Teenager with heavy heavy bleeding during menses

16 years old girl with complaint of excessive bleeding during menses from past 5 months. Menarche-15 years age, almost 1 year ago Earlier During her menses she had scanty flow but from 5 months she is having heavy bleeding Menstrual history Periods- Regular 28 days cycle Bleeding- 7-8 days profuse dark red, Clots sometimes small clots present No other complaint Hb-11.5 gm/dl Prakriti pitta vata Agni samanya bala Mala & jihva nirama

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रोगी अत्यार्तव से पीड़ित है। चिकित्सा संबंधी योग,,,, कामदुधा रस मोती युक्त 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। अशोक घृत 5 ग्राम सुबह-शाम खाने के साथ दे। अशोकारिष्ट दशमूलारिष्ट आपस में मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
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Mam,give this treatment:--- Predrantak loh 5oo mg Bol badh rus 250 mg with honey bm. Usirasav +Ashokarist 3-3 cap+6cap water. Stop all spicy , heavy and fried food. Continue this treatment 15-20 day. Bleeding stop in after 3-4dose.
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krichh artava this is artava vaha sroto atipravritti first of all we have to manage the bleeding - give kutaja ghan vati to control bleeding or simple pradarantak loh with asokarishta and chandanasav add satavari gudam or panchajeeraka gudam for 3 cycles
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Athyarthava due to pitta So pitta samana chikitsa Rx Satavari gopakanyadi kashayam 15 ml bd bf With pravala bhasma cap 1 Sarivadi vati 2 bd af Satavari 2 bd af Pradhranthak loham 2 bd af Ashoka ghrutham 1 tsp 6am/6pm
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Menorrhagia or atyartav? Avoid spicy oily junk fermented and packed food. Regular exercise and meditation. Sy.Evecare 15ml twice a day .Ashokarishta 20 ml twice a day with lukeworm water.
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Sitz bath saunf carrots alkaline diet needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet rest, not to get out in menses
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Ashokaristh 10 ml three time in day Utitone (lincon) 10 ml three time in day Yes dr gauri mam harmonal imbalance..
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Rule out any underlying diseases through investigation first, then treatment of the cause will benefit
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Go with USG first And start with Ashokarishta 10ml TID with equal quantity of water Pushyanug Churna
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M2tone syrup Ashikaristha Dashmoolarishta Ashokaghrita Kamdudharasa Yoga meditation helpful
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