Concluded Case

Melasma or local edema

40 yr female having dark spots on face (Melasma) since 3 yrs Insomnia Menses regular but scanty and short tym Appetite normal Local edema on limbs specialy in morning tym since 2 yrs Rt shoulder pain Weakness Headache dihorrea while fear or fright anxiety mental depression but in regular day constipation Iron deficiency anemia Make up : pale skin , tall slender, faircomplexion Agg: hot weather, tension, depression, over work Ame: cold things, cold foods, ice cream ,rest, shopping , Mentally : sad, depressed, nervous, confidential, tensed by family matters Anxiety No any past history Investigations:

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Concluded answer

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All Answers

Avoid sun exposure.. Use sunscreen Bleminor cream for LA on face at night Tab mentat 1 hs for( insomnia and all mind related problems) Correction of anemia and properly diet

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Need to give haematenic drugs like Punarnava mandura or Dhatri loha or Abhra loha Ashwagandha or Stresscom cap Kaishora guggulu Maha Manjishtadi kadha Evenshade ointment

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Tab mentaid,Brahmi vati, shankhpusphi syrup, Ashwgandarisht for mental stress.. Mamaearth ointment, topical hydrocortisone cream, to lighten melasma.Cutrus fruits helpful.in surgical treatment, dermabrasion,micro dermabrasion, chemical peels,laser treatment helpful..

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Natrum Mur 1 M monthly × 3 dose Berberis Aq Q external use only at night

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Nit ac 30 one dose daily

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