47 years female , Diagnosed with rheumatoid Artheritis since 1997 H/o hysterectomy Treatment taken ; alloethic treatment steroids , Methotrexate Ayurvedic medicines Tibtian medicin Out Put no relief , disease is on porogression Present Status ; bone density = -3.2 severe osteoporosis RF = 222 Sero Ra fector = -ve X ray Lt Knee + Redused interatricular Space O/ E P/A Rt hypochondrium ++, Murphy +ve , Lt lumber +ve Nadi Pitta +++ Vata ++ Sapasha Usahn bal - hina akriti = stholya Mal prkrit Jiwha alap Lepit agani Visham She not able to move with out support , Lt knee in Swollen More Plan For treatment Presently on ama Pachan and dipan agani tundi vati Giloyee satav Punarmava manduar Given Sadya virechan with erada tail + Trifala Kwath Next plan is bast Kindly suggest the Basti dravya Can I go yasti madhu Kshir paka + Pancah tikta Grita gugulu Regards I need your expert advise
ya you can plan with that and i think dashmool kwath would also be beneficial,,and afrter that internally,,chitrak churna,,singnaad gugglu,2b.d.gilao satva,praval panchamrita,and trikatu churna,,,with balarishta,,,and ruksha swedan should be cont.and kwath of ashtishrinkla...should be taken for long...
**According to Ashrayaashrayee Bhava when Vata increases, Asthi decreases,use Basti prepared with Tikta Dravya, Ksheera and Ghrita for the treatment of Asthi Kshaya along with the use of Swayoni Dravya
Dear basti is first Choice first go karma Basti Niruha- Dashmool ErandmoolKwath Anuvasan - Castor Oil Or Sunthi Sidha Tail 150 ml to 200 ml first retention of 150 to 200 ml is very difficult but after 2- 3 basti It can . As U say Seveiour osteoporosis so after Karma Basti U Must give Tikta Kshir Basti For Asthi Dhatu Kashaya masaj And nadi Swed castor oil + Sunthi Guduchi Fresh kwath daily Up To 21 days . Pl treat Agnimandya , Anaemea Pl say to avoid Causetive factor Specialy Atyamboo Pan basti Must Be repeat After 2 mths If ur Confidant About Use Bhalatak pl Start Bhallatak rasayan in Vardhaman Kram In the Form Of Ksheer Pak Mediciner So Many Pl Choice As Per Awastha .
in my opinion first give amavathari kashayam 15ml +30ml boiled and cooled water .shaddharanam churnam10 gm with hot water two times a day after the amapachanam give rasnerandathi kashaym +tab kaisoragulgglu 1 with kashayam. karaskkaragritham is best choice .any joint swelling apply kottanchukkadi churnam with kanchikam. after the treatment give kashayavasthi.if any dr try this medicne please give the result of the treatment.
follow amavata chikitsa sutra "Langhanam swedanam thiktham deepanani katunicha...." you will succeed in treating the case. drug of choice is ramban ras 2 bd after food with luke warm water. plan for vaitarana vasthi which is directly told in amavata for the best results.
Start with Aampachan. You can prescribe, Sinhanaad Guggulu 2tds Amavatari Kashayam from Arya vaidhya nilayam Rheumalin gold 1 bd Vishatinduk vati Maharasnadi Kashayam Advice dietic changes, light, warm n moist. Externally snehan with Maha vishagarbha thailam followed by dry , warm fomentation using Heating pads or sand poultice. If severe pains use jaluaka for blood letting on local area.
Dear Doctor you are going in right direction but in my opinion for the time being avoid ghrita aushadi's. Instead try these formulations, I have given to my patients effectively: Early morning empty stomach Bitter Gaurd Juice + Amlaki Juice + Raw Haldi juice Yogaraja Guggulu 1-1-1 A/F with warm water Avapittikara Choornam 0-0-1 tsp A/F with warm water during bed time. Yastimadhu Choornam 1-0-1 tsp A/F Vaisvanara Choornam 1-1-1 tsp A/F Trikatu Choornam 1-1-1 mix with food. Saharacharadi+maharasanadi+Rasana erandadi kashyam 2-0-2 tsp with equal quantity of warm water B/F Dashamoola+Bala+Ashwagandha aristam 2-0-2 tsp with equal quantity of warm water A/F Go for dry choornam (Kottamchukadi) pinda swedanam. Apply paste of Godhuma+Castor seed+milk or old ghee = boil and apply hot on knee joint..
Dr. Ps.narayanankutty and Vaidya Bhattad Satish have given very specific treatment.It really works. But i opine that ghee shdnt be used in first course of Vasthi.Balaguloochyadi kshyam is ideal in this case as kashyam and balaguloochyadi/madhuyashtyadi oil in vasthi as this is a case of Pitta predominant Ama vata. Please dont use tikshna dravya in vasthi as she is suffering from Severe osteoporosis,which some time aggravates the problem(my clinical experiance)so Vaithran Vasthi can be used in 2nd or 3rd course of vasthi.
hello dr...... kindly refer plenty valuable suggestions of oyher colleguse and plan acc. to ur condition.... i would like to just quote just few shamana yoga ... mrityunjaya rasa 1 tid gokghuradi gug. 1 tid amrutharishta 3 tsf tid.... could be continued as basic drugs with addition of other gug. & shallaki compounds in accordance... i think if u have planed punarnava mandoora for swelling ..in this case it might not be achieved to quite extent..as this is autoimmune disorder... instead gok. gug. is much better i feel.....
ajmodadi churan 3 gm+panchkol churan 1 gm+kapardika bhasam375 mg+giloy satwa375 mg+sawaranmakshik bhasam 125 mg+punarnavadi mandoor 250 mg to be given BD with hot water or mahamanjishthadi kashyam+maharasnaadi kashyam,for nitya virechan use rasnasaptak kwath 20-30 ml,mix 2 gms of shunthi+10-15ml of casror oil to be given hs,,tab sudhasaptak(unza) 2 bd,punarnavadi gugglu 2 bd,tab liv 52 ds 1 bd to be started along with..udwartam can be done..
*first 3 day fasting *second 3 day fluid diet *third 3 day light diet after that start following treatment (1)brihatvatchitamani ras 1 bd empty stomoch (2)akangvir ras 2 bd empty stomoch (3)ajmodadi churna 1tsf with water after food (4)sihnad guggulu 2 bd with water if there is constipation
well a lot have been told by experts vaitaran vasti mentione in chakradatta is very effective panchkola kashaya essentially use eranda taila with luke warmwater or milk ruksha sweda ,baluka sweda is also effective dashmool kwath is of great use in amavata singhnada guggulu