A bunch of diseases-Psoriasis-Diabetes Mellitus-Hypertension

Vital Parameters

• BP:146/70 mm of hg
• Pulse:60bpm
• Weight:89
• BMI:28.40

Asta Sthana Pariksha

• Nadi
• Malam:normal,nirama,regular,normal consistency
• Mutra:normal
• Jihva
• Shabda
• Sparsha
• Drik
• Akruti

Examinations

• GC:Fair
• CVS:NAD
• CNS:NAD
• RS:NAD
• PA:NAD

Knee joint examination:
Tenderness++(B/L)
Swelling-Absent
stiffness-Present
ROM restricted in supine posture

Foot examination:
tenderness +in fore foot(B/L) persistent.
Posture-Extended toes
Sensation-Normal
Numbness absent
Grip/strength:decreased
Sensation deep and light-normal
Eye examination:Early Retinopathy along with B/L immature cataract

Dasa Vidha Pariksha (from record)

• Prakriti:Kapha vatha
• Vikriti:Vatha kapha
• Sara:Madhyama
• Samhanana:Madhyama
• Pramana:Madhyama
• Satmya:snigdha and swadu
• Satva:Madhyama
• Aharashakti:Madhyama
• Vyayam Shakti:Madhyama
• Vaya:Madhyama
• Desha:Sadharana,madhyama
• Kala:10 yrs,greeshma,Vyaktha,Madhyama

Rogi Bala- Avara

Roga Bala- Madhyama

Not done
DSQ findings Rating

• ADRS Low/Med/High
• ADSS Low/Med/High

Nidana Panchaka

• Nidana:Beeja dosha
• Purvaroopa:
• Roopa:Shoola and sopha in janu sandhi, Sthamba in pada.twak rookshatha, khara sparsa
• Updrava
• Arishta Lakshana
• Samprapti
Dosha:vatha, pitha.kapha
Dushya:rasa, raktha, masa

Srotas:Rasa.Meda
Sroto Dushti Prakara: sanga

Screening MRI of whole spine on 15/10/14.

impression:Loss of cervical lordosis
Posterocentral protrusion of intervertebral disc noted at C4-C5 level causing significant compression of spinal cord and traversing nerve roots at right lateral recess.
Diffuse bulging of inter vertebral disc noted at C3-C4 level causing mild compression of spinal cord and transversing nerve roots at left lateral recess Features suggestive of myelomalacia noted at C6-C7 level.
Normal plain MRI brain. 21/10/14
Acute pancreatitis

• Roga Samprapti Flow Chart

Evidence Based Diagnosis with References
Psoriasis

Evidence Based Diagnosis with References
Kitibha kusta
Sandhigatha vatha

Details of Allopathy medicine if continued

Glyconorm G 3 forte 1-0-1 (on kashayavasthy days i.e., on 12/5/14 and 14/5/14 one tablet only)
Telmikind 0-0-1
Lipikind 10 0-0-1
Nurokind next0-0-1

Type – OPT/IPT/OPT-IPT
Duration –

Primary Treatments
Main Treatments
Post Treatments

Chikitsa Paddhati with details of dose of medicine. Consulted Dr.Prasad on 24/6/12
Approached ayurvaid with complaints of Pain on knees more on left hight severity since 10 yrs
Psoriasis high severity since 8 yrs,Stomach pain high severity 39 yrs episode one year back,Lack of balance moderate severity 3 yrs,Pain left sole and left big toe moderate severity 3 yrs,Burning sensation on both soles

Medications given:
• Ashtavargam kashayam-15ml+Abhayaristam+Draksharistam+yogaraja guggulu-1 2 times after food
• Mahamashathailam to apply over knee joint.

Review consultation with Dr.Mahadevan Iyer.
(19/4/14)-(16-6-14)
• Kathaka khadiradi kashayam-15 ml+Nisamlaki choornam 2 tsp+1/2 glass warm water at 7AM
• Aragwathadi kashyam 15 ml+Kaishoraguggulu 2+half glass warm water at 11 AM
• Tab.Mahanil 2BD 11 AM and 4PM
• Guggulu thikthakam kashayam 15 ml+Chandraprabha vati 2+half glass of warm water at 6 pm
• Panchathikthaka guggulu ghrutha 2 tsp gorochandai gugtika 2 tablet+Thriphala choorna 2 tsp at bed time followed by warm water.
• On 16/6/14-added saraswatha choorna

Pathya:
Timely meal,fresh food,warm food,gourd vegetables,cluster beans ,drumstick leaves ,Ginger pepper,jeera,turmeric,curry leaves in the cooking.Green gram,churned butter milk boiled and cooled water to drink.