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.

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

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

Comments

Shree Patel5 February 2019 at 07:56
Sir why this chopachinichoorna???
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Replies
Prof Dr Mukesh Raval5 February 2019 at 23:44
Good Prescription
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Dr Tejaswini S Bhale_Borse6 February 2019 at 18:02
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.
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Replies
Harsh11 February 2019 at 00:25
Very nice case presentation guruji, this kind of results really inspired us towards ayurved..
Thank you
ReplyDelete
Replies

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