Pain & stiffness in joints

32/y/o with complain of pain in shoulder joint & stiffness in multiple joints from 2 years. She took allopathic treatment with no relief There is stiffness in morning & last for 2-3 hours BP -120/80 mm of Hg On Examination Mild inflammation of shoulder joint Stiffness in almost all major & minor joints She is pitta vata prakriti & has samanya agni bala

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रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर सुबह-शाम मालिश करें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Suggest X ray for shoulder joint Blood test RAF CRP Uric acid ESR Sugar F,PP Hba1c ANA Rule out Peri arthritis Rheumatoid arthritis Poly arthritis Check ama level Rx Prasaraniyathi kashayam 15 ml bd bd With equal quantity warm milk With sinhanada guggulu 2 Rasnadi vati 2 bd af Yogaraja guggulu 2 bd af Amavatari vati 2 bd af Maha rasnadi kadha 20 ml af Kottamchukkadi thailam

Trayodashang Guggulu Rumalaya Forte Tab Rasna Saptak Kashaya Mahanarayan Taila Softly Abhyanga

Sarvang snehan swedan, basti, patrapottali swed at shoulder joint, Maharasnadi qwath, yograj guggulu, aswagandha ghan vati, avipittakar churn at bed time

Dear Dr. Shruthi Pandey ma'am, Advice for the case. Cap. Flexymuv SG 2 BD. Dr. Relaxi oil for Abhyangam.

Need further investigations to rule out the underlying disease D/D *RA *Gout *Vitamin D deficiency

Rhus tox 1m

Firstly adv some needful investigation like CBC .ESR .R.A Factor. B.sugar. vit.D ....

Rx Constitutional remedy with PQRS.

RA,CRP,ESR,Aslo titre,....B12,Ca,Vit D... Symptomatically... Simhanada guggulu 2 BD Rasna erandadi kashaya 10 ml Bd

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