Rhematid arthritis

47 year old female patients came to the hospital with c/o pain in the jionts all over the body , mainly knee ,ankle joint C/o Unable to walk , walking increses the pain since 1 week Chief Complaints C/O pain in all the jionts all are ver the body History Took treatment at all the pathis not getting any relief Vitals Normal Physical Examination Walking or movementing of joints creates intense pain Investigations Attached Esr-80 Crp-28 Ra-1:32 Diagnosis Rhematid arthritis Management Please suggest me the treatment

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Flaxseed oil for pain, leaky gut... avoid brinjal, tomatoes without seeds and in cooking..starch...in moderation... carrots,, sproutskalijeeri drumstick soup cold pressed coconut oil massage and in naval lime juice pineapple with black,hot water bath,no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods,take rest let pain subside ginger,no vinegar,no iodized salt

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Siravyadana vamana virechana. (Mrudu ).taila varjita upanaha sweda Or patra potali sweda. Basti with anuvasana brihat saindava tail and niruha basti with dashamula kshara. Orally maharasnadi khada +panchatikta kashaya. Agni tundi vati. Simhanada gugulu visha musti vati. Strictly followed pathya apathya

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Please share the case history and investigation done so far bsl, htn 1) Vrihat vat chintamani Ras 1 tab Trayo dashang guggullu 1 tab Aarogya vardhini vati 1 tab. Kamdudha Ras moti 1 tab 2) Maha Rasnadi kwath 1 tsf Dashmularishta 1 tsf b.d.p.c 3) Maha Narayan tail Prasarini Tail Shri Gopal Tail. Omnigel. Locally 4) Erand pak 5 gm.b.d 5) Yoga and pranayam under expert supervision

Dear Dr.Vinayaka Pattanashetty Sir, Advice for the case. Pain Nivaran Churna 1 sachet BD.

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If possible advise Manjishtadi kshara basti Antarth plus cap 1 tds Rumayog gold 1 tds (if pt is affordable) or else Rumalaya forte 1 tds Chitrakasava alone or combination of Balarishta and Ashwagandharishta 3 tsp bd mixed with Shunthi churna (every time a pinch of shunthi churna is mixed with 3 tsp of arishta) Jadamayadi churna lepa over affected joints Treatment will go for longer period.

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Mahayogaraja guggulu 1 bd Rasnaerandadi kashaya AF 15 ml bd Simhanada guggulu 1 bd Dashanda lepa Lashuna khseerapaka Vaitarana basti Shaddharana or vaiswanara churna Pinda taila or ksheerabala taila LA there drug of choice having good results pt cured 90% gives positive feed back.

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For ra positive pt rus tox 30 tobe given daily if pain modalities are first movement agravet but continued movement decrease the pain And brayonia30 if any dame movement increase the pain

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Rhus Tox 1m

Rx Rhustox 200 BD/3days

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Sidhmakardwaj Ras 1bd Swaran suthsekhar Ras 1bf R compound 1bd

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