[7/12, 7:19 PM] Dr Bhadresh Nayak, Surat:  Case study C/o Sudden burning pain Discoloration of skin Severe tenderness on l hand Power and grip were less Loss of sensation Cold hard hand P/H- cold exposure during Manali visit. She was treated at nanavati hospital at Bombay. She given injections heparin for ten days. Minor surgery done to open artery. No improment. Later amputation was suggested. She came to my clinic in such   condition. She was given treatment for two month. We can see the changes in left hand in post-treatment image. Rakta-avrut-vat/ Vatarakt was diagnosed as per Ayurveda. Before treatment basics of the treatment- Dosh vat and Pitta Dushya  Ras, Rakta & Mamsa dhatu. Due to Pitt dhatu pak Srotas ras-raktavah  Mansvah Srotodushti sang & siragranthi Agni mand Lakshan-      pain (burning) Swelling Redness Discoloration of skin Cold temperature in extrimity Po

 Alabu-karm(Cupping) in Ghridrasi (Sciatica) [9/9, 9:55 AM] Dr Pravin Soni Beawar:  Pt came with sever pain of gridharsi 10 days before..pt is poor so we decide to do alabu..aftr 5 days there was no pain..no any intrnal mediction...todays is 10th day we did it..no back ach.hip pain or or leg pain now. [9/9, 10:29 AM] Prof Deep Singh Chavada:  Done daily or once only ? [9/9, 10:30 AM] Dr Pravin Soni Beawar:  Daily. [9/9, 10:30 AM] Prof Deep Singh Chavada:  Ok [9/9, 10:30 AM] Dr Pravin Soni Beawar:  Befor it kati abhyng padabhyng or nadi swed. [9/9, 10:30 AM] Prof Deep Singh Chavada:  Can you explain the mode of action for me. [9/9, 10:31 AM] Dr Pravin Soni Beawar:  By incresing blood and nerve suply there... [9/9, 10:31 AM] Prof Deep Singh Chavada:  [9/9, 10:44 AM] Dr. Sanju Sharma, Bikaner:  What do you apply in glass Praveen  boss ?? [9/9, 10:45 AM] Dr Pravin Soni Beawar:  Sprit only..flamable... [9

[8/9, 6:09 PM] pawan madan Dr:  Good Evng everyone... Whats the practical implications of concept of Abhaantar Visarpa? Sym as per charak.. ...Marma upaghaata ...sammoha ....Sroto avarodha Please guide... [8/9, 8:19 PM] Dr Surendra A Soni:  मर्मोपघातात् सम्मोहादयनानां विघट्टनात् । 1. तृष्णातियोगा  Presentation of pittaja dominant features.... 2. द्वेगानां विषमाणां प्रवर्तनात् ॥२६॥ Change of pattern of natural urges..... Or changes in pattern of episodes if previously episodic presentation was there.  3. विद्याद्विसर्पमन्तर्जमाशु Very acute presentation of disease..  4.चाग्निबलक्षयात् । Acute Loss of strength of Agni and physical as well as mental power. अतो विपर्ययाद्बाह्यमन्यैर्विद्यात् स्वलक्षणैः ॥२७॥ This is generalised description for all kind of visarp just like *'Antarvega/bahirvega jwar'* . Shakhasth dosha involves the marma gradually that's why marma dushti is there. Toxemia due to extensive cellulitis