Clots like bleeding from nose

43 years old male with c/o- occasional bleeding from the nose On further questioning patient says it is dark colour blood and sometimes clots It gets better by appling cold pack to head or taking cold shower On examinaion BP- 148/98 mmhg Taking hypertensionbeta blocker medicines from past 2 years No h/o thyroid or diabetes Appetite normal Thirst increased takes 4-5 ltrs of water Bowel & bladder nrmal




Tnx Dr PG Shah

nasa gata raktapitta 1.Simple Virechana by 50 ml Castor oil on every fourth day. 2.Styplon tabs 2 tds. 3.Laxmivilas rasa tabs 2 tds. 4.Sutshekhar rasa tabs 2 tds. 5.Amlapitta mishran 4 tsf tds. 6.Adv.of

रोगी ऊर्धमार्ग से आने वाले रक्त पित्त से पीड़ित है। चिकित्सा संबंधी योग,,,, कामदुधा रस मोती युक्त 4 रत्ती पीपल वृक्ष की लाख 1 ग्राम मुक्ता पिष्टी 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। चंन्दनासव 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Nose bleeding or epistaxis . Medicines like Belladonna, Ferrum p, Ham, Ipe,Nitric acid, phos are helpful. Selection should be on symptoms similarity

Seems the case of Urdhvag Raktapitta. Find out hetus. Do Nidan Parivarjana. Ask h/o spicy foods, alcohol consumption etc addictions, late sleeping habit etc. If samavastha use Sariva Manjishtha Vati. & Castor oil with a2 cow milk at bed time. In niramavastha do Virechana. Later start Chandrakala Ras. Samavastha should not only be judged by tongue examination but also by stool examination & aam laksanas like srotorodh balabhransh..........|| If virechan is done BP med could also be tapered and stopped as per intermittent check up, if reason of Hypertension is Pitta & Rakta Dushti.

Urdhav rakta pitta Ad light virechan at leas least twice a week Possex forte b.d. praval pisti+soot sekhar ras + kamdudha b.d. Medha ghrat for nasya Stressan at night Arjunarisht/Hradyashav 20 ml b.d.

If not related to hypertension Septilin syrup Lajjalu swarasa nasya, styplon tab If related to HTN Kacchuradi churna for lepa over head + Ksheerabala taila Sarpagandha vati

Dear Dr. Shraddha Solanki ma'am, Advice for the case. Advice for gaughruta Pratimarsha Nashya. Avoid spicy and fermented food.

उशीरासव 15 ml बराबर पानी मिलाकर दे सुबह शाम Syr. Freezy 10ml आधा गिलास पानी मे घोल कर पिलाये । सुबह शाम

Rx Hammelis Vir , Lemna minor

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