Recurrent mouth ulcers

Patient -XYZ, Age- 45 Male , Prakriti - Pitta vata , Mrudu Kostha , Wt. 80 kg , Ht. 5'10'' . Occasional Alcohol ( Beer ) Complaining of multiple and painful Aphthous Ulcers since 6-7 years with dull pain and discomfort in right hypochondrium especially after meals with abdominal distention . USG revealed Fatty Liver Grade II ( NASH) , No Gall stones . Fatfree Diet and exercise is advised to control Fatty Liver . Suggest further Ayurvedic Treatment .

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Treat excess Meda 1. Nidana Parivarjan by avoiding alchohol 2. Udvartana 3. Lekhana basti 4. Triphala kashaya w/honey 5. Takrarishtam 6. Avipittakar Churna 5. Liv 52 ds sy. 6. Evion 200 B.D 7. In fruits consume Papaya @Jyoti Bajpai Maam
रोगी यकृतशोथ से पीड़ित है। चिकित्सा संबंधी योग,,, पुनर्नवा के पत्तों का शाग बनाकर खिलाएं यकृत दारी लौह 4 रत्ती ताप्तयादि लौह 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। कुमारियासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं।
संशोधनं ..........नीदान परिवर्जनं 1.Cap.Amlycure DS -1 bd b 4 food, 2. Maha sankhabati-1 bd .+Tab.Bhubaneswar Ras -2 bd after food 3. Kumaryasaba-2 tsf bd after food . 4. Cap.Streecom - 1 cap bed time
Nidan parivarjan Dasmulpanchkoladi kashyam Arogyavardhni vati Liv52 ds syrup in empty stomach Bhringraj churan 3gm bd with Luke warm water Triphala tablet at bed time
Liv52 DS tab Avipittikar churna Tab gasex Hingvastak churna Panchamrit parpati Arogyavardhani vati Dasmulahristha Proper diet management
Nidana Parivarjana is must in this case.... Patient may have Vishamagni? Need to correct that?@Jyoti Bajpai ma'am
Avippatikar Churna Gasax Tab Himcocid Suspension Arogyavardhini Vati Punarnava Mandoor Liv 52 DS Syrup. Menolmalt
Dear Dr. Jyoti Bajpai Ma'am, Advice for the case. Give Panchamrit Parpati.
IT'S A..CASE OF.. ? APHTHOUS ULCERS..WITH.. GERD ..

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