Karshya / underweight

A female pt having BMI 12.5 severe underweight c/o constipation gas problem lack of appetite aruchi hands are always heated. she felt severe heat in body irregular menstruation, spot bleeding h/0 primary amenorrhea mentally frustrated bcoz of not able to gain weight. no family history of karshya as coming from very poor family I found vat prakopak ahar is main cause of karshya. what is your recommendation for this pt. is shodan is required?

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Patient needs Santarpana Chikitsa Because of Poor Nutrition patient having Dhatu Kshaya, Rasa Rakta Kshaya Lakshana also visible clearly Agni Mandyata, Vibandha is because of Vata Pitta Dushti You need to start with Agni Deepana using Chitrakadi Vati 1 tab BD Kamdudha Rasa (Mukta Yukta) Narsimha Rasayan 1tsf in afternoon Dhatu Poshtika Churna 2 tsf BD with luke warm Milk Advise to add 1-2 Spoon Ghee with each meal Advise to have 4 Medium meal in a day Luke warm water before sleeping Advise for Exercises as per bala All the best @Dr. Dipali Chaudhari madam, once she overcome the Malnutrition then we can work on Anartavata

प्रथम रोगी का विबन्ध रहता है। इस लिए त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं। रही बात संतर्पण कराने की। इस के लिए रोगी की क्षुब्धा बढ़ा कि कौशिश करनी चाहिए। इस के लिए,,,, द्राक्षासव कुमारियासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने से पहले दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Dipan pachan Santarpan chikittsa Chandanbala lakshadi oil snehan

One should go for thyroid profile test also.

Shodhan shouldn't be considered at this time...vitamin profile to be done ...and do counseling... and santarpan treatment will work....two times milk(only cold)...sypDRAKSHOVIN 20 ml BD and DRAKSHASAV+KUMAARYAASAV EACH 10 10 ML mix and take BD do suryanamskar every morning