Extreme dryness of Mouth & Eyes

36 years old woman with K/C/O RA since last 7 years. Has come with complain of dryness of eye s and mouth. Sometimes dryness is so much she is not able to eat or swallow food. RA involves joints of hands & knee joint She has been taking allopathy treatment from many years. She has kapaha vata prakriti & avara agni bala. What can be done in this case?

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Lime juice citrus fruit pineapple with black pepper sprouts kalijeeri alkaline diet beetroot coriander juice cold pressed coconut oil massage and in naval,soles of foot also, water sipping ginger, pomegranates soup of pure veg, drumstick soup

As sjogrens is an auto immune disoders and with principle symptom of dryness, i think along with immune modulators like, guduchi, aamala, sat and proper sodhan therapy is to be done by evaluating dosh and dushya.and then shaman therapy.

Cowghee nasya daily before going to bed. Kaval dharan with sesame oil.Slowly withdraw Allopathic medicine. Cap.Sinhnad guggul 2-0-2. Cap.Stresscom 1-0-1 Erandbhrushta haritaki with lukeworm water at bedtime.

Bala guluchiyadi kashayam 15 ml bd bf Sinhanada guggulu 2 Trayosasnaga guggulu 2 TD AF Guduchi 1 td AF Haridra khandam 1tsp TD AF Bala guduchi thailam external application head

Dear Dr. Chandrika Kumar, Advice for the case. Tab.Aam Vatari Ras. Ajamodadi Churna. Valuka swedan.

Look for diabetes,mumps,fever , sometimes due to side effects of medicine

Needs pathological investigation to evaluate the cause.

Rx --Ledam pal 1m/3dose weekly Bryonia 30 tds MP6x tds

Pulsatilla 1 M monthly× 3 dose Kali Mur 6 X TDs

Triphala guggulu Sunth Nagarmotha

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