Fever, Cough, Swelling in feet Lethargy & Burning urination

34/y/o with recent complains of Fever, Cough, Swelling in feet Lethargy, burning urination with reddish discoloration. There is also associated pain & swelling in B/l knee joint since 2 months. He is K/C/O liver abscess and septicemia with on-off fever since 2 years. On examination- PA: Soft, hepatomegaly, CNS: NAD, Pitting Oedema b/l feet Knee joint examination - b/l tenderness , Swelling- present , ROM- Restricted in flexion, Prakriti: Pitta Kapha , Agni avara bala Mala sama baddha- on off drava mala Jihva sama

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1.Punarnava madoor 250 mg bd 2.Amlycure 10 ml bd 2.Tab Bangshil 2 bd 3.vatgajankush rasa 1 bd 4.panchtikta ghtita guggulu 2 tds 5. dashang Lepa 6.raktapachak+ pitta shamak compound

Firstly adv some needful investigation like CBC urine examination Tab. Chandraprabha vati Tab. Giloy Ghan vati

Apart from homeopathy lyco can works well in this case

Beetroot, coriander juice,raw ginger cranberry juice,welocity immune booster,needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods pistachios walnuts blue berries sunshine walk flaxseed oil for pain, lemongrass decoction citrus fruit no tomatoes in cooking.... papaya once in fifteen days coz folic acid depletes if more... musk melon, pomegranates cucumber salad

Pachanamrutha kashayam 15 ml bd bf Kannada bhasma cap 1 bd AF Pravala bhasma 1 bd af Punarnava maduram 1 TD AF Yogaraja guggulu 2 TD AF Chandrapraba vati 1 TD af Sinhanada guggulu 2 bd af

Look for pleural effusion, xray chest Venous return is not proper due to gravity pull causing pitting edema at ankle and also both knee edema Hepatomegaly reveals liver pathology

More investigations Required. Tribhuvan Kirti Rasa Gojihwadi Kwath Sitopaladi Churna with Honey Punarnava Mandoor Chandra Prabha Vati Gokshuradi Guggulu.

Chandraprabhavati 2tds Septilin tab 2tds Maha yograj giggulu tab 1tds Sug..urin rutin,usg kub & abdoman

Punarnava mandur 2-3gms twice a day. Cap.Amlycure DS 1-0-1 Tab.Guduchi2-02

chandraprabha vati n massage wid saindhavaadi tail will give good results

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