.

.

Discussions on 25th August 2017

Payal K:
Dear Vaidyas....can anyone suggest good treatment for multiple nasarsha

Patient age is 44 yr old male Patient with history of nagging headache. Did nasya with shadbindu tailam..pt had relief for some time along with internal medicine. Again the symptoms have come back.
    Also MRI suggests ethmoidal polyp and thickening of mucous membrane. Surgery has been suggested to patient

Dr.venu:
Grihadhuma tailam that mentioned in Sarangadhara is most effective in Nasarshas. I have treated several cases those advised for surgery,with self prepared tailam.
Easy to prepare very effective and trustworthy.
Else you can try Nasarshas tailam of Aryavaidyasala kottakal

Sai Deepthi Ayurveda:
Sir why shilajit churna and shuddh shilajit are to be added separately?
Sir what is talpotak ras? What are it's indications?

Swati Totla:
4 yr boy diagnosed with CALLA B lymphoblastic leukemia

Dr. Gopiji, any rasushadhi for this is useful?

Dr.venu:
Injectables are absolutely wrongly interpreted by writer of this sentences as claiming there is concept of injection in Ayurveda. It's such blunder that need to be reviewed,because the term" Suchikabharan" doesn't at all indicate" MODE OF ADMINISTRATION" of drug through needle.
It's clearly "DOSE INDICATIVE".
  How much quantity of a tip of needle can hold,is the dose.
Because, Suchkabharan ras  preparation include Cobra venom. Hense, very minute quantity of medicine is required that to be measured by sharp tip of a needle. We have to realize that, here needle used only to measure medicine, not for injecting.
We have clear ref in Sarangadhara

Dr Sridevi C:
Actually Injections in Ayurveda were in vogue when I was doing internship at Charminar. That time IMIS company used to manufacture injections. But later injections were discarded on the basis of the concept-that Ayurvedic medicines have to be subjected to jatharagni first. I remember some of my sirs using these injections

There were Inj Sarpagandha, Inj Lashuna. Etc

No, it's not directly told. But whatever actions of the drug are told are definitely due to the action of jatharagni

Dr.nageswr Gokul:
Dr.Nageswara Rao.V:

Ayurveda the indian  traditional medicine is not having govt. encouragement in some sectors. Associations should attempt sincere efforts to introduce AYURVEDIC system in  following Programmes.

AYURVEDA system should includes in  National programmes then only Our system will be enlighted.

like.

1.National Breastfeeding Promotion Programme:  started in 2015 by central Govt.
to ensure adequate awareness is generated among masses, especially mothers, on the benefits of breastfeeding this programme is only for awareness creation.

Inclusion of  Galactagogue AYURVEDIC drugs in  MAA (mothers’ Absolute Affection) Programme.

2.Antinatal care:
Ayurvedic haematinics like purnarnava  mandoor to pregnant women  instead of Iron Tab.
it has no side effects.
CCRAS conducted Extensive study on Purnarnava mandur.

3.IMMUNISATION Programme:
SWARMA prashana
It acts as AYURVEDIC vaccination ,memory enhancer , Immunology modulator,Improves general strength etc
to the children. Allopathy vaccines prevent only specific disease eg: polio vaccine preVent only polio disease. SWARNA PRASHANA give non specific Immunity to the children by improving natural Immunity ,which prevent most of the diseases caused by common viral and bacterial infections.
4.deworming programme : Replace albendazole with krindiki thara ras or krimudgar ras.
5.National TB Control:
Anti TB drugs with AYURVEDIC Immunology modulators Gives Good results and minimise the spreading of MDR TB.

6.AIDS Control: AYURVEDIC Immuno Modulators and Antivirals,rasayana drugs to HIV positive patients or AIDS Patients.
Like this there are so many feilds to be filled with AYURVEDA.

7.Non communicable diseases.NCD'S: National Health Mission spending millions of rupees to control NCD's.
Ayurveda system has potential management system to control NCD's
But Govt is not utilising our SYSTEM.

8.Geriatric care: Ayurveda 
Has seperate Branch for of age problems and it has wonderful treatments  to combat Diseases which are common in old age like Arthritis,  alzheimer's disease etc.

Ayurveda should included in the IPOP programme implementing by
The Ministry of Social Justice and Empowerment :
Central Govt. implementing a Central Sector Scheme of Integrated programme for Older Persons (IPOP) since 1992 with the objective of improving the quality of life of senior citizens by providing basic amenities like shelter, food, medical care and entertainment opportunities and by encouraging productive and active ageing.

Like this there are so many Govt schemes or programmes are running without involvement of AYURVEDA system.

AYURVEDA fraternity, ASSOCIATIONS Should fight for inclusion of AYURVEDA In National Programmes then only Our job opportunites

Discussions on 18th August 2017

1.Dr.kamal:
Diagnosis..dadrumandala

Main treatment principle..nidana parivarjana

Daily 2 times bath with hot water
Everyday clothes wash with hot water

caspa(vasu)
Manjistadhi kashayam

Chakramardha tail application

Wait for 3 hrs

Vidanga jala(boiled) snana with neem soap

Trichoderm and fungiwin mix application daily 2 times

2.Dr.kamal:
Mandala kusta...some times it can be taken as srava vicharchika...

Yastimadhu taila and jatyadhi mix application

Siddhartha snana churna application and prakshalana

PRUNILOL OINTMENT application
Internal:
Trisodhak syrup
Arogyavardhini vati
Any virechana churna night

3.Dr.kamal:
For mehaja vrana...or sphota

Shiva gulika
Nisamlaki
Kathakakadhiradhi kashayam
External
Triphala and yastimadhu prakshalana
PRUNILOL OINTMENT mix with satadoutha application

Vd.Saraswathi Sharma. K:
Small clarification here. It was not my original contribution. In a presentation in our college on Nasya by Dr Prasad of Wardha college he mentioned giving Nasya of BVC in Masha swarasa in hemiplegic patients with encouraging results. It's being tried in Brkr too and results are good. I forgot the reference though on which the treatment was based

Soak Masha over night, grind and extract swarasa. Rub BVC just once in swarasa and administer Nasya. Do not give whole tablet as absorption rate and quantity of absorption more in Nasya than oral

Discussions on 15th August 2017

Venkatacharya PBA:
Here kutuki acts as rechana but the proportion in 500 mg tab is only 50% tie 250mg that's not of good rechana so acirding to me we can give to pregnats also

I think some fifteen years back Dr Vijayakumar of IICT had has done some work on AVT of different firms samples and he found TAMRABHASMA of two types I think one in oxide form and another in sulfide form and scoring to him sulfide form is good as it is of twenty years back i couldn't recollect compleatly and according to him one is safe and good as those are of different firms he didn't reveal details I think our Rasacharya vd Gopikrishna will be authority and will enlighten us on TAMRABHASMA

+919841582688:
🙏to all eminent vaidyas, here s the case, a boy aged 13,vata pitta prakruti, from v. Poor family, c/o shwithram on his left eyebrow, eyebrow color also changing into white.  No other discoloration, discomfort. Wat to prescribe? Pl guide me...

Dr.kamal:
Madam can u send any pics of that discoloration part???

Usually I follow like dis

First start with
Krimikutara Ras
Arogyavardhini
Vidangasava

Ext...
Bakuchi tail application before bath especially early morning sunrise time..after application should expose to early ⛅..

Pigmento ot tolenorm ointment after bath daily 2 times

As well as every Tuesday Lord subhramanyeswara swamy darshana and puja

Avoid papakarmas
Sea food
Sour items
Brinjal
Junk food..

After krimi chikitsa... pigmento tab
Bringarajasavam plus vidangasava

Pigmento or*

Chirattai or sirattai tailam very effective in eczema / dadru etc...in switra I don't know...

Avalgujadhi lepa... according to my knowledge...stop application.. actually lesion on eye brow region.thats why..very teekshana medicine... some times hair loss also..

Bakuchi or somaraji very safe..
Ointment base pigmento or tolenorm also very safe...

Otherwise once do sodhana with murchita taila or tiktaka ghrita  and trivruth virechana..

Instead of avipathikara... manibadraguda also very effective in switra...🙏🙏🙏

Dr. Rahul Marwah:
Aarogyavardhini works more on Ra's dhatu and thereafter on other other dhatu. It's very ruksha in nature and on excess use dhatu kshay. I commonly use it for sthaulya, prameha, amlapitta, sandhigata avatar along with kushtha. I once happened to asked a kushtha patient to chew 3 tab of aarogyavardhini twice a day as he was suffering from wet exema. But after 35-40 days he complained of dhavja bhanga and loss of libido. At that time the mal pravrutti was also ruksha. It took almost 6-7 months for it to cover and mahatiktat ghrut with milk n sharkara was used

Discussions on 13th August 2017

Vinaya Ballakur:
There is a complete contrast of virya to be used in garbhini and sutika. For garbhini its shitopachara and for sutika its ushnopachara. While planning no such rule need be followed.
Of course exceptions will be there and if a condition requires ushna virya dravya in pregnancy, it has to be given for a short period under supervision.

Venkatacharya PBA:
A good discussion on Arogya vardhani vat
As mentioned by CD Gopikishan the name itself indicates improving the health having a good combination of drugs with different proportion and equal portion of katuki to all drugs combined having multiple actions as given actually textual ref is in skin diseases but can be used various diseases as per the ingredients like guggulu shilajat tamra and upcourse Rosa gandhakas aloha and Abhraka and major portion katuki which is pita saraka rechana so I think is indicated in skin disorders acordund to me we can give in all diseases but dose duration and age Kuala prakruti etc this principle applies to all drugs as all or drugs acts on various diseases the basic definition of drug explained by vagbhata is
Bahugunam bahukalpam sampannam yogyamoushadam

And regardund dosha vivechana there are so many factors are to be taken in to confederation for rasaoyshdas and Stan's also even though specific Stan's are given for each dosha i think all the three dosha are spread throughout the body and act one more thing kapha and pita are pang only vita is responsible for the function of other dosha dhatus and Malays
This is the brief. Which I thought of sharing
Thank you

Vd. Uday Patil:
My view & according to Panchabhautik concept, Garbhashay is Pruthvi mahabhut pradhan avayav.

Garbhadharana is also a pruthvi Aap mahabhut upachayatmak prakriya.

Aarogyavardhini vati is predominantly Aakash-Vayu gunavardhak, bhedan gunatmak.

So if there is any avarodhatmak samprapti causing Infertilty which is requiring IUI, then use of AV vati will be useful for limited period of use.

But over all it may cause Aakash Vayu gun vruddhi in Garbhini & Garbh !!!
So use should be justifiable.

Pls correct if I'm wrong 🙏

gopi krishna:
I am not a person of panchbhoutik practice , no much knowledge about it even, but I feel ACT is rich in drugs like Shilajatu ,parada,tankana,loha, Abraka,tamra .....most are ores , obtained from earth and prithvi.M.B  dominated.

AAROGYAVARDHINI RAS

😳😳 but I do give it for months together .with no complications.

Any one in the group faced any complications by AVR , plz let me know.

.s.s Sir:
🙏🍀🌷
Pranam Guru ji....
I hv seen my father taking Arogyavardhini Vati for more than three years....
Without Any Complications....

Dr.nageswr Gokul:
I use to prescribe Arogya Vardhani for HIV /AIDS ,Skin diseases etc.for months,in some Patients years.
No side effects found by using Arogya Vardhani .

Dr.kamal:
Most safest drug for skin and liver disease...

Arogyavardhini vati...mild laxative also

Mostly acharyas given name arogyavardhini because of arogya vardhanam...yes it's really improves health condition.. digestive power and mild laxative..

Vinaya Ballakur:
I have used Arogyavardhani successfully and without any complications . The question here is about its use in early pregnancy, whether safe, if so how long and in what dosage can it be used.

gopi krishna:
It's safe in pregnancy even , only thing of concern is , asses kosta  , we are not suppose to give rechana in pregnancy ,apana pravruthi is usually avoided , so with AVR IF THERE is no virechana then it is safe.

Discussions on 11th August 2017

Payal K:
Can arogyavardhini be given to a female patient who is planning for IUI

Dr.pradp Noori:
Arogyavardhini is pitta saraguna vardhaka not vatanulomana or ushna veerya drug.
Kaphahara in pittasthana and tikta rasa pradhana .so no problem and has no effect on kapha sthana.

Dr Kaveti Rajyalakshmi:
No it is not indicated as Arogyavardhini is teekshna, ushna veerya dravya. When she is planning IUI is also depends.

How is uterus is kapha sthanam sir?

Dr.pradp Noori:
Where growth is there there is kapha .
Here it is kapha and secondary pitta

Vinaya Ballakur:
Location of uterus is in pelvis - vata sthana

Dr Kaveti Rajyalakshmi:
Uterus never be the kapha sthanam. It's always apana vata sthanam.

Dr.pradp Noori:
Arogyavardhini Vati Uses:

It is used in the treatment of acute and chronic fever, obesity, liver disorders, anorexia
It improves digestion power, clears waste products from the body,
It acts as cardiac tonic.
It is also used as co prescription with other medicines in different conditions. It acts as a catalyst.
Ayurveda doctors also prescribe this for the treatment of –
Hepatitis
Skin diseases
Obesity management
High cholesterol
Irritable bowel syndrome
Discoloured skin patches on face
Alcohol induced liver disorders.
Gall stones – cholelithiasis
Gall bladder inflammation – cholecystitis
Fever of unknown origin
Infectious disorders
Liver supportive medicine.

Effect on Tridosha – Balances Vata, Pitta and Kapha.

Arogyavardhini Gutika Ras dosage: 120 – 500 mg once or twice a day before or after food or as directed by Ayurvedic doctor. It is usually administered along with honey, fresh ginger juice, neem juice, water or milk.

How long to take?  This medicine can be safely taken for a period of upto 4 – 6 months, based on your doctor’s prescription.

Arogyavardhini Rasa side effects:

Self medication with this medicine may prove to be dangerous, since it contains Mercury as ingredient.
Take this medicine in precise dose and for limited period of time, as advised by doctor.
Over-dosage may cause sever poisonous effect.
This medicine is not suitable during pregnancy, lactation and in children.
Keep out of reach and sight of children. Store in a dry cool place.
Arogyavardhini Ras ingredients, how to make:
Shuddha Parada – Herbal purified Mercury – 10 g
Shuddha Gandhaka – Herbal purified Sulphur – 10 g
Loha Bhasma – Bhasma prepared from Iron – 10 g
Abhraka Bhasma – Purified and processed Mica – 10 g
Tamra Bhasma – Bhasma prepared from Copper – 10 g
Haritaki – Chebulic Myrobalan fruit rind – Terminalia chebula – 20 g
Vibhitaki – Belliric Myrobalan fruit rind – Terminalia bellirica – 20 g
Amalaki – Indian gooseberry fruit – Emblica officinalis Gaertn. – 20 g
Shilajatu – Asphaltum – 30 g
Pura – Guggulu – Indian bedelium (gum resin) – Commiphora mukul – 40 g
Chitra – Eranda – Castor – Ricinus communis – 40 g
Tikta – Katuki – Picrorhiza kurroa – 220 g
Juice extract of Nimba – Neem – Azadirachta indica –

Vinaya Ballakur:
Also mula of artavavaha srotas is garbhashaya. Artava is agneyam.  So my opinion, Arogyavardhani can be safely used but uterus as kapha sthana , I doubt

Rishi Vashishth:
what all medicines are there which we cant use in pregnancy amd those which we cant during lactation? what should be the thought process for such a judgement?

Vinaya Ballakur:
Avoid ushna tikshna. Control kapha through katu thikta kashaya  rasa or we can choose  the sowmya and anushna options, like palandu. Shunthi is preferred over ardraka.

Yashtimadhu balances tridosha

Sitopaladi churna, talisadi churna , lavangadi vati, eladi vati all can be used

Dr Kaveti Rajyalakshmi:
During sutika period pathya itself controls both vata and kapha and above all improves lactation. If possible enquire about pathya. Nagara - stanya sodhana, kapha Samaka amapachana. Lasuna also included in pathya. Kapha vata samaka, stanya janana.

gopi krishna:
I have given this AVR to many of my pts in pregnancy.
Did not find reference of contradictions even, in either of texts.
The name itself suggests Arogya sya vardayati iti

If any case reported with complications , plz let me know.

Naga or lead is also a teekshna dravya which is added in Garbhapala ras , which infact protects pregnancy ,I have cases where in Garbhapala ras was given in pregnancy till the 3 rd trimester.

.s.s Sir:
Yes,  u can use Arogyavardhini  Vati to ur pt.  Who is planning for IUI,  without any doubt....
Similar combination I'm using....  Known as Kamini kulmandal Ras.....

Kamini kulmandal Ras..
Contains---
Parad,  Gandhak,  Lauh bhasma,  Abhrak Bhasma &  Tamra Bhasma .... All 1-1 part...

Shunthi,  Marich,  Pippali  &  Ealva  all 2-2 part...

Haritaki,  Vibhitaki, Amalaki  &  Ravanchini   ....  All 3-3 part..

Shilajit, Shuddha Guggulu and Chitrak Mool.. 5-5 part...

Kutaki  Equal to all.... 
BHAVANA  OF Kumari Swaras..

Discussions up to 7th August 2017

Dr.Anitha:
Pt age 26yrs.working as a  chenetha karmika. Mass present at that site since 6yrs.pitha,kapha ptakruthi.having amlapitha lakshanas,itching all over body,moderate body,working hours 8-10daily.

No pain in that region.e.s.r.10mm1st hour.

Better to go for a biopsy in this case.
@Dr.suresh

If he having systematic symptoms like weight loss ..poor appetite... Definitely CA ..just send him for biopsy it will confirm

Sir check the mobility of the ulcer wether it's fixed to the skin or movable...

Biopsy will rule out Ca, then it can be adopted as any cyst.....etc with medication/surgery later.

Very good result sir...
Shivagulika daily early morning in empty stomach..very effective..it acts as deepana pachana and rasayana effect
And any oil before bath
After bath moish lotion..atrimed company..

In another case..biopsy is required..

[3:19pm, 4/6/2016] वैद्य उदय पाटील: Pls diagnosis & Ayu. Treatment for

A patient (of my friend's clinic)

Age 46 yrs, Female
Housewife
Pittapradhan Prakruti

C/o skin disease - pitika utpatti on face
1st eruption at time of pregnancy
Also Acidity, headache
Menses - Alpartav 1 day only

Is it Neurofibromatis?

What's treatment?

Panchavalkal/yastimadhu grita application.
Orally
Talagarbha pottali with yastmadhu grita anupanam.
Avr
Gandhaka rasayana

Chandraprabha, Arogyavardhini, kanchanar guggul, mahamanjishthadi kwath used.
No result

Could not find more satisfactory result in such cases .

Tnq kamal.presently Iam using moish cream also. I purchased ur twachyam after reading I message u.👍

At uday patil: it's a case of Neurofibromatosis.difficult to cure but can be arrested further progress.It's genetic disorder.It may run in family.repeated shodhana is required.

Patil sir...
Use kanchanar guggulu 2bd with varunadhikasayam 3tsp bd

Gokshura
Guduchi
Amlaki same quantity 1/2tsp bd

Advise plenty of buttermilk

Repeated sodhana is required

Once advise usg abdomen and thyroid profile..lipid profile

Asadhya vyadhi...we tried in 3 cases...treatment was failed..but manageable with kanchanara and varunadhi combination..and with agg combination also

No diabetes hypertension,  kapha pitta prakruti.  Nadi - vata pitta vardhanam.  Angi - vishamagni..

In the case of neurofibromatosis by considering it as santarpana janya vyadhi I have treated for a period of 6 months with only agnitundi vati I find 40% improvement

Hyperpigmentation...
Once check thyroid profile

Simple medicine
Kaishora guggulu

Ifdry skin..eladhi taila application

If oily skin eladi ghana churna with rose water or milk

Eladi soap for bathing

I request some one to give me the reference of vruddhi vadhaka vati and the pharmacy which manufacturers it .

@ Vriddhi baadhika

Abundantly available with BHAIDYANATH ayurveda pharma

Dear all CAVians
Happy Ugadi a new year according to vikram ska it is 2073ed new year and we are entering in to Vasanta ritu a season change and first nine days of this ritu is called Vasanta navaratris very auspicious days on this auspicious new year day we too are entering to new app Telegram from today onwards our jnanayajnam

starts and let us hope our jnanayajnam will be in a disciplined and systematic manner
Charaiveeti. Charaiveetith

Leeches of size approx.  5 to 9cm can be considered for skin disorders . these usually draw around 15ml in one sitting. For dusta vrana etc.  Slightly bigger leach may be preferred

Good already started the discussion congrats. Dr Saraswathi
As today is Ugadi and Vasantharitu starts and it is only occasion we taste all shat rasps particularly we never taste tikta rasa on any occasion that to Nimba kusuma so I think for today's let us have a discussion on significance of all shadrasas with special of tikta that too Nimba kusuma and Vasanta ritu and ritu chary and common problems of Vasanta ritu and management

Comes under adhana kaala
which is kashaya rasa pradhana
kapha dosha in prokopa avastha
so gud for vamana
Ahara like yava, godhuma,mamsa advised
Avoid guru, sheetha, snigda, madhura ahara
In order to pacify agrivated kapha one should do vyayama, udwarthana, snana regularly
Last but not least one should avoid divaswapna strictly.
🙏🙏🙏

Dr.kamal:
Dr.Kamal:
34years female...

Diabetic
Fattyliver
Pcod

C/o irregular periods
Hair fall

Agni mala mootra...good

Now she using allopathy medication for diabetes..

Please advise ur valuable opinion...

Kishore Mahindraker:
If Angi is good , see symptoms kaphadhikya of pittadhikya....
Accordingly plan for Tikshna vamana , virechana respectively.

Snehapana- Sarshapa taila
Vamana with Madanaphala  Virechana- Abhayadi modak 750mg.

Followed by
Tapyadi loha
Arogyavardini
Kuberaksha vati
Patent-
Hyponidd

Yes Asava Arista can be used in both till the correction of
MANDAGNI,
Once agni is corrected switch to other forms of Medications.

Asava Arista & Ghrita kalpas are best Agnideepaka

Dr.Jyothi Verma:
Good evening to all
A female patient age 35 third gravida
H/O  one abortion last year
Now 6 weeks pregnancy
Slightly hypertensive
No vomiting but nausea sometimes
Plz suggest medicines as per trimester
Are the medicine available in market as per month. If yes then plz tell the company.
Tj

Dr.pradp Noori:
What are the symptoms
What is the age?sex? Duration ? And minimal data of the pt ?

Jwara discussion was from classic to experiences of tough once
Nabhi nature's  dhwara multiple aspects  like jwara, mutrakrichra, Atisara  and other conditions .
Jwaradrugs
Sanjeevini vati
Sudarshan ghan vati
Ayus 64
Mrutunjaya ras
Tribuvanakeertiras
Laghumalini vasant
Haridra in astrology
Papaya juice in jwara
Handling chikunguniya and experence and successful cases.
Idiopathic viral fever case discussion
And some more in AAA 3.
Missing vd vinaya mam

Kaphaja jwara by vd koti
Jayamangalaras experence
Putapakva Vishama jwarantak loh.
Vaishnavi ras (sss)

Nuxvomika in chikunguniya arthralgia

Langhana importance in jwara .
Classification in treatment

Rishi Vashishth:
how to approach a case of wheat allergy? a male patient aged 45yrs complaining of itching, swelling all over the body after consumption of wheat since 1yr. how to approach such a case and manage it?

Dr.pradp Noori:
Allergy is kapha pitta

Dr.kamal:
Nidana parivarjana..

Bilwadi gulika
Patola katurohinyadhi kashayam.

Dr.pradp Noori:
Raktapitta treatment will help and shodhana is a must

Kompelli Vasudha:
It seems to be gluten intolerance ,for that we can give  kudharam kashyam 10 ml mixed with 40 ml of water once in  a day before food, pippaliasava 15 ml , after food and histantin tablet twice aday

Rishi Vashishth:
Ma'am....kudharam? never heard of it....ingredients and reference please...which pharma makes it? histantin also?

Dr.kamal:
Kerala Ayurveda..histantin

Kompelli Vasudha:
It's kotakkal arya vaidya shala medicine

Swati Totla:
Where can we get pure vanshalochan?

Dr.pradp Noori:
How to analyse  myasthenia Gravis disease in ayurveda?
Kapha (medho) avruta janya vata or mamsa dhatu kashay janya vata?
Please put some light on this .
Thank you

Dr.kamal:
Vaata plays predominant role... aggravated vata...
Mamsa kshaya...

Usually treatment also..
Taila prayoga
mamsa ksheera prayoga..

According to me no avarana..

No avarana...may be because of sanga..

Modern correlation..

Neuro muscular disorder...vaata plays predominant role

Weakness in the muscles..mamsa dathu kshaya

Neuromuscular transmission...sanga..

Discussions on 31st July 2017

Vijaya Rani:
Good morning Dr s
30 yrs fe pt c/o of weight gain since one year and acne
H/o pcod since one year
Using
DYNAMET

FROM that onwards increase weight and develop acne and  unwanted hair
Resently scan showed cholilithiasis and pcod

Plz guide drs for both problem s
Pt waight is 70kgs height is 5'2
Ptta khapha
Periods regular
No h/ o DM, HT N, Thyroid
App normal
Bowel,mic : normal
Mood swings  and distrub sleep

Plz suggest me drz

Kishore Mahindraker:
Treatment
1.Varunadi Kashaya 15ml bd with 45ml water
2.Arogya vardini Vati 500mg bd
3.Rasa Pachaka(indrayava, Patila, Katuki) churna 3gm bd.

Initially observe weight for 45 days with abv and than change treatment accordingly

Dr.kamal:
Hyponidd
Amycordial
Varunadhi kashayam
Punarnavasavam

Hyponidd...it is very effective medication in pcod with obesity..

Amycordial syrup..it is useful in irregular periods

Varunadhi kashayam...very useful in granthi arbuda...in obesity and piitasmari also very helpful

Punarnavasavam...very effective in billiary calculi..and rakta vikara..

Dosa..kapha pradhana tridosa
Dusya..Rasa rakta mamsa medha

Dr.Rubina Begum:
Good evening
A case of 35yrs female
C/o itching all over the body since 4 years
Itching sometimes severe sometimes mild associated with swelling allover body and rashes
No burning sensation
Hairfall present
IgE 540 KU/L (1 year ago)
She is on allopathic medicine, if she miss the tablet she suffers from SOB
Vaidyas please help me how to manage this

Dr.kamal:
First check thyroid profile aec hb rbs

Clear case of urticaria...but before diagnosing root cause is most important..

Start haridrakhanda

Kashaiah Vasam:
1.Tab.Atarax 10/ 20 mg bid or
2.Tab.Allegra 120mg bid or
3.Tab.montair  LC 1tab bed time +
4.Caladryl lotion L/A or
5.Calapure lotion L/A

Dr.Rubina Begum:
Tab Dazit M
(desloratidine 5mg+ montelukast 10mg)
Daily one tab , sir..

Prasad Babu Koka:
Respected all doctors plz suggest me,                                    a patient suffering from excess sweating (swedha) since 4yrs. All his health report  is normal except serum bilirubin(2mg/DL) since 2yrs.. There is no any other symptoms.

Dr.nageswr Gokul:
Laghu sootisekara ras.

Dr.pradp Noori:
Krimi kuthar ras
Sariba or Chandana choorna
Soothasakharras ras .
Or as said laghusoothsekhar 500 mg three times before  and after food

For 7 days then
Medhoharvidangadi loh
Shilajitwadiloh
And a yakrit or as nadi kashayam
For long periods

Payal K:
Get her lft also done..
Give her arogyavardhini, kaishor guggulu, sariva, manjishtha, vidanga, musta, yashtimadhu, laghusootshekhar & triphala...if needed...any of these can be removed or added as per need

Dr.kamal:
1.ASAVA-ARISTA....MADHUMEHA OR PRAMEHA (DIABETES)

2.ASAVA-ARISTA...YAKRUTH VIKARA(FATTY LIVER)

34years female...

Diabetic
Fattyliver
Pcod

C/o irregular periods
Hair fall

Agni mala mootra...good

Now she using allopathy medication for diabetes..

Please advise ur valuable opinion...

Dr.Anitha:
Guggulu thikthaka ghrithamu 1st day 50ml,second day 75ml  ,third day 100ml as per her condition.

This is my first panchakarma procedure. After vamanakarma samsarjana krama fallowed.her itching completely stopped till now.today Is 15th day. I treated her before panchakarma arogyavardhinivati 2bd.gandhaka rasayanam 1td,sarivadyarista 20ml td after food.swadhistana virechana choornamu 5gms at bed time.

External application lippu oil.

External surface just look like cauliflower.... Edges of the ulcer is everted...may be squamous cell carcinoma... If possible send more images n history plz..

Discussions up to 29th July 2017

Vijaya Rani:
Good morning Dr s
30 yrs fe pt c/o of weight gain since one year and acne
H/o pcod since one year
Using
DYNAMET

FROM that onwards increase weight and develop acne and  unwanted hair
Resently scan showed cholilithiasis and pcod

Plz guide drs for both problem s
Pt waight is 70kgs height is 5'2
Ptta khapha
Periods regular
No h/ o DM, HT N, Thyroid
App normal
Bowel,mic : normal
Mood swings  and distrub sleep

Plz suggest me drz

Kishore Mahindraker:
Treatment
1.Varunadi Kashaya 15ml bd with 45ml water
2.Arogya vardini Vati 500mg bd
3.Rasa Pachaka(indrayava, Patila, Katuki) churna 3gm bd.

Initially observe weight for 45 days with abv and than change treatment accordingly

Dr.kamal:
Hyponidd
Amycordial
Varunadhi kashayam
Punarnavasavam

Hyponidd...it is very effective medication in pcod with obesity..

Amycordial syrup..it is useful in irregular periods

Varunadhi kashayam...very useful in granthi arbuda...in obesity and piitasmari also very helpful

Punarnavasavam...very effective in billiary calculi..and rakta vikara..

Dosa..kapha pradhana tridosa
Dusya..Rasa rakta mamsa medha

Dr.Rubina Begum:
Good evening
A case of 35yrs female
C/o itching all over the body since 4 years
Itching sometimes severe sometimes mild associated with swelling allover body and rashes
No burning sensation
Hairfall present
IgE 540 KU/L (1 year ago)
She is on allopathic medicine, if she miss the tablet she suffers from SOB
Vaidyas please help me how to manage this

Dr.kamal:
First check thyroid profile aec hb rbs

Clear case of urticaria...but before diagnosing root cause is most important..

Start haridrakhanda

Kashaiah Vasam:
1.Tab.Atarax 10/ 20 mg bid or
2.Tab.Allegra 120mg bid or
3.Tab.montair  LC 1tab bed time +
4.Caladryl lotion L/A or
5.Calapure lotion L/A

Dr.Rubina Begum:
Tab Dazit M
(desloratidine 5mg+ montelukast 10mg)
Daily one tab , sir..

Prasad Babu Koka:
Respected all doctors plz suggest me,                                    a patient suffering from excess sweating (swedha) since 4yrs. All his health report  is normal except serum bilirubin(2mg/DL) since 2yrs.. There is no any other symptoms.

Dr.nageswr Gokul:
Laghu sootisekara ras.

Dr.pradp Noori:
Krimi kuthar ras
Sariba or Chandana choorna
Soothasakharras ras .
Or as said laghusoothsekhar 500 mg three times before  and after food

For 7 days then
Medhoharvidangadi loh
Shilajitwadiloh
And a yakrit or as nadi kashayam
For long periods

Payal K:
Get her lft also done..
Give her arogyavardhini, kaishor guggulu, sariva, manjishtha, vidanga, musta, yashtimadhu, laghusootshekhar & triphala...if needed...any of these can be removed or added as per need

Dr.kamal:
1.ASAVA-ARISTA....MADHUMEHA OR PRAMEHA (DIABETES)

2.ASAVA-ARISTA...YAKRUTH VIKARA(FATTY LIVER)

34years female...

Diabetic
Fattyliver
Pcod

C/o irregular periods
Hair fall

Agni mala mootra...good

Now she using allopathy medication for diabetes..

Please advise ur valuable opinion...

Dr.Anitha:
Guggulu thikthaka ghrithamu 1st day 50ml,second day 75ml  ,third day 100ml as per her condition.

This is my first panchakarma procedure. After vamanakarma samsarjana krama fallowed.her itching completely stopped till now.today Is 15th day. I treated her before panchakarma arogyavardhinivati 2bd.gandhaka rasayanam 1td,sarivadyarista 20ml td after food.swadhistana virechana choornamu 5gms at bed time.

External application lippu oil.

External surface just look like cauliflower.... Edges of the ulcer is everted...may be squamous cell carcinoma... If possible send more images n history plz..

Discussions on 28th July 2017

vijayalakshmi:
in sushrutha thouh he has mentioned कारवेल्ल स्वरस as one of the best विरेचक, he has not mentioned its mode of application,but he has mentioned the application of all other virechakas. and in su.su.ch 46 while explaining the gunadharma of the same he tells it is kshara and pittala. usage of kshara for long duration is contraindicated.

Kishore Mahindraker:
Thanks for Share Madam

Su.Su 44 explains parts of plant and best virechana davya with respective parts.
(Virechana one time Yoga)

Su.Su.46 Explains as vegetable
Uasage if used daily and its consequence ....

Pakwa and Apakwa identification of Karavella fruit

Look what I found: Momordica charantia - Wikipedia | https://en.m.wikipedia.org/wiki/Momordica_charantia

Dr.kamal:
Subhodayam all members .
There was a suggestion from few members that we have to arrange a Maga cme yearly once or twice . For this there will be voting a 20% of the total members is minimal concidered .
It will be in sep or  Oct or Nov months .a full day interaction a family party. Happy one .
If you are intrested say "yes I am"

Bhaskar:
Good morning dear vaidyas,
I am glad to see the response to Madam shalini Rajneesh write up on the utility of onion and jaggery in dengue.
It's time dear friends to react collectively in a big way and show the world that there is someone raising voice in support of ayurveda. Not only in the case of madam Shalini rajaneesh but when any such ayurveda related issue raises ,We must respond through electronic,print,radio medias as well on FB,WHATSAPP,TWITTER etc medias.
There should be a collective opinion and statements should not be contradicting. This is possible with inhouse discussion among expert team.

Regarding the usage of onion and jaggery in dengue ,
Palandu (Allium cepa)

Palandu means -that which protects from diseases.
Rasa. Madhura,katu.
Vipaka. Madhura.
Veerya. Ushna.
Guru,teekshna,snigdha.
Vatahara.
Balya,vrushya, deepaka,vatanulomaka.

Ref. Of Palandu in Charaka. Samhita.

1. घ्राणात् प्रवृत्तरुधिरं सपित्तं

पलांडु मूलं नस्यम्   च। चि। ४
Palandu swarasa as nasya in nasagata raktapitta.

2.केवलोअधवाजयति रक्तमतिवर्तमानं

वातं च पलांडु रुपयुक्तं  च। चि। १४

Boiled Palandu tuber eaten with sugar in arshas which arrests bleeding.
Jaggery is added to reduce teekshnata of Palandu.
Certainly this combo can be used in haemorrhagic fevers like dengue for it can prevent bleeding.

vijayalakshmi:
Dr.Ganesh
about onion-
procedure -
Raw onion only in very hot climate; if rain is absent, else raw onion with jaggery can cause pneumonia,
Raw onion is used in austria to prevent communicative diseases spreading to others, as onon cut and kept in bowl near patient attarcts bacteria / virus from patient preventing  spreading to  other members. —- certified (lab tested).
So eating raw onion kept in open place can cause throat infections.

But cooked, roasted will cure many diseases which not created by mantal tension but aggravates due to tension.
Also rasam of onion after fever inducess micturation and cleneces body, preventing relapse.   —- certiied.

Ushaujwal:
Good evening CAV
Please suggest me medicine in case of severe itching on urticaria...i have given the following
Brhat haridra Khand granules
Maha tiktaka kashayam tab
Aragwadadi kashayam tab
Laghusoota Sekhar ras
Histantin
Eladi taila and marichadi taila ext use...beyond this is their any medicine to get relief from severe itching

Vinaya Ballakur:
Give krimishodhini gulika  avipathikara churna initially.
Then you may give Haridra khand and manjishthadi kwatha.
Externally tankan with coconut oil.

Kotakkal brand may be chosen.
Enquire about possible nidana and advice nidana parivarjana. Specially ask about medicine intake.

You may also give punarnavadi kashayam or coconut water to increase urine output to relieve the body of toxins

In chronic cases, plan with krimi chikitsa, visha chikitsa and then only sheetapithahar

Ushaujwal:
Vinaya Mam...
Case of stana kshaya...can you please enlighten me🙏🙏
Pt 28 /F of vata prakriti appetite and bowels are regular
I have given brimhana treatment
Chitrakadi vati
Ajamamsa rasayan
Satavari plus
Jeevaniya vati
Maha masha taila ext use
Advised mamsa and brimhana foods

Vinaya Ballakur:
how about her periods? Is it kshaya since a few days or months or is it underdevelopment? Ask about her food habits, like skipping meals etc. Is she skinny overall?

Kishore Mahindraker:
Madam advice Raktamokshana/blood donation if patient is fit...
Patient may not get any itching atleast for month.
( I had two patients of similar kind in whom i got satisfactory results )

Note:Kandu is one of the Raktadushti roga as per Charaka.(Ref.Cha.Su.24)

Payal K:
Can anyone suggest any oil / formulation to remove excess facial hair in female

Kishore Mahindraker:
I have used
1.Lomashathana Lepa by Prakruti remidies Pvt.ltd  (its bit corrosive but good, patient missed after two visits) - Dnt apply directly on upper lip first try with chin -follow up for 15-30days than go for upper lip .

2.Lomashatana Taila by Vaidyaratnam (base Sarshapa taila) there was reoccurance of hairs on upperlip upon withdrwal.

U may try any one of abv but preferably on chin first than go for upper lip application after follow up.

vijayalakshmi:
If everything is normal only for development sake you can advice samvardhana gritha of MAA(Malabar ayurvedaashrama) and mahamasha Taila samisha or

Mm Taila with amrutha prasha gritha yamaka for external applications

Dr.suresh Jakotia:
Kseera Bala tail Nasya

Apply Subra bhasma mix with it.

Kishore Mahindraker:
Okay Sir , Thanks for Advice...
I ll try with it..

Is Subhra Bhasma Spatika Sir ??

Discussions on 26th July 2017

Vinaya Ballakur:
बल भ्रंश - loss of strength

Vata is ruksha and dehydrating. It does not enrich  rasa the first dhatu which is akin to kapha ( Vagbhatta clearly mentions it in a succeeding shloka on dhatus). So an increase will lead to weakness.
The balya mahakashaya drugs( from Charaka) either singly or in combination help overcome bala bhramsha

निद्रा - भ्रंश  - loss of sleep

Vata has chala guna. Its increase can lead to reduction of sthira guna which is the composure required for sleep.
Reducing activity (chalana of body , mind and senses) at least a few hours before bedtime will help. The nidrajanakas like tagara are vatashamak too

इंद्रिय भ्रंश - loss of sensory and motor strength.

Vata vardhana is associated with reduced nourishment of the indriya adhishthanas.
So impairment in sense perceptions and numbness of parts can be expected.
Vatashamak and indriya balakara dravyas such as, brahmi, should be selected

प्रलाप - irrelevant speech

Vata has chanchala guna. Its increase can therefore lead to irrelevant and unnecessary speech. In high fevers too, delirium is observed sometimes due to excessive vata. The chala and chanchala guna need to be curbed in such conditions.
Mukta pishti , saraswata ghrita help in such cases.

भ्रम - delusion , confusion.

While prakrita vata is responsible for utsaha, its increase can cloud mind and cause bhrama.
Vatashamak and manovaha srotas shodhakar like vacha  will be of use in such conditions.

दीनता - timidity, inferiority

It is also a psychological manifestation of increased vata. Manasika balyakaras have to be given. Eg. Manas mitra vatak.

Dr.pradp Noori:
Urine regulates kleda . It is a ama vriddhi or kapha vriddhi condition if it is not associated with pitta ie infection or burning sensation
2. Take the quantity of the urine per micturition .if it is more then ama kleda meha or kapha has increased  then pure kapha vriddhi condition .
If quantity is low then it is kapha vata .
If associated with burning associated with pitta .

Here it is only kapha may be in a chaya state punarnava mandoor  ( it doesent look logical but works )and chandraprabha vati with jeera kashaya should help .

In many systemic conditions also there is ati mootra condition eg Poorva ropana of prameha / kaphaja jwara ect..
See the condition and treat it .
" Uncomplicated ayurveda "

Geetha Rani:
Some times Samana vata vikruti associated with constipation also causes atimutrata

Vijaya Rani:
Fe pt age 60
C/0
It's appear only on hands , itching sensation
H/o DM 14 years , HTN 10 years
Pitta kapha prakriti
O/E tongue coated
No constipation

Nidana:  sleep on new leather sofa

Plz guide me  Drs
Diagnos and treat ment

Dr.kamal:
It can be taken as vicharchika.. contact dermatitis..

Pt weight??

Nisamlaki
Manjistadhi kashayam

External eladi oil
Any medicated soap

Koti Nagarjuna Vejendla:
Mam we will get 5 types of pottali kalpas from dhootapapeswar company they will send to doctors directly hema garbha. abhra garbha. Rasa garbha . Tamra garbha. Tridhatu garbha and rajita garbha pottalis are available another company Krishna gopal Ayurveda Bhavan we will get hema garbha pottali. VD gopi Krishna ji is preparing 17 variety's of pottali kalpas mentioned in rasa yoga sagara sir exclusively practicing pottali kalpas

Vd. Uday Patil:
As Driving is pt's occupation, it must be considered as a cause of Apan dushti.

It's d only clue provided. (But i think there must be some other symptoms which needs thorough evaluation.)

Urination is apan karma. So to reduce frequency, apan vayu chikitsa like local application of oils in Apan kshetra & orally apan anulomak ghrut paan may also help along with other medicines as said above by all respeced vaidyas.

Vinaya Ballakur:
Discussion on pitta , A.H.Sutra. 11. 6

पीत विण् मूत्र नेत्रत्व - yellowish discoloration of faeces, urine, eyes and skin

Pitta especially ranjaka pitta increase leads to yellowish discoloration. Evident in kamala which is a pitta disease. Virechana and correction of ranjaka pitta dushti in its svasthana ie  yakrit through kutaki, bhringaraja, kumari is useful

क्षुत् , तृट् -  excess of hunger and thirst

Since Agni manifests as pitta in shareera, its increase leads to excessive and speedy pachana , so excess hunger and thirst can result. Normal kshudha and trut  are natural diseases the discomfort due to these to the body is relieved on eating and drinking water.
When patient complains of excess of hunger and thirst, pachaka pitta should be corrected with sneha dravyas.

दाह - burning sensation

Any burning sensation in any part of the body indicates pitta vriddhi. Pitta shamakas that are daha shamakas too like chandan ( burning in skin, urine), shatavari , amalaki( burning in stomach),
Rose water, elaneer kuzhampu( burning in eyes) , praval panchamrit ( burning on palms and feet) etc . can be suitably used

अल्प निद्रता - less sleep

Pitta increase leads to light sleeping. It must be distinguished from complete lack of sleep or disturbed sleep which is due to vata.
The less sleep in increased pitta is related to amlapitta. So stomach soothing medicines help in better sleep. Mukta, pravala, narikel lavan etc. need to be considered here.

Dr Murali R:
Dear vaidyas
Is there any reference for onion and then  jaggery to treat jvara.
Pl comment

Vinaya Ballakur:
There was a news item on FB post ....how onion and jaggery can increase platelet count in Dengue.

Discussions on 25 the July 2017

Dr.nageswr Gokul:
Concept of blood thinning insome  cardio vascular disorders like Hypertention,CAD , is common in allopathy system. But in Ayurveda our treatment for this ailments are different.
I never prescribe blood thinners for HTN patients,CAD patients.

Vinaya Ballakur:
Arjuna also to this list. Remove srotorodha and improve raktasanchara.

Hello vaidyas

Sorry to disturb u at  on going discussion....

I jst want to know 
Where I will get swarn bindu prashan drop ??

Prepared by experienced hand with proper gold and vacha ....

Sory to ask lik this as now a days due to extreme commercialization we r not getting good quality products..

So plz suggest ...

Rishi Vashishth:
mahamarichyadi tail with tankan bhasma.....but i have found divya kaya kalpa tail of patanjali with tankan to be excellent in it

its kunakha

Dr.kamal:
Divya Kaya kalpa??? Patanjali???

Dr.nageswr Gokul:
Doorvadi tail.

Dr.kamal:
Single doorvadi taila???

Which company sir??

Dr.nageswr Gokul:
Impcops

.s.s Sir:
Just Tankan bhasma with Coconut oil..
🙏🍀🌷

Dr.kamal:
C/O EXCESS URINATION
NO OTHER SYMPTOMS

PT OCCUPATION DRIVING
NON DIABETIC
NO URINE INFECTION

PLEASE SUGGEST EFFECTIVE TREATMENT

RBS 80

PT AGE 32..

Agni appetite good... except excessive urination...no other complaints...

Just I given only 10 chandraprabhavati tablets for 5 days...

Kishore Mahindraker:
C/o Excess urination since how many days ???
R/o Small volume Bladder if its since long time.
R/o Prostaties if its recent onset symptoms of excess urination (urine analysis will be normal in most of prostaties infection).

Rx
Classical drug of choice
1.Tarakeshwara ras 1 tid (Yogratnakar bahumutra adhikara-baidyanath pharmacy)

2.Patent
Cap.Ural BPH (Vasu Pharma-containing Chandraprabha vati 250mg+25mg shudda shilajit with other medicines acting on genitourinary system)
1bd  -tid

Vinaya Ballakur:
In the next three shlokas the author discusses vriddhi of vata, Pitta and Kapha. We must keep in mind that these are just an increment of the doshas in the body and not chaya or prakopa

कार्श्ण्य - blackish discoloration.

Vata is ruksha. Any blackish discoloration in skin, nails, eyes, tongue etc.  should alert us to vata involvement.
Vata is drying, dehydrating. It means decreased circulation and therefore decreased peripheral nutrition. So the region looks discolored or blackish.Vatashamakas in such cases must be chosen to improve micro channel circulation and must be varnya.eg. Manjishtha

कार्श्य - emaciation or reduction
vata has laghu guna .Its increase leads to reduced nutrition causing reduction in weight and skinny physique.
Vata shamakas that can nourish and build the body can be chosen here. eg. Ashwagandha, vidari, shatavari

उष्ण कामित्व - desire for hot things

Vata is shita. Its increase naturally leads the body to desire ushnatva to maintain tridoshas balance.
This naturally happens during change of climate during the day or during seasons. If its turning to craving and an intolerance to cold even in warm weather, then vata vikruti is suspected. ( It happens in neuro  endocrinological disturbances.)

कम्प - tremors

The increase in chala guna of vata might manifest as tremors. Vatashamakas  such as brahmi  ghritha  help in such conditions.

आनाह - bloating, fullness

Vata due its capacity to occupy hollow space( stomach and intestines) can cause aanaha if increased and does not escape as udgara or apana vata.
Vatanulomana with hingu, jeeraka etc.or hingwashtaka churnam, vayu gulika can be given

Discussions up to 24th July 2017

Dr.kamal:
Now started
Mahatiktaka ghritam
Avipathikara churna
Arogyavardhini...

Continuation of external application...

H/o
Scaly patches
Severe itching since 6 years

Associated with amlapitta and vibandha..

After 30 days
No scaly
Blackish discoloration
Slight itching..
No vibandha...

Gastronil powder...for amlapitta and vibandha..

Inside box
Wright oil
Sorion ointment
Wright soap or psorolin soap

vijayalakshmi:
Dr.Ganesh
Controlling suger level and treatment of meha are different.
Do you know how methi works? and when, how to give methi?
Karavellaka is adviced after jwara as food.

Also try ksheera paka of pterocarpus marsupium
It is mehahara, but  try  taste of it.
Also what is the taste of coco.? used in spondylosis
yasti 63% sweeter than suger.
reducing suger = giveing bitter  is not the answer.
Properly prepared amruta paste is sweet. (tried by two persons.)

गुल्मः क्षयो मेहनबस्ति शूलं मूत्रग्रहाश्च अपतर्पणेन -चरक

Dr Kaveti Rajyalakshmi:
Methi  is Snigdha dravya. It pacifies vata. Useful in Meha. Ati sarvatra varjayet.

Dr.pradp Noori:
We have a proprietary medicine called Diax powder (Guna ayurveda product) which has only methi extract we use it for
1.Reducing blood glucose levels
2.Reduces insulin resistance
3.Increases testosterone to certain extant
4.Increases milk production
5.One of the foods which is advised in cancer.
* but not used in large quantities and for long periods.

Dr.kamal:
Today opd case...varicose dermatitis (siragranthi yuktha vicharchika)...since 6 months..

Excessive discharge
Itching
Pain

Vinaya Ballakur:
What did you prescribe Vd. Kamal?

Dr.kamal:
Triphala yastimadhu prakshalana
Jatyadhi ghrita application
Yastimadhu dusting

Kaishora guggulu
Mahamanjista kashayam
Arogyavardhini
Sahacharadhi 21 soft gel

Dr.venu:
Talakeshwar ras is the best choice in such condition besides Nityananda ras in order to restore srotavarodha.
Lodhra,Daruharidra,Mayaphal,Hareetaki churna combination externally for vranashodhana,ropana, kleda and srava hara
Pathyapathya accordingly

Vinaya Ballakur:
Vd. Koti Nagarjuna with Vd. Venugopalji and
Vd. Surendra Sharmaji' s anubhuta yogas for thyroid regulation

1. A combination of trikatu, vibhitaki and godanthi bhasma
(Ratio?)

2. Kala munakka 100gm + lauha bhasma 10 gm. Make 500 mg pills and give 1-1 pill .

3. Swarna vata rakshas ( IMPCOPS)  62.5 mg with mundi ghan vati

4. gandamala khandan ras

Loha bhasma is best for Kaya siddhi and is also affordable.
Loha + hingul --- rasayan
Loha + triphala --- tridoshashamak

In reactive arthritis
Mall sindur + yashtimadhu.

.s.s Sir:
I prefer
Loknath ras +SaindhavLavana with Tambool Swaras in morning.
Talakeshwaro ras 1-1 tid.
Jatyadi Ghritam for application

Dr.nageswr Gokul:
Lasun,Ardhak,Yesti, grapes,thematic,Mirchi , cinnamon etc.

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