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A case of severe back pain with facial paralysis

Vidya Viddhu:
Gud evening doctors...pt name Rukmini..Age..48yrs..(pt is my mother)..
C/O very severe low back ache radiating to both legs since 1 week ..but from today she is nt able to get up from bed also..temperature since 3dys..

H/O..HTN since 7yrs on Losar-H 50mg..
Underwent Angiogram in 2016 ..on Atorfit 20mg..
Facial paralysis  & Severe nerve pains and pt dint walk properly  for few days in 2014..Ayurvedic treatment was given by me nly..kativasthi also done..
Last year pt was having same backache..MRI was advised by Neuro dr.bt pt refused fr scan..still pt have more fear to go for MRI scan...

Every rainy season pt becomes very week..since 3yrs..sometimes she complaints of mild burning sensation in heart.so did 2d echo and ecg..its  normal

Vd. Uday Patil:
Tell us more about your mother..... Birthdate, Weight, Prakruti, food habits, Nature, Past history including menstrual history, your diagnosis of Present illness with likely root cause, etc

So that a good diagnosis of such complaints in early age could be done.
All our CAV gurus will suggest Rx accordingly. 🙏

Vidya Viddhu:
02-06-1968..weight-66kg..monthly twice or thrice non-veg..everyday nyt dinner will b jowar ki roti.never take oil foods or out side foods..Hysterectomy done in year-2000...regular periods...

She is having cough also...while coughing pt is passing urine n sever pain at dat region..

gopi krishna:
Vishamusti vati
Punarnavadi mandoora

Powder combination of
Avipathikar choorna
Godanti bhasma
Malla sindooram
Tapyadi loha
Abraka bhasma

If not responded in 1 month then start with rasarajarasa 1 bd

Vinaya Ballakur:
Clear case of vikruta vata... Kati shula...
H/o ardita , hysterectomy too causes vata Prakopa, her food habits too are vatakaraka ( daily Jowar roti, complete avoidance of oil).
Aggravation in pravrut ( vata Prakopa Kala)

Whether avarana is associated is dhatu kshaya is associated must be examined for treatment.

Fever and cough may be due to seasonal change.
cough causing urine passage is a common symptom after hysterectomy

She needs to have treatment for immediate vata kapha Prakopa manifesting in fever and then long term vata treatment

For the time being
Sudershan Ghana vati 1 tab twice a day along with Tribhuvan kirthi Rasa 1 tab thrice a day with ardraka and Tulsi Rasa and honey can be given.
Sahacharadi kashayam  10 ml with water twice a day.
Give this for three days.
Then long term treatment should be planned.
Diet also right now in fever, ganji, shadanga paniya, yusha and ushna jala

The medicine she is taking for reducing lipids also cause vata and depletion of kapha .

Vidya Viddhu:
Thanks for explanation madam.she consumes coffee 2cups everyday..is cafeen good madam..

Vinaya Ballakur:
Caffeine is pitta and also vatakaraka. Reduces kapha needed for structural integrity.

I would add ksheerabala thailam internally to that.

Welcome Vd. Vidya. After your mother recovers from fever note if ama lakshanas are there, her Agni , mala pravruti, mutra pravruti, any stiffness, swelling over joints, whether any upashaya is helping her etc.

Dr.kamal:
Subha sayantram...

Madam...
Start Nuro XT ( Green Remedies)
Trayodasanga guggulu

External
Visagarbha taila and murivenna tailam application

If Agni is good..
Start Lasuna ksheera paka for immediate relief..

Vinaya Ballakur:
Rasayanas / vajikarana and vayasthapakas whether of Rasa or kashtha origin have a great role.

That is why Agni is important

Dr Manik Dixit:
1) Rule out UTI - urine c/s.
2) ultrasound scan abdomen.
3) Check ESR.
4) check serum Vit D3.

Rogamadou pareekshet......
Precision in diagnosis helps in improving treatment outcome.

Low back ache is not necessarily due to spondylosis.

Using modern technology and diagnostic tools are essential for proper diagnosis.
Treatment may be done with Ayurveda medicines.

Post hysterectomy, has she been treated with overdose of calcium ??
Has she been taking sufficient water during summer ?
Any recent travel ?

Vd. Uday Patil:
I think, Prataplankeshwar Ras can be used in Fever, Cough, Vata prakopjanya kati shool.

Later after fever subsides, other dhatu poshak balya medicines + panchakarma treatment

Dr.Vijaya Palathadka:
Since it increases in rainy season, there will be vatapradhana tridosha prakopa in trika stana and avalambaka kapha and rasagni vikrithi so to correct all theses condition we advice dashamoola katutrayadi kashaya with swarnamakshika bhasma thrice daily. Next year you should start this treatment before rainy season and if pain is not there also you should continue the medication till the end of rainy season.

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