pm with kaisoraguggulu 1 od.
2. Khadirarishtam (10 am, 4pm) + shaddharanam choornam ( 2 tsp with honey before arishta)
3. Apply karanja taila and take bath by applying vaaka powder.
4. Khadira processed water for drinking.

VISHAL

C/o   agnimandyam, skin pimples around buttocks, constipation    (1 yr)

1. Aaragwadadikashayam
2. Khadirarishtam   1 ounce 6 am& 6 pm
3. Dinesakeram

NB: Disease persists for over 1 year

Kashaya kalpana will have to be preferred