Pt of mayasthenia gravis with high bp on steroids pls suggest treatment

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Please share the case history and investigation done, bsl, htn. 1) Hira bhasm 1/32 ratti Mukta pishti 1 ratti With madhu 2) Rasraj Ras 1 tab. Siddh makardhwaj Spl 1 tab. Chandra kala Ras 1 tab Maha yograj Ras swarn 1 tab 3) Chyavan prash Spl 5gm.b.d with godugdh and mishri 4) Maha Narayan tail, Prasarini tail, Shri Gopal tail locally

Myasthenia gravis i think this can be treated as ardita. nasya with netraparpan can be done. sammirpannag rasa dashamool or bala kwath lahsunkalp

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Causticum , Arnica Montana , Gelsemium May be helpful

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Causticum 10 m one dose

Nasya with Anu tail Netra tarpan Mahayograj guggul Samripannag ras

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Rx 1.cap Ashwagandha 2 BS 2.Tab Turmeric 1BD 3.Oil - Ulndhu thailam for external only Follow up for 20days

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Rx Syp vitacal_D 2 TSF BD PC Tab Evion 200 mg 1 OD X 10 days, Tab Nicip plus 1 OD X Sos

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