Sagil 23 yrs with knee pain, LBA recommended for

• Rasnasapthakam kashayam + balatailam capsule
• Rasnasapthakam kashayam+yogaraja guggulu
• Dhanwantaram tailam +murivenna L/A

Sir opined that incomplete bowel rarely cause gulma & also LBA of untraced pathology.

Previous treatment for him was

• Maharasnadi kashayam +yogaraja guggulu
• Dasamoola haritaki+ same ks+ navayasa gulika
• Agasthya rasayanam 10 gm hs
• Dasamoola haritaki has sure action in acidity.sir opines that this leha has de       action in hyperacidity ;kalaabh    is very correct.

( raktha pitha kaphan vayu)

“Navayasam va doshakshayam pibheth moothra hareethaki”

Lady with LBA  not responding itself using  taila

• Rasnasapthakam kashayam + yoga raja guggulu
• Sudharshanasavam+punarnavasavam
• Pancha rasna churnam –very very super pain killer.
• Kottam chukkadhi tailam + panda tailam

satha babu 63 yr  ;R.arm involuntary tremor on extending hand still present. 11 yrs ago history of fall in a well. Head is also shivering. Sir enquired how is the bowel movement  and also commented response to therapies is slower.

Sir opines he has found the best effect by the following in these many years.

• Vidari atma gupthadi churnam – 1 tsp bd
• ( vidaryadi gana of AH 25% +Medhya rasayana gana of AH 25% +Atma guptha chunam 50% )

Any effect by any  kriyakrama ???

Taila sirodhara  and pizhichil that needs to be done once a year.

LBA lady Sasikala h/o irregular menses  ; no constipation ; no injury ; no weight lifting ; new clear menses ;  consumes Thyronorm .

• Rasna sapthakam kashayam +bala taila cap+ vaiswanara churnam
• Trika trikadhi lehyam  2 tsp HS
• Kottam chukkadhi+ karpooradhi  tailam L/A

query about a case of foot drop at GAVC  TVM

• Bala goorandakadhi kashayam.(ARKD)
• Maha rasnadhi kashayam bd
• Maha raja prasarini cap 1-0-1 is a must
• Erandasukumaram  if constipated
• Here fracture compressed has happened local taila prishta vasthi ; oil retension is a must.  Shashtika pinda sweda also to be done.
• Sir opines foot drops of fracture etiology are very tough and if at all any response by this ??

regarding scoliosis sir opines shashtika kizhi is best .lepa is help to correct   in

Initially 2 drugs must.

• Brihath jangaladhi ghritham
• Ksheerabala 101 5 drops bd
• Gandha taila +dhanwantaram taila L/A

John bosco with low back ache , spasm ,crampy radiating pain

L4-L5 disc protrusion, lots of bike journey

• Rasnasapthakam kashayam + yogaraja guggulu 1 bd
• Eranda sukumara tailam weekly once
• Dasamoola hareethaki lehyam – 10am &4pm

NB: Here hemangioma at D8 D9 level is present. But for that nothing can be done.cold increases muscle spasm.

• Kottam chukkadhi + karpooradhi +murivenna

)Mini 42 yrs c/o bus journey regular ?? ; the spot of pain is right shoulder.

NB: not in text book , but 40+ lady with shoulder pain

Local +if DM almost sure PA – peri arthritis

• Maha rasnadhi kashayam + yogaraja guggulu
• Karpasathyadhi tailam
• Here pain is not of joint but of surrounding area ?? this lady often forgets  to eat DM tablets in time. So surrounding of joint area is to be taken care of .

carpel tunnel syndrome

CTS Tendonitis R / L arm the last option

• Muringa leaves+ rock salt paste mixed  , made paste , applied twice a day .

Myopathy is a hopeful case.

Brihath chagaladhi ghritham  is very effective in some case only.

Effective in badhirya, vatha kantaka, hastha kampa , sirakampa ,ksheenendriya ,myasthenia gravis ,sarvanga spandhana , sarvanga sphurana MND

pancha sama churnam 30 gm + kalyana kshara  10gm in poly arthralgia , non responding chickungunea. Even brain may be affected.in vatha vyadhi con text .

Ravinath ,kayamkulam

c/o  LBA ,more in the morning ; LBA may occur due to weakness of rectus abdominis . pt has specific appearance of pattern ~ horizontal spread out pain.here quadratus  lumborum  bigger point is easily felt area and few cms below the upper buttocks area has pain like flowing down.

• Gandharva eranda tailam – nithyanulomanam
• Maharasnadhi kashayam NB: Special new method taught by shanmughan sir. Either side of tibia pressed hard made immediate benefit of
• Ask head oil for every case .

saji 24yrs ; IVDP; DDD h/o fall

• Buffalo milk 3oo ml – boiled and cooled
• Badra darvadi kashayam 100ml + 100ml water reduced to 100ml.
• Vaiswanara churnam 5g + 100 ml water
• Dhanwantaram tailam (mezhukupakam) + sahacharadhi tailam – 50ml+50ml
• Honey 100ml
• Sathapushpa+ madana phala – 5g each
• Saindhava 10g
• Corset is a must in all IVDP cases.after getting discharged they must wear it all the time.
• Sallaki ingredient medicine has better action when consumed with food. Starting food +sallaki + ending food
• Siravedha has very big effect as a finishing touch of Rx     Laser(21/2 lakhs) used in TT star in common wealth immediate      relief (in the concept of agnikarma ) who was not responding to any RX.handy laser not useful.
• But in plantar fasciitis quick result with siraveda , varicose , OA                   knee, beginning itself.
• Effect of local taila dhara is 10 times better than kizhi.the kizhi etc done     the dhara stand can be utilized for this placed local for    continuous flow which is the best action for degenerative changes.
• The effect of siravedha is greater it offers nil recurrence in most conditions when done after all kriyakramas are done.apparently the time gap with the sweda orocedures makes the doshas well brought in the elimination chanells.

man from USA recommended surgery, also already done keyhole surgery  without result had result of ligament injury – key hole .c/o no possibility of external rotation . pain in the right arm.

Rx

1 st day –dhanyamladhara

Next 7 days local thaila dhara on the shoulder

By 5th day of tailadhara – pain vanished ,external rotation possible.

8th day – siravedha

Cap. Rasagandhi mezhuku without milk no problem  with rice water.

OA Knee, sarada 68 yrs; pain in leg ; walking time pain

• Maharasnadhi kashayam
• Balatailam
• Yogaraja guggulu
• Trika trikadhi lehyam 10gm HS
• Pinda tailam + kottamchukkadhi oil  L/A

SERUM CALCIUM CAN BE TESTED

peri arthritis due to DM .cannot lift Lt. arm.

• Bala tailam cap 1 bd
• Maharasnadhi kashayam
• Karpasasthyadhi tailam + murivenna+ dhanwantaram taila

Whether there is back pain , what about hunger?

If yes- aama ,if no –good , no  aama

If arm lifting problem then ask for DM,

Alice 26 yrs

Neckpain with head ache that started after neck pain ,csp,operation indended,low strength, pain on rt.arm, numbness.bowel clear ; pain- present? Yes.

• Rasnadi churnam for head
• Varanadhi kashayam+ maharaja prasarini tailam cap HS
• PATHYA SHADANGAM + jaggery
• Rasnadhi churnam + thulasi swarasa mix L/A  Afternoon Musthadhi marma kashaya of kottakkal .
• C4 C5 –c6c7 , surgery dangerous here.can lead to paralysis.if intense pain
• Manyasthamba is an important desease to be taken care off.
• She is a lean lady working in a scan centre.
• Karuthavattu +ksheerabala

MAHA VATHAVYADHI

“Thatra prageva snehaswedopapannanam  mridoonam shodhanena

Samshodhya anuvasascha asthapya cha  yadhakaalamaakshepaka vidhanenopachareth ,vaisheshikashcha atra maasthishkya siro vasthi , anutailamabhyangarthe  salvanamupanaharthe ,balathailamanuvasanarthe”

 

manyasthamba was cured in past.

Rasnadhi choornam + thulasi swarasa- this combination made here immobile neck cured that was actively

He can’t sense thumb area.numbness and pain – below the wrist only.Rt.hand- tendonitis.

• Maharasnadhi kashayam+ balatailam
• Yogaraja guggulu
• Kottam chukkadhi kuzhambu+ panda tailam   L/A
• TRIKATRIKADHI LEHYAM

BUT no relief at all . now change to

• Kottam chukkadhi + murivenna
• Sigru leaves + salt- local applicationas lepam
• Maharasnadhi kashayam+ kalyana kshara tid
• somavalyadhi kashayam bd

Patient c/o back pain after going sabarimala,

He took scan of spine, it shows the evidence of multiple myeloma.body wt??   blood count??

It may result in easy fractureof bone.

Hypothyroid,headache, electroxin 50

TSH- 7.5

• Pathyashadangam kashayam+ gudam 6am + yogarajaguggulu
• Amalaki ch+ vara ch+ pancha kolachurnam

Knee reflex- relaxation is very slow.TSH will be normal.result – professor’s experience

Watch out for peri orbital oedema,severe body pain, frontal loss of hair,loss of eyebrows

Pandu- hypothyroid is described. Not merely anaemia

“ thena gouravam pandu nidanam “

Hypothyroidism

Shoonakshikoodam – peri orbital oedema

Sadanam,kopanam,shteevanam,alpavak,sisiradweshi

Hatha anala – even though eating is less , weight will increase,weakness of lowerlimbs.

It is typically mentioned in pernicious anaemia

vertigo

• Mandooravataka
• Navayasa c/o fatigue
• Hashimoto’s thyroiditis –auto immune

Linda , Australia

Pain in the rt. Calcaneum

Not during getting up.but always. X-rays taken , recommended for hydro cortisone injection .

• GT cap   daily once
• Yogaraja guggulu 1 bd in jeeraka water
• This patient insisted on cap not on kashaya

Man with disc herniation reporting relief by

MAHARASNADI KASHAYAM + MAHARAJAPRASARANYADI THAILAM 7 AM

+YOGARAJAGUGGULU                               7PM

DASAMOOLA HARITAKI HS

Very good relief so far

LBA lady 39 years H/o hairfall ; bowel regular; periods normal; numbness on lower limbs

RASNASAPTHAKAM KASHAYAM

MAHARAJAPRASARANYADI THAILAM CAP 1 BD

DASAMOOLA HAREETAKI LEHYAM 10AM 4PM

KCK+ KARPOORADI THAILAM

# TE right lady 53 years

SIGRU LEAVES + SALT made into paste used as lepanam in mild temperature

MAHARASNADI KASHAYAM

MAHARAJAPRASARANYADI THAILAM

MURIVENNA + KARPOORADI THAILAM

Smartly dressed fair gentleman from Dubai complains of shivering of hands only.  Says its inherited.  This is purely vaatika and for that lasuna is the best as this is a case of unmaarga vaatam abnormal presentation

• Rasonadi Kashayam advisable but working in gulf, therefore dry ginger (20 gm), lasunam (30 gm.) boil in 1 litre of water and reduce to 250 ml. and have 100 ml. each 6 am / 6 pm.  Dhanwantharam gulika be mixed with it.

Reshmi, 20 yrs C/o Pain in neck region difficulty in turning neck. 

Rx

• Rasonadi Kashayam + Partharistam Rasnadi keram over bregma
• Dasamulaharithaki at bedtime

Mr. Unnikrishnan C/o right hand soshe like fingers cannot be contracted easily, joints have ulcers, heavy smoking is alcohole.

Diagnosis. Syringomyelilis

Punarnavasavam + Punarnawadi Kashayam – 1 ounce

Manibhadram lehyam at bed time

Jatyadi Keram on ulcers

Boy at swollen distal phalanges, cannot fold them to touch palm, was in bad state than now (follow up)

Rx

• Punarnavaadi + Punarnavasavam + Vilvaadi lehyam
• Or  Rasnerandadi
• Dasamoolahareethaki at bed time

Male C/o rigidity of neck. A yrs following a fall from building, was complaint at l2 l3 level, cannot turn to left side, slight turning of right side is possible stiffness of neck.

Chitrakagrandyadi + Abhayaristam

Karpasastyadi thailam local application

Dashamoolakhareetak 10 gm at bedtime

Female C/o foot drop

Rx

• Sahaechanadi Kashayam + Sahaechanadi Thailam (Avaithi)
• Dhara at the same

Lady complaining of pain below the knee joint upto the heel and its continuous 2 months. Has difficulty to firmly place her feet to the ground

Rx

• Sahacharadi Kashayam + Balaristam am &pm
• Dashamoola hareetaki at bed time’
• Kottamchukkadi / Dhanwantharam Kashambu externally

Lady at low backache and general abdominal problems

Rx

• Gandharvahastadi Kashayam + Abhayaristam
• Mahavilvadi lehyam

Name:     PREMA

Age:     47 yrs

Date: 01/02/ 04

Condition: Grdhrasi – rt leg

Rx:

1. Sahacharadi ks +guggulutiktakam ghrtam 6am & 6pm
2. Dhanwanthararishtam + dhanwantharam gulika 10 am & 4 pm
3. Sahacharadi kuzhampu – local application

Oedema of legs increased, pain on excertion

Rx

1. Cheriya rasnadi ks +chandraprabha gulika(1) 6am &6 pm
2. Punarnavasavam + mandooravatakam (1) 10 am & 4 pm

07/03/04

Now oedema decrease

Rest for 2-3 months.

Vasantha 42yrs

4/1/04- radiating pain from neck to hand

Oedema and redness in palm

H/o grdhrasi in ridht

Imp: degeneration

Rx

1. Sahacaradi ks +gandha tailam 6am &6pm
2. Ganda tailam –pratimarsa (2 drops)
3. Danwantararistam-10 am , 4 pm
4. Sahacaradi kuzhampu- for abhyangam
5. Good relief for pain on 18/1/04

SWAPNA

29 yrs

Old case from 2/11/03

Came here 1/02/04

Aso+ve

Jnt pain

Aruchi as in 2/11/03

Rx

1. Amrtotharam +vettumaran
2. Saddaranam+ nimbamrtasavam+punarnavasavam-10 am & 4 pm
3. Dasmoola hareethaki- bed time 2 tsp Aso -normal
4. Hb- less
5. Esr- normal
6. On 1/2/04

Prabhavati 53yrs

h/o cervical pain now radiating to right hand.

Treatment from 21/12/03

Treatment- 1) sahacaradi ks+ gandha taila at 6am & 6pm

Gandha taila 2 drops pratimarsa

2) dhanwantararishtam 1 ounce

3) sahacaradi+ panda taila

4) lasuna kshira

Pain reduced when she came for review on 4/1/04

Santhosh

27yrs

C/F:  pain over left upper limb and lower limb, left sole with burning sensation. Has history of joint pain with throat pain. Has family history of RHF. Now he has low appetite and he is constipated.

Treatment- amrtotharam+ vettumaran

Nimbamrtasava+ kaisora guggulu 10am 4pm

Shaddharanam+ honey 2 tsp half an hour before lunch and dinner

Heavy food, bike riding, bathing etc are contra indicated.

Mr.Gopi

41yrs

c/f:  pain over knee, ankle, hip joints since 2yrs. Has a history of renal calculus for 12yrs intermittently. No more since 3yrs.

Treatment- 1) rasnerandadi+ 2 chandraprabha 6am  6pm

2) nimbamrtasava+1 kaisora guggulu  10am  4pm

3) brhatyadi churna 10gm boiled in 1 litre water

4) panda taila+ sahacaradi taila for external application

Here vatasonitha is the result of asmari as the mutravaha block leads to sopha and that sopha in sandhis is vatasonitha.

Mrs.Kavitha

23 yrs

with Grdhrasi

Treatment- 1) sahacaradi ks+ gandha taila 20ml  10 drops

2) dhanwanthararishta  10am  4pm

3) sahacaradi kuzhampu   steam

4) lasuna kshira   15gm

Got no much relief

So,   sahacara leaf swarasa- 2 ounce

Saindhava- 2 tsp

Nimbamrta eranda- 3 tsp

Asked the patient to have this for consecutive 3 days. Avoid kasaya. Have gruel at noon and normal food for dinner. Since she hasn’t had kids needs to rectify this as soon as possible.

Kingini

46yrs

c/f:  pain over ankle, knee and hip joints. No swelling since 6 yrs, she has thyroid enlargement. Burning sensation of abdomen present. Palpitation and exertional dypnoea also present. Has attained menopause. Sometimes excess hunger present.

Treatment- 1) GGT ks+ GGT ghrta 2 tsp  6am   6pm

2)guggulu pancapala churna 2 tsp with honey  bed time

3) karuthavattu with takra external application over thyroid gland

4) virataradi ks+ chandraprabha  6am  6pm

5) hingu vacadi churna 2 tsp before food

6) toya prepared with sigru, gokshura, adaikamaniyan 10gm each in 1 litre of water+ 1gm saindhava

7) dadimadi ghrta in case of vomiting

Name   : khader

Age       :47yrs

Study this case again

c/o        : osteomyeletis

pus on the tip of index finger of left hand,2 months before there was swelling & redness. Incision was done. After that the incision become septic. Treatment done on MIMS, MCH. Now also there is watery discharge

biopsy –non specific osteomyeletis

X-ray- degeneration of bones

No DM

Rx:

1. Sodhanam – mahamanjistadi kashayam + avipathy churnam- am
2. Kaisora guggulu-pm
3. Saribadyasavam
4.  Mahatikhtakam ghritham – bed time 10gm
5.  Vrana kshalanam- karaskara thoyam
6.  Vrana abhyangam- tila nimbha kalkam
7.  Samana snehapanam- guggulutikthakam ghritham

Surendran-

60 yrs fair man with walking tripod.well behaved

• 1996-paresis
• 1999-attack,MI interior wall
• Presenting complaint-left arm inability to perform works.
• When clound appears left side of face become cool
• Food goes side ways
• Bowel ? sleep?NP
• Madyama marga is affected- heart and head
• So yapya
• Stress mental aspect-so medication ,yoga will help
• Him
• Since marma is affected only samana possible

Chikitsa

• Ashtavargam kashayam(90ml)+dhanwantaram tailam101(10 drops)-6 am and 6 pm
• Dhanwantaram 101-for nasya
• Vaiswanara choornam +hot water
• Karpastyadi- abhyangam (that is katu pradana -or kotam chukkadi or chinchadi)
• Lasuna ksheeram-(lasuna+bark of muringa+njerinjil)
• (Dhanwantaram taila/rasa tailam are sthigoshma –mild and good for wasting)

SHANKAR

Dx: sciatica

SLR-30 degree

Treatment

Sahacharadi ks+misraka sneham 8 drops

Gandha tailam-15 drops

Rasona rasam 15 ml+1 glass milk

SANKAR PANIKKER-

getting hemiparesis and may lead to hemiplegia

• dhanada nayanadi ks –is ushna and katu
• Swarna mukkadi gulika
• Karpastyadi tailam-over head and body
• Balarishtam after food at bed time
• BP-bipasil at bed time
• Rasonarasam 15 ml+1 glass milk at bed time

MONICKA-

13yrs-

fracture,non oozing type in soles

The slippers used were poor quality-vishaja sopham

• Amrthotharam+vettumaran-amrth-ropanam,chukku-deepana pachanam,kadukka-pachana ropanam
• GGT-grtham-internaly 2 tsp+externaly-vrnasodhana ropanam
• Jeevantyadi yamaka-when it is kevala vathika-spontaneous madhura rasa
• Its not nija its aganthu natured
• Chyavana prasam-at least 5 kg
• Ketakyadi tailam-external in asthigatha vatham eg:calcanial spur

Chandra , 64

• Pain and supti of left foot ; lumbar lesion; not vatarakta

Rx is VK  reduction  and not VP reduction.

Rx : sahacharadi tailam + Y.R guggulu, since VK . is needed.

• If it was pure vatika, dhanwantaram tailam could be used.
• Kottamchukkadi

Subbulakshmi,

33 years

• P/C : neck pain radiating to the upper arm.
• No paittika ……. Only VK aspects.
• h/o of 3 delivery. Before that spinal pricking
• spongy bed is nit good for vertebral column
• kaisora guggulu is pitta samana.
• Y.R guggulu is kapha samana
• Here trauma is the cause.
• Net result is kaphavarana of vata. Hence katurasa is the choice.
• If jwara, then tikta rasa would have been the choice.
• Consider kaphavarana in urustambha
• Rx :     1. Maharasnadi ks + Y.R guggulu                   3. nimbamrtasavam
•             2. GGT nimbamrta tailam – sodhanam with kashaya – for                abhyanga in shira.
•  No dadhi, no cold stuffs, no refrigerated stuffs.

Pathu,

63 years

c/o pain in the forearm, shoulder joint of right side.

• Neck movements, flexion, extension possible
• Shoulder movts. No pain
• Here it is not sopham. (K). But sosha. (V).
• Over age is vata, ang alpa bhojana.
• Hence madhurarasa is the choice and not and not katu rasam.

1.  Dhanwantaram tailam – 10 drops – also for pratimarsa
2. + prasarini ks + milk. (hami taught me a crucial point that for 55 yrs prasaranyadi ks acts better than sahacharadi.
3. Balarishtam – 30 ml – 1 ounce at 4 p.m & 10a.m in case of apabaahuka
4. Rasnadasamoolam ghrtam – 3 tsp after food
5. Abhyangam with payasneham.    (ksheerabala talam, nasyam)
6. No cold, no bath

Vatakantakam (improper from action) / asthikshayam?

Rx :  

1.GGT ks  90ml + GGT ghrtam 2 tsp 6am- 6p.m           

2. ketakaryadi tailam E/A – single drug

3. nimba bark + twice water + milk – drink at night

No fish, no katvamlalavana

also c/o decreased breast milk

rx : 1. Padmakadi + jeevaniya ganam (use available drugs) – 1 kazhanju +  1 glass milk + 3 glass water – reduce to 1 glass – have after dinner.

Since mrudu dravya are involved hard wood and 4 glass water

Treatment

1. Sahacaradi kasaya 80ml Gandha taila 15 drops
2. Nimbamrtadi eranda 3 teaspoon
3. Dhanvantararishtam+ dhanwantaram gulika   10am & 4pm
4. External application of warm sahacaradi taila for 1 hour.                Sama line of treatment can be applied to Viswachi. Here shodhana according to the site should be done. If adhakaya mrdu virecana can be done and if urdhwakaya sahacaradi nasya can be done.

Kizhi for Apabahuka

10gm kolakulathadi, 2 egg yolks, 10gm turmeric powder, 10gm saindhava and 1 pice of scrapped coconut are fried in the oil and kizhi is made. Then kizhi is applied over the area where oil is already applied. Here Pancamahasneha was the oil. Prasaranyadi kasaya with 10 drops ofdhanwntaram was also used.

A patient named Mini came Vatakandaka of left leg.

Treatment- 1) guggulutiktaka ks 200ml

Guggulutiktaka ghrta 200gm       90ml ks+ 2 tsp melted ghrta 6am & 6pm

2) dhara with warm kaidaryadi kuzhampu

3) palkasaya made of bark of kaidarya 30gm+ milk 1 glass+ 2 glass water reduced to

1 glass

1. Tila, masha, uluva, satapushpa 25gm each boiled with milk and applied externally warmly. After 2 hrs wash off with warm water.
2. The same may be done by kizhi.

HEMALATHA

After snehapana (50,75, 95, 110……..

Good relief

Vomiting yesterday, appittite delayed

Repeat 2days kanji only

7 days of meditation+ 7 more days pathyam

c/o pain knee joint ,  No swellimg,  crepitus, cough, squatting possition difficult, difficulty in bending knees

DM?    BP?   -no

Have not followed pathyam.

APathyam- katu,amla lavanam, nonveg, dadhi,

Rx :  1. Guggulutiktakam kashayam2 tsp  guggulutikthakam ghritham

2. balarishtam (here we need nourishment)
3. dhara (sahacharadi kuzhampu heat and done dhara for ½ hour atleast)

Kuzhampu preferred that is snigdha and we here need nourishment.

Had there been inflammatory/oedema/mass of fluid

In the knee- Ellumnisadi choornam boiled in milk then add ½ tsp gugguluthikthakam gritham and apply     2 hrs retain- I tried this and found very effective in a lady teacher

Name – Balan

c/o- pain on hip joint

left knee cannot be folded

O/E- touch revealed (thighs)

Left	Right
cool	warm
wasting	Well formed
Rough	smooth

Sthoola changes to sookshma- bulk to wasting

Vata iv asthi deep action by guggulutikthakam ghrtham

Rx-

1. Guggulutikthakam ghrtham ( 60 + 75……….+160) – 7 days
2. Vidharyadi kashayam + gandha tailam (10) drops- 6am , 6pm
3. Krishna thila 15 gms before kashaya
4. Avagaham with vatahara leaves – evening
5. Shashtika anna lepam – morning

Name – sajan

c/o – weakness of thigh and hand

on examination – no wasting , no twitch , not MND

it’s a cervical lesion

Rx –

1. Sahacharadi kashayam + gandha tailam
2. Nasyam – gandha tailam 2 drops
3. Danwanthara arishtam – 1 ounce 2 times before food
4. Application of sahacharadi kuzhampu and steem
5. Lasuna ksheera pakam at  bed time

Mrs  SHANTHA 55 YRS

C/O pain in  major joints

Oedema?discolouration ?

Distal joints?   Fever ?headache?

Pain rised    in morning.patient not  able to walk ln morning  severe pain

No swelling

Constipation

Diagnosis    ok

Rx

Amruthotharam kashayam+vettumaran  gulika  1 no   6am  6pm

Nimbamrtasavam   10 am 4pm  1 ounce

Panda tailam+sahacharadi tailam

Always best  amapachana done in swelling

Water processed  with  vayalchuli have shophahara property

Punarnavasavam  [bd]  dasamoolahareetaki lehyam [2tsp]

Mr. Ramdas 55yrs

knee joint pain

supti of lt hhand

tight motion                                          vatashonitam

Rx

1.balaguduchyadi kashayam+kishora guggulu [1-0-1] 6am 6pm

Add 8  drops of misraaka sneha    [for  constipation ]

2.nimbamrtasavam   shosanam in  nature

3.Sahacharadi taiam +panda tailam  E/A

First anti – inflammatory  aspect of   pt

Homely njavara  done      [boiled rice +salt]

6/12/2003

Now aiming  brhmana ie to decrease  vata

1.balaguduuchyadi +ksheerabala [3A] 2 tsp

2.balarishtam + chandraprabha [1 no]

Dathudushti product eliminated  through  urine

3.balaguduchyadi on  head

4.sahacharadi tailam+panda tailam

Review: adviced to stop all medicines and be on

1. Guggulutikthakam ghritam 2 tsp
2. Triphala choornam -1tsp(bed time)
3.  Balagulluchiyadi tailam on head

MR  ELDHOSE        Sciatica

Rx

1.sahacharadi  kashayam  +gandha tailam[10 drop ]

2.dhanwanthararisshtam+danwantharam gudika[1-0-1]

3.lasunaksheeram  bd

Instead GGT ghritam [2 tsp + 1tsp triphala]

IP Rx        sashtikapindaswedam  wholebody.special care to  lower  limb

MRS UMMIKUTTY 63 YRS

VATASHONITAM

Balaguduchyadi kashyam + 10 dropa ksheerabala [6am  6pm]

Balarishtam+chandraprabha[1-0-1 10 am 4pm]

Sahacharadi+panda tailam is a regular combination  in sankaran sir’s priscription for joint pathology `

Mr Elanthose

Disc prolapsed case

Rx -directly shastika started a IPd

After 14 days good relief , no more pain.

Advice-no pathya in food, but movements.

No sex for 1 month

No jerky movements

Rx    1. sahacharadi ksym

1. Dhanwantara aristam
2. Guggulutikthakam ghritam
3. Dhanwantaram gullika
4.  Triphala choornam

Mr Hassan

c/o pain and swelling of major joints, cannot sit

Rx    1. guggulutiktakam ghritam 1tsp bed time

2. guggulutiktakam kym ()6AM,6PM
3. punarnavasam+nimbamtasavam+chandraprabha(10AM,4PM)
4. sahacharadi tailam + pinda tailam E/A ½ hr
5. ellumnishadi lepam 25gm mix in tamarind leaf juice and apply over joints

-3 months time got complete relief

– he is diabetic , sugar level has noted, increased for 5 months of Guggulutikthakam ghritam

CASE OF VATHAKANDAKAM-

Rx-

1. Gugguluthikthakam ks + ghritam –bd
2. Balarishtam –bd
3. Lepana with “ellumnishathi”-20 gm mixed with swarasa of tamarind leaves,slightly heated & applied with saindhavam.wash after 2 hrs with warm water.then apply sahacharadhi thaila.

Jeep driver-

c/o   -pain and swelling of elbow joints +also in other joints.

H/O being hit by door of a vehicle on the elbow joint.

By abighatha rakthadushti occurs and then vatha sonitha.

Horrible case of juvenile RA

Mouth was always remain opened. She cannot talk

Rx-

1. In navajwara- bitter gourd, kushmanda,patola can be given.
2. Takra+kaidarya,haridra,kushmandam,sooranam
3. Mamsa rasa –  kukkuda of small size( not broyiler)

Name  :  x

Date     : 28/9/2003

c/o        :  LBA radiating to thighs .

Rx-

1. Sahacharadhi ks +nimbamrtha eranda thaila 25 ml- 6 am
2. Sahacharadhi ks + gandha thaila 15 drops  -6pm
3. Dhanwantharam arishtam+ dhanwantharam gulika – 10am,4 pm
4. Sahacharadhi kuzhampu
5. Lasuna ksheerapaka- BT

Lady at low backache and general abdominal problems

Rx

Gandharvahastadi Kashayam + Abhayaristam

Mahavilvadi lehyam

Vatakandakam

Rx – 1.GGT ks +GGT ghritam – 2tsp –bd

1. balaristam
2. sahacharadi tailam
3. grihadhoomadi choornam -25g choornam + milk+ ½ tsp saindavam + 2tsp sahacharai tailam –heated –E/A

dhara – water boiled with chinchapatram

In vatasonitha

Gokshura + kokolaksha + punarnava root 10 gm each boiled in one and half liters of water, used for drinking.

1. Amrtotharam kashayam 200ml + vettumaran gulika – 14 days
2. Nimbamrithasavam + chandraprabha gulika – 14 days
3. Jadamayadi choornam – external application
4. Karaskara ghrtam – Contains madhuroushadhas in more amount, added with karaskara having tikta rasa, gives shoolahara property.

Later rice made to potali, mixed with milk, and applied after dipping in water.

Advancing to vatashonita :

Treatment :

1. Balaguluchyadi kashayam
2. Lohasavam + khadirarishtam
3. Kottamchukkadi tailam + pindatailam E/A
4. Balaguluchyadi tailam

Gridhrasi:

2 types : vatika , vatakaphaja

Tandra, arochaka etc denotes kapha anubandha.

If malabandha present; first katurasa, later madhura rasa.

09/11/03 by Dr. Sreeraj

C/o : Pain starting from dorsum of foot radiating upwards, especially on sitting posture. Only left leg is affected. Sneezing present.

Treatment :

1. Sahacharadi kashayam + gandha tailam 10 drops
2. Dhanwantararishtam – Vatakapha hara
3. Vyoshadi vatakam – muhurmuhu
4. Sahacharadi kuzhampu- E/A

C/o Wasting of right thigh muscles, pain

Treatment :

1. Sahacharadi kashayam + sahacharadi tailam 10 drops
2. Vidaryadi ghrtam – 2tsp bd
3. Rasa  tailam / balashwagandhadi kuzhampu

C/o pain in knee and right elbow, motion – tight

Treatment :

1. Balagulichyadi kashayam + kaishoraguggulu
2. Misrakasneham in alternate days – 8 drops morning
3. Nimbamrtasavam
4. Sahacharadi kuzhampu + panda tailam

C/o. Pain in hands and numbness

Treatment :

1. Rasnadi + vidaryadi
2. Ksheerapakam – dasamoola + balamoola + punarnava moola boiled in 4 glass water and 1 glass milk and reduced to milk amount.
3. Parinatha keradi – E/A

C/o. apabahukam

Treatment:

1. Prasaranyadi kashayam + ksheerabala 21 (A) 10 drops bd
2. Ksheerabala 21(A) – 2 drops pratimarsha nasya – 6pm
3. Balarishtam 30 ml + annabhedi sindhooram 1 pinch
4. Parinitha keradi ksheera tailam/ keram – E/A
5. Ksheerapakam : dasamoola + balamoola + devadaru (half kazhanch each) 1glass milk + 4 glass water; reduced to milk amount.

Ardita patient ;

Dr. SK says the disease got cured completely within 2 months of OP management.

Treatment:

1. Danadanayanadi kashayam  + dhanwantharam thailam 10 drops
2. Nimbamrtasavam
3. Karpasasthyadi tailam; apply over head and remove
4. Sirodhara with dhanwantaram tailam
5. Ksheeradhoomam
6. Nasyam with karpasasthyadi tailam
7. Guggulutikthakam ghrtam – bedtime

Joint pain, aruchi, ASO positive

Treatment:

1. Amrtotharam kashayam + vettumaran gulika 1bd – 6am & 6pm
2. Shaddharanam choornam – before food bd
3. Punarnavasavam + nimbamrtasavam – 30ml after food bd
4. Dasamoolaharithaki lehyam – 2tsp HS

6. C/o fleeting joint pain of main joints ; good apetite and no amalakshanas. ASO – 400

Treatment :

1. Guggulutikthakam kashayam + guggulutikthakam ghritam 1tsp bd
2. Nimbamrtasavam + shaddharanam choornam bd
3. Dasamoolaharithaki lehyam – 2tsp bedtime.

Haseeba, 28 yrs, 26/08/01

P/c:  Pain and swelling of all joints

Burning sensation of palms and toes

Deformity of fingers – right and left hands

Treatment:

1. Cheriyarasnadi kashayam + Avipathy choornam – 6am and 6pm
2. Ksheerabala 101(A) +
3. Punarnavasavam + balarishtam – 1 ounce +Kaishoraguggulu– 1 gulika : 10 am, 4pm
4. Madhuyashtyadi tailam (mezhupakam) – 2tsp after dinner
5. Madhuyashtyadi tailam – 200ml for seka, abhyanga of head and body
6. Toyam: dasamoolam

Result : 75% on 09/09

Shastika panda sweda done after it was cool.

• Gulf patient – LBA of Dr.Jayesh Udwaranam – CPS ( mostly for muscular ) – PPS  (if virecanam)- Kayasekam – SPS –
• Rasnasaptakam ks + gandharverandam ( dipana pacana am & pm ) 3 pinch nagara churnam, gandharvahastadi ks –night
• Udwartanam vataharam … Su Sam
• Sreekanthan sir’s Brachial palsy, Rahul Bhai & Trino Jose – on 10th day patient admitted regaining sensation. His arm was just like a wooden piece
• 20min. gentle udwartana

Case from harippad male patient 50 yrs send by dr sreeni c/o pain in the calf muscle claudication like electric shock since 1 yr. He say he cannot walk beyond 50 feet then he feels ‘loosening of legs’, no ulceration present, ‘cry of nerves’. Right leg was normal dorsalis pedis. Left leg except motion, toe remaing are normal but numbness present on the remaining part left dorsalis pedis poor, on enquiry mild burning sensation occationally, cholesterol- 220 all complaints below knee joint and most related with calf muscle. Strong history of smoking stoped 4yrs ago.

Diagnosis- peripheral vascular disease

Rx – gugguluthiktakam kasayam+ chandraprabha gullika(has guggulu and shilajatu)

Nimbamrtasavam 10AM, 4PM

Pinyaka tailam for EA as pratiloma

Kolakulathadi choorna mix with takra and apply as paste over both legs below knee joint and on drying Udvartana.

Apathy- egg, milk, curd, non veg are avoided

Alphonse Mary

60yrs

C/F:   pain, swelling, burning sensation over wrist and elbow

Kidneys can be majorly affected in vatashonita conditions. Inflammatory condition, from shakha—koshta—flushout.

Treatment-  1) rasnerandadi ks with 8 drops misraka sneha at 6am and with kaisora guggulu at 6pm

2) balarishta+ punarnavasava+ chandraprabha 10 am 4pm

3) pindataila external application

4) guduchi+ shatavari palkasaya at bed time

5) guggulu tiktaka ghrta  2 tsp at bed time

When he came for review after 2 months his conditions were improved 80%. Its note worthy that there is expulsion of solid and liquid malas.

Name : Santha

Age     : 49 yrs

c/o      : pain and burning sensation of body, head, face etc

raktharsas,constipation,distention,black marks in the

face,gravels in the urine

Rx:

1. Mahatikthakam kashayam + satavari gudam
2. Pinda thailam
3. Nimbamrutherandam – 50 ml
4. Kseerapaka of 15 gm amrutha+ 15 gm sathavari. To this add 10 ml nimbamrutherandam
5. 5 gm each of gokshura,coriander,sariba boil in 1 ½ litre of water. Add 2 chandraprabha to that water &have internally

Good relif. No more burning sensation. Now onlynumbness remains, changing kashayam to rasnerandathi