Case-presentation: Ras-raktagat-abaddha-medo-vriddhi(Dyslipidemia)

Case Presentation:

 Rasa-Rakta-Gata-Abadha-Medovriddhi (Dyslipidemia)

A 46 years old female patient was suffering from 'Dyslipidaemia' (Rasa-Rakta-Gata-Abadha-Medovriddhi) since March 2019 came to P.G. Kayachikitsa OPD No. 9, at Govt. Akhandanad Ayurved Hospital, Ahmadabad on 21st may 2019 with the following complaints... 
1. Indigestion since 2 months
2. Flatulence
3. Headache on/off
4. Burning micturation on/off
5. Constipation on/off
 In her report (lipid profile date 24-mar-2019) serum cholesterol level was 282.8 mg/dl, LDL cholesterol was 206.56 mg/dl. She was advised modern anti-hypertensive and anti-lipid drugs but these were not taken due to fear of side & adverse effects. she has planned ayurvedic treatment for these complaints. 
After the ayurvedic treatment the serum cholesterol level and LDL cholesterol is 168.1 mg/dl and 95.2 mg/dl respectively. This report was done on date 4-july-2019. Patient was also able to stop anti-hypertensive drugs with given treatment, her B.P. is now around normalcy.

Reviewing  her condition following 

'Samprapti-components' were observed.

1.Dosha-     Shleshma mainly
2.Dushya- Ras, Rakta, Mansa, Meda
3.Srotas- Ras, Rakta, Mansa, Meda
4.Sroto-dushti-Sanga/Vimarga-gaman
5.Adhisthan-Sarva-sharir, Dhamani
6.Udbhav- Amashaya-sammuttha
7.Roga-marga-  Shakha/madhyam
8.Agni-   Mand
9. Sama/niram-  Sam
10.Vyadhi prakar-  Chirkari
11. Sadhyasadhyata-  Sadhya


Treatment given:

1.  Manjisthadi kwatha-       20gm BD with kwatha preparation method at 7 AM & 5 PM empty stomach

2.Shivakshar-pachan-churna - 6gm

Shankh-bhasma  - 500mg

Sarjika-kshar - 500mg BD 

with hot water, just before meal.

3. Shankh vati-    2 pills
  Kanyalohadi vati-    2 pills 

  Arogyavardhini vati- 2 tab 
     BD with hot water after meal.

 
4. Haritaki tab-  4 
    at HS 
(Each tab. of approx. 500 mg Haritaki).

Pathya-advised-

She was advised a 40 days course of 'Mudga-ahar', diet based on green-gram processed/fried in pure goghrita, seasonal vegetables and green spices were also allowed to maintain the taste. We sometime call this diet-regimen as '40 days Mudga-vrata (Fasting with green-gram)' in simplified manner to counsel the patients.

Properties of Mudga-

कषायमधुरो रुक्षः शीतः पाके कटुः लघुः  !
विशदः श्लेष्मपित्तघ्नः मृदुः सूप्य उत्तमो मतः !!
                                                                       (Charak Sutra- 27/23)

Prescriptions given from Govt. dispensary only-

Patient's video in Gujarati language-

Before treatment report-
Serum cholesterol level was 282.8 mg/dl, LDL cholesterol was 206.56 mg/dl.

After treatment report-
serum cholesterol level and LDL cholesterol is 168.1 mg/dl and 95.2 mg/dl respectively.

 

Discussion-

This case was treated as per concept of 'Santarpan-apatarpan'. Many suppurative G.I. Signs & Symtoms was there as per age, a sort of anxiety, season etc. Medicine mainly checked that G.I. Symptomatology and strict 'Mudgahar-pathya' helped in achieving desired 'Apatarpan' that ultimately shown in reports. Mudga being 'Kapha-pitta & Kleda-shoshi' useful in 'santarpan-janit' various disorders.

Presented by

*Dr. Prachi Kakkad
  M.D. Ist Year
  Dept. of Kayachikitsa
  Govt. Akhandanand Ayu. College.
  Bhadra, Ahmedabad, Gujarat, India.

**Dr.Surendra A. Soni

    M.D.,PhD (KC) 
    Professor & Head

    P.G. DEPT. OF KAYACHIKITSA

 Govt. Akhandanand Ayurveda College

    Ahmedabad, GUJARAT, India.

   Email: surendraasoni@gmail.com

   Mobile No. +91 9408441150