Concluded Case

complication of nemusaled in case of arthritis

A female patient of age 62 came with a complaning of knee joint pain since 3 years She previously consulted a allopathic medicin. 1) took 2 course of Methotrexate IV in 4 months gap period 2)continues use of nimusulid (weekly min 4 times) Feels reduced only while taking medicin Now she consulted to me for stopping of further modern medication What steps must be taken My doubt is if I stopped suddenly the diseas may increase and may suffer from fever and multiple join pain . So give me the suggestions Vitals All vitals are in normal limit Physical Examination Both knee joint swelling present(morning stiffness present) Diagnosis Amavata (arthritis)

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Nemusalid must be tapered slowly (if taking weekly 4 time must be made 2 time) if we withdraw by sudden the patient will suffer from fever and Arrhythmia. so by giving 1) Amrutha gugglu 2)Rasnasaptaka kashaya 3)chandraprabha vati 4)mrutanjaya rasa 5)Dashamoola kwatha in empty stomach Frequent valuka swedha 2 time /thrice must be done The Diagnosis is Amavata In 2nd sitting (after full withdraw of Nemusalid) one corce of Vaithara vasti considering shrotho shodhan above medications must be followed

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Nemusalid must be tapered slowly (if taking weekly 4 time must be made 2 time) if we withdraw by sudden the patient will suffer from fever and Arrhythmia. so by giving 1) Amrutha gugglu 2)Rasnasaptaka kashaya 3)chandraprabha vati 4)mrutanjaya rasa 5)Dashamoola kwatha in empty stomach Frequent valuka swedha 2 time /thrice must be done The Diagnosis is Amavata In 2nd sitting (after full withdraw of Nemusalid) one corce of Vaithara vasti considering shrotho shodhan above medications must be followed

1) Vrihat vat chintamani Ras 1 tab Trayo dashang guggullu 1 tab. Aaroya vardhini vati 1 tab . Kamdudha Ras moti 1 tab Swarn Samir Pannag Ras 50 mg. 2) Maha Rasnadi kwath 1 tsf Dashmularishta 1 tsf b.d.p.c 3) Maha Narayan tail Prasarini tail Shri Gopal tail Volini gel. Locally 4) Erand Pak 5 gm.b.d with warm godugdh and mishrit 5) Yoga and pranayam

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Slowly stop the allopathic medicine.siravyadana mrudu vamana virechana. Taila varjita upanaha sweda. Basti with anuvasana brihat saindava tail and kashaya basti with dashamula kshara. Orally simhanada gugulu agni tundi vati. Maharasnadi khada +amritarista. +panchatikta kashaya. Maha vata vidvamsa rasa lakshmi narayana rasa. Strictly followed pathya apathya.

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Very typical case ,no doubt Allopathic medicine would be taper slowly and suggest the following treatment Shigru +sallaki+giloy+hadjod each one b.d.wìth reumatil cream for local applications Jiont fresh pouch one daily in noon After one month no need of allopathic medicine Support belts are needed for correct the deformity of joints and toe

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,,, मूलकादि तैल लगाने व पिलाने से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Ledum pal 1 M monthly × 3 dose Calcaria Fluor 200 weekly × 4 dose

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1} Tb. Shigru(himalaya) - 1-1 गोली दिन में 2 बार (खाना खाने के बाद) 2} Tb. Singhnad gugglu - 1-1 गोली दिन में 3 बार 3} Syp. Rasnasaptak kwatham - 20ml दिन में 2 बार (खाना खाने के बाद) 4} Dashang lepam + punarnavadi oil ( चूर्ण में तैल मिला कर लेप बनाना है औऱ 1 घण्टे कम से कम दोनो घुटनों पर लगाये रहना है ) 5} Oil murivenna - हल्के हाथ से clockwise direction में मालिश करना है दोनो घुटने में 5-5 minute . त्याज्य - ज्यादा देर खड़े रहना , भारी सामान उठाना , सीढी चढ़ना , वादी करने वाले भोज्यपदार्थ , पथ्य - रात्रि में 1/2 चम्मच गाय घी के साथ दूध , mild stretching exercise , भुजंगासन , हस्तपादासन , कपालभाति प्राणायाम

Valuable opinion
0

@Dr. Sangamesh Patil ji रसराज रस 100mg अश्वगन्धा चूर्ण 2ग्राम गिलोय सत्व 500mg कुकुटण्ड त्वक भस्म 500 mg सुबह शाम दे शिलाजीत कल्प सिरप 2tsf tds महानारायण तेल की मसाज करावे रास्ना सप्तक क्वाथ 15 ml सुबह शाम दे

Valuable opinion
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Maha yograj guggulu Maharasnadikwath Rasayan churan Chandraprbhavati vith shilajit 2tds Maha narayan tail local apply

What will be the exact diagnosis for this case and related investigations also ...plz guide

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