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-
















Patient's video in Gujarati language-









Before treatment report-

Serum cholesterol level was 282.8 mg/dl, LDL cholesterol was 206.56 mg/dl.





















































After treatment report-

serum cholesterol level and LDL cholesterol is 168.1 mg/dl and 95.2 mg/dl respectively.


 



















































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.







**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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4Comments
  1. 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. SoniNovember 13, 2019 at 9:32 AM

      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. Sir why was Manjishthadi kawath added ??

    ReplyDelete
  3. Dr. Surendra A. SoniDecember 3, 2019 at 7:50 AM

    In short for 'Raktaprasadan' and 'Srotoshodhan'.

    ReplyDelete
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