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

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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-
www.kayachikitsagau.blogspot.com

www.kayachikitsagau.blogspot.com


Patient's video in Gujarati language-
Before treatment report-
Serum cholesterol level was 282.8 mg/dl, LDL cholesterol was 206.56 mg/dl.
www.kayachikitsagau.blogspot.com























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


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

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Comments

  1. UnknownWednesday, 13 November 2019 at 19:15:00 GMT+5:30

    In general examination mention the status of weight and BMI. What was the parameters to assess Abaddha Meda. Please highlight. What was the status of Jatharagni. Please highlight general examination and systemic examination.
    Dr Prakash Kabra
    Professor, Govt Ayu Coll. Nagpur

    ReplyDelete
    Replies
    1. Dr. Surendra A. SoniWednesday, 13 November 2019 at 23:02:00 GMT+5:30

      Lipid profile Investigation was only parameter.
      This case was treated as normal OPD patient, was not a part of research project or thesis. Jatharagni status was not good as it's reflecting in signs and symptoms.
      Thanks Sir !!

      Delete
  2. UnknownMonday, 2 December 2019 at 23:40:00 GMT+5:30

    Sir why was Manjishthadi kawath added ??

    ReplyDelete
  3. Dr. Surendra A. SoniTuesday, 3 December 2019 at 21:20:00 GMT+5:30

    In short for 'Raktaprasadan' and 'Srotoshodhan'.

    ReplyDelete

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