Piles

Pt age 56yr,female Obese, painful, bleeding hemorrhoids since 8days Constipation, Hard stool App low Chief Complaints Constipation, piles

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TAB. SPILEX 1 TAB. BDPC X 1 MONTH. OINT. SPILEX APPLY LOCALLY TAB. SEPTILIN 1TAB BDPC X 1 MONTH. SY. LIV52 10ML BDAC X 1 MONTH. AVOID OILY AND SPICY FOOD. Immergency painkillers Tab Drotin M /Meftalspas Electrolytes/ORS

Rx.... Arskhkutar Ras....1 bd kankayan vati ( Arsh)....1bd Abhyarista.... 20. ml....bd Panchsakar churn half. tsf. at. night pilex ointment. for. LA

Dear Dr. Praful Yadav Sir, Advice for the case. Cap. Pile less 2 BD. Erandabhrasta Haritaki Churna 1 tsp with 1 1/2 glass of warm water, at bed time.

Thanks @Dr. Praful Yadav Sir.
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Tab anuloma ds..abhayarista..pilex oint application..depending upon sevearity ksharasutra or surgery to be advised

Tab Gandhaka Rasayan 1TID Triphala churna at night with water Pilex ointment Sitz bath Avoid Spicy and oily food

Igol sachet hs Syr polybion 2tsf bd Practosedyl ointment locally

Thanks Dr. Praful Yadav
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Rx. Hab rasut Shbt toot siyah Abjan in potash alum water

Aesculus Q Rathania Q Therapeutically indicated remedies

Rx + Roghan gul Roghan nilofer Mrhm dakhiloon

Sulphur 200 single dose Collinsonia Q 10 drops BD

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