33 y/o female with chest pain, difficulty on breathing, and heart palpitation. diagnosis???

25 year Male Patient had history of unknown insect bite Avoided, and applied turmeric powder at home Now came after 6 days when its not healing... Not having any other relevant history Prakriti Pitta Vataja Koshtha Madhyama Mala Mutra Pravratti Samanya Agni Teevra I have advised for Prakshalana with Panchavalkala kashaya and Jatyadi Ghrita Dressing Orally Panchatikta Ghrita Guggulu 1 tab BD Gandhak Rasayan 1 tab BD Khadirarishta 20ml BD with equal quantity of water I have advised the Nija Vruna Chikitsa I have a question, do I need to add any Vishaghna Yoga or this management is sufficient?

Please diagnose this case.... 1. Sheetpitta 2. Udarda 3. Kotha 4. Kushtha And share your experience about its ATYAYIK Chikitsa only..... Not general line of management......

A 18 year old male patient came with the complaints of Pain in Ear on & off since 5-6 year Tonsillitis on & off Sore throat on & off Known case of DNS Consulted many ENT Experts but not get satisfactory results He also underwent surgical removal of wisdom tooth last year Weight 55 kg Hight 162cm Prakriti Vata Pittaja Kostha Krura Agni Teevra Nindra Samanya Mano Vaha Sthiti Anxious, he wants to be a singer Mala Mutra Pravratti Samanya (Vibandha on & off) I have advised for Lakshmi Vilas Rasa (Naradiya) 2 tab BD Septilin 1 tab BD Bilwa Tailam for Karna Poorana Sitopaladi Churna + Vacha Churna + Madhu for Lehana Amritarishta 20 ml BD with equal quantity of water Explained about Pathya-Apathya and Nidana Parivarjana, which is most important to avoid reoccurrence Please share your clinical experience with such case, and give your input on this management

A month child have this type of lession.. Dx nd Rx