Aamavata chikitsa

47/y/o female with K/C/O Rheumatoid arthritis since last 7 years She has been on allopathy treatment from past 7-8 years Recent complain- stiffness in multiple joints, pain in multiple joints and inability to Do house chores Recent investigations CRP- 120 mg/l Rheumatoid factor- 76 u/ml Prakriti kapha vata Agni visham bala Mala sama Jihva sama Should we start treatment by first following shodhana as the patient took allopathy treatment for so long ? Or directly start with internal medicine and basti ?

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Rasaraj rasa 125mg+ Pravala Pisti 500mg+ godanti bhasma 500mg + Amruta sattva 500 mg + Nagradya curna 1 gm/1x2 with Amruta bhallataka 4gm BD followed by Rasna saptaka kwath 100 ml BD. Along with daily patra pinda sweda.
Dear Dr. Nidhi Sharma ma'am, Advice for the case. Tab. Aamvatari ras 1 tds. Ajamodadichurna 1/2 tsp BD after meal. Advice for Valuka Swedan.
Rumalaya Forte Tab Trayodashang Guggulu Maharasnadi Kwath Avippatikar Churna Mahanarayan Taila Softly Abhyanga.
Ayurvedic Practitioner will surely help you here...
Thank you Dr. @Shukla Vikram and @Dr. Shubham Pande
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Sir shodana is good option ..it helps in better ment of condition and then start Medicines Simple abhyanga Nadi sweda / Janu basti with Takra would help . Rx- Amavatari Vati 2-2-2 Simhanada Guggulu 2-2-2 Avipattikara churna 1tsp -0-1tsp Rheumat 90 Maharasnadi kashaya
Nadi swedan with nirgudi patra, ark patra ,erand patra, due to this pain and stiffness will reduce, do yog basti , avipattikar churn at bed time, sinhnad guggulu 2tds, maharasnadi qwath 4tsp bd
Sellaki fort or myostal fort bid with dasamoolarista,, R,compound 2 bid, Sunthi sukhoshna jala in decided dose Amavatari tails extl ,. Pathya acc to prakriti
Shodhan will be useful. Diet management Cap.Sinhnad guggul 2-0-2. Erandbhrushta haritaki with lukeworm water at bedtime. Cap.Stresscom 1-0-1 Tab.Moringa 2-0-2
छोटी हरड़ को तवे पर देशी घी में भूनकर चबा चबाकर खाएं और फिर ताजा गिलोय का काढ़ा बनाकर पीने से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।
Shodhan will bring down ESR and RF . Followed by Loswel, rhumayog forte zandu, rhumalya forte himalya, amrita satwa n haldi tab,local snehan swedan
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