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Case-presentation: "Post-chikungunya arthralgia".

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Case-presentation

A 64 years old patient was suffering from arthralgia of 'Chikungunya' originated (Vat-shleshma-Jwar-janit-sandhishoola) since November 2018 and was not responded well to normal routine management. On 4th January 2019, he visited in Kaya-chikitsa OPD No. 4, at Government Ayurveda College, Vadodara, Gujarat; with the following chief complaints.....

 1. Joints pain                                                     since 2 months
    (Mainly in extremities esp. in Knee-joints)
2. Morning stiffness                                          since 2 months
3. Joints movement restrictions                       since 2 months

 H/o Chikungunya 2 months back.

 Reviewing his condition following 'Samprapti-components' were observed.

1.   Dosha-                      Vat, Shleshma(Shleshak)
2.   Dooshya-                  Sweda, Ras, Rakta, Mansa & Asthi
3.   Srotas-                     Sweda, Ras, Rakta, Mansa & Asthi
4.   Sroto-dushti-           Sang-pradhan
5.   Adhishthan-            Sandhi-sthan
6.   Aashay/Udbhav-     Aam/pakwashaya-samuttha
7.   Rog-marg-               Marm-asthi-sandhi
8.   Agni-                        Visham
9.   Saam-niram-           Saam
10. Vyadhi-prakar-      Chirakari
11. Sadhyasadhyata-   Krichchhrasadhya

 Treatment given -

 1. 
Ashwagandha Choorna - 3 gms
Chopachini Choorna -      2 gms
Shunthi Choorna -            1 gm

 BD with 1 Cup hot  Milk 

 2. 
Tribhuvan Kirti Ras- 2 Tab.(250mg)
Vishtinduk Vati - 2 Tab. (250mg)
Yograj Guggulu - 2 Pills (400mg)

 TDS 1 Cup  Milk 

 3.
Pathyadi Kwatha - 20 gms 
+
Chopachini Choorna - 2 gms
Sudarshan Choorna - 2 gms 
Shunthi Choorna - 1 gms 
Guduchi Choorna - 3 gms 

 BD with 'Kwatha-preparation method'. 

 4. 
Pathya- Avoidance of Cold, Sour & Junk-food etc.
'Vihar'- Sitting in Sunlight(Aatap) with covering the whole body with bed-sheet or blanket(Guru-pravaran) till sweating.










Patient's Video after recovery -



 Though curing such diseases are normal in routine and not a big achievement but some time such conditions demand special medication as well as approach, hence case is being shared for students and beginner physicians/practitioners.

************************************************************************************************************







Presented  by


Dr.Surendra A. Soni
M.D., PhD (KC)
Associate Professor
Dept. of Kaya-chikitsa
Govt. Ayurveda College
Vadodara Gujarat, India.
Email: surendraasoni@gmail.com
Mobile No. +91 9408441150
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Comments

  1. Shree PatelTuesday, 5 February 2019 at 07:56:00 GMT+5:30

    Sir why this chopachinichoorna???

    ReplyDelete
    Replies
    1. Prof. Surendra A. Soni, H.O.D., P.G. Dept. of Kayachikitsa, Govt. Akhandanand Ayu. College, Ahmedabad, Gujarat, India affiliated to Gujrat Ayurved University,Jamnagar, Gujarat, India.Tuesday, 5 February 2019 at 13:03:00 GMT+5:30

      द्वीपान्तरवचा किञ्चित्तिक्तोष्णावह्निदीप्तिकृत् |
      विबन्धाध्मानशूलघ्नी शकृन्मूत्रविशोधिनी ||१०७||
      वातव्याधीनपस्मारमुन्मादं तनुवेदनाम् |
      व्यपोहति विशेषेण फिरङ्गामयनाशिनी ||१०८||

      Bhav-Prakash

      Delete
  2. Prof Dr Mukesh RavalTuesday, 5 February 2019 at 23:44:00 GMT+5:30

    Good Prescription

    ReplyDelete
  3. Dr Tejaswini S Bhale_BorseWednesday, 6 February 2019 at 18:02:00 GMT+5:30

    Good line of treatment. I prefer suvarna kalp in such chirkali kruchcsadhya asthi majja gata vatavyadhi like Bruhat vata chintamani which does deepan pachan and then rasayan chikitsa.

    ReplyDelete
  4. HarshMonday, 11 February 2019 at 00:25:00 GMT+5:30

    Very nice case presentation guruji, this kind of results really inspired us towards ayurved..
    Thank you

    ReplyDelete

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