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discussions on 6th October 2017

Dr Manik Dixit:
Felt like sharing my recent case.
A 45 years female presented with heavy periods since 2 years.
Previous u/s scan ( nov 2016) showed sub mucus fibroid in lower uterine segment.

Subsequent scan in Apr 2017 showed sub mucus fibroid bigger in size.

Patient had taken allopathic treatment from renowned gynec in hyd.

She visited my clinic in July 2017 and was suggested :
1) Varanadi kwatham tabs (kottakkal ) 2 bid.
2) kanchanar guggul ( kottakkal ) 2 bid.

The scans done in Nov 2016 and sep 2017 were done by the same senior radiologist and the case was discussed with the radiologist and she has confirmed that she had even done TV scan for herself to reconfirm the development.

No fleecing in any form by changing names, relabelling, false promises, overcharging.
Just consultation fee charged and branded meds dispensed on MRP.

vijayalakshmi:
Add any anulomana dravya or that which does alapalpa shodhana or virechana. otherwise thick endometrium may cause DUB. what diet and life style you have adviced?

Dr Manik Dixit:
Initially Avipathi churnam for 1 month.
Already suffering with DUB

Venkatacharya PBA:
I think instead of varunadikasham. tabs kashayam in littlebi large dose tie 30 to 40 ml. will be good

vijayalakshmi:
definetly the results are good. but then fibroid was increasing , but endometrial thickness was not more. now fibroid was dissolved , but endometrial thckness has been increased. which suggests vilayan of dosha is there , but shodhana has not been there. It is my suggestion that at least alpalpa shodhana should be there, otherwise more vilayana may lead to complication.

Venkatacharya PBA:
And Varadi. Kashayam is good for both anulomana and dosha vilayana and acts as ropana also

Varadi kashayam. Is triphala kashayam only

Dr,Dilkhush (DK) Tamboli:
Be careful...it will come with atyartav.....Hold उष्ण चिकित्सा

May be patient is with Pitta..anuband

Dr Manik Dixit:
Will yoga vasti help ??

Vinaya Ballakur:
Anulomana to eliminate doshas gradually while sthambana and shitopachara are needed for DUB. There lies the challenge. What if ashokarishta is added to Vd. Manikji's prescription. The original prescription has served the patient well. It must be noted that the problem is 2 years old.

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