Vibandha chikitsa

73/y/o male with K/C/O DM type 2 and Hypertension taking allopathy treatment from more than 30 years. Has complain of constipation from past 1 year. He is now habitual of taking Kayamchurna, without that he is unable to pass motion. But nowsays that is also not ver effective. Recent investigation HbA1C-6.3 RBS-130mg/dl On examination Bp- 130/80 mm of Hg Abdomen- non tendor, no organomegally. Chest- b/l equal air entry, no added sounds He is Kapha prakriti with madhyam agni, eats less portions only.

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रोगी मधुमेह जनित विबन्ध से पीड़ित है। चिकित्सा,,,, प्रथम रोगी की मधुमेह को नियंत्रित करें। इस के लिए,,, बसंत कुसुमाकर रस 1 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। सफेद निशोथ 50 ग्राम,छोटी हरड़ 50 ग्राम लेकर दोनों को चूर्ण बना लें। मात्रा 5 ग्राम रात को सोते समय गर्म पानी से लें।
Improvising the diet quality. Plenty of fluid consumption Another reason for constipation in elderly is due to prolonged rest and lack of physical activity.
LYCO OR SULP 1M
Rx It is usual for any individual who use a same laxative for a long time. In this case Diabetes too added to the condition. Just change of medicine needed or using a purgative inbetween is also advisable. 1. Tab Nityam 2 OD /BT OR 2. Kayam as usual daily Once in three days use Abhayadimodak Itchabhedi Ashwakanchuki etc.. for a change.. Intake of fiber diet and Water at bedtime as well as before going to defecation will give the patient perminent relief Ghrita 10ml along with milk/hot water will give added advantage
As you know... Diabetes is a result metabolic disorder... It's obvious that digestion capacity gets impaired. Either due to inactive liver and pancreas or due to be on medication for a longer period... So here correct the metabolism so that both the problem is addressed at a time.. Put him on Chitrakadi vati 1tid or livomyn tab 1tid after food Triphala churna 1tsp at bedtime
Immune Ho Gaya..that's why... needs counselling calmness symphony music lime juice,figs, raisins apricots dates carrots sprouts kalijeeri alkaline diet beetroot coriander juice pineapple with black pepper no sugar no nonveg diet no eggs no mushrooms no fried, citrus fruit lemongrass decoction, ginger, little garlic, cauliflower,pulses
Advise brisk walking, easy poses of yoga, eating fibrous foods, salads, fruits with peels and drinking plenty of water. Avoiding refined foods.
In Jara Avastha it's better to advise to Erand Tailam or Gow Ghrita as per the bala and Agni Along with Drakshasava to manage the Vibandha
First correct the diet Add more fiber contents in his food Adv medicine for controlling sugar Abhayachoornam -1tsp night with hot water
Nux. Vomica 200/ 4 globules od for seven days Cascara sag Q/ 20 -20 ml add with cup of water , tds
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