Dx , Rx-??

Age - 65 yr Sex - male Chief Complaints C/O pain in both legs since 2 yr History H/O diabetes Physical Examination Discoloration of skin & swelling

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Factors related to fluid buildup include: Acute kidney failure Cardiomyopathy (problem with the heart muscle) Chemotherapy Chronic kidney disease Cirrhosis (scarring of the liver) Deep vein thrombosis (DVT) (DVT) Heart failure Hormone therapy Lymphedema (blockage in the lymph system) Nephrotic syndrome (damage to small filtering blood vessels in the kidneys) Obesity Pain relievers, such as ibuprofen (Advil, Motrin IB) or naproxen (Aleve) Pericarditis (inflammation of the tissue around the heart) Pregnancy if in case of female Prescription medications, including some used for diabetes and high blood pressure Pulmonary hypertension Sitting for a long time, such as during airline flights Standing for a long time Thrombophlebitis (a blood clot that usually occurs in the leg) Venous insufficiency, chronic (leg veins with a problem returning blood to the heart) Conditions that can contribute to inflammation in the leg include: Achilles tendon rupture ACL injury (tearing of the anterior cruciate ligament in your knee) Baker's cyst Broken ankle Broken foot Broken leg Burns Cellulitis (a skin infection) Knee bursitis (inflammation of fluid-filled sacs in the knee joint) Osteoarthritis (disease causing the breakdown of joints) Rheumatoid arthritis (inflammatory joint disease) Sprained ankle

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1) Basant kusumakar Ras 1 tab Mahalakshmi vilas Ras 1 tab Siddh Makaradhvaj Spl 1 tab. Bahumat tabtak Ras 1 tab. Gandhak Rasayan 1 tab 2) Jamun guthali, Gudmar patti each 100gm Chirayata, Kali tilli, Karela bij, Methi, Guruvel, Kadujira, Indrajo, Asgandh, each 50 gm Indrayan jad 25 gm Prepare the powder and take 1 tsf before meals 3) Maha Marichyadi tail Maha Narayan Tail Punarnavadi tail Locally

रोगी वात व्याधि एवं मधुमेह से पीड़ित है। चिकित्सा संबंधी योग,,,,, प्रथम रोगी की मधुमेह को नियंत्रित करें इस लिए,,,, बसंत कुसुमाकर रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। सोमराजी तैल की मालिश करें। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

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