Chronic epigastric pain

29/y/o male has presented for 1 year onset of progressive abdominal pain. O/E Epigastric pain There was positional change of pain severity especially when he was lying on his left side. no abdominal bruit on auscultation when patient is in supine position. Other than that, there was no other relieving or aggravating factors of the pain. He also complained of loss of appetite and progressive weight loss of > 8kg in the past 1 year. Extensive investigations including upper and lower endoscopy, CT and MRI abdomen with contrast could not identify a cause for his symptoms. He says usually his abdomen remains gassy, he vata kapha prakriti and has avara agni bala.

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Compound drugs (Murakkab advia): Compound Unani drugs highly effective in gastritis are, Majoon Zanjabeel, Jawarish Anarain, Jawarish Mastagi, Majoon Dabeedulward, Qurs Satawari, Qurs Tabasheer, Jawarish Tabasheer, Khameera Sandal, Itrifal Aftimoon, Sharbat Neelofar, Sharbat-e- Anar, Sharbat-e- Unnab. A part from above mentioned Unani compound drugs (when used alone) some other compound drugs are also very effective if they are used in combination e.g. Murabba Zanjabeel 07- 10 gms with Arq-e- Baadiyan 125 ml BD Jawarish Kamooni 05- 07 gms after meal Jawarish Mastagi 05- 07 gms with Arq-e- Baadiyan 125ml BD Jawarish Ood-e- Shirin 05- 07 gms after meal Jawarish Ood-e- Tursh 05-07 gms after meal Habb-e- Pachlauna (2 in number) after meal with water Habb-e- Tursh (2 in number) after meal with water Habb-e- Hilteet (2 in number) one hour after meal with water Safoof Hazim 3-5 gms after meal with lukewarm water Regimental therapy (Ilaj Bil Tadbeer) Bloodletting through Akhal (Fasd-e- Wareed-e- akhal) in case of Waram-e- haar (Hot swelling) of stomach. Light exercise is also advised in case of Waram-e- baarid rakhw (Phlegmatic swelling). Long duration sleep is advised in such cases. Massage with oil and vinegar in case of Waram-e- baarid rakhw (Phlegmatic swelling). Qai (Emesis) is also advisable to make stomach empty Dietary recommendations Aghziya Lateefa (Easily digestible light diets) like nashpati and safarjal in case of waram-e- haar (Hot swelling) and aab-e- anar tursh in case of Waram-e- baarid (Cold swelling) Dietary restrictions Chilled water to be avoided in case of waram-e- rakhw (Phlegmatic swelling) Spicy and oily diet to be avoided in all types og gastritis (waram-e-me’da) Pharmacotherapy (Ilaj Bil Dawa) Ma-ul- sha’ir (Barley water) is very useful in Waram-e- haar (Hot swelling) of stomach when used orally. Ma-ul- Usool (A compound Unani preparation made up of certain roots of plants) is very effective in case of waram-e- rakhw (Phlegmatic swelling). Similarly Ma-ul- Usool mixed with Gulqand (Compound Unani drug) is also very effective in case of waram-e- rakhw (Phlegmatic swelling). Ma-ul- Usool mixed with Dawa-ul- kurkum is very effective in case of waram-e- rakhw (Phlegmatic swelling). Arq-e- Badiyan 2.25 ml, Arq-e- Karafs 2.25 ml with fruit pulp of Cassia fistula, Linn. (Fuloos-e- khyar shambar) in very beneficial in case of waram-e- sulb (Phlegmatic swelling). Massage of castor oil over the abdomen in case of Phlegmatic swelling (waram-e- sulb). Make powder of Ja’ifal (Myristica fragrans, Houtt.) and use ½- 1 gm BD. Make powder of Filfil Siyah (Piper nigrum, Linn.) Use it in 1 gm dose TDS (just after meal). Make powder of Gul-e- surkh (Rosa damascena, Mill.) 10 part, Tabaasheer (Bambusa bambus, Druce.) 3 part, Kishniz Khushk (Coriandrum sativum, Linn.) 5 part. Use it in the dose of 7 gms BD. Make powder of Pudina (Mentha piperita, Linn.). Use it in 2- 3 gms dose with ‘Arq-e- ilaichi BD.

Amla pitta or Gastritis .Can give Kamdudha ras 250mg Avipattikar churna Higwashtak churna Ajmodadi churna for pain and bloating Lemo juice,Amla ,ginger,pepper ,aloe Vera, multivitamins like B-12 r helpful in balancing Pitta dosaha .. Antibiotics like amoxicillin with Lactic acid bacillus for bacterial infections Pain reliever like naproxen, aspirin Avoid spicy and hot food.. Antacids..

रोगी परिणाम शूल से पीड़ित है। चिकित्सा संबंधी योग,,, अविपत्तिकर चूर्ण 5 ग्राम शंख भस्म 4 रत्ती सुखोष्ण जल से सुबह शाम सेवन कराएं। कुटजारिष्ट द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने से पहले दें। निश्चित रूप से लाभ होगा। योग परिक्षित है।। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Plz prescribe the following medication 1. अविपत्तिकर चूर्ण 5gm सूतशेखर रस। 125mg कामदुधा रस 100mg/ ऐसी २मात्रा 2. Syp- Dilucid -15ml empty stomach 2 times 3.Tab- Pure ions 2BD Treatment given for firstly 15 days

सुतशेखर रस 250 mg मोती पिष्टी 125 mg रोप्य भस्म 125 mg सितोपलादि चूर्ण 2 ग्राम सुबह शाम नारियल पानी से दे ।

LYING LT SIDE ON AGG EPIGASTRIUM EMACIATED LYCOPODIUM IS THE REMEDY 1 M ONCE AND WAIT FOR THE RESPONSE

Sankh bhasam Chinchadi leham Tripahala churan

Agnitundi vati Avipattikar churn Sankh vati

? APD .. WITH.. ASSOCIATED COMPLICATIONS..

Acid peptic disease

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