DINESH CASE HISTORY

A 40 year old male patient from Vengeri, Calicut came with the complaints of pain and reduced strength in left lower limb and thigh region since 6 month.
Patient was said to be apparently normal before 6 months, gradually he developed pain in the thigh and calf muscles of left lower limb.Pain was radiating from the low back region and it extent upto left foot. Pain aggravates on prone position and also while walking.He consulted allopathic physician and taken internal medicine including steroids.On the 4th day of medication he presented with symptoms of heaviness in upper and lower limb of left side. He immediately shifted to hospital and it is diagnosed as stroke. After the attack of stroke his previous symptoms got aggravated and patient was unable to walk without support,then he started to take the following medicines;
1. ECOSPIRIN GOLD 20 0-0-1 A/F
2. GLYCIPHAGE 1GM SR 1 -0–1 B/F
3. AMLODAC 5 1 – 0 -1 A/F
Patient is continuing the same medicines.
For better management patient approached our hospital, patient presented with the following symptoms;
*Difficulty in walking without support
*Severe pain in left thigh which radiating from low back region.
On examination:
GAIT – Antalgic gait
SLR TEST – +ve on left thigh (65 degree)
APPETIT – Decreased
BOWEL – Irregular
SLEEP – Disturbed
MICTURITION – Normal
After examination patient is advised to take the following internal medicines.
1.RASNA SAPTHAKAM KASHAYAM +VATARAKSHASA BASMAM.
2.RASNAMRUTHAM +YOGARAJA GUGGULU
On 4th day patient complaints of severe pain in the left thigh and in low back region, advised to take NURGINDI SWARASA (25ml) + ERANDA TAILAM (25ml) internally. Patient got relief from the pain.
Advised Yoga vasti (Kashayavasti and tailavasti )
Vasti is having two actions, expelling the doshas and nourishing the body. First ,potency of the vasti drugs get absorbed to have its systemic action. The second action is related with the facilitation of excretion of morbid substances responsible for the disease process into the colon, from where they evacuated.
EXTERNAL THERAPIES.
CHOORNAVASTI -4
CHOORNAKIZHI -28
THEPPU IN LOW BACK -3
TAILAVASTI -10
KASHAYAVASTI -5
LEKHANA VASTI -3
KSHEERAVASTI -4
KATIVASTI -9
LAVANAKIZHI -9
DHANYAMLADARA (LOCAL) -7
RAKTHA MOKSHAM -3
After 35 days of treatment most of the symptoms got relieved.At the time of discharge patient is able to walk without any support, complete relief from pain in the leg and improvement in the strength of the left leg.
Patient is advised to take the following discharge medicines for 20 days.
1.RASNASAPTHAKAM KASHAYAM +VATARAKSHASA BASMAM
2. RASNAMRUTHAM +YOGARAJA GUGGULU
3. CHANDRAMRUTHAM TAILAM FOR BODY APPLICATION
4.KSHEERABALA FOR HEAD APPLICATION
5.RASNADI CHOORNAM FOR HEAD APPLICATION

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