Respected panel members, This time i hv a case with following details: female,60 yrs c/o pain and swelling in right wrist joint no H/o any injury or so. H/o fatty liver in past Presently taking allopathic treatment for thyroid,also took allopathic medication for above complaint. She has been diagnosed OSTEOPENIA I started her with foll: Tab.Reosto(himalya)1 BD & Vishtinduk vati 1 BD with Kokilaksha kashaya Ashwagandha & shatawari pdr.with milk BD Hinghwastak ch.at bed time with warm water Ksheerbala tailam for local massage After taking the same she started complaining of anorexia.why is it so? A senior of mine said its bcz of vishtinduk vati .stop it or start a liver tonic. I stopped vishtinduk vati n started her with Ekangveer rasand along with hingwashtak i added lavanbhaskar. Its been 5 days since she started with the treatment.til nw she has no relief. Am i going right.shud i make some changes in the same.plz guide me. Regards & thanx DR.UPASANA PRIYA
Think about asthidhatwagni in this case. For that guduchi+amalki+musta choorna in equal proportions can be given. Along with that for vataprakop due to ostopenia, dashmoolkwath+arjun+yashtimadhu choorna should definitely serve the purpose.
medication is correct but plz. kindly add local massage wid mahanarayan and maha mash tail and after that fomentation,,,advise her to change the source of drinking water and add swarna makshik,asthi shrinkhla,and rasna di kwath..
First complete all the investigations including X-Ray. if any thing special go for further investigations & inform me. Medicine: Tab Rumalaya Forte 1 BD+ Tab Reosto 2 BD+ Tab Spirulina 1 BD+ Maharasnadi Qwath 20 ml Bd Physiotherapy: Phonophoresis ( i.e. Ultrasonic Therapy with Rheumasyl oil )+ Parafin Wax Bath+ Mobilisation Exercises
preprations like godanti bhasma, praval pishti, kukuutand twak bhsma should be added to prescription. osteopenia usually develops in post menopausal women due to harmonal imbalance, and hence shatavari cooran is also herb of choice
Ma'm agree with Dr.sachin gandhi sir... pt is in "sam" condition. plz stop shatavari+ashwagandha,kokilaksh kashay...all this are guru,snigdh. [i don't know abt the contains of reosteo] i think she needs just pachan..may be trifala and/or panchkol r useful. also stops snehan.only swedan'll be effective.
Dear Dr. Upasana I am having a patient named Malkiat singh aged 44 with bone density reduced having T score -1.8 and z score-9 diagnosed osteopenia. I just gave him ashwagandha sonth and vidharamool with praval pishti and triodasahng guggul in tds dose and patient got his bone density tests done after 2 months and were all within normallimits.
Hi madam ! In this case after giving deepana ,pachana drugs you can plan for KSHEERA VASTHI. Since how long she is taking Rx for thyroid ? Either it is for Hypo or Hyper ? If it is hypo ,...she might be using Thyroxine where she will get osteoporosis as adverse effect. So better if u go for TFT to know the status and requirment of the treatment.
Dear Doc, Looks like a case of aam sanchati from the fact that she has thyroid, fatty liver and now pain in wrist clearly suggests aam sanchiti. Rather then stopping vishtinduk vati, u need to stop Ashwagandha and shatavari. Hingwashtak is ok May be something for anuloman can be added like trifla/ gandarvhastadi kashyam Rather then doing abhyangam go for podikizhi (churna svedam)