Headache

54/y/o man presents complaining of a severe headache. It started last night but has rapidly become more intense. He describes the headache as generalized type. This has occurred thrice in last 2 months. Sometimes it is associated with drowsiness and confusion. He finds bright lights uncomfortable. There is no significant previous medical history On Examination Temperature is 99.5°f. He has stiffness rotation of neck. His eardrums appear normal. BP 110/74 mmHg. Examination of heart, chest and abdomen are normal. Appetite normal Bowel incomplete evacuation Prakriti kapha vata

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रोगी सम्भवतः मानसिक तनाव से ग्रस्त है। चिकित्सा संबंधी योग,,,, तगर 50 ग्राम जटामांसी 25 ग्राम लेकर दोनों का पाउडर बनाकर 5 ग्राम सुबह-शाम खाने से पहले दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Is he hypertensive on regular medicine. Headache associated with stiffness and confusion is due to hypo or hypertension 1. Monitor BP if on heavy dose of antihypertensive medications For now.. Prescribe.. 1. Kamdudha rasa, with pitta shamak 2. Pathyadi kadha 3. Avoid pillow to high 4. Abhyang with saindhavadi taila Dose as per roga rogi bal/ assessment 5. Cap. Stresscom 1 Hs ( if improper sleep)

Shirahshooladi Vajra Rasa Godanti Bhasma Praval Bhasma Trayodashang Guggulu Karpoor Dhara Shirolepan. Ashwagandharishta Saraswatarishta

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Bell 200 Check BP

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Varanadi kashayam 15 ml bd bf Shirasoolari vati 2 bd af Arogyavardini vati 2 bd af Vilwathi legyam 1 tsp af Anu thailam nasya Balahathadi thailam external application head

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