Hello All of you very good evening. here I present a Rare Case. need your HELP. . a 40 yr lady came with complaining of hair loss specially at vertex with itching and scaly,thick lesions. (no psoriasis ) accompanying with grayish of hairs. wrinkles on face. she has RHD since 15 years on regular Rx. past history of 8 month of pregnancy abortion due to defective development of fetus. . Dr's told the couple when she got aborted not to have perception becoz of further complications may occurs to mother or child but parents refused and they give a birth to normal baby boy. after 4 months of delivery problem starts and diagnosed as RHD. Constitution :- emaciated, lean, thin. CHILLY PATIENT. HOUSEWIFE. . . TWO CHILDREN. normal. Mother :-RHD Father :- Diabetes. DESIRE :- rice, dal. thirst normal. perspiration :- scanty. skin :- unhealthy, dry. winter aggravates the complaints. No any Dreams. not affected by moon phases. past /h :- tubectomy since 10 yrs . menses :- regular, no any complaints. .O/H:- NAD. Mentals :- *gets Angry easily .to calm down she counts reverse no from 10 to zero. *insult intolerable . *can't tolerate Fake Blaming. *gets married due to her parents forced. against her will. *fear of snakes and dead bodies. . So PLZ help me with Probable Remedies, and AYUSH MANAGEMENT. NEXT STEP? THANK YOU. *

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Dr.Ingole, what are the symptoms related to RHD per se? However in this case first you can prescribe Streptococcin 30, 1 dose then the medicine which seems indicated. In my practice first I prescribe one medicine out of Galanthus nivalis, Iberis, Strophanthus, Cactus,Arsenic alb, Naja. & after the subside of acuteness prescribe the CONSTITUTIONAL medicine. Here I think you can think Nux or Sulphar as a constitutional medicine. Thanks.

Thanks sir. No symptoms of RHD due to drugs taking regularly
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Sir she has dry skin,so need snehan karm,internaly via ghrita,externaly sarwanga snehan and swedan for7- 10 days atleast, Kumkumadi tail for daily application, Avipattikar churna 1/2 tsp bd after food For hair u can advice takra dhara,and leach therepy is also vry effective in this type of case.

Thanks mam
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Syphilinum 1M single dose every 15 days mezerium 30 daily single dose

Thanks sir
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Sir it may be case of telogen effluvium also related to d diifuse alopecia and also wd d premature graying hair. Telogen effluvium generally cause by- Child birth Abortion Surgical operations Mental stress Antihypertensive drugs Antithyroid drugs Nutritional deficiency Anemia Severe general illness Oral contraceptives drugs Hypothyroidism , hyperthyrodism Hormone therepy And Premature gray hair cause by herridatory factor. Tt. Suggest d supplement diet wd protein, iron and bcomplex also. Also Suggest d Avoid unusual stress, Take healthy food , busy in daily activity, yoga... If pt will not ok after d treatment. So sir ji u can refer d psychiatrist.

Thanks sir
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Sulphur -1M single doge and wait.

OK sir
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Sulphur 1M one dose . LYCOPODIUM 30 twice daily .

Thanks sir
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How abt her thyroid profile?? Hypothyroidism chances..

No TFT WNL SIR
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Sir I think Lachesis is the best remady

But she is chilly
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firstly graying of hairs is normal after 30 yrs of age so now she need treatment to stop further graying becz treatmnt for graying hair is preventive rather than curative. 2ndy loss of hair on vertex looks like Alopecia patch so treatment first to chek patch is active or nt then accordingly then prescrib ....

Agree with you sir
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Sir ,Takradhara with nalparadi kashaya can give results for skin and to an extent phsychological level. Add supportive internal medicines

Thanks sir
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