[11/26, 10:44] Dr Rajanish Pathak:  What can we do in this type of case where severity is high  Patient has vomiting and severe epigastric pain since 1yr  Recurrent in nature, within 15-20 days all symptoms recurrently. [11/26, 10:49] Dr Rajanish Pathak:  On USG Hepatomegaly (liver size 140mm)  Cholelithiasis (multiple stone 15.5 mm size) [11/26, 11:15] Vd V. B. Pandey Basti U. P:  Very interesting and chal ling case as per Ayu.diagnosis Saam pitta in dhatugat vayavastha due to continue vomiting oral drugs would be minimum Sut Shekhar Ras Swarn yoga followed by Ussharassava 30ml. Madhu tailik Basti at least for 10 to15 days this will be my advice. [11/26, 11:17] Dr. Pradip Mohan Sharma:  Serum Bilirubin?? [11/26, 12:12] Dr Shashi Jindal, Chandigarh:  👍🏼🙏🏼sir can he be saved from surgery with this tt protocol.🙏🏼 [11/26, 12:25] Vd V. B. Pandey Basti U. P:  Pt. will be cured as per my knowledge. Years before one lady age above 70

[11/2, 17:02] Dr Surendra A Soni:  Pranam to all resp. Gurus ! Please guide that how should we understand the concept of "ati-stambhan" mentioned by Acharya Charak in Su. S. 22, especially 'shyavata' & 'hanu-sangrah'. 👇👇👇 श्यावता स्तब्धगात्रत्वमुद्वेगो हनुसङ्ग्रहः । हृद्वर्चोनिग्रहश्च स्यादतिस्तम्भितलक्षणम् ॥४०॥ 🙏🙏 [11/2, 17:20] Mayur Surana Dr:  Stambhan prayaha done by kashay rasa, though tikta madhur also mentioned... In atiyog of kashay rasa (cha su 26) shyavata and ardit graha aadi vaatvyadhi mentioned..🙏🏼 [11/2, 17:26] Dr Surendra A Soni:  द्रवं तन्वसरं यावच्छीतीकरणमौषधम् । स्वादु तिक्तं कषायं च स्तम्भनं सर्वमेव तत् ॥३२॥ Kashay👆 is 1 of components of stambhan. वाते वृद्धे त्वक्पारुष्य कार्श्य कार्ष्ण्म्..... Shyavata is surprising here....!! [11/2, 17:51] Mayur Surana Dr:  श्यावारुणभासता--वात नानात्मज विकार too [11/2, 20:03] Prof Satyendra N Ojha:  atistambhita means rigidity