Pain in multiple joints

34/y/o female with swelling and pain in B/l hands, wrist joint and ankle joint. No history of DM, Htn or thyroid. Recent Investigations CRP = 5.7 mg/dL ESR = 38 mm/h RF = 344 CCP = 90 And all other parameters within normal. On examination Acute B/l synovitis, nodule lie formation on distal end of fingers and elbow joint. Swelling and inflammation- ankle joint. Morning stiffness in multiple joints for more than 1 hour. Prakriti- Pitta Agni- avara bala, acidity on taking heavy meals Mala sama Jihva sama

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Dear Dr. Shraddha Solanki ma'am, Advice for the case. Ajmodadichurna 1/2 tsp BD after meal. Tab. Aam Vatai Ras 1 tds. Advice for Swedan Karma. Tab. Rasraj Ras 1 tds.

Welcome Doctor and thankyou
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Alkaline diet...... totally...no tolerating urine.... flaxseed oil for pain cold pressed coconut oil massage and in naval lime juice citrus fruit...ginger,no brinjal no tomatoes with seeds ..whey water sunshine.physio.exercise.

? MULTIPLE ARTHROPATHIES.. ? GOUT ..

SUGGESTIVE. OF RHEUMATOID ARTHRITIS GOUT

Ad kFTand Sugar pannel Snehan then vaman and virechan Shallaki 1tab Shigru 2 tab Giloy 1 tab Punarnava mandoor 2tab Rasnadi kwath 10 ml with water Total after meal b.d. Cow milk with turmeric 1/2tsf at bed Reumatil oil for local applications

PUL 1M ONCE AND WAIT

Amavatari rasa Antarth plus cap Simhanada guggulu Balaguduchyadi kashaya

Singhnaad gugulu Mahayograj gugulu Mahavatvidhvanshak ras Maharasnadi +ashwgandharistha Trikatu churna Castor oil Baluka swedan

Rx Rhus tox 30 bd/3dys

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