Ulcerative colitis Ulcerative colitis A F HF H G. H EA Q GJ . H . Q c , , . Q, P P . ,, AP A ., M . F . W .

, C, F, C
Causes Heredity Overactive immune respose in the intestine

Vital diagnostic points A flare up may be sudden and severe violent diarrhea High fever Abdominal pain

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Peritonitis

A flare up may begin gradually Urgency to defecate Mild cramps in lower abdomen Blood and mucous found in stool

Investigations ESR C-reative protein Colonoscopy Biopsy - confirmatory test

MEDICINES

Internal
Pitta

sura kudineer

60 ml morning and night before food (OR)

Patchottipattai pal kashayam 20gm 60 ml with milk at night before food

Adhimadura churnam 5gm + Patchottipattai churnam 10 gms with honey morning and night after food
Adhimadura

mathirai

2-0-2 with kashyam after food

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Pavazha parpam after food

1 gm with honey morning and night

Padika poonkavi chenduram after food

3 gm with honey morning and night

Manicka

nei

2 ml with kashayam and 5 ml of honey,at night after food

Nannari manpagu

- 20 ml before food morning and night

External treatment Vasti:

Masikkai tailam 60 ml d vF,

The oil vasti should be given immediately after taking food in the noon.The oils used for healing the wounds should not be heated,which is usually done . Note:

If diabetic avoid honey Use cold water, milk ,coconut water or ghee as anupanam

Pathyam: Avoid Spicy, salty , sour foods, dhals Avoid non vegetarian diets

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 Avoid exposure to sunlight Avoid excessive anger

2. Amoebiasis - H AE Q A . AI,F,AE CA . F , O

G,Q L A,HF reactive arthritis . GJ AQ Y , , GJ AE G .F, M Y O .

Causes Faeco oral route By Entamoeba histolytica

Vital diagnostic points Intermittent diarrhoea Cramping abdominal pain

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In severe cases tender abdomen, motion with blood and mucous

Investigations Clinical diagnosis History of food and water intake from hotels Stool sample analysis for ova,cyst,occult blood Blood test for antibodies to the amoeba

MEDICINES Internal First stage

Chundaivattal choornam

- 1 tsp morning and night with curd (Or)

Ashta choornam Kariveppilai choornam Thayirsundi mathirai

- 1 tsp with butter milk , honey (or) - 30 gm in morning with butter milk (or) - 2-0-2 after food with seeraga kashyam

Padikalinga chenduram 100 mg with honey morn and night after food

Second stage

Ilavam pisin churnam

- 3 gms with hot water morning and night after food

Kapada mathirai

- 2-0-2 after food with seeraga kashyam (or)

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M , JK . Pathyam :

Avoid oily foods,hotel foods , unboiled water Butter milk , currey leaves , Pomogranate fruit ,solanum seeds , dried mango ,

Tea without milk , arrow root gruel ,

3. Acute Loose motion Acute Loose motion H FK G. F

HF FK . F G .M F L G.
Causes Mostly food and water in origin Intake of grapes, milk, chocolates Infection from parasites

Vital diagnostic points Number of bowel movements can vary upto 20 or more per day Sometimes,blood or pus in the stools Also fever,nausea,vomiting,abdominal pain

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Investigations Check electrolytes Further investigations are needed for chronic conditions to role out glutein enteropathy , mal absorbtions , irritable bowel syndrome Serum amylase, Serum lipase , If infective in nature rule out ileo caecal tuberculosis ,if associated with fever , malaise ,weight loss ,diabetes mellitus

MEDICINES Internal First stage

Korai kizhangu kudineer

- 60 ml morning and night before food

Thayir chundi churnam

- 5 gms with butter milk bd after food

Padikapoongavi after food

- 3 gm with honey morning and night

Second stage

Vetpalai arisi kudineer

- 60 ml with honey morning and night before food

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Jathipaladi choornam

- 1 tsp with buttermilk morning and night after food (OR)

Kaichi katti churnam

- 3gms with honey morning and night after food

Kaphada mathirai

2-0-2 with butter milk after food

External treatment

Apply karpoora tailam over the abdomen (if stomach pain is present)

Pathyam:

More amount of butter milk can taken Gruel foods are better Use the water boiled with dried ginger and coriander seeds as drinking water

Barley water, tender coconut water can be taken

4. Irritable bowel syndrome

C J C P P M . G AE CA

.F ,Q FK .

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J CAJ A
Causes Stress Diet Drugs Hormones Minor irritants

Vital diagnostic points Alternate bowel habits,constipation ordiarrhoea Stress / anxious Diarrhoea increases in office going hours and subsides in late evening hours Abdominal pain Flatululence,nausea and anorexia Varying degree of anxiety or depression

Investigations No specific investigation is needed,diagnosed clinically Clinical history

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MEDICINES Internal

Karivepilai kudineer

- 60 ml with butter milk morning and night before food

Thayir sundi tablet Vilwadi gulikai Puliyarai nei

- 3 - 0 - 3 with kashyam after food (OR) - 2 0 - 2 with hot water after food - 15 ml morning and night after food (given after getting having good appetite and after diarrhea has subsided)

External

Apply karpoora tailam over the abdomen (if stomach pain is present)

Pathyam

Avoid stress,anxiety Can apply oil over the abdomen and take bath Avoid dry foods and those which increase vata

5. Iron deficiency Anemia

CA . , F A CA . M FK . FK , . Y ,O

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 AA FK. ,,O CAC .

Causes Blood loss due to bleeding in the digestive tract, monthly menstrual bleeding in females, piles Low intake of iron Aspirin use

Vital diagnostic points Fatigue, weakness, paleness Fainting, increased thirst, sweating Weak and rapid pulse, rapid breathing

Investigations Complete blood count Hb MCV Reticulocyte count Smear test Stools for occult blood

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If jaundice is present USG to rule out hepatomegaly and splenomegaly TIBC,Ferritin selectively done in non responding cases ,along with vitamin B12

MEDICINES Internal Mandurathi kudineer - 60ml with butter milk or lemon juice morning and night before food Trikatu choornam + - 1 tsp morning and night after food with butter milk (OR)

1 gm ayakandha chendhuram Karisalai karpa choornam

- 10 gm with honey morning and night after food

Ayakantha chenduram

- 1 gm morning and night after food with butter milk

Drakshadi rasayanam Pathyam:

- 10 gm at bedtime

Greens ,fruits , grapes ,dates,cereals , palm jaggery.

Milk is not a source of iron.

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6. Megaloplastic Anemia , CAC . w iK, FK,FHL,O L . .

Causes Deficiency of either vitamin B12,folic acid or both

Vital diagnostic points Symptoms of anemia Vitamin B12 deficiency features like peripheral neuropathy Smooth,red tongue Glossitis

Investigations Vitamin B12 Iron Hb MCV Pheripheral blood smear

13

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MEDICINES Internal
Drakshadi

kudineer

60 ml morning and night before food

Saranaiveer

choornam

10 gms with butter milk morning and night after food

Nellikkai

nei

- 15ml morning and night before food (OR)

Madhulai

manapagu

-15ml morning and night before food

Annabedhi chendhuram

1 gm with honey morning and night after food (OR)

Aya chendhuram

- 1 gm with honey morning and night after food

Pathyam Pomegranate,Greens,Ponaanganni,Karisalai,Mint,Dates,Pappaya can be taken

7. Anemia during pregnancy

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 E , J, F H CA . Vital diagnostic points Develops due to deficiency of folic acid

In severe anemic patient may feel excessive tiredness short of breath light headed

Investigations Clinical assessment Rule out metabolic diseases that cause anaemia Hb MCV Vitamin B12

MEDICINES Internal Karisalai karpam - 5gm with honey or butter milk tds after food

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 Aya chendhuram

- 1 gm with honey morning and night after food (OR)

Ayaganda chendhuram - 1 gm with honey morning and Night after food Mathulai nei - 15ml morning and night morning and night with warm water Drakshathi rasayanam - 5 gm with milk morning and night after food

To prevent constipation due to ayam intake Kadukai lehyam 5 gm with milk morning and night after food Thriphala Churnam 5 gm with milk morning and night after food

8. Idiopathic Thrombocytopenic Purpura (ITP)

Idiopathic Thrombocytopenic Purpura H F FK

G. w, bz HF FK N G. N G Auto immune .H

, bz ,,,Q .

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 A . J F . K - ANJ CP - HF C

Causes Leukaemia Lymphoma Aplastic and megalobtastic anaemia Haemophilia Cirrhosis etc.

Vital diagnostic points Bleeding in the skin Blood in urine/stool Tiny red dot often on lower limb skin Gum bleeding

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Investigations Platelet count ANA Blood smear study Bone marrow biopsy If Dengue is present Anti IgM

MEDICINES Internal
Adathodai

kudineer

- 60ml bid before food with honey (OR)

Drakshathi

kudineer

- 60ml bid before food with Honey (OR)

Raktha

santhanam + -60ml bid before food with honey

Santhanam kudineer
Kombarakku

choornam

- 5gm with honey morning and night after food

Pavazha

parpam

- 1gm with honey morning and night after food

Nannari lehyam

-10 gm before food at bed time

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 Manicka Nellikkai

ghrtam nei

- 15ml with milk at bed time (OR) - 10 ml with milk at bed time

Apathyam:

Avoid Spicy ,salty , sour ,non - vegetarian foods Avoid Sunlight Avoid anger ,alcohol

9. NOCTURNAL ENURESIS Nocturnal enuresis M FK G.

F J Cc OA.
Causes UTI Psychological

Investigations Clinical diagnosis Routine urine examination for albumin ,sugar,deposits

MEDICINES Internal Ashwagandha choornam + 1 tsp with milk at bedtime

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 Orizhal thamarai choornam + Jathikai churnam Abraka chenduram

after food

(OR)

50mg with honey moning and night after food

Vallarai nei External treatment

1 tsp with milk at bedtime

Ulunthu tailam (masha tailam) can be applied over the umbilical regions and lower abdominal regions Oil bath with bala ashwagantha lakshathi tailam can be done once a week Pathyam Avoid drinking water at night Keep the mind calm Habitual training of children to evacuate the bladder at night

10. Urinary infection Urinary infection H, A CcK

FK G. H, A ,

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, . CcK PH G Y A.
Causes Bacterial infection

Vital diagnostic signs Burning/painful micturation/chills Mild fever Frequency of urination Flank pain Common in menopause women

Investigations Clinical diagnosis /culture sensitivity Rule out Diabetic mellitus History of Dysuria,rigor in females

MEDICINES Internal

Pitta sura kudineer Suraikodi, aanai nerungil, sataveri,seenthil

- 60 ml morning and night before food boiled with water and used as drinkingwater 500ml/day -2-0-2 with kashyam (OR)

Karpoora silajit tablet

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Sudharsana mathira Nannari manabagu

-2-0-2 with kashyam -10 ml before food morning and night

Pathyam: Drink more than 3litres of water for forced diuretics. Except for renal failure Avoid usage of common toilets Take Plantain flower , sugarcane juice,cucumber Avoid spicy,sour foods

11. Viral cough

F HF FK G. Viral cough .

Vital diagnostic points Fever Headache Barking cough Hoarseness Respiratory distress

Investigations
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Clinical diagnosis Sputum analysis Chest X-ray to rule out pneumonia if fever is present

MEDICINES
Dasamoola

kudineer

-60 ml morning and night before food (OR)

Tulsi

pal kashayam choornam

-60 ml morning and night before food -5 gm with honey after food -2-0-2 after food (OR) -2-0-2 after food

Thuthuvalai Vasantha Maha

kusumara rasam

Eladi vati

External treatment
Karpoora

tailam apply around the throat

Pathyam : Dried ginger +pepper+corianderseeds are boiled with water used as drinking water Avoid Curd, milk and milk products Avoid cold foods Use water boiled with dried ginger,pepper and coriander seeds as drinking water.

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12. Wheezing Wheezing F J .

CA O Q Y , , F cA, W J ,w iK .
Causes Asthma COPD Lung cancer

Investigations Clinical diagnosis Chest X-ray If history of smoking for more than 10 years rule out COPD

MEDICINES

Virechanam - Siddhadi tailam

5 ml with hot water at bed time per Week

Dasamoola kudineer

60 ml morning and night before Food

Thuthuvalai choornam Trikatu bavanadi choornam

-5 gm with honey after food (OR) -5 gm with honey after food

24

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Swasa kudori tablet Sivanar amritham

- 2-0-2 after food -50mg with (inji) ginger juice ,morning and night after food

Pathyam: Have an early dinner ; Take dinner 3 hours before sleep Avoid strenuous exercise Avoid exposure to cold

13. Molluscum contagiosm Molluscum contagiosm

M

G. w, bz , CA .
Causes By a pox virus

Vital diagnostic points Begins as a small painless papule that may become nodule

a flesh colored

Dome shaped pearly in appearance

Itching and irritation

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Investigation: Rule out diabetes Internal :

Kodiveeli

churnam - 3 gms with honey morning and night after food

Rasagandhi

mezhugu

- 50 mg with panai vellam morning and night

Sirattai

tailam -apply on the molluscum

(OR) Pungan thailam Pathyam: Maintain the skin hygiene

14. Lichen planus-

Causes Stress Food and environmental allergens Drugs Genetic

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Vital diagnostic points Grayish,silvery,pinkish eruption Lesion is oval,round or irregular in shape Mostly on legs,back,mouth, scalp,genitals, nails Extremely itchy and scaly in naturel

Investigations Biopsy - In cases of persistent oral and vaginal lesion

MEDICINES Internal
Sivanarvembu

churnam

- 5 gms with ghee morning and night after food

Rasagandhi Neeradi Pancha Pungan

meluzhu

- 2 0 2 after food 2 0 - 2 after food butter milk for external wash External application

muthu valladi kalpa kuliyal choornam tailam

Pathyam: Wear cotton dresses Cleanliness If dryness present use coconut oil without warm .

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15. Generalized itching

EA CA .
Causes Eczema Scabies Drugs like morphine,aspirin,NSAIDs Allergy Anaemia SLE Kidney and liver diseases

Vital diagnostic points Generalised itching

Investigation : Haemogram Liver function test Serum urea Serum creatinine TSH USG- abdomen and to rule out gallstone

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 Urine routine MEDICINES Internal Virechanam Agasthiyar kuzhambu water once a week Seenthil kudineer - 60ml before food morning and night Nanjumurivu choornam Ponnavarai tablet External
Panchakalpa

25 ml with milk or hot

-5 gm with honey after food -2-0-2 after food

kuliyal churnam

for external rub

Pathyam: Take bitter vegetables , gruel +green gram one time per day pancha kalpa kulial churnam ,green gram powder for bath take karungali pattai kudineer Avoid Oily, spicy, sour foods Avoid curd, fish

16. Senile pruritis

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 A CA .
Causes Degenerative changes that occur in ageing skin

MEDICINES Internal
Parangipattai

paal kashayam

60 ml morning and night

before food
karungali

pattai kudineer

60 ml morning and night

before food
Maha

Eladi vati

- 2-0-2 after food - 2-0-2 after food

Vanmezhugu

External
Vetpalai Vetpalai

tailam tailam 100ml +

external application

external application

pungan tailam 20 ml Pathyam: Take bitter vegetables , gruel +green gram one time per day pancha kalpa kulial churnam ,green gram powder for bath Avoid Oily, spicy, sour ,curd, fish
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17. Urticaria
, , . I CA .
Causes Allergy by seafood etc. Allergy by medicines etc.

Vital diagnostic points Itchy rash Individual swelling (wheals) appear rapidly and resolves spontaneously within hours

Investigations Routine blood test Liver function test Serum urea,creatinine Urine routine Stool analysis for ova ,cyst MEDICINES Internal

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 Virechanam - Siddhadi tailam Parangipattai kudineer food Karungalli kudineer food Nanju murivu choornam Tulsi tablet Ponnavarai tablet Pathyam: Take bitter vegetables ,

- 7.5 ml with hot water at bedtime - 60 ml morning and night before

- 60 ml morning and night before

- 5 gm with honey after food - 2 0 - 2 after food (OR) - 2 0 - 2 after food

gruel +green gram one time per day pancha kalpa kulial churnam ,green gram powder for bath Avoid Oily, spicy, sour foods Avoid curd, fish

18. Drug Eruption Drug Eruption , M H,

G. H, A Y .

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Vital diagnostic points Urticarial rash Itching Eczematous reactions at the site of application

Investigations LFT Serum creatinine MEDICINES Internal Nilavembu kudineer - 60 ml morning and night before food (OR) Seenthil kudineer - 60 ml morning and night before food Nannari manabhagu Pavazha parpam -10 ml morning and night after food - 100 mg with honey morning and night after food Pathyam: Take bitter vegetables , gruel +green gram one time per day pancha kalpa kulial churnam ,green gram powder for bath
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 Avoid Oily, spicy, sour foods Avoid curd, fish

19. Photodermatitis Photodermatitis H , M

G.
Causes Excess exposure to light of varying wavelength

Vital diagnostic points Erythema Oedema Blistering commonly in face and neck

MEDICINES

Adhimadura choornam

- 5 gm with honey after food morning and night

Nannari

manabhagu parpam

- 10 ml bid after food -1 gm with honey after food

Pavazha

External
Nellaikkai

choornam mixed with water and applied over the affected

parts.

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PATHYAM : Pitha pacifying life style and foods

20. Eczema
Eczema ,HF J .c

,P ,K A Y PP. H , CA .
Causes Endogeneous Hereditary Harsh soaps and detergents,solvents,lotions Repeated wetting and drying of skin Staphylococcal infection Sweating

Vital diagnostic points Intense itching in first stage Rash appears later and is red and burns Oozes when scratched and becomes crusty

Investigations

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 Blood sugar MEDICINES Internal

Virechanam Parangi

- Kumari tailam

25 ml with hot water - 60 ml morning and night before

pattai kudineer

food (OR)
Sarakkontrai

kudineer

- 60 ml morning and night before

food
Neeradimuthu Rasagandhi

vallathi

202 50 mg with panai vellam morning

mezhugu

and night after food External

Condrai

pattai kashayam tailam

for external wash external application without heating ,(used only if there is no discharge)

Masikkai

Pathyam: Take bitter vegetables , gruel +green gram one time per day pancha kalpa kulial churnam ,green gram powder for bath

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 Avoid Oily, spicy, sour foods Avoid curd,salt fish ,cereals

21. Pityriasis rosea Pityriasis rosea .

.F, , , L

FK, AIO A.
Causes Viral infection

Vital diagnostic points Single patch on the trunk during first stage Eruption of oval pink scaly macule in later stage

Spots are often aligned along the ribs Investigations Clinical diagnosis MEDICINES Internal
Ponnavarai

tablet

- 2-2-2 after food

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 Rasagandhi

mezhugu

-50 mg with panai vellam morning

and night morning and night

Sarvanga

rasayanam

-5gm after food

External
Seemai

agathi kalimbu kuliyal churnam can be applied mixed with lemon juice

Panchakalpa

22. Paronychia Paronychia Y , .

Causes Bacterial or fungal infection

Vital diagnostic points Redness Swelling Pus collection Pain and tenderness

Commonly seen in persons engaged in wet work Investigations Clinical diagnosis

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 Rule out blood sugar MEDICINES Internal

Arugankattai

kudineer

- 60 ml morning and night before

food
Rasagandhi

mezhugu

2 gm with panai vellam morning

and night morning and night

Sudharsanam Neeradi

2 0 2 after food - 2 0 - 2 after food

muthu valladi

External

Pungan tailam for nail application

Pathyam:

Maintain nail hygiene Take calcium rich foods like milk

23. Acne vulgaris Acne vulgaris F HF H

FK . ,H A FK , , CA .

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Causes Inflammation of sebaceous gland due to imbalance of androgen

Vital diagnostic points Mainly seen over face, chest, back Black heads with papules, pustules In severe cases, cysts and scars

Investigations Clinical diagnosis MEDICINES

Parangi pattai kudineer 60 ml morning and night before food Nanju murivu choornam-5 gm with honey after food Sudharsana vati- 2-2-2 after food

External

Nellikkai choornam add with water apply to face

Pathyam: Avoid fatty foods Frequently wash the face Milk and milk products Avoid oily foods and deep fried oily foods

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24. Prickly heat

H FKF F . .
Causes Blockage of sweat ducts

Vital diagnostic points An itchy rash of small raised rod spots Seen on face, neck, back, chest &thighs Infants and obese people are more susceptible

Common in hot moist weather Investigations Clinical diagnosis MEDICINES Internal Nelavembu kudineer food Venthamarai choornam Manicka ghrtam External - 5 gm with milk after food - 15ml after food morning and night 60 ml morning and night before

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 Pinda tailam external application Pathyam

Avoid foods which increase pitta Take bath twice a day Avoid spicy,sour ,salty,oily foods Avoid exposure to sunlight 25.Vitiligo w

Vitiligo L H FK G. H FK .
Causes Auto immune disease

Vital diagnostic points It is progressive although spontancous repigmentation may occur Symmetrical white or pale macule appear on the sun exposed areas of the skin More seen in dark skinned races

Investigations Clinical diagnosis MEDICINES

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Internal Kumari tailam virechanam once a month ,15 ml with hot water in empty stomach Karpokiarisi( bavanai with cows urine) Karisalai karpa choornam after food Kodivelli churnam after food Ayakantha chenduram Panchakavyam External Pungan tailam + Siddhadi oil external application Pathyam

- 3 gm

bid after food

3 gm with honey morning and night

- 3 gm with honey morning and night

2-0-2 after food 20 ml at bedtime

Avoid sour foods Reduce stress Can practice yoga to increasethe mental strength

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26. Fissure in sole Fissure in sole F HF FK G. Investigations Clinical diagnosis MEDICINES Internal

Sivanar vembu churnam after food

2 gm with ghee morning and night

Parangipattai rasayanam Sarvanga rasayanam mezhugu

- 5gm after food (OR) - 5 gm after food - 50 mg with panai vellam morning

Rasagandhi

and night External medicine :

Vetpalai

tailam +ghee +panda tailam external application

Note :

Keep the legs immersed in kaadi water

Pathyam

Wear socks to avoid foot contact with earth to avoid friction Wash the legs with warm water,wipe it cleanly and apply oil Avoid dry foods that increase vata

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27. Left ventricular failure M G. M M A. M FK . J pumping , c .

Vital diagnostic points Dysponea especially nocturnal Orthopnoea (breathlesness that prevents from lying down) Frothy blood tinged sputum Hypertension

Investigation Hb S.Urea S.creatinine Random blood sugar ECG ECHO

Serum electrolytes MEDICINES

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Internal
Dasamoola

kudineer

60 ml morning and night before

food (OR)
Neermulli

kudineer

60 ml morning and night before food

(OR)
Mandooradi

kudineer

60 ml morning and night before

food

Kasthuri mathirai Gorochanadi tablet

- 2-0-2 after food (OR) 2-0-2 with kashyam after food (OR)

Poorna chandrodayam mathirai 2-0-2 with kashyam after food (OR)

Kadukkai mathirai

2-0-2 with kashyam after food (OR)

Marutham tablet

2-0-2 with kashyam after food (OR)

Sivanar Amrutham

2-0-2 with kashyam after food (OR)

Sirunga paeradi tablet rasayanam choornam

2-0-2 with kashyam after food - 5gm morning and night after food -5 gm morning and night with honey after

Thippili

Kirambu

food
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Thanga parpam after food

-1 gm morning and night with honey

Pathyam Lying down in prone up position

Apathyam Excess heavy,oily foods Excess exertion etc.

28.Filariasis Filariasis M FK G. F ,
, G FK A.
Causes Nematodes-Wuchereria bancrofti Brugia malayi through mosquitoes

Vital diagnostic points High fever with rigors Nausea and vomiting during attacks Swollen, firm, tender lymph glands Itching, irregular erythematous swelling of skin scattered over the body

Investigations Clinical diagnosis

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MEDICINES Internal
Dasamoola

kudineer

60 ml morning and night before

food (OR)
Parangipattai

kudineer

60 ml morning and night before

food (OR)
Nilavembu Nanju

kudineer

60 ml morning and night before food - 5 gm with honey after food 2-0-2 with kashyam (OR) 2-0-2 with kashyam (OR) 2-0-2 with kashyam -5 gm bid after food

murivu choornam vati mathirai guligai

Sudharsana

Parangipattai Chitramooladi Maha

valladi lehyam

If fever is present take brahmananda bhairavam External

Panchakalpa

kuliyal choornam

Pathyam Wheat, barley,kollu Garlic, brinjal

Apathyam Milk products, jaggery,sweet juice, Take rest during fever

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29.Chronic lymphatic leukemia

F CAC .
Causes Genetic mutation in the DNA of blood producing cells leading to the production of abnormal ineffective lymphocytes Vital diagnostic points

Non tender lymph node enlargement Anaemia Hepato splenomegaly Lymphocytosis

Leukocytosis

Investigations Blood - DC,TC FNAC in the enlarged lymph glands Biopsy

MEDICINES Internal

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 Manduradi karisalai

kudineer 60 ml morning and night before food

kalpa choornam -5 gm with honey after food rasayanam - 5gm after food

Drakshadi 1

glass of butter milk + trikatu choornam 3 gm + Ayakantha chenduram 1 pinch morning and night after food

30.Anxiety Anxiety F M FK G. Q
CA .
Vital diagnostic points Feels sick/frightened during a short period Excessive perspiration and sighing respiration Skeletal muscle tension Functional gastrointestinal disorders tachycardia, fainting Genito-urinary dysfunction Hyperventilation syndrome - urinary frequency,dysuria - dysponea, dizziness etc. - tension headache ,back ache - amorning and nightominal pain,

MEDICINES Internal
Vallarai

choornam

-5 gm with honey after food (OR)

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 Gnanavalli Vani

choornam

-5 gm with honey after food

ghrtam ghrtam

10 ml with milk at night after food (OR) 10 ml with milk at night after food - 5 gm morning and night after food

Gnanavalli Drakshadi

rasayanam

External
Chittramutti

madakku tailam external application

Pathyam Practice pranayama &breathing exercise Practice meditations

Apathyam Avoid stress

31.Depression Depression F G FK .
J G FKA. F A. iK .
Vital diagnostic points Loss of pleasurable interest Severely depressed seems gloomy ,hopeless and loss of selfesteem Thinking ,speech and movements are slowed Anorexia and weight loss

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Restlessness and insomnia

MEDICINES Internal
Kirambu

choornam

-5 gm with honey morning and night after

food
Gorochanadi Kunkumapoo Purna

tablet mathirai

2-0-2 with kashyam (OR) 2-0-2 with kashyam (OR) 2-0-2 with kashyam - 5gm morning and night after food -1 gm with honey morning and night

chandrodayam rasayanam

Thippili

Sangu parpam after food

Pathyam Engage mind in interesting hobbies Practice prayer / Meditation Listen music Walking

Apathyam Avoid stress

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32.Ischemic heart disease

F H A. FK .
Causes Cigarette smoking Uncontrolled hypertension Uncontrolled hyperlipidemia Uncontrolled diabetes Family history

Vital diagnostic points

Sudden chest pain(Angina pectoris) Cardiac infarction

Ischaemic cadiomyopathy

Investigations RBS Serum creatinine Homocysteine HbA1c

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Lipid profile ECG TMT/Echo to assess atrial fibrillation

MEDICINES Internal
Dasamoola

kudineer 60 ml morning and night before food paal kashayam - 60 ml morning and night before food

Maruthampattai Kasthuri

mathirai 2-0-2 with kashyam (OR) mathirai 2-0-2 with kashyam (OR) mathirai 2 0 2 with kashayam choornam -5 gm with honey morning and night after food

Marutham

Gorochanai

Venthamarai Thippili

rasayanam - 5gm morning and night after food

Apathyam Chicken, pork, beaf, butter, spicy food items milk products etc. Alcohol, smoking Avoid sedentary life by daily exercise and yoga.

33.Chronic bronchitis
M FK G.
Causes Viral or bacterial infection

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Untreated acute bronchitis

Vital diagnostic points Productive cough of longer duration (atleast 2 years) Dyspnoea in advanced cases Fever is absent except during acute exacerbations Severe weight loss

Investigations Chest X-ray Forced expiratory spirometry

MEDICINES Internal

Kapha sura kudineer food

60 ml morning and night before

Nilavembu kudineer food (OR)

- 60 ml morning and night before

Seenthil churnam

- 5 gms with honey morning and night after food

Maha vasanta kusumaraharam Mantharai gugullu Vettumaran

2 0 - 2 with kashayam (OR) - 2 0 2 with kashayam (OR) - 2 0 2 with kashayam

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Nellikkai lehyam Vallathi lehyam Pavazha parpam

- 5 gm bid after food (OR) - 5 gm morning and night after food -1 gm with honey after food

External

Karpoora tailam external application Thuthuvalai should not given

Apathyam Cigarette smoking, dust, cold exposure, heavy exercises,curd, ice creams etc. Pathyam: Do pranayamam Consume food and drinks warm Take dinner early by 7 8 p.m

34.GOUTY ARTHRITIS

H E . O H FK G, F G.H .
Causes Purine rich foods like asparagus,chicken, mushroom, sweet breads, alcohols
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Vital diagnostic points Severe pain on one or more joints mostly at night Swelling, redness and warmthness of affected joints Fever and chills

Investigations

Blood

-Hb ESR RA factor uric acid

Urine routine MEDICINES Internal

Virechanam

- Kumari tailam

25 ml with milk in morning in empty stomach

Neermulli Seenthil

kudineer

60 ml morning and night before food.(OR) 60 ml morning and night before food.

kudineer

(OR)
Pitta

sura kudineer vati

- 60 ml morning and night before food 2 0 - 2 with kashayam

Sudharsana

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 Seenthil

tablet

2 - 0 - 2 with kashayam

External
Sivappu

gukkil tailam

external application ,without heating the oil

Pathyam Wheat, milk. Nelli,peipudal,nerungil

Apathyam Day sleep Meat, fish,chicken,mushrooms, alcohol, almond,nuts etc.

35.Ankylosing spondylitis
H G. GJ H, FJ F F OF . L H, H F , H Q CA . F .vF C. YF ,FHL C .
Causes Autoimmune disease

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Vital diagnostic points Pain and stiffness of the lumbar spine Malaise,fatigue and loss of weight Kyphosis and bent knees Usually men between the ages of 15 to 35 years are affected
Investigations Hb, ESR,CRP X- Ray Lumbar spine AP and LAT VIEW X-ray pelvis to rule out sacro ilietis HLAB 27 in blood Urine routine

MEDICINES 1st stage Internal

Virechanam - Kumari tailam

25 ml with hot water in empty stomach

Neermulli

kudineer kudineer

60 ml morning and night before food (OR) 60 ml morning and night before

Parangipattai

food (OR)
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 Seenthil

kudineer

60 ml morning and night before

food
Seenthil

tablet

2 0 - 2 with kashyam (OR) 2 0 2 with kashyam

Vathamadakki

External
Patru

Moosambara patru

2nd stge
Drakshadi Seenthil

kudineer

60 ml morning and night before food (OR) 60 ml morning and night before

pal kashayam

food
Thippili

rasayanam rasayanam

5 gms morning and night after food 5 gms morning and night after

Gandaka

food
Parangi

rasayanam

5 gms morning and night after food

External
Chittamutti Sivappu

madakku tailam

Kukkil tailam

3rd stage Internal

Serangkottai Idivaalathi

nei - 1 tsp with milk at night after food

melughu 1 0 1 after food

Pathyam
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Do swimming, blow balloon Sleep in prone position Lumbar extension exercises to increase the lung capacity as there is a chance for interstitial lung diseases

Apathyam Avoid cold foods Avoid spicy, sour,salty foods Deep fried oily food stuffs Stress travel

IP treatment is better

36. Gonorrhoea Gonorrhoea H CA .

Causes Sexually transmitted disease Causesd by bacterium Neisseria gonorrhoea Affects the genital mucous membarances of either sex

Vital diagnostic points Symptoms develop about a week after infection

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 Pain on passing urine Discharge of pus from penis (in men) or vagina(in women Investigations GTT Smear study USG Abdomen and pelvis, to rule out Pelvic inflammatory disease MEDICINES Internal
Madhumeha

kudineer

60 ml morning and night before

food (OR)
Parangipaatai

kudineer

60 ml morning and night before

food (OR)
Madhumega

Kudineer

- 60 ml morning and night before

food
Kalarchi

churnam

5 gm with honey morning and night

after food (OR)

Seenthil

churnam

5 gm with honey morning and night

after food (OR)

Orithazhthamarai

churnam

- 5 gm with honey morning and night

after food (OR)

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 Kombarraku

churnam

3 gm with honey morning and night

after food
Vilvam Silajit Velli

tablet

2 0 - 2 with kashyam (OR) 2-0-2 with kashyam (OR) 100 mg with honey morning and night

mathirai

parpam

after food
Padigapoongavi

chenduram

50 mg with honey morning and

night after food

Parangi

rasayanam

- 5 gms morning and night after food

External
Masikkai

tailam Dip with cotton keep in vagina

Pathyam Maintain sexual hygiene Use cotton undergarments

37. EPISTAXIS Epistaxis M H FK G. H , Q , Y iK .

Essentials of diagnosis Bleeding from nose. The commonest causes are

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1. Hypertension, 2. Acute exanthemata, 3. Bleeding and coagulation disorders, 4. Intranasal polyps, 5. Malignancy, 6. Leukaemia, 7. haemangioma of nose, 8. Telangiectasis and injury to nasal structures. Investigations Check blood pressure Bleeding time clotting time APT time Platelet If fever is present rule out dengue fever). PNS X- ray

medicines:

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Internal Adathodai kudineer with honey. Kombarakku pal kashayam (5gm of kombarakku+60ml of milk) - 60ml at bed time. Sudharsanam vati Pavala parpam night . Nannari lehyam Venpoosani lehyam - 20gm bed time - 20 gm at night after food 202 - gm noon with ghee morning and - 60ml morning and night before food

Thanneervittan nei food External Nasyam:- Extract of adathodai leaves For prophylaxis Drakshadi kundineer before food Nelikai nei
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- 10 ml with milk at night after

- 2/2 each nostril.

- 60ml morning and night

- 10ml night take for one month

Pathyam Banana, jack fruit, almond, sugar cane, dadima, ghee, apple,honey,sugar

Apathyam Wrestling, roaming under direct sun Kulatha, jaggery, brinjal, garlic, masha Citrus products

38. DYSMENORRHOEA Dysmenorrhoea M J .

M Y FK , C FK . M Y J w iK,
Essentials of diagnosis Painful menstruation Anxiety and worry may cause dysmenorrhoea. Pain sensation arises in uterus and is related to muscle contraction. It starts just before and after menstruation and lasts about 12hours. Pain is colicky in nature starting in hypogastrium and radiates to inner thighs and never goes below knee.

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Investigations

Clinical diagnosis
USG abdomen and pelvis

medicines Internal: Kollu kashayam Kunma uppu with hotwater food (3 days before the cycles). Ashtavarga choornam with jeeraka kashayam or with lemon juice Poondu lehyam Pattu karuppu +Juice of Ginger Madhulai Nei + Induppu . Other single medicines - 3 gm at night after food - morning and night - 1 tsp at bed time. - 100mg bid after food 7 days. -20 ml - 60ml morning and night - 2 gms morning empty stomach before

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Pomegranate, sesame, ginger, curry leaf,perungayam,kollu also given .

Pathyam Take light food Take more masha, kulatha, dadima, mulaka, ginger, tila taila etc.

Apathyam Avoid potato, gassy food habit Avoid constipation, indigestion

39. AMENORRHOEA
Amenorrhoea M HF FK G.

H . Y FK F A. CA O F HF H FK J w iK . Essentials of diagnosis Unphysiological absence or cessation of menstruation due to local, constitutional, psychogenic and endocrinal factors. Physiological amenorrhoea is found in pregnancy, before puberty, after menopause and during lactation (lactation amenorrhoea). Primary amenorrhoea may be due to psychic shock, anorexia nervosa, psychosis, depression, ovarian dysgenesis, infantile or hypoplastic uterus.

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Secondary amenorrhoea may be due to chronic illness, i.e tuberculosis, malnutrition/anaemia and obesity.

Investigations: FSH/LH/Prolactin: - 2nd day of cycle. Thyroid profile test. USG pelvis.

medicines Internal Vari kumatti capsule -1-0-1 before food. It will produce purgation. Or Kunnuma uppu for purgations once a week,3gms with lemon juice morning empty stomach Kadukkai churnam - 10 gms with hot water at night after food Maavilangappattai kudineer + Kollu kudineer 60 ml morning and night before food

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Trikatu churnam after food (OR)

- 3 gms with honey morning and night

Asokkapattai churnam after food

5 gm with honey morning and night

Poorna chandrodayam Pattukaruppu with ginger juice

2 0- 2 - 100mg morning and night afterfood

Inji lehyam

- tsp afterfood morning and night after food.

External: Karpoora tailam warm and apply in lower abdomen.

Pathyam: Avoid the foods which increase kapha Take pomegranate , dates, ulunthu , Avoid salty , oily , sour , foods

40. PREMENSTRUAL TENSION

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Premenstrual Tension M , H FK G.

, H Q aM L . Essentials of diagnosis Period of premenstrual tension varies from 3 to 10 days before menstrual period. Heaviness of breasts due to congestion and fluid retention. Heaviness of lower abdomen. Migraine and ocular disturbances. Tachycardia and hot flushes. Psychogenic imbalance i.e irritability, anxiety, depression, fear, impulses of aggression and destruction. Investigation: Clinical diagnosis No other investigations are needed.

medicines Internal Kadukkai choornam 10 gms with hot water at

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for purgation once a week Orizhal thamarai choornam

night after food. - 1tsp bed time with milk.

Kumari lehyam or Sataveri lehyam -15 gm before food morning and night. Nar pavala parpam - 1gm after noon with ghee

External Sittramutti madaku tailam - apply on the head and can be used for nasyam If oedema present nerungil+ sadhavari kudineer -20 ml /day

Diet to reduce the increased the pita are taken Pathyam Counselling to the patient and family member

Apathyam stress excess hot,spicy food items

41. LEUCORRHOEA

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Leucorrhoea F , Q F HF FK G. FK , . Essential of Diagnosis Excessive normal discharge, white or cream when fresh but leaves brown yellow stain on clothing. It may cause excoriation and soreness of vulva but no pruritus and is never offensive. Microscopically it contains mucus, epithelial debris and organisms of various kinds. If pus is not found then only it a true leucorrhoea.

Investigations Rule out UTI and DM In chronic cases USG abdomen ,paps smear.

medicines Internal Meharajanga kashayam - 60 ml with honey before food morning and night.(OR) Madhumega kudineer - 60 ml with honey before food morning

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and night. Ashoka pattai choornam Kungiliya parpam - tsp with honey morning and night. - 100 mg with honey morning and night after food.(OR) Karpura silajit - 100 mg with honey morning and night after food Padika poongavi chenduram Nannari manapagu - tsp with honey morning and night. - 10 ml morning and night after food

External: Kumari oil - Dip in cotton and keep in vagina.

Pathyam Banana, jack fruit, almond, sugar cane, Pomegranate, ghee,

apple,honey,sugar Apathyam Roaming under direct sun Kollu, jaggery, brinjal, garlic, Ulunthu Citrus fruits

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excess tea, cofee

42.HABITUAL ABORTION
Habitual Abortion F HF F FK

G. CA O , F , F vF FK J Q . Essentials of diagnosis Three consecutive pregnancies ending is spontaneous abortion.

Investigations

Rh incompatibility test VDRL positive for syphilis thyroid function test for hypothyroidism blood sugar estimation for diabetes Anti phospholipid antibodies
study of the chromosome patterns of wife and husband are to done.

medicines Internal Alam mottu paal kashayam morning and night. - 60ml with honey before food

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Orithal thamarai choornam Karpa sanjeevi tailam Or

- 20gm at night with milk - 10 ml night once a week

Malai vempathi tailam + glass of milk - once a week. Ulunthu kali (100gms) take daily.

Nasyam Chittramuti madakku tailam - 2 drop for each nostrils before food

Pathyam Ulunthu,Gingely oil should be included in the diet

Apathyam Exercise, Depression,fear

43. DYSFUNCTIONAL UTERINE BLEEDING DUB F HF HF w, bz

AP FK G. E J , Y iK, H . Essential of Diagnosis Bleeding from a non-inflammatory non-neoplastic uterus. There may be history of amenorrhoea for 1 to 2 months followed by irregular bleeding.
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75 percent patients are of paramenopausal age group. Psychic or emotional disturbances.

Investigations Hb FSH,LH on the second day of menstruation Urine routine USG abdomen and pelvis to rule out fibroids

Medicines Internal Kombarakku + Parchottri + Thottalchinungi pal kashayam - 60 ml before food morning and night Padika poogavi chenduram Asoka patai choornam Manicka ghrtam Sataveri lehyam Pathyam
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- gm with honey morning and night.

- 20ml at bed time. - before food morning and night.

Banana,

jack

fruit,

almond,

sugar

cane,

Pomegranate,

ghee,

apple,honey,sugar Apathyam Roaming under direct sun Kollu, jaggery, brinjal, garlic, Ulunthu Citrus fruits excess tea, cofee

44. ACUTE GASTRITIS Acute gastritis HF HF H FK FK H, JP A K, L L P . 1st stage Bitter taste and sweet taste medicines are given

IInd stage Sweet taste medicines are given.

Essential of Diagnosis Anorexia, epigastric fullness, nausea. Diarrhoea, colic, haematemesis, fever, chills, headache and malaise are common when caused due to toxins or infections.

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Epigastric tenderness present. Endoscopy differentiates acute simple gastritis from erosive gastritis, peptic ulcer or a mucosal laceration (Mallory-weiss syndrome).

Investigation: If recurrent more than 6 months upper GI endoscopy.

Medicines

Internal

Seenthil kudineer -60 ml morning and night before food (OR) Drakshathi kudineer
(OR)

60 ml morning and night before food

Pitta jvara kudineer (OR)

60 ml morning and night before food

Adhimadura choornam (OR)

- 1tsp with ghee morning and night after food.

Venthamarai choornam Sadaveri lehyam Triphala karpam Nannari manapagu Sangu parpam

- 1tsp with honey at night after food. 10 gms morning and night after food 2 2 2 after food - 20ml before food morning and night. - 1gm with manapagu

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Pathyam Avoid coffee,tea ,pain killers ,spicy,oily foods , If 40 yrs late night sleep,aspirin abuse,alcohol,carbonated drinks Bland soft diet. Avoid NSAID,Pain killers,

45. NAUSEA AND VOMITING

Nausea and Vomiting p

F . G CA p J, W J . Indigestion with upward movement of vayu. To cure indigestion To facilitate the downward movement of vayu.

Simples cause of vomiting are: Alimentary disorders, irritation, inflammation or mechanical disturbances at any level of GI tract. Central nervous system increased intracranial pressure, stroke, migraine, infection, toxins and radiation sickness.

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Endrocrine disorders-Diabetic acidosis, adrenocortical crisis, pregnancy, starvation, lactic acidosis.

Drugs-Morphine, meperidine, codeine, anticancer drugs.

Psychological disorders-Reaction to pain, fear or displeasure, chronic anxiety reaction, anorexia nervosa, psychosis.
Investigations If chronic ,serum bilirubin Serum amylase USG Abdomen and pelvis S.electrolytes Urine routine Stool analysis

Medicines Internal Vilwadi kudineer Samchakra sanjeevi Churnam Seerana sanjeevi tablet Mayilereghu sutta parpam kashayam. - 60 ml morning and night before food - 5 gms with kashayam before food - 2 - 2 - 2 after food with kudiner. - 1gm morning and night with nelpori

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Inji lehyam peptic ulcer

-1/2 tsp morning and night if there is no

Pathyam Pomegranate,lemon,jaggery,laja Coconut,Amalaki ,grapes,berry

Apathyam Fear ,warm,oily, incompatible ,displeasing food items Bitter gourd Exercises

46. URAEMIA
Uraemia M H FK

G. H . H . Essential of diagnosis Headache, vertigo, muscular weakness and twitching. Apathy and inability to concentrate, restlessness neuralgic pains. Reflexes exaggerated. Dryness of mouth ,tongue coated brown or grey. Anorexia, polydipsia, nausea and vomiting.

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Ammonical odour of breath. Uraemic frost-Deposition of greyish white crystals mostly on the face,neck and chest.

Laboratory findings Elevation of non protein nitrogen in blood. Oliguria with low specific gravity. Blood uric acid elevated. Serum creatinine - elevated and chlorides diminished. Hb S.calcium Urine routine Urine microalbumin USG abdomen and pelvis

medicines Internal Nilavembu kudineer Neermuli kudineer - 60ml morning and night before food (OR) - 60ml morning and night before food (OR)

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Seenthil kudineer Mandurathi kudineer

- 60ml morning and night before food (OR) - 60ml morning and night before food (OR) 5 gms with kudineer

Amrutha sanjeevi churnam Silajathu tablet Nilavembu tablet Kadukai lehyam

- 2-0-2 with after food (OR) - 2-0-2 after food - 10 gm with hot water at night after food (for 3 days) (OR)

Note

Sathavari lehyam

10 gm morning and night after food

Nerunjil, elaneer, sathavari these are used only in polyuric uraemia. Siddhathi oil -3 to 5 ml used for purgations once a week Apathyam Excess intake of water Salt (75gms/24hrs) Excess protein

47. TAPEWORM INFESTATION

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F Q Y FK F F A. Q Y J AI . Essential of diagnosis Passage of segments of the worm in the stool. Vague abdominal pain,occasionally diarrhea. Characteristic eggs in the stool. Brain cysticercosis manifests as seizure, mental deterioration and hydrocephalus. THREADWORM TAPEWORM INFESTATION J F J CA . Adult worms in the colon and rectum. Gravid female emerges from the anus to deposit the eggs on the perianal skin. These eggs if swallowed liberate the larvae which mature in intestines. Essentials of diagnosis Anal and perianal itching. Loss of appetite, abdominal discomfort. Girls may develop vulvovaginitis. Under microscope ova can be seen.
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Investigations Stool-cyst, ova, occult blood

medicines Internal

Kumari oil for purgations

- 20 ml at nigh t

( Note: do for one week and repeat after 21 days ) Vaividanga choornam Murumurukkan vithu tablets Kakkanam vithai tablets
Pathyam Proper sanitation and hygiene. Avoid Tamarind ,caurd , greens

- 5 gm morning and night after food -2 at night after food 2-0-2 after food

Note: Same treatment for all worm infestation

48. STROKE F HF FK F A. w iK, J .

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Essential of Diagnosis Sudden onset of neurological deficit. Prolonged coma is uncommon unless there is cerebal haemorrhage or massive brain oedema. Convulsions may occur at outset. Advanced atherosclerosis, hypertension or a source of embolus are evident. Prior history of transient ischaemic attacks, or reversible ischaemic neurological deficit. The neurological deficit may be in the form of aphasia, haemiplegia, hemianaesthesia, cranial nerve deficit, deaf mutism or a movement disorder depending upon the area of brain involved, Ct scan shows the infraction or haemorrhage. Investigations Hb,ESR S.Urea S.Creatinine S.Electrolytes Urine - Routine

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CT ,MRI -Brain

In young age ECG to rule out atrial fibrillation ANA to rule out vasculitis Carotid-vertebral Artery Doppler to rule out atherosclerosis

In smokers Homocystine

medicines

Internal Virechanam - Siddhathi oil Dasamoola kudineer food Amukkura churnam after food
Karuppu Vishnu chakra tablet Gnanavalli tablet Poorna chandrodayam Chandamaruda chenduram -2-0-2 after food (OR) -2-0-2 after food (OR) -2-0-2 after food -50 mg with honey morning and night

5 ml once a week - 60 ml morning and night before

5 gms with milk morning and night

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Chitramutti madaku tailam food

1 tsp with milk at night after

External : Masa tailam

Pathyam Physiotherapy is to be done Control DM,BP and cholesterol vigourously

Apathyam Avoid constipation, cold exposure Sweets,fatty foods Smoking,alcohol,tobacco

49. RAISED INTRACRANIAL TENSION F HF FK F A. J J . , C. Essential of diagnosis Generalised headache, projectile vomiting without nausea. Deterioration of consciousness and mental function. Feature of brain herniations.

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Evident primary cause like tumour, haemorrhage, massive infarction or infection.

Investigations CT scan shows hypodense diffuse areas. MRI brain Neurological examinations

medicines

Internal
Siddhadi oil Mandurathi kudineer Neermulli kudineer 10 ml for purgation. - 60ml morning and night before food (OR) - 60ml morning and night before food

Marutham mathirai

- 2 - 0 2 after food

Karpoora silajathu parpam - 1gm with honey tds after food

kadukkai lehyam time(OR) Sataveri lehyam after food

1tsp with hot water at bed

- 1tsp with milk morning and night

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External: Talam - Chukku tailam + siddhathi tailam.

50. PARKINSONS DISEASE Parkinsons disease I x M FK G. F FK F L P A. J . Essentials of diagnosis Rigidity, akinesia. Pill rolling action tremors. Previous history of encephalitis, drug intake.

Investigations Diagnosed clinically

Medicines Internal Poonaigali choornam food (OR) Amukkura choornam (OR) - 1 tsp with milk morning and night after food - 10 gm with honey morning and night after

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Maha eladi choornam food

- 1 tsp with ghee morning and night after

Karuppu vishnu chakra tablet - 1-0-1 with hot water after food Kshyakulantaga rasam - 1-0-1 with hot water after food

Tailam: chittamutti tailam- 10 ml with milk at bed time

External : Masha tailam for external application

Pathyam Walking exercise with or without support

Apathyam Avoid abhisyandi, snigdha aharas

51. NEPHROTIC SYNDROME Nephrotic syndrome H .

, C CA .
Essential of diagnosis Proteinuria, specially albuminuria.

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Hypoproteinaemia with reversal of normal albumin globulin ratio. Hypercholestrolaemia. Lipiduria with oval fat bodies and lipid crystals in urine. Oedema in the form of ansarca and effusion.

Investigations Blood pressure Hb S.urea Serum cholesterol Serum albumin Serum globulin A/G ratio Urine microalbumin Urine routine

Medicines Internal Siddhadi oil for purgations - 3 ml once in a week Manduradi kudineer - 60 ml morning and night before food (OR)
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Neermulli kudineer Madhumeha kudineer Triphala kudineer Kadalazhinjil kudineer

- 60 ml morning and night before food (OR) - 60 ml morning and night before food (OR) - 60 ml morning and night before food (OR) - 60 ml morning and night before food (OR)

Mavilanga pattai kudineer - 60 ml morning and night before food Vilwam tablet Thani Seenthil tablet - 2-0-2 after food (OR) - 2-0-2 after food (OR)

Karpoora silajathu parpam - 1 gm with kashyam before food Arumuga chenduram food - 50 mg with honey morning and night after

Manicka nei
Kadukai lehyam

- 1 tsp with milk at night after food

- 1 tsp with hot water at bed time

Pathyam Avoid sweet, salt rich foods Avoid kapha increasing diet

52. MYASTHENIA GRAVIS

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Myasthenia gravis M FK G. M J . Essentials of diagnosis Drooping or eyelids towards evening. Diplopia, weakness in chewing, swallowing and speaking. Muscle weakness progressively increases as muscles are used. Pupils are never affected and muscle involvement is bilateral. Common in females in third decade. Decremental response more than 10 percent on EMG. Positive edrophonium and neostigmin tests.

Investigations Clinical diagnosis Anti acetylcholine antibody in blood

Medicines Internal: Aswagandha choornam food (OR) - 1 tsp with milk morning and night after

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Orithal thamarai choornam food

- 1 tsp with milk morning and night after

Vasanta kusumaraharam Kasthuri gulika Gorochanadi tablet Poorna chandrodayam Karuppu vishnu chakra tablet Poondu lehyam (OR)

- 2-0-2 after food (OR) - 2-0-2 after food (OR) - 2-0-2 after food (OR) - 1-0-1 after food (OR) - 1-0-1 with hot water after food - 1 tsp morning and night after food

Narasimha lehyam (OR)

- 1 tsp morning and night after food

Dhatu kalpa lehyam Chittamutti madakku tailam Chanda maruda chenduram

- 1 tsp morning and night after food - 1 tsp with milk at night after food - 100mg with honey after food

External: Masha tailam Vata kodari tailam

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Pathyam Physiotherapy is adviced

Apathyam Excess dry food,cold food items Excess exercises etc.

53. MULTIPLE MYELOMA Multiple Myeloma x M , FK G. FK F O P A. , c . Essential of Diagnosis Bone pain,bone fracture on trivial trauma. Recurrent infection,weight loss. Raised ESR and serum globulin. Bence-jones proteinuria. Immature and atypical plasma cells in bone marrow. Monocional bands in serum immunoelectrophoresis.

Investigations CT bone
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MRI - brain Serum electrolytes Urine analysis- presence of Bence- Jones Protein Blood examination - ESR Alkaline phosphate S.Calcium S.phosphorus USG abdomen

Internal medicines Dasamoola kudineer Parangi pattai kudineer Pitta jura kudineer - 60ml morning and night before food (OR) - 60 ml morning and night before food (OR) - 60 ml morning and night before food

Thamara kattu chenduram - 50 mg with honey morning and night after food

Narasimha lehyam Nannari lehyam

- 1 tsp morning and night after food (OR) - 1 tsp morning and night after food

Nava pashana mezhugu - 500 mg morning and night after food (OR)

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Idivalladi mezhugu Cherankottai nei

- 500 mg morning and night after food - 10ml with milk morning and night after food

External : Masha tailam for external application. 54. PLANTAR FASCITIS F HF H FK G. FK H Y iK . Cause Due to repeated pressure of the calcneum over the plantar fascia.

Investigations ESR Serum uric acid RA factor Urine routine X-ray calaneum or foot with ankle joint- AP&lateral view

Treatment To reduce the vitiated kapha and vata Ushna virya drugs are chosen.

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Medicines Internal: Dasmoola kudineer (OR) Varma kudineer - 60 ml morning and night before food - 60 ml morning and night before food

Karuppu Vishnu chakra mathirai - 1-0-1 with hot water after food Chanda marudham chenduram - 100 mg with honey morning and night after food

External: Vasavu oil Ulunthu tailam Vata kodari tailam

Pathyam Take shorter steps while walking Weight reduction to be done Well filling supportive shoes to be used

Apathyam Avoid walking barefoot. 55. OSTEOPOROSIS

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vF M FK G. FK HM . CA O

H FK . , . C Causes Lack of oestrogen Age related calcium deficiency Idiopathic Secondary osteoporosis by chronic kidney failure,Diabetes mellitus, Drugs like corticosteroids Vital diagnostic points Severe sudden pain or gradually developing aching pain Deformities

Investigations

X-ray DEXA Scan Blood tests to measure calcium and phosphorus

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Medicines Internal Sesame ball Seenthil pal kashayam - 30 gm with coconut water at bed time - 60 ml morning and night before food (OR)

Kombarakku pal kashayam - 60 ml morning and night before food Amukkura choornam Pirandai parpam Pavazha parpam Muthu parpam Narasima lehyam - 1 tsp with milk morning and night after food - gm with honey after food (OR) - gm with honey after food (OR) - gm with honey after food - 1 tsp with milk after food

External : Aswagandha lakshadi tailam Lakshadi tailam Exposure to sun light is advised Pathyam Adequate amount of calcium and vitamin D Weight bearing exercise to be done Estrogen replacement therapy in postmenopausal woman
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Stand in sunlight 20 minutes every day

56. OSTEOMYELITIS
x M H FK G. x F H. F HF H FK G . H J . . FJ Q CA . Causes Acute Chronic - bacteria enteres the bone via blood stream - Untreated osteomyelitis - After open fractures - After surgery during which the bone is contaminated - Tuberculosis Vital diagnostic points Acute - Severe pain Tenderness Redness over involved bone

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High fever Chronic - Fracture and deformity of bone

Investigations RBS Hb Alkaline phosphatase CT bone

Medicines: Internal: Parangipattai kudineer - 60 ml morning and night before food (OR) Seenthil kudineer - 60 ml morning and night before food (OR)

Seenthil pal kashayam - 60 ml morning and night before food Cherankottai nei Peranda parpam - 1 tsp with milk morning and night after food - 100mg with honey morning and night after food

Rasagandhi mezhugu - gm with jaggery after food (OR) Nandhi mezhugu - gm morning and night after food

External :

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Triphala choornam for wash wound.

Pathyam Avoid foods which increase pitta

57. Infertility/oligospermia
Infertility / Oligospermia A G. FK, HM FK J Q . Investigations Semen analysis 5 days after intercourse

Medicines Internal Siddhadi oil Poonaikali pal kashayam - 10 ml for purgation once a month - 60 ml morning and night before food

Orithazh thamarai choornam - 1tsp with millk morning and night after food (OR)

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Jathikai powder (OR)

- 5 gm with milk morning and night after food

Poonaikali choornam (OR)

- 5 gm with milk morning and night after food

Amukara Choornam night after food

Poorna chandrodayam Dhatu kalpa lehyam Abraka chenduram food Pathyam Milk,wheat,grapes,dates, Mango,pomegranate Nuts,pista,badam,cashewnut

- 1 tsp with honey morning and

- 2-0-2 with hot water after food - 1 tsp morning and night after food - 100 mg with honey morning and night after

Apathyam Salty,sour,alkaline, hot,spicy food items excess exposure to hot environment alcohol,excessive riding

58. ASTHENOSPERMIA

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Asthenospermia A M F FK F G. F FK , F w iK . , vK, P, FHL

Causes Problems with sperm production Testicular injury and disease Malnutrition Over exposure to heat Smoking

Investigations Semen analysis 5 days of absence of intercourse

Medicines Internal Kunguma poo mathirai Kasthuri gulikai Poorna chandrodayam Narasima lehyam - 2-0-2 with honey after food (OR) - 2-0-2 with betal juice after food (OR) - 1-0-1 with hot water after food - 1 tsp with milk after food morning and night

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Abraka Chenduram

- 100mg with honey morning and night after Food

Pathyam Milk,wheat,grapes,dates Mango,pomegranate

Apathyam Smoking Over exposure to heat Hot and spicy food 58. FURUNCLE

Furuncle , M H FK G. F . .
Causes Staphylococcus bacteria

Vital diagnostic points Tender inflammed area of the skin containing pus

Investigations Check sugar(GTT)

Medicines

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Internal Kumari tailam Pitta jura kudineer Nilavembu Kudineer Seenthil kudineer - 10ml with hot water for purgation - 60 ml morning and night before food (OR) - 60 ml morning and night before food (OR) - 60 ml morning and night before food (OR)

Parangi pattai kudineer - 60 ml morning and night before food Nila vembu mathirai Seenthil mathirai Sudharsana mathirai Pavala parpam blood purification. - 2-2-2 with hot water after food (OR) - 2-0-2 after food (OR) - 2-0-2 after food - 1 gm with honey morning and night after food for

Pathyam Maintain personal hygiene Use good soap

Apathyam Avoid excess hot,spicy,salty, food items

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59. ACUTE LARYNGITIS

Acute laryngitis F HF H FK G. H .
Causes Viral infection of upper air ways such as common cold Excessive use of the voice Allergic reaction Cigarette smoking

Vital diagnostic points Unnatural change of voice (hoarseness) or loss of voice Throat may feel raw or tickle Fever Malaise,sore throat Difficulty in swallowing etc.

Investigations CBC ASO titre CRP

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Medicines Internal
Dasmoola kudineer night - 60 ml before food morning and

Adimaduram choornam + Karpoora choornam - 5gms with honey tds after food (OR) - 5 gm with honey tds after food (OR) - 5 gm with honey tds after food (OR) - 5 gm with honey tds after food - 1gm with honey morning and night after food

Eladi choornam Thuthuvalai choornam Tulsi choornam Pavala parpam

Thalaga chenduram

- 100mg with honey morning and night after food

Venpoosani lehyam Thuthuvalai lehyam

- 2tsp at bedtime with hot water (OR) - 10 gm (2tsp) morning and night after food (OR)

Thetran kottai lehyam

-10 mg with milk morning and night after food

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During recovery phase and for prophylaxis Thuthuvelai nei - 1tsp with milk at bed time

Triphala choornam can be used for gargling

Pathyam Rest to the voice Salt water gargling Lemon,garlic,black pepper,ghee

Apathyam excessive speaking cold water and food

60. FIBROMYOSITIS

Fibromyositis M H FK GJ . J O H CA A AA.

Investigations Clinical diagnosis

Medicines: Internal Varma kudineer -100ml before food morning and night

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Kirambu choornam

- 3gm morning and night in resistant cases

Chitramoti madaku tailam

- 10 drops with kudineer morning and night

Karuppu Vishnu chakara mathirai -1-0-1 after food with hotwater.

External medicine: Vata kodari tailam Mayana tailam Vattha kesari tailam Vasavu oil

Pathyam Massage Stretching exercise Good sleep Maintenance of proper posture

Apathyam
Avoid stress

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61. TINNITUS

J F HF FK . F H. J FK G. F FK . Causes It is a symptom in diseases like Ear infection Otosclerosis Tumours of middle ear Menieres disease etc. Causesd by drugs like aspirin in high dose Anaemia Hypertension Atherosclerosis etc. Vital diagnostic points Buzzing,ringing ,roaring,whistling or hissing sound in one or both ears

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Investigations Clinical diagnosis Audiogram can be done in chronic cases

Medicines Internal Amukkura choornam + - 10 gms with ghee or milk at night

Kirambu choornam Eladi tablet - 2 - 0 - 2 after food (OR)

Maha vasantha kusamaharam -1-0-1 after food Venpoosani lehyam - 1tsp with milk morning and night after food Chukka nei External Bala aswaganda lakshadi tailam -2/2 ear drops 2 times a week Nochi tailam
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- tsp with milk at night

- apply on the head

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Pathyam Wheat, old ghee

Apathyam Use of ear picks and ice cubes Avoid cold food items, cold wind etc.

62.HAIR LOSS
F F HF FK G. , FK .

Essentials of diagnosis Causes

Ageing Hereditary factors Local skin conditions Reaction to certain drugs like lithium Stress Radiation therapy
Hypothyroidism

Investigations

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Blood Hb, RBS, TSH Clinical diagnosis

Medicines Internal Karisalai choornam10 gm with ghee bid after food

Triphala karpa choornam

Iya birungaraja kalpam 1 gm with butter milk morning and night after food

Nellikai lehyam

- 10 gm morning and night after food

Sarvaanga rasayanam

- 5 gm morning and night after food

Aya chenduram

-2-0-2 with butter milk after food (OR)

Iya kantha chenduram

- 2 - 0 - 2 with butter millk after food

External

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Kulir thamarai tailam

Kumari tailam

Neelibrungathi tailam

Kaiyan tailam

Nasyam

Adhimadura oil /kumari oil -2 drops for each nostrils

Nellikai ghrtam

Note

Nasyam at before bed time Pathyam Take green leafy vegetables, dried grapes, triphala, gruel dates, milk etc., If needed can take iron supplements Fenugreek, Nelli, diluted vinegar, egg white, lemon extract, coffe and tea decoction acts as conditioner. Maintain scalp hygiene Rinse and dry hair thoroughly

Apathyam Do not use shampoos frequently (recommended shampoo- Dankare)

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Shampoos can be applied once in 5 days. Stress Food and activities which aggravates vatapitta like deep fried chips, junk foods etc.,

63. DANDRUFF -

F C FK ,F c G. FK

Essentials of diagnosis

Visible scaling from the surface of the scalp.

It is extremely common .and it is associated with the presence of pityrosporum ovale.it is precursor of eczema.

In which there is a degree of inflammation inaddition to the greasy scaling .

Medicines Internal: Parangipattai choornam - 5 gm with ghee bid after food

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Idivalladi melugu

- 50 mg with jeggry 2-0-2 after food

External

Vetpalai tailam

for external application for head and can be

used for nasyam also

64. Alopecia
A F A. AI , H

Essentials of diagnosis :

Absence of hair from areas where it normally grows.

Investigations:

Random blood sugar

medicines

Internal

Virechanam

-. Muruken vithai mathirai 2 tablet once a

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week with 2 tspn of kumari oil

Karisalai choornam

- With honey morning and night after food

Adimadura choornam

Neeradi muthu vallathi tablet

- 2-0-2 after food

Nellikai nei

- 20ml

urai mathirai

- 3

with milk at bed time

ayakandha chendhuram

- 100mg

External

Kunnma uppu - mixed with lemon juice or papaya leaves juice can be applied externally Morning and night

or

Thiripala choornam - fried and mixed with lemon juice and then apply

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Mathan tailam externally

Nasyam

Manikka ghirtham

2 drops for each nostrils

Nellikai ghirtham

- 2 drops for each nostrils

Pathyam Use clean comb Change pillow cover frequently

Apathyam Kapha increasing diet and activities Pomegranate, jaggery, meat, fish,oily foods

65. SCALP FOLLICULITIS

Scalp folliculitis H F F G .C, , .

Essentials of diagnosis

Folliculitis is an infection of a hair falling.It looks like a tiny white pimple at the base of a hair.

There may be only one infected follicle or many.

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Each infected follicle is slightly painful.But the person otherwise does not feel sick.

Investigations

Clinical diagnosis

Medicines

Internal

Paranki pattai kudineer

60ml bid before food.

Gandha choornam

- 3gms with milk bid after food (OR).

Amrutha sanjeevi chooram after food (OR).

- 5 gms with honey morning and night

Parangipattai choornam

5 mgs with milk morning and night

Sivanar vembu kuzhi tailam

2 0 2 after food (OR).

Sudharsanam

2 0 2 after food

Idivallathi mezhugu

- 2 0 - 2 with kashayam after food

Manikka ghrtham

- 10 ml with milk at bed time

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External :

Vengara powder + water

in 1: 10 ratio for wash

Masikkai oil

external application

66. CHRONIC OTITIS MEDIA

F H. F H FK FA. C .

Essentials of diagnosis

Severe earache in an young baby or school going child who screams in agony or bangs his head or pulls the affected ear.

Fever, vomiting,even convulsions.

Conductive deafness

Instant relief of pain after discharge of mucopus from affected ear.

Ear drum shows congestion of handle of malleus,margin of tympanic membrane inflamed ,bulging of tympanic memebrane or perforation that

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discharges mucopus to external ear.The discharge may be seen to be pulsating,reflecting light intermittently(light house sign).

Mastoid tenderness, often oedema.

Signs of facial nerve paralysis,meningitis,even brain abscess may be seen in fulminating cases.

Associated with it are chronic sinusitis, adenoids, measles, scarlet fever, etc.

Investigation :

Otoscope

audiogram

medicines

Internal

Parangipattai kudineer honey (OR)

- 60ml morning and night before food with

Akkara kudineer

- 60ml morning and night before food with honey

Gandaka choornam

- 3gm with honey after food morning and night

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Idivalathi mezhugu

-1-0-1 with kashyam

Inchi lehyam

- 5 gm morning and night after food (OR)

Narasimha lehyam

5 gm morning and night after food

Saravanga rasayanam

- 10 gm at bed time (OR)

Athirsta rasayanam

- 10 gm at bed time

External

Dhoomapanam

- guggulu dhoomapanam smoke will enter the

ear many times.

guggulu valathi lehyam the ear)

- 3gm bid after food .( If watery discharge from

Triphala churnam can be used for gargling

Dont use oil for head and avoid oil bath

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67. VERTIGO
A F HF,H MF G.H .

Essentials of diagnosis

Sudden onset of vertigo,nausea and vomiting a middle aged.

Tunnitus prior to and during attack

Progessive sensory neural deafness.

Frequent remissions and exacerbations.

The following ear disorders may cause vertigo:

Menieresdisease

Injury to ear

Positional vertigo

Labrynthitis.

Diseases a acoustic nerve,cerebellum and cardiovascular system.

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Investigations:

Audiogram

x-ray :

cervical spine antero posterior to rule out cervical rib .

medicines

Internal Musumusukai kudineer -- 60ml morning and night before food (OR)

Drakshadi kudineer (OR)

-- 60ml morning and night before food

pithasura kudineer

- 60ml morning and night before food

Amukkra choornam

-10gm with milk at bed time after food

Vasantha kusmakaram

- 2 tablet at night with milk (OR)

Maha eladi gulika

1-0-1 with hot water after food (OR)

Inji lehyam

-1 tsp after food morning and night

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Linga chenthooram food

100mg with honey morning and night after

External

Bala aswaganda lakshadi tailam - for application to the head and 2 drops

in each ear. Pathyam Change neck movements slowly

Apathyam ajeernam

68.NASAL POLYP
F HF , FA. L . H A .

Essentials of diagnosis

A growth usually benign protruding from a mucous membrane.

Polyps are commonly found in the nose and sinuses, giving rise to obstruction, chronic infection, and discharge.

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 They are often present in patients with allergic rhinitis ,in whom they may develop in response to long term antigenic stimulation.

Investigations:

Rule out Naso-septal deviation.

Medicines

Internal

Kaphasura kudineer

-60ml morning and night before food.

Sirunga berathi choornam

- 3gm with honey after food.

Chitrakathi kuligai

- 2-2-2 after food

Kasthuri karuppu after food

50 mg with honey morning and night

Thippli rasayanam

- 5gm morning and night after food

Sarakondrai tailam

- 10 drops with milk at night after food

Chukku tailam

-2 drops with milk at night after food

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External

Kayathirumeni tailam - apply to the head

Nochi tailam

Kodiveli tailam

grind the seeds of kunrimani and apply externally with a ear bud

Turmeric Smoke inhale through the nose.

Pathyam Avoid cold food and drinks Avoid dust, smoks and going near pets

69. SEBORRHOEIC DERMATITIS

Seborrhoeic dermatitis F FK

G. .

Essentials of diagnosis Dry or greasy scaling of the scalp Itching occasionally

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In severe cases yellowish to reddish scaly pimples along the hair line, behind the ears, on the eye brows , around nose and chest etc.

Investigations:

Clinical diagnosis

Medicines

Internal

Parangipattai kudineer

- 60 ml morning and night before food

Maha elathi mathirai

- 2-0-2 with hot water after food

Idi vallathi mezhugu night after food

100mg withpalm jaggery morning and

Sivanar veembu kuzhi tailam

-2-0-2 with milk after food

Manicka nei

- 10 ml with milk at bed time

Parangipattai pathangam after food

- 100mg with honey morning and night

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External

Vetpalai tailam+ Masikai tailam apply on head

Mathan tailam mixed with coconut oil can be used externally

70. TONSILITIS /ADENOIDITIS

Tonsilitis /adenoiditis F HF , H FK

. , ,F .

Causes Bacterial or viral infection

Vital diagnostic points Sore throat Fever

Dysphagia

Investigations
Hb,ESR

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 Throat swab medicines

Internal

Kabasura kudineer

- 60 ml bid before food with honey (OR)

Akkara kudineer

- 60ml before food with honey

Thothuvelai choornam

- 5gm with honey morning and night

Thalisadi vadakam

-2-2-2 after food with hot water (OR)

Impooral vadakam

- 2-0-2 after food with hot water(OR)

(B.N Impooral - Oldenlandia umbellata)

Mantharai guggulu

-2-0-2after food with hot water (OR)

Gorochanadi mathirai

-1-0-1 after food with hot water

After recovery:

Urai mathirai

-2-2-2 for children as immuno-modulator .

Vengara parpam mixed with honey can be applied on the tonsils.

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For prophylaxis

Nellikai leghyam

- 20gm with milk

Chukku nei

- 3ml

Thuthuvelai nei

1tsp with milk at night

Given for 6 months increases immunity in children.

Akkara kudineer can be used for gargling

Pathyam Use warm water processed with Sunti

Apathyam
Avoid ice creams, curd, cool drinks, cold wind exposure , bath etc

71. ORAL ULCERS (or) APTHOUS ULCERS

F HF H FK G. , , Y iK . GJ .
Causes

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Vitamin B12 deficiency Smoking Spicy foods Stress Acid peptic disease Dental dentures

Vital diagnostic signs Pain Pain aggravates on intake of hot and spicy food In severe cases, fever & swollen lymph nodes in the neck.

Investigations:

Diagnosed Clinically

Vitamin B12

Medicine

Internal

Virechanam - Kumari oil - 20ml with milk at bedtime

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Akkara kudineer for gargling

- 60ml morning and night before food and same used

Triphala choornam can be used for

1 tsp with ghee morning and night after food and

gaggling

Adimadura mathirai - 2-2-2 after food.

Pavala parpam

- 1 gm with milk at night

Nannari manapagu - 20ml before food morning and night

Thaneervittan nei

1 tsp with milk after food at bed time

Venpoosani nei

1 tsp with milk after food morning and night

72. GINGIVITIS Gingivitis F HF H G.

.

Essentials of diagnosis

Inflammation of the gums caused by plaque on the surfaces of the teeth at their necks.

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The gums are swollen and bleed easily chronic gingivitis is an early stage of periodontal disease but is reversible with good oral hygiene.

Ulcerative gingivitis is painful and destructive.

Gingival overgrowth may be caused by drug therapy.e.g.phentyoin.

Investigations

In case of tooth mobility, an X-ray reveals the severity of bone destruction (if any). Biopsy: Tissue samples may be examined when the patient does not respond to initial therapy
medicines

Internal

Akkara kudineer

- 60ml morning and night before food

Triphala choornam

3 gm with honey morning and night

Manikka ghrtam

- 20 ml with milk at bed time

nellikai grtham

- 20 ml with milk at bed time

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Brush gums with Masikai tailam or thripala powder with honey 3-4 times

Oro care (skm) choornam for brushing .

73. ORAL HERPES

Oral herpes HF w, bz FK G. HF w,

bz , Y iK .

Causes

Herpes simplex virus

Vital diagnostic points

Recurring episodes of small painful blisters on skin or mucous membrane Oral infection with HSV causes sore inside the mouth Fever Headache Bodyache

Medicines

Internal

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Virechanam - Kumari oil

- 25 ml after 21 days of the disease.

Pittasura kudineer

- 60ml morning and night before food (OR)

Nilavembu kudineer

- 60 ml morning and night before food (OR)

Vaeppampattai kudineer

- 60 ml morning and night before food

Amirtha sanjeevi choornam 3 gm with honey after food (OR)

Seenthil choornam (OR)

5gm with milk morning and night after food

Arakku choornam

5 gm with honey after food

Adimadura mathirai

- 2-2-2 after food

Pavala parpam

1gm with honey after food morning and night

Nannari lehyam

- 20 gm morning and night after food

External medicine:

Akkara kudineer can be used for gargling

Triphala, athimadura choornam can be used for brushing

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After acute phase

Manicka ghrtam

- 20 ml with milk at night after food

Nellikai nei

- 10ml with milk at night after food

74. TRIGEMINAL NEURALGIA/BELLS PALSY

F H. F , A w .

Essentials of diagnosis

Sudden onset of lower motor facial paralysis manifesting as inability to close the eye, sagging angle of mouth and poor buccinators tone.

Pain behind the angle of jaw and history of exposure to cold.

In trigeminal neuralgia there are brief paroxysms of searing pain felt in the distribution of trigeminal branches.

Investigations

Clinical diagnosis

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Medicines

Internal

Mavilanga kudineer

-60 ml morning and night before food (OR)

Dasamoola kudineer

-60 ml morning and night after food (OR)

Karuppu Vishnu chakram

-2-0-2 with kudineer

Chanda maruda chenduram

- 50 mg tds with honey (OR)

iya veera chendhuram

50mg with honey after food (OR)

gowrichindamani

50 mg morning and night after food

Poondu lehyam

-5 gm bid after food

External

Chukku tailam

- 2drops for each nostril at evening.

Ulunthu tailam

ushna virya tailam for face massage.

visha mutti tailam

Pathyam Trans Electrical Nerve Stimulation(TENS)

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Massage in opposite direction

Apathyam Danta dhavana

Snana Cold exposure

Excess intake of pulses

75. DIABETIC RETINOPATHY

HF

H.Retina

F H.H HF . H E . H , Q .

Essentials of diagnosis:

Occurring as a complication of longstanding diabetes resulting in impairment or loss of vision .

In diabetic retinopathy ,haemorrhaging or exudation may occur ,either from damaged vessles into the retina or from abnormal vessels into vitreous humour.

Investigations:

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Fundus examination

medicines

Internal

Kumari oil

25 ml at night with milk

Adathodai kudineer (OR)

-60 ml morning and night before food

Drakshadi kudineer

- 60 ml morning and night before food

Mahavasantha kusumahara tablet 1-0-1 with kashayam

Nannari choornam milk

-5 gm morning and night with ghee or

Kantha chenduram with honey

50 mg morning and night after food

Pavala parpam

-50 mg morning and night with ghee.

Manikka ghirtham

-20ml with milk at night

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Nellikai ghirtham

External

Parchortripattai kashyam

for eye wash 5-7 min

Pathyam Control diabetes Exercise and walking Wear footweat while going out Maintain foot hygeine

Apathyam Carbohydrate rich foos like rice etc. Day sleep Fatty food 76. REFLUX OESOPHAGITIS

Reflux oesophagitis HF F MF

G. L , Q . F H W . .Q H .

M .

Essentials of diagnosis :

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Frequent regurgitation of acid and peptic juices from the stomach causes reflux oesophagitis .

The commonest form which may be associated with a hiatus hernia .

The main symptoms are heart burn ,regurgitation of bitter fluid ,and sometimes difficulty in swallowing

Complications :

Bleeding, narrowing of the oesophageal canal, ulceration, and Barretts oesophagus

Investigations

Endoscopy

medicines

Internal

Kadukai leghyam

-20 gm for purgation at bedtime .

Akkara kudineer

-100ml before food morning and night

Adhimadura mathirai

-3-0-3 with kudineer (OR)

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Triphala karpam

-3-0-3 with kudineer (OR)

Seeenthil karpam

-3-0-3 with kudineer

Nannari manapagu

-20ml morning and night after food (OR)

Thurunji manapagu

20 ml morning and night afterfood

Uppu chenduram after food

100 mg with lemon juice morning and night

Pathyam

Avoid coffee,tea ,pain killers ,spicy,oily foods , If 40 yrs late night sleep,aspirin abuse,alcohol,carbonated drinks Bland soft diet.

77. FATTY LIVER

HF HF F vG FA. F , .

Essentials of diagnosis :

Fatty liver also known as fatty liver disease is a reversible condition where lare vacuoles of triglycerides ,fat accumulate in liver cells .

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Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetis,hypertension ,obesity ,and dyslipidemia,)

Cirrhotic alcoholic FLD will devolope hepatocellular carcinoma .

Investigations Liver function test USG abdomen and pelvis

medicines

Internal

Seenthil choornam (OR)

-3gm with honey morning and night after food

Karisalai karpa choornam

5gm with milk morning and night after food

Sara punga vilvathy leghyam 5 gm morning and night with milk after food (OR)

Drakashadhi lehyam

- 5 gm morning and night with milk after food

Drakshathi rasayanam

10 gm with milk at bed time (OR)

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Tippili rasayanam

-10 gm bid after food

Pathyam Do exercises,control DM, Control weight

Apathyam Avoid alcohol, sweets, milk, carbohydrate rich foods

78.DUODENAL ULCER

H vF HF bz, w iK F

Essentials of diagnosis :

Epigastric pain to 1 hour after meals or nocturnal pain ,both relived by food ,antacid or vomiting

Chronic and periodic symptoms

Epigastric tenderness often with guarding and unilateral spasm of rectus over duodenal bulb.

Ulcer crater or deformity of bulb noted in barium meal.

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Pylorospasm ,gastric hypermotility and irritability of the bulb with difficulty in retaining the barium are indirect evidences of duodenal ulcer.

Gastric analysis shows acid in all cases and hypersecreation in somecases.

Few patient may present with vague dyspepsia or typical symptoms due to anxiety.

Direct visualization by endoscopy .

Investigations

Endoscope

Internal medicine :

Athimadhura choornam 3gm with honey after food

Nannari choornam

1tsp with millk after food

Nanari leghyam

- 5gm at bedtime

Venpoosani lehyam

20 gm with millk morning and night

Sangu parpam

-1 gm with honey morning and night

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Pavalaparpam

1 gm with honey morning and night

Gungilia parpam

1 gm with honey morning and night

Manikka ghirtham

20 ml at bed time

Thanneer vittan nei

15ml with 5 ml of honey

External medicine: Kumari tailam 25ml with milk for purgation once in a month Pathyam Easily digestible food Small and frequent meals Rice, wheat and barley Brinjal, kakamaci, bitter gourd, pumpkin, ladies finger, snake gourd, green leafy vegetables Papaya, banana, pomogranate, grapes, amla Lie in head raised supine position

Apathyam Fried foods, spices, chillies, pickles Cofee, tea, soft drinks, alcohol, smoking and tobacco chewing Fish, chicken, egg, groundnut, pepper, garlic, tomato, chocolate, onion Medicines like analgesic, aspirin etc.,

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79.Premature grey hair M H FK G. H . H E . Causes Familial history Extreme worry,stress Trace mineral deficiency

Investigations:

Clinically diagnosis

Treatment

Internal medicine

Karisalankanni choornam + Triphala kalpa choornam 5 gm with ghee

Nannari lehyam after food

5 gm morning and night

Pavazha parpam 200 mg with ghee morning and night after food

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Nellikkai nei after food

5 ml morning and night

External medicine:

Masikai tailam

2 drops for each nostrils

Neeli birungathi +masikai tailam

external applications

Pathyam Milk, ghee Mudgam.kalasaka,brngaraja,matsyaksha

Apathyam Pitta increasing diet and activities Avoid hot, spicy foods Exposure to direct sun

80. PERENNIAL RHINITIS

YA .

Essentials of diagnosis : Causes Chronic sinusitis

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Untreated acute rhinitis

Vital diagnostic points Widened ,dry nasal passage Crust inside the nose Offensive odour

Treatment:

Internal medicine:

Dasamoola kudineer

60 ml morning and night before food

Kasthuri Gulikai

1-0-0 with kashyam

Kunguma pooo mathirai

1-0-0 with kashyam

Goorosanai mathirai night

1-0-1 with kashyam morning and

Mahavasantha kusumahara mathirai - 1-0-1 with kashayam

Maha elathi mathirai 1-0-1 with honey after food

Thuthuvalai lehyam 5 gm morning and night after food

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 Talisapathri vadakam 2-0-2 after food

Chukku tailam 10 ml with milk at bedtime

Pathyam Marica, tulasi, sunthi, lasunam Consume food and drink when warm Consume night food early Drink and bath in warm water only Pranayamam (On advice)

Apathyam Avoid dust, smoke, pets and cold exposure Avoid Icecream, chocolates, bakery products, sour fruits, curd at night Oil application on scalp

81.Conjunctivitis

H vF FK G. H .

Essentials of diagnosis

Eye is uncomfortable but not painful

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 Photophobia is present

Discharge may be purulent, mucopurulent or watery

Hyperaemia is superficial

Intraocular tension, size and reaction of the pupils remain unaffected.

Internal medicine

Akkara kudineer 100ml morning and night before food

Triphala choornam 15 gm with honey bedtime

Kadukkai lehyam 15 gm for purgation

External

Patchotti pattai kudineer for eye wash

Padiga pannier for eye wash

Note

Dont apply oil for head until complete recovery . Pathyam

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Wash eyes frequently Keep separate hand kerchief for wiping eyes Use spectacles

Apathyam Rubbing eyes vigourously Exposure to sunlight, dust Continuous reading,watching TV and computer

82.Corneal ulcer

H vF H FK G. H .

Essentials of diagnosis

Eye is severely painful

Photophobia and blepharospasm are marked.

Free running of water from eyes

Floor of ulcer readily stains with Fluroscein eye drops

Internal medicine

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Arukkan ver kudineer 60 ml morning and night before food

Maruthampattai kudineer for eye wash 2 times /week

Adhimadura choornam 3 gm with honey tds

Triphala choornam 5 gm with ghee at night

Nannari lehyam 20 gm morning and night after food

Pavazha parpam 100 mg with honey tds

Padika poonkavi chenduram 200 mg with honey

Manicka nei 5 ml morning and night after food

Note: Dont apply oil for head until recovery. Pathyam Protection of eye ball by applying pad/bandage with ghrtam

Apathyam Pitta increasing ahara viharas Direct exposure of eyes to sunlight, bright light continuously for long hours. Rubbing eyes vigourously

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83.Hyperthyroidism

H FK M F G. Q .

Essentials of diagnosis : Causes Graves disease Thyroiditis Inflammation from toxic substances or radiation exposure

Vital diagnostic points Exophthalmic goitre Sweating Restlessness

Investigations:

Check T4, TSH Increased T4 with clinical features

Decreased TSH (<0.3)

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Treatment :

Internal medicine :

Drakshadi kudineer 60 ml morning and night before food

Adhimadura pal kashayam 60 ml after food at bedtime.

Dhatukalpa lehyam 5 gm morning and night after food

Pavazha parpam 50 mg with honey

Chittamutti madakku tailam 5 ml morning and night after food .

External:

Nasyam: Chittamuti madakku tailam 2 drops each nostrils

Pathyam Old ghee,barley, mudga Madhura and tikta rasa prayoga

Apathyam Vata pitta vrddhi kara ahara viharas Milk products,sweets, sugarcane products Masha, citrus products

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Excess katu, amla, ushna ahara Alcohol, smoking

84.Carotid atherosclerosis

O FK G. FK .

Essentials of diagnosis : Causes Infection Smoking Uncontrolled diabetes mellitus Hypercholesterolaemia

Diagnostic points Vertigo stroke

Investigations: Carotid Artery Doppler study

Internal medicine

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Poondu then 10 mg morning and night Kollu kashyam 60 ml before food morning and night

Nathaichoori choornam 5 gm with honey morning nad night after food Trithoda mathirai 1-0-1 after food with hot water

Marutham mathirai 2-0-2 after food with hot water

Mantharai guggulu- 2-0-2 after food with hot water

Thippili rasayanam- 5gm with milk morning and night

Vellaipoondu lehyam 5 gm morning and night after food

Kadukkai lehyam 5gm with hot water at bed time

Pathyam Sesame oil, sunflower oil Horse gram, garlic, fenugreek, snake gourd, bitter gourd, raddish Control diabetes mellitus Practice walking and exercises Practice pranayama daily

Apathyam Kapha vrddhi kara ahara viharas Sedentary life style

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Intake of heavy, deep fried, oily food items Food processed in Ghee, butter, coconut oil, palm oil Icecream, bakery products Egg yolk, beef, tubers, ground nut Carbohydrate rich foods Alcohol,smoking

85. Cervical disc buldge

F FK G. w .

Essentials of diagnosis:

Causes Wear&tear trauma

Vital diagnostic points Pain radiating to hands Motor weakness of hands Fasciculation

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Parasthaesia

Investigations: Post Prandial Blood Sugar MRI of cervical spine Screening of shoulder joint X-ray AP view to rule out cervical rib

Internal medicine:

Dasamoola kudineer 60 ml morning and night before food

Karuppu Vishnu cakram 2-0-2 after food with hot water

Vata ratchasan 1-0-1 after food with hot water

Narasimha lehyam 5 gm morning and night after food

Vellai poondu lehyam 5mg morning and night after food

Navauppu mezhugu 250 mg with honey morning and night after food

Chandamarutha chenduram 50 mg with honey

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Iyaveera chenduram 50 mg with honey after food morning and night

Arumuga chenduram- 50 mg with honey after food morning and night

External :

Oils :

Vitamusti tailam external application

Vata kudari tailam external application

Masha tailam external application Pathyam Wear collar during travel Maintain proper neck posture on sleep Do not wipe head vigourously after bath

Apathyam Oily foods Big pillow on sleep Watching TV continuously lying in improper posture

Exercise Neck exercise

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Weight bearing shoulder exercises

86. Sub acromian bursitis

, w .

Essentials of diagnosis Causes Irritation from unusual uses or over uses Injury Gout, pseudo gout Rheumatoid arthritis Infection

Vital diagnostic points Acute Inflamed area is painful Skin over the bursa becomes red, swollen Painful movements

Chronic Restricted movements due to longstanding pain & swelling

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Muscle atrophy

Investigations:

Random blood sugar

Internal medicine

Dasamoola kudineer 60 ml morning and night before food

Iyaveera chenduram 50 mg with honey after food morning and night

Bala ashwagandhalakshadi tailam 5 ml morning and night with milk after food

Chittramuti madakku tailam 10ml at bedtime

External :

Oil:

Vidamuti tailam for external application

Mayana tailam for external application

Vadha kudari tailam for external application

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Kunthiriga tailam for external application

Masha tailam External application

Nasyam:

Chittramutti madakku tailam 2 drops each nostril

Patru : Moosambara patru external application Pathyam Do regular exercise

Apathyam Excess straining work with hand Avoid sports like tennis

87. Gleno humeral arthritis

Essentials of diagnosis: Causes

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OsteoArthritis Rheumatoid Arthritis Post traumatic arthritis Septic arthritis

Vital diagnostic points Progressive shoulder pain, stiffness and loss of motion May have night pain which is generally positional

Investigations: GTT X-ray AP,Scapular lateteral,axillary view CT scan MRI

Internal medicine:

Dasamoola kudineer 60 ml morning and night before food

Iyaveera chendhuram 50 mg with honey after food morning and night

Vadha ratchasan kuligai 1-0-1 with hot water after food

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External :

Oil:

Chittamutti madakku tailam External application

Kayatrimeni + Masha tailam External application

Chukku tailam external application

Vidamusti tailam external application

Ulunthu tailam external application Pathyam Practice regular exercise

Apathyam Cold food items, dry and heavy foods Exercises

88. Supra spinatus tendonitis

Essentials of diagnosis : Causes Lifting heavy weight over the shoulder

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Swimming Repeated moving the arm over the head

Vital diagnostic points Pain associated with arm movements Tenderness Swelling Weakness with raising the arm above the head

Investigations: MRI Check PPBS

Internal medicine

Dasamoola kudineer 60 ml morning and night before food

Chandamaruda chenduram 50 mg with honey

External:

Oil:

Vasavu ennai External application

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Murivu oil external application

Kayathirumeni tailam external application

Patru

Chukku patru

Exercise Mild abduction exercise with weight to be done after taking medicines for 2 weeks Apathyam Lifting weight Exercises(during acute stage) Excess straining work with hand

89. Palmar psoriasis

F H. H L FA.

Essentials of diagnosis: Causes Heredity

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Genetic HLA association Medication Stress

Vital diagnostic points Thickening, scaling, redness of the skin Large pimple like pustules Cracking and splitting of the skin leading to severe pain

Investigations: Check sugar HLA- B27

Internal medicine

Parangipattai kudineer 60 ml morning and night before food

Nannari lehyam 10 gm with milk after food

Kadukkai lehyam 20 gm milk at bed time

Neeradi muthu valladi mathirai - 1-0-1 with kashyam

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Gandhga rasayanam 100mg with milk after food

Cherankottai nei 1 tsp with milk after food

Parangipattai pathangam 50mg with ghee after food morning and night

Idi valladi mezhugu 50 mg with milk after food morning and night

Sivanar vembu kuzhi tailam 2-0-2 after food (50mg capsules )

External:

Oil:

Vetpalai tailam External application Pungun tailam external application

Pathyam Maintain hygiene Dry palms on using water Wear gloves while using soaps, washing vessels, clothes etc.,

Apathyam Hot, spicy, oily food Non vegetarian foods Stress

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Avoid shelled fish,chicken, chips etc.

90. Fungal nail bed

AI . .

Essentials of diagnosis: Causes Onychomycosis fungus

Vital diagnostic points Discolouration of the nails(white or yellow) Brittle nails Crumbly, rough jagged edges Curled up or down, distorted in shape

Investigations: Check sugar

Treatment:

Internal medicine:
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Mezhugu:

Rasagandhi mezhugu 50mg with jeggery

Idi valladi mezhugu 50mg with jeggry morning andnight after food

Tailam:

Pungan tailam External application

Pancha kalpa kuliyal choornam with butter milk for external application

Amirta vennai external application

91. Raynauds disease

H . H FA.

Essentials of diagnosis: Causes Cold temperature Stress

Vital diagnostic points Bluish discolouration

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Pain and discolouration at the tip of fingers Cold extremities Seen mainly in young women

Investigations: Hb,ESR ,ANA If ANA is positive, ANA western Blot to be done

Treatment

Internal medicine

Kudineer:

Parangipattai kudineer 60 ml morning and night before food

Neermulli kudineer 60 ml morning and night before food

Seenthil pal kashayam 60 ml morning and night before food

(10 gm seenthil with 100ml milk )

Mathirai:

Kasthuri mathirai 1-0-1 with kudineer

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Irunelli karpam mathirai 1-0-1 with kudineer

Lehyam:

Nannari lehyam 5 gm with morning and night after food

Satavari lehyam 10 gm with milk morning and night

Venpoosani lehyam 5 gm morning and night after food

Parpam:

Pavazha parpam 50 mg with honey

Velli parpam 50mg with honey morning and night after food

Muthu parpam 50mg with honey after food morning and night

External medicine:

Virachanam:

Kadukkai lehyam- 20 gm with milk morning and night

Kumari tailam - 20ml for purgation

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92. Syringomyelia

Essentials of diagnosis: Causes Cerebellar ectopia Intramedullary tumours trauma

Vital diagnostic points Dissociated sensory loss affecting spinothalamic sensation Cough and positional headache Lower motor neuron weakness in the hands and arms Reflex changes

Investigation: MRI of brain and spinal cord - Sagittal view

Treatment:

Internal medicine:

Kudineer:
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Dasamoola kudineer - 60ml bid before food

Mathirai:

Karuppu Vishnu chakra mathirai - 2-2-2 after food

Chenduram:

Chanda maruda chenduram 50 mg with honey morning and night

Iya veera chenduram 50 mg with honey morning and night

External medicine :

Masha tailam external application

Chittra mutti madakku tailam external application

Virechanam:

Kadukkai lehyam- 20gm with milk for purgation

Abyangam:

Bala aswagandha lakshadi tailam

93. Tension headache

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F HF FKA. , .

Essentials of diagnosis: Causes Stress Sleep deprivation Eye strain dehydration

Vital diagnostic points Bilateral headache,typically mild to moderate,but may be severe Band like sensation around head Pain gets relieved on pressure Episodic or chronic Irritability Disturbed concentration Chronic fatigue

Investigations: Diagnosed clinically

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Treatment:

Internal medicine:

Venthamarai choornam-3gm with honey after food

Lehyam:

Nannari lehyam -5 gm bid after food

External medicine:

Chittramutti tailam apply for head

Chukku tailam apply for head

Nochi tailam apply for head

94. Non-bleeding piles

A. A.

Essentials of diagnosis:

Causes constipation Strainig at bowel movements

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 Delivery

Vital diagnostic points Pain Pruritis ani Constipation

Choornam:

Triphala choornam - 3gm with honey

Lehyam:

Thetrankottai lehyam -5gm bid after food

Karunai lehyam- 10gm before food with milk

Parpam;

Naga parpam-50mg with honey

External application

Oil:

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Masikkai tailam apply on anal region

95. Anal fissure

HF HF M A. H A .

Essentials of diagnosis : Causes Hard stools Injury Hot and spicy foods Diarrhoea

Vital diagnostic points Pain during and after evacuation, bleeding may also be seen Pain lasts for several minutes to several hours

Internal medicine:

Choornam:

Triphala choornam 2 tsp with hot water

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Lehyam ;

Nannari lehyam 20gm with milk morning and night

Thettrankottai lehyam 10mg with milk morning and night

External medicines:

Masikkai tailam-5ml for external application .

96. Fistula

Essentials of diagnosis: Causes Abscess Injury Infection Hot and spicy food

Vital diagnostic points Pain and discharge of pus from anal region

Internal medicine :

Idi vallathi mezhugu with milk after food

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Lehyam :

Kadukkai lehyam -5gm bid after food

External medicine:

Oils:

Masikkai tailam apply on anal region

97. Systemic lupus erythematous

H FK, P H FK , O C . F . C . . F H FK. GJ Q .

Essentials of diagnosis:

Causes Autoimmune connective tissue disorder Use of certain drugs which are used to treat heart diseases, TB etc.

Vital diagnostic points Fever (evening hours)

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Migraine type headache,epilepsy Intermittent joint pain to acute polyarthritis Joint deformity in long standing disease Malar butterfly erythema Generalised or patchy loss of hair

Investigations: Hb,ESR,ANA,ANA western blot Platelet count,Lupus antibody

Anti phospholipid Igm Routine urine examination

Internal medicine:

Kudineer:

Chitramirthu kudineer 60ml bid before food morning and night

Nilavembu kudineer 60 ml bid before food morning and night

Manduradi kudineer 60 ml bid beforefood morning and night

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Pitta surakudineer 60ml bid morning and night before food

Seenthil pal kashayam 60 ml bid morning and night before food

Parpam:

Pavala parpam 1gm with honey tds after food

Manapagu :

Nannari manapagu 20ml bid morning and night after food

Nei :

Manicka nei 5ml bid morning and night after food

External medicine:

Tailam

Sivappu gukkil tailam

Chittamutti madakku tailam

Virachanam:

Kumari oil 20 ml at night (once in 15 days)

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98. Sjogrens syndrome FK F . . . C . , O C . P F . F C () H Q . Causes Antoimmune disorder More common in women than men

Vital diagnostic points Excessive dryness of eyes,mouth,vagina and other mucosal membranes Pericarditis Mild and non destructive joint inflammation

Investigations Hb,ESR,CRP,ANA,Anti CCP,RA factor

Internal medicine:

Kudineer:

Drakshadi kudineer 60ml bid before food morning and night

Neermulli kudineer 60ml bid before food morning and night

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Nerunjil pal kashyam 60ml bid before food morning and night

Seenthil pal kashayam 60ml bid before food morning and night

Mathirai:

Poorna chandrodaya mathirai

- 1-0-1 after food with ghee / milk

Kshayakulantaga rasam with ghee

- 100 mg after food morning and night

Nei:

Nellikai nei -10ml bid morning and night after food

Oil:

Chittramuti madakku tailam- 10ml mix with 1 glass of milk

Virechanam

Kumari oil

- 20 ml at night (once in 15 days)

Sivappu gukkil tailam

- external application

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99.Rheumatoid arthritis
, Y O L auto immunity F NA G. , A . (Y F, cO), Q (K), P A . Causes Autoimmune disease Inflammatory arthritis

Vital diagnostic points Pain , stiffness, swelling of inflammed joints Small joints in the fingers,toes,hands,feet writsts elbows are inflamed first Inflammation is usually symmetrical Low grade fever

Investigations Hb,ESR,RA,CRP, ANA,Anti CCP

Internal medicine:

1st stage

Kudineer
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Seenthil Kudineer 60 ml morning and night before food

Manduradi kudineer 60 ml morning and night before food

Neermulli kudineer -60 ml morning and night before food

External

Virechanam

Kumari tailam

- 20 ml at night

Note:

Dont use oils in first stage.

First apply husk or heated sand as kizhi.

2nd stage

Kudineer:

Nannari ,sataveri , chirupancha moolam , these are used as pal kashayam

Rasayanam :

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Gandaka rasayanam 2 gms with milk morning and night after food

Lehyam :

Nellikai lehyam 5gm morning and night with milk

Narasimha lehyam-10gm morning and night with milk

Mezhugu:

Idivallathi mezhugu 2-0-2 with milk + rice anupanam

External :

Chittramutti madakku tailam

Pinda tailam

Bala aswagandha tailam

100. Renal colic ( M )

HF, F A. F F . HF K . L F .

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Causes Kidney stone Tumour

Vital diagnostic points Constant nagging pain in loin between 12 th rib and iliac crest Tenderness over renal angle Fever Nausea,vomiting and suppression of urine

Investigations Urine examination X-ray KUB USG abdomen and pelvis

Internal :

Kudineer: Neermulli kudineer- 60 ml morning and night before food

Lehyam:

Satavari lehyam 10 gm bid after food

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Chunam:

Vediyuppu chunnam 50mg with kashyam morning and night

Mathirai:

Nerunjil mathirai -2-0-2 with kashayam

Karpoora silasathu mathirai -2-0-2 with kashayam

101.Trichomonas vaginalis

Q vF FK K, A G.

Causes Trichomanas vaginalis protozoan

Vital diagnostic points Cream coloured,frothy,purulent vaginal discharge of sudden onset Puritis and itching around and within introitus

Investigations Per vaginal examination Check RBS

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Internal medicine:

Choornam:

Orithazh thamarai 5gm after food with milk at night

Padika poonkavi chendhuram - 3gm bid after food with honey

Rasayanam:

Parangipattai rasayanam- 10gm with milk at bedtime

Nei :

Manicka ghrtam 10 ml at bed time

External :

Aal ,athi , ithi , arasu , these bark kashayams for wash vagina

Oil;

Masikkai tailam dip with cotton keep in vagina (night)

Investigation ;

In chronic cases ,

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Rule out sugar do urine / micro albuminuria

Paps smear

102.Chronic myeloid leukemia Q . Causes Genetic abnormalities like Philadelphia chromosome

Vital diagnostic points Splenomegaly Low grade fever Increased susceptibility to infections Anaemia Thrombocytopenia

Investigations Blood -TC,DC Smear Bone marrow aspiration

Internal :

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Kudineer :

Drakshadi kashayam -60ml bid before food

Karpam

Aya bringaraja karpam 5gm with honey

Rasayanam

Drakshadi rasayanam 5 gm morning and night with milk

Nei :

Madhulanga nei 5ml at bedtime

Nellikai nei 5 ml at bedtime

Ayakantham (1 gm) + trikadu choornam (5 gm) with butter milk (200 ml)

103.Rheumatic fever
. Q . A. F H. F . , L H Q .

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Causes Streptococcal infections(throat)

Vital diagnostic points Fever for 10-15 days(rise to 101-103 F) Each joint inflammed for 4-6 days, recovers and is not affected again Sore throat Migrating or flitting origin of joint inflammation and pain

Investigations Hb,ESR,ASO,CRP Routine urine examination ECG and Echo to rule out heart disease

Internal ;

Kudineer:

Dasamoola kudineer 60ml morning and night before food

Nilavembu kudineer 60ml morning and night before food

Mathirai :

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Kungumapoo mathirai 2-0-2 with kashayam

Gorochanadi tablet 2-0-2 with kashayam

Brahmananda bhairavam mathirai 2-0-2 with kashayam

Lehyam:

Inji lehyam 5gm morning and night after food

104 .Rickets
M FK G. Causes Deficiency of vitamin D

Vital diagnostic points Large head with frontal bossing Bending of ribs especially 4th,5th and 6th Pot belly due to weakness of amorning and nightominal

muscles,restlessness at night Delay in dentition

Investigations Clinical diagnosis

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Internal:

Parpam:

Pavala parpam 1gm with honey tds

Muthu parpam - 1gm with honey tds

Ghrtam :

Manicka ghrtam 10ml morning and night after food

Mathirai :

Sanga vati -2-2-2 after food

Oil:

Bala ashwagandha lakshadi -10 ml at night with milk

Sesame balls 10 gm with milk

External:

Merpoochu: Bala ashwagandha lakshadi tailam merpoochu and direct on sunlight .

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Advice

Direct sun light for 10 minutes

105.Osteo arthritis
F H. FKA. F F FKA. w . F, CA . .

Causes Primary idiopathic Secondary-Due to other diseases like Pagets disease Infection Deformity Injury Over use of a joint Obesity Vital diagnostic points Joints of the fingers,base of the thumbs,neck,lower back,big toes,hips and knees are commonly affected

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Pain worse by activities that involve weight bearing Stiffness after sleep or some other inactivity Backpain when affects the spine OA in the neck or lower back can cause numbess,pain and weaknes in an arm or Leg if the overgrowth of bone presses on nerve

Investigations X-ray AP and Laternal view in standing position

For lean people:

Internal:

Chittramutti tailam with glass of milk at bedtime

Masha tailam with glass of milk at bedtime

Choornam:

Amukkara choornam- 10 gm with milk at night

Mathirai:

Maha eladi tablet - 2 no morning and night with hot water or milk

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External:

Vatakodari tailam for external

Vishamusti tailam for external

Bala Ashwagandha Lakshadi tailam for external

For obese patient:

Kudineer :

Dasamoola kudineer 60 ml bid before food

Mathirai :

Karuppu vishnuchakra mathirai 2-0-2 after food with water

Lehyam:

Kadukkai lehyam 1 tsp with hot water for purgation

Narasimha lehyam 1tsp with milk to regulate vatham

106. Asthma

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 F . M A. OC FK A G. w, W OA . Casues Inhalation of allergens such as pollen,particles from dust mites,body secretions from cockroaches etc. Foods like shell fish and peanuts Cigarette smoking Viral infections

Vital diagnostic points Mild or severe shortness of breath Cough Wheeze Chest tightness Sweating In severe asthma attack confusion,lethargy and cyanosis present

Kudineer:

Adathodai kudineer 60ml before food morning and night

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Dasamoola kudineer- 60ml before food morning and night

Gorochanadi kudineer 60ml before food morning and night

Tulasi kudineer 60ml before food morning and night

Mathirai :

Kungumapoo mathirai 2-2-2 after food with honey

Gorochanadi mathirai 2-0-2 after food with honey

Kasthuri mathirai 2-0-2 after food with honey

Trikatu mathirai 2-0-2 with honey after food

Choornam :

Thuthuvalai choornam 5gm with honey tds

Lehyam :

Kadukkai lehyam 5gm at bed time with hot water to move the apana downwards

External :

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Karpoora tailam apply over the chest

To prevent:

Thuthuvelai nei 1 tsp at bed time for 6 months

Mahavasantha kusumaharam 1-0-1with hot water

Do Pranayamam regularly

Sleep early at night

Keep the head on top during sleeping.

107. Chronic pancreatitis

Acute pancreatitis- C F . Chronic

pancreatitis- AE . p P. Causes Hereditary Alcoholism Pancreatic cancer

Vital diagnostic points

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Persistent mid abdominal pain Chronic indigestion Abdominal bloating that increases on intake of milk and wheat

Investigations USG abdomen pelvis Serum amylase,lipase

Internal:

Kudineer:

Karivepilai kudineer 60ml before food morning and night

Kariveepilai with butter milk - 60ml before food morning and night

Mathirai :

Vilvadi gulikai 2-2-2 with butter milk

Thair sundi mathirai 2-2-2 with butter milk

Choornam :

Chundaivattal choornam 5gm with honey morning and night

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Note:

Do not use nei (ghirtham), aristam

108.Deep vein thrombosis

Acute phase- CA . Chronic phase- CA . , Y. .

Causes Virchows triad Injuring to the veins lining by Surgery Buergers disease Clot

Increased tendency for blood to clot by Cancer Use of oral contraceptives Smoking

Slowing of blood flow in Bed-ridden patients

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Vital diagnostic points Pain and redness of the skin over the vein Swelling that worsens towards the end of the day

Investigations Arterial Doppler study Homocystein CRP

Internal:

Kudineer:

Parangipattai kudineer 60ml morning and night before night

Mathirai:

Marutham mathirai 2-2-2 with honey tds

Karuppu Vishnu chakra mathirai 2-2-2 with honey

Chenduram:

Chanda maruda chenduram 100mg with honey morning and night

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Lehyam:

Poondu lehyam 10 gm with milk

109.Achilis tendonitis
K . F H. A. w . Causes When stresses placed on the tendon are greater than its strength

Vital diagnostic points Pain which become severe when person starts to walk Stiffness

Investigations Hb ESR CRP Serum uric acid Urine routine examination

Internal:

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Choornam:

Amukkura choornam 1 tsp with honey

Kudineer:

Dasamoola kudineer - 60ml before food morning and night

External:

Oil:

Vasavu oil external application

Kayatirumeni tailam for external application

Kizhi :

Naranga kizhi

Advice :

Wear a shoe with correct size.

110.Avascular necrosis of head of the femur

K M C FK vF A G. YF
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. F FKA. FK O . I . . C . L, J

Causes Alcohol abuse Atherosclerosis Hip dislocation Hip fracture of the femoral neck Tumours Radiotherapy Over intake of NSAIDs,Steroids

Vital diagnostic points Groin pain may extend down the front or be felt in the buttlocks Limping gait Stiffness of hip joint and reduced movements

Investigations CT pelvis

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Internal:

Kudineer:

Seenthil kudineer 60ml before food morning and night

Choornam:

Kombarakku choornam 1tsp with honey morning and night

Rasayanam :

Sarvanga rasayanam 10 gm with milk

Parpam :

Pavala parpam 1gm with honey

Oil :

Chittramuti madakku tailam -1 tsp with milk

External :

Oil:

Vidamusti tailam external application

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111.Hepatitis
H FK HF HA L F G. H . H L . F . Types Hepatitis A Hepatitis B Hepatitis C Hepatitis D Hepatitis E

Investigations LFT USG Abdomen Alpha -feto protein once in a year

Kudineer :

Peipudal kudineer 60ml before food morning and night

Karpam:

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Karisalai karpam 1tsp with honey tds

Mathirai :

Kizhanelli mathirai 2-0-2 with kashyam

Rasayanam:

Thippili rasayanam 5gm morning and night

Drakshadi rasayanam 5gm morning and night

Lehyam :

Kadukkai lehyam for purgation

Sara punga vilvadi lehyam 10gm milk bid after food

Amanakku ilai -20gm with milk

Laghu panchamoolam boil with water mix with amla (nelikai ) to drink

114.Obstructive jaundice
H G. H F A. H MA. H M F A. H FK .

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Causes Gall bladder stones Tumour of gall bladder

Vital diagnostic points Yellow colouration on skin and whites of the eye Itching Dark urine Clay coloured stool

Investigations LFT USG abdomen

Kudineer :

Kollu soup 60ml morning and night before food

Mullangi juice 60ml morning and night before food

Madhulai juice 60ml morning and night before food

Choornam:
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Thippili choornam 1tsp with honey tds

Triphala karpam 1tsp with honey tds

Trikadu choornam 1tsp with honey tds

Mathirai :

Gorochanadi vati 2-0-2 after food

Lehyam:

Drakshadi lehyam 1tsp with milk bid

Chenduram:

Ayakandha chenduram 100mg with honey tds

Advice :

Chicken meat

External:

Virechanam:

Do not give virechanam.

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Note :

Some times bile stone may come to bile duct during purgation and it is dangerous .so follow samana treatment.

115. Liver cirrhosis

FK H HF HF N G. Q .

Causes Liver injury when repeated or sustained over a long time Alcohol abuse Chronic hepatitis (B&C)

Vital diagnostic points Poor appetite Feel sick Loss of weight Jaundice if the flow of bile is chronically obstructed Muscle atrophy

Investigations

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LFT Prothrombin time USG abdomen/pelvis Doppler study of portal vein

Interna:

Kudineer:

Drakshadi kudineer-60ml morning and night before food

Lehyam:

Sarapunga vilvadi lehyam 1tsp with milk bid

Drakshadi lehyam 1 tsp with milk bid

Mathirai:

Kizhaneli mathirai 2-0-2 with kashyam

Seenthil tablet - 2-0-2 with kashyam

116. Frozen shoulder

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A F HF FK G. w CA . Causes Diabetes mellitus Cervical disc diseases of the neck(radiating case) Shoulder injury Shoulder surgery Vital diagnostic points Pain and stiffness Decreased motion of the shoulder

Internal

Kudineer

Dasamoola kudineer 60 ml morning and night before food

Tablet

Karuppu Vishnu chakram 2-0-2 with kashyam morning and night

Chenduram
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 Chanda marutha chenduram- 50 mg with ghee morning and night with honey. If non diabetic or with ginger juice

External

Tailam

Vatakutari tailam- external application

Vishamusti tailam- external application

Kizhi

Naranga kizhi

Advice

Do exercise

Check sugar (GTT) and control sugar.

117. Fatty liver

HF HF FK G. Causes

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 Obesity Diabetes mellitus Malnutrition and a low protein diet Alcohol abuse Excess corticosteroids Vitamin A toxicity Vital diagnostic points Usually asymptomatic In rare cases Jaundice Nausea Vomiting Pain Abdominal tenderness Investigation SGPT SGOT
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 Serum bilirubin USG- abdomen, pelvis

Kudineer

Pitta sura kudineer 60 ml morning and night before food

Tablet

seenthil tablet - 2-0-2 with kashyam morning and night

Karisalai karpam 2-0-2 with kashyam morning and night

Keezhanelli tablet 2-2-2 after food

Choornam

Kariveppilai choornam- 1tsp with butter milk

Rasayanam

Thippali rasayanam 1 tsp morning and night after food

Lehyam

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 Drakshadi lehyam- 10gm with milk morning and night

Kadukkai lehyam 20 gm with hot water once in 15 days for purgation

118. Hypertension
Y G. F .

Causes Only 30% of the people will show symptomatology. Primary hypertension or essential hypertension - unknown cause Secondary hypertension

Hormonal disorders

hyperthyroidism ,cushings syndrome ,acromegaly

Kidney disorders

renal artery stenosis ,glomerulonephritis,polycystic kidney

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Other disorders

arteriosclerosis,pre-eclampsia ,acute lead poisoning

Drugs

NSAID ,corticosteroids ,oral contraceptives

Vital diagnostic points Mostly asymptomatic Some times associated with Headaches nose bleeding dizziness flushed face

fatigue

Internal

Tablet

Sarpakantha tablet 1 tablet morning and night after food

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 Gnanavalli capsule 2-2-2 after food with hotwater

Choornam

Venthamarai choornam- 1tsp with honey after food

Lehyam

Kadukkai lehyam- 10gm for purgation at night after food with hot water

Tailam

Chittamutti madakku tailam 10ml with milk at night

External

Chittamutti madakku tailam 10 drops apply over the head and sole

119. Thrombo angitis obliterans

F Y G. F Y .

Causes Smoking

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 Tobacco chewing Vital diagnostic points Coldness,numbness ,tingling, a burning sensation or pain of the affected arms or legs initially Skin ulcers ,gangrene in the later phase

Investigations Arterial doppler study Homocystiene

Internal

Kudineer

Parangipattai kudineer 60 ml morning and night before food

Tablet

Marutham tablet- 2-2-2 after food

Lehyam

Kadukkai lehyam -10gm with hot water at bedtime

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 Poondu lehyam- 1tsp with milk / hot water after food morning and night

Rasayanam

Sarvanga rasayanam- 5 gm with milk after food bid

120. Heart failure

. M Y A.

Causes

Ischaemic heart diseases Cigarette smoking Hypertension Obesity Diabetes Valvular heart diseases

Vital diagnostic points

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 Sudden,prolonged and constricted pain in the middle of the chest that may spread to the back,jaw or left arm associated with sweating Rarely painless presenting as acute congestive heart failure ,syncope ,cerebral thrombosis or unexplained shock Shortness of breath Cough Swelling of feet,ankles and abdomen Weight gain Fatigue Loss of appetite Investigations ECG Serum marker enzyme CPK-MB Echo cardio gram

Kudineer

Dasamoola kudineer-60ml before food morning and night

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 Manduradi kudineer-60ml before food morning and night

Neermulli kudineer-60ml before food morning and night

Tablet

Kasthuri tablet- 1-0-1 with kashyam morningand night

Marutham tablet- 2-0-2 with kashyam morning and night

Choornam

Venthamarai choornam- 1tsp with kashayam

121. Motor neuron disease

F C Y FK , . N A. Causes Genetic ,environmental, toxic or viral

Vital Diagnostic Points

Progressive muscle weakness

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 Dysphagia Limb weakness slurred speech

Impaired gait Facial weakness Muscle cramps

Investigations Nerve conduction study EMG ,CPK has no role in MND

Kashayam

Orithazh thamarai Pal kashayam 60 ml morning and night before food

(Or)

Amukkura pal kashayam 60 ml morning and night before food

Tablet

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 Poorna chandrodayam 1-0-1 with hot water after food

Kshaya kulanthaga rasam 50mg with ghee morning and night

Lehyam

Ashwagandhadi lehyam-1 tsp with milk morning and night

Dhatu pushti lehyam 1 tsp morning and night

Tailam

Chittamutti madakku tailam-5ml with milk at night

Masha tailam-5ml with milk morning and night

Parpam

Thanga parpam

50 mg with ghee morning and night

Velli parpam

External

Maha masha tailam

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122.Benign prostrate hypertrophy

F G. WA .

Causes Testosterone imbalance due to age Vital diagnostic points Urgency, frequency hesitancy of urination
Investigations USG abdomen/pelivs Check residual urine PSA rest Acid phosphatase Check sugar

Kudineer

Dasamoola kudineer- 60ml before food morning and night

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 Mavilanga kudineer-60ml before food morning and night

Choornam

Amirtadi sanjeevi choornam 1tsp with hot water

Tablet

Gomutra silajit mathirai 1-0-1 with kashyam morning and night after food

Lehyam

Kadukkai lehyam- 1tsp with milk after food at night

123. Chickungunya
. , . Causes By CHIKV (insect borne virus) Transmitted to humans by virus carrying Aedes mosquito

Vital diagnostic points

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 Fever upto 40 c A petechial or macula-papular rash of the trunk andn limbs Arthralgia or arthritis affecting multiple joints Insomnia Non specific symptoms like headache,conjunctival infection,slight photophobia Investigations Check Anti body Igm

Kudineer

Nilavembu kudineer - 60 ml before food morning and night

Kapha sura kudineer - 60 ml before food morning and night

Tablet

Gorochanadi tablet- 1-0-1 with hot water after food

Brahmananda bhairavam - 1-0-1 with hot water after food

External

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Tailam

Karpoora tailam

- external application

Vishamusti tailam

Kizhi

Thavidu (Husk) kizhi- for fomentation

124.Chicken pox
H FK O G. Causes Varicella zoster virus infection

Vital diagnostic points First symptoms include mild headache ,moderate fever ,loss of appetite and malaise About 24 -36 hrs after the first symptoms a rash of small ,flat ,red spots appears Spots begin on the trunk and face ,later appearing on the arms and legs
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 After 6 -8 hrs ,each spots become raised ,forms an itchy ,round ,fluid filled blister against a red back ground and finally crusts

Kudineer

Pitta sura kudineer- 60ml before food morning and night

Choornam

Venthamarai choornam- 1tsp with hot water

Lehyam

Nannari lehyam- 1tsp with milk after food

Parpam

Pavazha parpam- 1gm with honey morning and night

125.MALABSORPTION IN CHILDREN
AE Causes Lack of pancreatic enzyme

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 Lack of solubilizing bile salts Inadequate mixing and intestinal hurry Crohns disease Post infectious malabsorption Immune deficiency Vital diagnostic points H/O Diarrohoea and weight loss Abdominal pain Heavy steatorrhoea Investigations Hb,ESR Urine examination Serum iron,Vitamin B12,immunoglobulin examination Plasma protein CRP

Choornam

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 Ashta choornam- 5gm with ghee morning and night after food

Chundai vattal choornam 5 gm with ghee morning and night after food

Thaeir sundi choornam 5 gm with hot water morning and night after food

Rasayanam

Drakshadi rasayanam - 5gm with millk after food morning and night

126. GALL STONES

HF HF H . HF J A. Causes Increased hepatic cholesterol secretion and chronic super saturation of bile Gall bladder stasis Obesity Diabetis mellitus Older age Liver cirrhosis
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Vital diagnostic points Usually asymptomatic Bilary colic -when stone is in common bile duct- right hypochondrial pain and associated with vomiting Acute cholecystitis tenderness and muscle guarding in right upper quadrant. Murphys sign Palpable mass of globular shape below right costal margin Investigations USG -abdomen LFT

Kudineer

Kollu kudineer 60 ml morning and night before food

Choornam

Karisalai karpa choornam- 1tsp with honey morning and night

Chenduram

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 Annabedhi chenduram - 100mg with honey morning and night after food

Aya kantha chenduram -100mg with honey morning and night after food

Rasayanam

Thippali rasayanam - 5 gm with milk morning and night

Drakshadi rasayanam - 5 gm with milk morning and night

127. Urinary Calculi

HF . F A. Causes Excessive intake of animal protein Excessive intake of vitamin D or Vitamin A Low urine volume Urinary pH changing to acidic Vital diagnostic points Pain-cramping,sharp-extends from loin down the line of ureter to groin
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 Vomiting and sweating Haematuria Investigations USG -abdomen and pelvis Urine routine examination

Internal

Kudineer

Mavilanga kudineer - 60ml morning and night before food

Nerunjil kudineer - 60ml morning and night before food

Dasamoola kudineer - 60ml morning and night before food

Tablet

Kalkaraichi mathirai- 1- 0-1 with kashyam after food

Silajit tablet-1-0-1 with kashaym after food

Lehyam

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 Kadukkai lehyam- 1tsp with milk at bedtime for purgation

128. Sleep Apnoea

H F G. Causes Obesity Narrowing of upper airway Gender-high incidence in men Reduced muscle tone Nasal obstruction Vital diagnostic points

Snoring Disturbed sleep Morning headache Mood changes Nocturia

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 Dryness of mouth and throat

Investigations EEG Polysomnography

Kudineer

Dasamoola kudineer-60ml morning and night before food

Tablet

Gorochanadi tablet- 1-0-1 with hot water after food

Kunkuma poo mathirai- 1-0-1 with hot water after food

External

Nasyam Tulsi tailam

Chukku tailam apply on the face and exposure to stem for 5 min

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 Neerkovai mathirai - externally apply over the fore head and maxillary area

Advice

Do Pranayamam properly.

129.Vaginal candidiasis

QJ F AIO A. AI . .
Causes Candida albicans infections

Vital diagnostic points Intense itching Scanty whitish discharge

Investigation Per speculum examination of vagina

Internal medicine:

Padiga poongavi chenduram- 100 mg with honey morning and night after food .
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Kudineer :

Karpokiarisi kudineer 60ml before food morning and night

Madhumega kudineer 60ml before food morning and night

Masikkai kudiner 60ml before food morning and night

Mathirai :

Karpoora silasath parpam tab 2-0-2 with kudineer

External:

Kudineer:

Akkara kudineer for wash

Triphala choornam for wash

Kondraipattai, aal, athi .arasu , ithi , -these barks are used to make a kudineer for wash .

130.Glaucoma

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 HF H. FKA. A.
Causes Increased intraocular pressure of eyes

Vital diagnostic points Haziness of vision, seeing haloes around light Eye pain Head ache,nausea,vomiting Visual field loss in later course

Investigation Tonometry

Internal medicine:

Choornam:

Triphala karpam - 5gm with milk morning and night

Kudineer:

Manduradi kudineer 60ml before food morning and night

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 Neermulli kudineer 60ml before food morning and night

Lehyam:

Kadukkai lehyam 10 gm with hot water at bed time

External :

Anjanam:

Murungaicharu

131.COUGH

f F H. O G L , A.

F HF FK dry cough. H pneumonia, infective cough. bronchial asthma, H emphysema, F Q .

Essentials of diagnosis: Dry cough:

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pleural disorders ,intertial lung disease ,mediastinal lesions Productive cough: Suppurative lung disease,chronic bronchitis,pulmonary TB Short cough: It is seen only in upper respiratory infections. Brassy cough: Cough with metallic sound produced by compression of the trachea by intrathrosic space occupying lesions Bovine cough: Cough with loss of its explosive nature ,e.g tumours,pressing on recurrent laryngeal nerve Prolonged and paroxysmal: It is present in chronic bronchitis and whooping cough Barking cough: It is found in epiglottal involvement as well as in hysterical, and nervous individuals
Investigations Chest X-ray

Internal medicine: Kudineer:

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 Dasamoola kudineer 60 ml before food morning and night Chooranam: Thuthuvalai choornam - 5 gm with honey after food Mathirai: Adhimadura mathirai - 2-0-2 after food with hot water morning and night Gungumapoo mathirai 1-0-1 with hot water morning and night Gorochanadi mathirai 1-0-1 with hot water morning and night Lehyam : Inji lehyam 5 gm with milk morning and night after food Kadukai lehyam 10 gm with hot water at bedtime Parpam: Pavala parpam 1gm with honey tds after food If not cure give poorna Chandrathoyam -1-0-1 with hot water after food

132.SCABIES , O H FKA. C . c Y H .

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Essentials of diagnosis: Identifying the scabietic burrow ,usually found on the edges of the fingers,toes, or sides of the hand and feet . Extraction of the mite using a blunt needle can be difficult but is helpful in ensuring the correct diagnosis. In small children the palms and soles can be involved with pustule formation .involvement of the genital area in boys is pathognomic.the main symptoms is itch . The clinical features include secondary eczematisation elsewhere in the body; the face and scalp are never involved except in the case of infants.
Investigation Scraping the bumps and its microscopic enamination

Internal medicine: Kudineer: Parangipattai kudineer 60 ml morning and night before food Lehyam: Nannari lehyam - 5gm with milk morning and night after food Mathirai :

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 Gandaka mathirai 2-0-2 after food with kudineer External medicine : Virechnam : Kadukkai lehyam 10 gm with hot water for purgation Murukkan vithai mathirai-2 with hot water Taking bath with mixture of pancha kalpa kulial choornam mixed with butter milk . Or Triphala choornam with butter milk for bath . Masikkai oil-external application Note: Nephritis . 133. IMPETIGO CONTAGIOSUM H . , C, . . Essentials of diagnosis: Non bullous impetigo can be caused by staphylococcus or streptococcus or combination of two

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 The initial lesion is a thin walled vesicles which ruptured rapidly with the formation of golden crust on an erythematous base .the sites usually affected are the face and the limbs Bullous impetigo is primarily caused by staphylococcus and most occur in the children .bullae develop and last for 2-3 days ,initially clear and then becoming cloudy . Treatment: Internal medicine: Kudineer: Parangipattai kudineer -60 ml morning and night before food Veepampattai kudineer 60 ml morning and night before food Choornam: Nanchu murivu choornam 1 tsp with honey tds after food Nannari choornam 5gm with honey after food morning and night Mezhugu : Nandhi mezhugu -50 mg bid with jaggery after food Lehyam: Nannari lehyam -5gm morning and night after food External medicine : Masikai oil (70%)+pungan oil (30%)-apply externally

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 Butter milk also apply externally Thiripala powder for wash Virechanam: Pala lakshathi - 20ml once in a week 134.VESICULO BULLOUS LESION

. J H A FK . H . HF bz .

Essentials of diagnosis : Inflammation of the skin or mucous membranes that is caused by herpes virus and characterized by collections of small blisters . There are two types of herpes simplex virus .type 1 cause the cold sore .usually around the lips .type 2 mainly associated with with genital herpes and is sexually transmitted . Investigation : PCR

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 CSF PCR Internal medicine : Kudineer: Pittasura kudineer - 60ml morning and night before food Nimbadi kudineer - 60ml morning and night before food Nilavembu kudineer 60 ml morning nand night before food Mathirai: Adhimadura mathirai -2-0-2 with kudineer Seenthil mathirai 2-0-2 with kudineer Saantha chandrodaya mathirai 1-0-1 with kudineer Choornam : Nannari choornam -1 tsp with honey after food morning and night Nanchu murivu choornam 1tsp with honey after food bid Parpam : Pavala parpam -1 gm with honey after food Velli parpam gm with honey after food External use: Virechanam : Pavala panjangula tailam - 10ml with hot water Kadukai lehyam 10gm with hot water at bed time

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After recovery: Manikka ghirtham- 5ml with milk morning and night Nellikai ghirtham 5 ml with milk morning and night 135.HERPETIC NEURALGIA O H FKA. L A. Y i Q . Essentials of diagnosis: Pain present in the root of the affected nerve and ganglionic distribution . Internal medicine : Kudineer : Amukkara pal kashayam -60 ml morning and night before food Lehyam : Nannari lehyam 5gm with milk morning and night afterfood Nellikai lehyam 5gm with milk morning and night after food Mezhugu: Van mezhugu 3gm with milk morning and night after food Parpam: Velli parpam gm with honey morning and night Pavala parpam -1gm with honey after food

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 Chittramotti madakku tailam -10 ml at night after food with milk External use: Tailam: Sivappu kukil tailam external application 136.PEDICULOSIS

F H. AI FKA. AI . H , AI .

Essentials of diagnosis : An infestation with lice ,which causes intense itching ,continued scratching by the patient may result in secondary bacterial infection of the skin . Three types are : Head lice pediculosis capitis Body lice pediculosis corporis Pupic lice Internal medicine :

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Mathirai : Murukkan vithai mathirai with kumari tailam 25 ml at morning 10o clock in empty stomach . Mezhugu : Rasagandhi melugu 50 mg with jagrry Lehyam: Kukil vallathi lehyam -5 gm bid with milk External medicine : Tailam : Oomathai tailam , elathi kairem apply for head Juice of datura apply to the head for 10 minutes 137.HYPOTHYROIDISM

vF MFA. , .

Essentials to diagnosis: Subnormal activity of the thyroid gland .if present at birth and untreated it leads to cretinism .

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 In adult life it causes mental and physical slowing .unduesensitivity to cold, slowing of pulses, weight gain, and coarsening of the skin (myxoedema).
Investigations Check T3, T4, TH High TSH indicates hypothyroidism Fasting blood sample is not necessary Random blood sample can be taken USG of thyroid should done every year If thyroid is enlarged, FNAC should be done Blood Hypercholestrolaemia usually present

Internal medicine : Kudineer : Mavilanga kudineer -60 ml morning and night before food Saranai kudineeer -60 ml morning and night before food Or Manduradi kudineer -60 ml morning and night before food Dasamoola kudineer 60ml morning and night before food
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 kapha sura kudineer 60 ml morning and night before food Mathirai: Mantharai guggulu 2-0-2 with hot water after food Manathakkali leaves 50 gm morning and night after food Choornam : Seenthil choornam 5gm with honey morning and night after food Mezhugu : Nandhi mezhugu 3gm with jaggery after food Lehyam : Narasimha lehyam - 5gm with milk morning and night after food or valladi lehyam - 5gm with milk morning and night after food or venpoosani lehyam 5gm with milk morning and night after food

138.Migraine Internal medicine :

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 F H. H F HF FKA. H .
Causes Neurovascular disease

Vital diagnostic points Throbbing pain on one side of the head Nausea Sometimes vomiting

The aura involves temporary, reversible disturbances in vision,sensation, balance etc kudineer :

Pitta sura kudineer 60 ml before food morning and night Nilavembu kudineer 60 ml before food morning and night
Investigations Check eye power If persists for more than 6 months, CT scan to be done to rule out brain tumour

Choornam: Amirtha sanjeevi choornam 5 gm with honey after food Sirunga perathi choornam 5 gm with honey after food

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Amukkura choornam - 5gm with honey after food

Lehyam: Nannari lehyam 1tsp with milk after food morning and night Vallarai lehyam 1tsp with milk after food morning and night External: Oil: Masikai tailam external application Sarakondarai tailam external application Kulir thamarai tailam external application If headache associated with indigestion Inji lehyam -5gm with milk morning and night should be given .

139. STYE

F FKA. A. F .
Causes

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Streptococcal infection Blepharitis

Vital diagnostic points In the beginning redness, tenderness and pain at the edge of the eyelid Then small, round ,tender, swollen area is formed Watery eyes Foreign body sensation

Investigations Check Refractive error

Blood Sugar

Internal medicine: Kudineer: Nilavembu kudineer 60 ml before food morning and night Madhumega kudineer 60ml before food morning and nght Seenthil kudineer 60 ml before food morning and night Choornam:

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 Amirtha sanjeevi choornam 5 gm with honey morning and night after food Nanchu murivu choornam- 5gm with honey morning and night after food Lehyam: Kadukai lehyam 10 gm with hot water at bed time Oil: Kumari tailam 5ml after food at bedtime

140. Tennis elbow

vF M FKA. w, vG .
Causes Trauma such as direct blow to the epicondyle Degenerative process as a result of repetitive use specially in tennis players Vital diagnostic points Pain over the outside of elbow

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Pain when lifting objects Pain radiating down the the forearm Pain during pronation of forearm

Internal medicine: Kudineer : Seenthil pal kashayam 60ml morning and night before food Mathirai : Karuppu Vishnu chakra mathirai 1-0-1 with hot water after food External : Vidamusti tailam- external application Vata kodari tailam external application Patru : Chukka patru Moosambara patru muttai patru 141.Carpal tunnel syndrome

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Causes Repetitive stress injury causing median nerve compression

Vital diagnostic points Intermittent numbness of thumb,index finger,radial half of ring finger In chronic cases,constant numbness Atrophy of some muscles of thenar eminence Pain increases on squeezing clothes

Internal medicine: Mavilanga pattai kudineer 60 ml before food morning and night Chenduram: Chanda marutha chenduram 50 mg with honey after food Lehyam: Poondu lehyam 1 tsp with mik morning and night Oil: Bala aswagandha lakshadi tailam 5ml at bed time External medicine: Oil: Vasavu oil for external application

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 Vida musti tailam Vatakodari tailam kayathirumeni tailam Otradam Narankai kizhi Nasiyam: Chukku tailam 2 drops each nostrils Pala aswagandha lakshadi 2drops each nostrils 142.Acute wrist drop
Causes persistant injury to the radial nerve stab wounds to the chest or below the clavicle Alcoholism Sleeping in cement floor Lead poisoning Diabetes

Vital diagnostic points

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Person cannot extend the wrist and it hangs flaccidly

Choornam: Amukkura choornam - 5gm with milk morning and night after food Chenduram: chanda marutha chenduram gm with honey morning and night Mathirai : Kshaya kulanthaga rasam 1-0-1 with hot water afterfood External medicine: Oil: Vasavu oil external application Masha tailam external application Advice : TENS physiotheraphy Bandage

143. Palmar psoriasis

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H MF A. F HF HF , , A. H

.
Causes Heredity Genetic HLA association Medication Stress

Vital diagnostic points Thickening, scaling, redness of the skin Large pimple like pustules Cracking and splitting of the skin leading to severe pain

Investigation Check sugar

Kudineer: Pitta sura kudineer 60ml before food morning and night Parangipattai kudineer- 60ml before food morning and night Manapagu:

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 Nannari manapagu 10ml after food morning and night Lehyam: Kadukkai lehyam 1tsp with hot water at bedtime for purgation once in 5 days External medicine: Oil: Vetpalai tailam external application 144.Wax in ear

F H. FKA.
Causes Excessive production or defective drainage of cerum from ceruminous gland Vital diagnostic points Blockage or fullness in the ear Pain in the ear Difficulty in hearing

Investigations Autoscopy

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Internal medicine: Cherankottai nei - 5ml with milk after food morning and night External medicine : Oil: Chukku tailam for external application Pugai : Kukil smoke to show the ear

145.Non hodgskin lymphoma

H . Kudineer : Manduradi kudineer -60ml morning and night before food Seenthil kudineer 60ml morning and night before food Parpam: Pavala parpam 1gm with honey after food Rasayanam:

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 Sarvanga rasayanam 5mg with milk after food Drakshadi rasayanam -5 gm with milk after food Thippili rasayanam 5gm with milk after food 146.Meniere s disese

F HF H MFA.
Causes Increased fluid collection in the inner ear

Vital diagnostic points Deafness Buzzing in the ear(Tinnitus) Vertigo,preceded by sensation of fullness in the ear

Internal : Kudineer : Musumusukai pal kashayam 60 ml morning and night before food Lehyam: Inji lehyam 1tsp with milk morning and night after food nei:
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 vallarai nei 10ml with milk morning and night Mathirai : Gnanavalli capsule 2-0-2 after food with hot water External: Tailam: Chittra muti madakku tailam apply on head Nasyam: Chitramutti madakku tailam 2 drops each nostrils . 147.

A. Kudineer: Siru thekku kudineer 60 ml morning and night before food Mathirai : Kasthuri kuligai 1-0-1 with kudineer morning and night Gorochanadi mathirai -1-0-1 with kudineer morning and night Vasantha kusumaharam -1-0-1 with kudineer morning and night

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Nei : Brahmi nei 5m.l with milk at bed time

148.Ring worm

AI . .
Causes Fungal infection on skin(Tinea corporis)

Vital diagnostic points Ring shaped patches distributed asymmetrically Erythematous scaly plaques, circinate with a central clear area Itching often durning night hours

Internal:

Kudineer:

Arugan kattai kudineer- 60 ml morning nad night before food

Parangipattai kudineer 60 ml morning and night before food

Tablet:

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 Neeradi muthu valladi capsule 1-0-1 after food with kudineer

External:

Kalimbu:

Seemaiagathi kalimbu external applications

Virechanam:

Murukkan vithu mathirai 2 tab with hot water once in week

149.Tuberculosis

F HF O J A. F J A. .
Causes Mycrobacterium tuberculosis

Vital diagnostic points Chronic cough with blood tinged sputum Awakening in the night dreamed with a cold sweat

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Decreased energy and appetite Evening rise of temperature Weight loss

Chest pain

Internal:

Choornam:

Karisalai choornam - 5gm with honey morning and night

Amukkura choornam 5 gm with milk morning and night

Mathirai:

Vasantha kusumaharam mathirai 1-0-1 with hot water

Lehyam:

Drakshathi lehyam 10 gm with milk morning and night

Nellikkai lehyam 10 gm with morning and night after food

Dhatu kalpa lehyam 10 gm with milk morning and night

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 Sara punga vilvathi lehyam 10 gm with morning and night

External :

Chukku tailam external application

150.Complex partial seizures

F H. FKA. F FKA.
Causes High fever Metabolic disorders Injury Drugs

Vital diagnostic points Aura lasts for1- 2minutes Seizure associsted with frothing at the mouth,loss of consciousness

Investigation CT Brain

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EEG

Kudineer:

Vata sura kudineer 60 ml morning & night before food

Kazharchi kudineer 60 ml morning & night before food

Siru thekku kudineer- 60 ml morning & night before food

Choornam:

kazharchi churnam 5 gm with milk after food morning and night

Tablet:

Kasturi gulika 1-0-1 with kudineer

Gorochanadi gulika - 1-0-1 with kudineer

Vasantha kusumaharam 1-0-1 with kudineer

karuppu Vishnu chakra mathirai 1-0-1 with kudineer

Brahmananda mathirai - 1-0-1 with kudineer

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Lehyam:

Poondu lehyam 10 gm with millk morning and night

Nei :

Brahmi nei 1 tsp with milk morning and night after food

Bala aswagandha lakshadi tailam 10ml with milk morning and night

External:

Nasyam;

Tulsi swrasam 2drops each nostrils

Bala aswagandha lakshadi tailam - 2drops each nostrils

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