Case-presentation: "Post-chikungunya arthralgia".

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.



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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