32 years old lady have swelling on hand, history present leuchooria hyperacidity low grade Constipation C/O- morning stiffness present on both hand, swelling +nt, appetite normal, bowl clear, all joints pain +nt, Patient many times treated socially poor status (? Gout) suggested treatment for this case in his budget...

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Thanks all doctors for your help

R compound and Candraprabha

Probably RA ,,amavatari ras, maharasnadi khada,, shallaki tab bid,

Ama Vata Advice for Agni Deepana and Ama Pachana Chikitsa Advice for Chitrakadi Vati 1 tab BD RHUMALAYA Forte 1 tab BD Rasna Saptak Kshaya 20ml BD with equal quality of Rhumalaya Gel for LA

Adv to check s.uric acid and R.a factor. Her hb can also be a cause of this swelling. Her leucorrhoea can also be bcoz of low hb. Can adv: punarnava mandoora 4 blud tablets Dashamoolarishta Triphala choorna at night. Adv her proper pathya : like to avoid spices etc to take more fruits

Adv to check s.uric acid and R.a factor. Her hb can also be a cause of this swelling. Her leucorrhoea can also be bcoz of low hb. Can adv: punarnava mandoora 4 blud tablets Dashamoolarishta Triphala choorna at night. Adv her proper pathya : like to avoid spices etc to take more fruits.

Rheumatoid arthritis Or Gout Or Pseudogout Also rule out Venus thrombosis, Lymghadema

Gomutra Haritaki HS Punarnavasav 4tsp BD Tapadi loha 2 BD

Diagnosis_Rheumatoid Arthritis To check Uric acid levels. Anuloman_ like_Gandharvaharitaki, erandsneha,etc. Guduchi ghana 3tab tds or Amruta guggulu Parijatak guti 2tab tdsj Triphala guggulu2tab tds Locally_vishagabha tailam. Langhan,light food,

Thanks,
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Rheumatoid arthritis. -- t.arrow. 2 bd, mahayograj gugal- 2 bd, t.punarnava mandir 2 bd , castar oil 2 or 3 tsf with milk at night mahavishgarbh tail Mali's, khatti , thandi cheej band Karen, check uric acid,RA factor,

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