Swelling on Leg

age- 38 yrs Sex- M Chief Complaints c/o- swelling on left leg below knee since 2 months aggravation of swelling after standing, long walking amelioration- rest, raising the feet no other complaint Examination k/co diabetes, on allopathic treatment no hypertension or thyroid problem KFT- normal LFT normal Vitals B.P- 132/78mmhg Temp. 98.2 F R/R- 17/min generals are normal Desire- sweets aversion- N.S patient is a government employee mentally he is calm angry rarely likes to go out with friends has family tensions with his wife no fear dreams of height Suggest treatment and Diagnosis

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UNILATERAL SWELLING LOWER LEG.. ? VASCULOPATHY.. ? LYMPHATIC PATHOLOGY.. ? DVT.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. BLOOD CBC.. HBA1C.. KFT.. ECG STUDY.. X-RAY STUDY.. COLOUR DOPLAR STUDY..

May be a case of unilateral venous insufficiency. Not to forget the possibility of anaemia. Check Hb... Try with Manjishtadi kadha 3 tsp bd alone or combined with Punarnavashtaka kwatha Kaishora guggulu 1 tds Guru Rasayana of SDM pharmacy cap 2 tds or Punarnavadi Mandoora (if Hb is low) or Mamejava vati 1 tds (if Hb is ok)

रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर घुटने की मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने से पहले दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Advise for morning walk every day, oedema is sycotic miasm, so I like to suggest Thuja

Radiological and Pathological Investigations Needed.

Kalmia 200

Vasculopathy

LYCOPODIUM 200C

Dx probably DVT Rx Lachesis 1m/3dose weekly HamamelisQ/tds for 15 days

Knee bursitis

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