Case-presentation: "Post-chikungunya arthralgia".

Case-presentation

A 64 years old patient was suffering from arthralgia of 'Chikungunya' originated (Vat-shleshma-Jwar-janit-sandhishoola) since November 2018 and was not responded well to normal routine management. On 4th January 2019, he visited in Kaya-chikitsa OPD No. 4, at Government Ayurveda College, Vadodara, Gujarat; with the following chief complaints.....



1. Joints pain                                                     since 2 months

    (Mainly in extremities esp. in Knee-joints)

2. Morning stiffness                                          since 2 months

3. Joints movement restrictions                       since 2 months



H/o Chikungunya 2 months back.



Reviewing his condition following 'Samprapti-components' were observed.

1.   Dosha-                      Vat, Shleshma(Shleshak)

2.   Dooshya-                  Sweda, Ras, Rakta, Mansa & Asthi

3.   Srotas-                     Sweda, Ras, Rakta, Mansa & Asthi

4.   Sroto-dushti-           Sang-pradhan

5.   Adhishthan-            Sandhi-sthan

6.   Aashay/Udbhav-     Aam/pakwashaya-samuttha

7.   Rog-marg-               Marm-asthi-sandhi

8.   Agni-                        Visham

9.   Saam-niram-           Saam

10. Vyadhi-prakar-      Chirakari

11. Sadhyasadhyata-   Krichchhrasadhya



Treatment given -



1. 

Ashwagandha Choorna - 3 gms

Chopachini Choorna -      2 gms

Shunthi Choorna -            1 gm



BD with 1 Cup hot  Milk 



2. 

Tribhuvan Kirti Ras- 2 Tab.(250mg)

Vishtinduk Vati - 2 Tab. (250mg)

Yograj Guggulu - 2 Pills (400mg)



TDS 1 Cup  Milk 



3.

Pathyadi Kwatha - 20 gms 

+

Chopachini Choorna - 2 gms

Sudarshan Choorna - 2 gms 

Shunthi Choorna - 1 gms 

Guduchi Choorna - 3 gms 



BD with 'Kwatha-preparation method'. 



4. 

Pathya- Avoidance of Cold, Sour & Junk-food etc.

'Vihar'- Sitting in Sunlight(Aatap) with covering the whole body with bed-sheet or blanket(Guru-pravaran) till sweating.

Patient's Video after recovery -

Though curing such diseases are normal in routine and not a big achievement but some time such conditions demand special medication as well as approach, hence case is being shared for students and beginner physicians/practitioners.







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Presented  by

Dr.Surendra A. Soni

M.D., PhD (KC)

Associate Professor

Dept. of Kaya-chikitsa

Govt. Ayurveda College

Vadodara Gujarat, India.

Email: surendraasoni@gmail.com

Mobile No. +91 9408441150