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.

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.

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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 morning and night after food

Nannari choornam

1tsp with millk morning and night after food

Nanari leghyam

- 5gm at bedtime with milk

Venpoosani lehyam

20 gm with millk morning and night after food

Sangu parpam

-1 gm with honey morning and night after food

Pavalaparpam

1 gm with honey morning and night after food

Gungilia parpam

1 gm with honey morning and night after food

Manikka ghirtham

20 ml at bed time

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Thanneer vittan nei

15ml with 5 ml of honey morning and night after food

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.,

79.Premature grey hair M H FK G. H . H E . Causes

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Familial history Extreme worry,stress Trace mineral deficiency

Investigations:

Clinically diagnosis

Internal medicine

Karisalankanni choornam + Triphala kalpa choornam 5 gm with ghee

Nannari lehyam

5 gm with milk morning and night after food

Pavazha parpam

200 mg with ghee morning and night after food

Nellikkai nei

5 ml morning and night after food

External medicine:

Masikai tailam

2 drops for each nostrils

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Neeli birungathi +masikai tailam

external applications

Pathyam Milk, ghee Take bath with amla powder +shikikai powder Apply hair oil regularly before 15 to 30 minutes from taking bath e.g karisalai thailam , neeli pirungathi thailam ,nellikai thailam Take karisalai , manathakkali in diet Two spoon of mahanthi leaves +two spoon of fenugreek ,and two spoon of coffee powder , two leaves of thulasi. Grind them and apply over the head, wait half an hour then wash .it gives colour to the hair and reduces hair fall . Apathyam Pitta increasing diet and activities Avoid hot, spicy foods Exposure to direct sun

80. PERENNIAL RHINITIS

YA .

Essentials of diagnosis : Causes Chronic sinusitis Untreated acute rhinitis

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Vital diagnostic points

Widened ,dry nasal passage Crust inside the nose

Offensive odour

Investigation :

Clinical diagnosis

Internal medicine:

Dasamoola kudineer

60 ml morning and night before food

Kasthuri Gulikai

1-0-0 with hot water

Kunguma pooo mathirai

1-0-0 with hot water

Goorosanai mathirai

1-0-1 with kashyam morning and night after food

Mahavasantha kusumahara mathirai - 1-0-1 with kashayam after food

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 Mustard , tulasi, dried ginfer , garlic 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.

Investigation :

Clinicaly diagnosis

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

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Dont apply oil for head until complete recovery . Pathyam Wash eyes frequently Keep separate hand kerchief for wiping eyes Use spectacles

Apathyam Avoid Curd , ulunthu , fish and day sleep Avoid diet which increases pitta Avoid fatty diet 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.

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 Free running of water from eyes

Floor of ulcer readily stains with Fluroscein eye drops

Internal medicine

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 after food morning and night

Padika poonkavi chenduram 200 mg with honey morning and night after food

Manicka nei 5 ml morning and night after food

Note: Dont apply oil for head until recovery. Pathyam

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Protection of eye ball by applying pad/bandage with ghrtam

Apathyam Avoid diet which increasing pitta Avoid curd , ulunthu , fish Direct exposure of eyes to sunlight, bright light continuously for long hours. Rubbing eyes vigourously

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

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Restlessness

Investigations:

Check T4, TSH Increased T4 with clinical features

Decreased TSH (<0.3)

Internal medicine :

Drakshadi kudineer

60 ml morning and night before food

Adhimadura pal kashayam 60 ml after food at bedtime.

Thriphala kalpam

5 gm with milk morning and night after food

Nannari manapagu

5 ml with millk morning and night after food

Dhatukalpa lehyam

5 gm morning and night after food

Nellikai nei

10 ml with milk morning and night after food

Pavazha parpam

50 mg with honey morning and night after food

Velli parpam

1gm with milk morning and night after food

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Chittamutti madakku tailam 5 ml morning and night after food .

External:

Nasyam: Chittamuti madakku tailam 2 drops each nostrils

Pathyam Old ghee,barley, green gram

Apathyam Milk products,sweets, sugarcane products Uluntu , citrus products Avoid chicken Alcohol, smoking

84.Carotid atherosclerosis

O FK G. FK .

Essentials of diagnosis : Causes Infection Smoking

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Uncontrolled diabetes mellitus Hypercholesterolaemia

Diagnostic points Vertigo stroke

Investigations: Carotid Artery Doppler study

Internal medicine

Poondu then Kollu kashyam

10 mg morning and night after food 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

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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 Sedentary life style 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 .

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Essentials of diagnosis:

Causes Wear&tear trauma

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

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Karuppu Vishnu cakram 2-0-2 after food with hot water morning and night

Vata ratchasan

1-0-1 after food with hot water morning and night

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 after food morning and night

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

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 Masha tailam external application Pathyam Wear collar during travel Maintain proper neck posture on sleep Do not wipe head vigourously after bath Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam , Apathyam Oily foods Big pillow on sleep Watching TV continuously lying in improper posture

Exercise Neck exercise Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods Weight bearing shoulder exercises

86. Sub acromian bursitis

, w .

Essentials of diagnosis Causes

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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 Muscle atrophy

Investigations:

Random blood sugar

Internal medicine

Dasamoola kudineer 60 ml morning and night before food

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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

Kunthiriga tailam for external application

Masha tailam External application

Nasyam:

Chittramutti madakku tailam 2 drops each nostril

Patru : Moosambara patru external application

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Pathyam Do regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam Excess straining work with hand Avoid sports like tennis

87. Gleno humeral arthritis

Essentials of diagnosis: Causes OsteoArthritis Rheumatoid Arthritis Post traumatic arthritis Septic arthritis

Vital diagnostic points

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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 morning and night

External :

Oil:

Chittamutti madakku tailam External application

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Kayatrimeni + Masha tailam External application

Chukku tailam external application

Vidamusti tailam external application

Ulunthu tailam external application Pathyam Practice regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods

Severe Exercises

88. Supra spinatus tendonitis

Essentials of diagnosis : Causes Lifting heavy weight over the shoulder Swimming

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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 morning and night after food

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 Pathyam: Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam Lifting weight Exercises(during acute stage) Excess straining work with hand Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods

89. Palmar psoriasis

F H. H L FA.

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Essentials of diagnosis: 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

Investigations: Check sugar HLA- B27

Internal medicine

Parangipattai kudineer 60 ml morning and night before food

Nannari lehyam 10 gm with milk after food morning and night

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Kadukkai lehyam 20 gm milk at bed time

Neeradi muthu valladi mathirai - 1-0-1 with kashyam after food morning and night

Gandhga rasayanam 100mg with milk morning and night after food

Cherankottai nei 1 tsp with milk after food morning and night

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 ) with hot water

External:

Oil:

Vetpalai tailam External application Pungun tailam external application

Pathyam Maintain hygiene Dry palms on using water

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Wear gloves while using soaps, washing vessels, clothes etc.,

Apathyam Hot, spicy, oily food Non vegetarian foods Stress 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

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Investigations: Check sugar

Internal medicine:

Parangipattai churnam 5gm with milk morning and night after food

Rasagandhi mezhugu 50mg with jaggery morning and night after food

Idi valladi mezhugu 50mg with jeggry morning andnight after food

Gandhaka rasayanam 5 gm with milk morning and night after food

External :

Tailam:

Pungan tailam External application

Pancha kalpa kuliyal choornam with butter milk for external application

Amirta vennai external application

Pathyam Maintain hygiene Wear gloves while using soaps, washing vessels, clothes etc.,

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Apathyam Hot, spicy, oily food Non vegetarian foods Avoid shelled fish,chicken, chips etc. 91. Raynauds disease

H . H FA.

Essentials of diagnosis: Causes Cold temperature Stress

Vital diagnostic points Bluish discolouration 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

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Treatment

Internal medicine

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 )

Kasthuri mathirai

1-0-1 with kudineer after food morning and night

Irunelli karpam mathirai 1-0-1 with kudineer morning and night after food

Nannari lehyam

5 gm with milk morning and night after food

Satavari lehyam

10 gm with milk morning and night after food

Venpoosani lehyam

5 gm morning and night after food

Pavazha parpam 50 mg with honey morning and night after food

Velli parpam 50mg with honey morning and night after food

Muthu parpam 50mg with honey after food morning and night
31

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External medicine:

Virachanam:

Kadukkai lehyam- 20 gm with milk morning and night

Kumari tailam - 20ml for purgation once a week

Pathyam:

fruits which are sweet in nature e.g dates , grapes ,,pomegranate ,banana ,tender coconut

greens which are sweet and bitter in nature e.g cucumber ,bottle gourd ,brinjal,beans

butter milk ,badam,turmeric ,barley ,

apathyam ;

avoid spicy,salty .sour foods

non- veg diet

avoid corn ,horse gram ,potato ,curd ,sesame ,

92. Syringomyelia
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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

Internal medicine:

Dasamoola kudineer - 60ml morning and night before food

Karuppu Vishnu chakra mathirai - 2-2-2 after food with hot water

Chanda maruda chenduram 50 mg with honey morning and night after food

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Iya veera chenduram 50 mg with honey morning and night after food

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

Pathyam :

Avoid Salty , oily ,sour , black grams , curd ,

day sleep ,

non-veg diet

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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Internal medicine:

Venthamarai choornam-3gm with ghee morning and night after food

Athi Madhura churnam 5 gm with ghe e morning and night after food

Sanga putpi churnam 5gm with ghee morning and night after food

Nannari lehyam -5 gm morning and night before food

Venpoosani lehyam 5gm morning and night after food with milk

Pavala parpam 1 gm with ghee morning and night after food

Vani ghirtham 5ml with milk morning and night after food

External medicine:

Chittramutti tailam apply for head

Chandhnathi thailam apply over the head

Chukku tailam apply for head

Nochi tailam apply for head

Pathyam

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Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam

Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods 94. Non-bleeding piles

A. A.

Essentials of diagnosis:

Causes constipation Strainig at bowel movements Delivery

Vital diagnostic points Pain Pruritis ani Constipation

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Internal medicine :

Triphala choornam - 3gm with honey morning and night after food

Thetrankottai lehyam -5gm morning and night after food

Karunai lehyam- 10gm before food with milk morning and night

Naga parpam-50mg with honey morning and night after food

Serankottai nei 3 ml with milk morning and night after food

External application

Oil: Masikkai tailam apply on anal region

Pathyam Leaf and fruit of patola Garlic, dried ginger, amalaki, surana Butter milk, butter, ghee, meat and milk of cow and goat Wheat, mustard oil, barley, oats

Apathyam Suppression of natural urges, sitting for long time Avoid constipation Spicy, dried deep fried foods, non vegetarian food

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Alcohol, smoking

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

Investigation:

Clinical diagnisis

Internal medicine:

Triphala choornam 2 tsp with hot water morning and night after food
39

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Nannari lehyam 20gm with milk morning and night after food

Thettrankottai lehyam 10mg with milk morning and night after food

External medicines: Masikkai tailam-5ml for external application

Pathyam Butter milk, goats milk onion, Amla Fibre rich food Sitz bath

Apathyam

Avoid constipation
Avoid spicy and oily foods

96. Fistula

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

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Vital diagnostic points Pain and discharge of pus from anal region

Investigation:

Clinical diagnosis

Internal medicine :

Idi vallathi mezhugu 1 gm with milk after food morning and night

Kadukkai lehyam -5gm morning and night after food

Karunai lehyam 5gm with milk morning and night after food

External medicine:

Oils: Pathyam Butter milk, goats milk onion, Amla Fibre rich food Sitz bath Masikkai tailam apply on anal region

Apathyam

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Avoid constipation
Avoid spicy and oily foods

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) Migraine type headache,epilepsy Intermittent joint pain to acute polyarthritis Joint deformity in long standing disease Malar butterfly erythema

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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:

Chitramirthu kudineer 60ml before food morning and night

Nilavembu kudineer 60 ml before food morning and night

Manduradi kudineer 60 ml beforefood morning and night

Pitta surakudineer 60ml morning and night before food

Seenthil pal kashayam 60 ml morning and night before food

Pavala parpam 1gm with honey tds after food

Nannari manapagu 20ml bid morning and night after food

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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)

Pathyam :

Avoid salty , oily , sour food items

Avoid Alcohol , chicken ,

Avoid direct sunlight

98. Sjogrens syndrome FK F . . . C . , O C . P F

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. 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:

Drakshadi kudineer 60ml bid before food morning and night

Neermulli kudineer 60ml bid before food morning and night

Nerunjil pal kashyam 60ml bid before food morning and night

Seenthil pal kashayam 60ml bid before food morning and night

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Poorna chandrodaya mathirai

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

Kshayakulantaga rasam with ghee

- 100 mg after food morning and night

Nellikai nei -10ml with milk morning and night after food

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

Pathyam :

Avoid salty , oily , sour food items

Avoid Alcohol , chicken ,

Avoid direct sunlight

99.Rheumatoid arthritis

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, 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

Seenthil Kudineer 60 ml morning and night before food

Manduradi kudineer 60 ml morning and night before food

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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

Internal medicines :

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

Gandaka rasayanam 2 gms with milk morning and night after food

Nellikai lehyam 5gm morning and night with milk after food

Narasimha lehyam-10gm morning and night with milk after food

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

External :

Chittramutti madakku tailam

Pinda tailam

Bala aswagandha tailam

Pathyam:

Take Pudal , neermulli, milk,ghee, in diet

Take fruits which it are sweet

Avoid fruit in sour taste

Apathyam :

Avoid Spicy , salty , sour ,oil foods

Avoid non- veg diet like as chicken

Avoid black gram , curd

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100. Renal colic ( M ) HF, F A. F F . HF K . L F . 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 medicines : Neermulli kudineer - 60 ml morning and night before food

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Satavari lehyam

10 gm morning and night after food

Vediyuppu chunnam

50mg with kashyam morning and night

Nerunjil mathirai

-2-0-2 with kashayam

Karpoora silasathu mathirai -2-0-2 with kashayam

Pathyam ;

Take more amount of water(>3 litres )

Take Barley , tender coconut, radish ,kollu , drumstick ,plantine stem , flower of plantine

Take cucumber in more amount

Apathyam :

Avoid Spicy , salty , sour

Avoid constipation

Avoid common toilets

101.Trichomonas vaginalis

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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

Internal medicine:

Orithazh thamarai 5gm after food with milk at night

Padika poonkavi chendhuram - 3gm morning and night after food with honey

Parangipattai rasayanam- 10gm with milk at bedtime

Manicka ghrtam

10 ml at bed time

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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 ,

Rule out sugar do urine / micro albuminuria

Paps smear

Pathyam :

Avoid diet which increases kapha .

Keep the pathyam same in piramegam

Avoid watery diet

Keep clean in sexual life .

102.Chronic myeloid leukemia

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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 medicines :

Drakshadi kashayam -60ml morning and night before food

Aya bringaraja karpam 5gm with honey morning and night after food

Drakshadi rasayanam 5 gm morning and night with milk after food

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Madhulanga nei

5ml at bedtime

Nellikai nei

5 ml at bedtime

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

Pathyam ;

Take diet sweet in taste

Take pathyam for medicine

Apathyam :

Avoid Spicy , salty , sour foods

Avoid non-veg diet

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

Causes

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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 medicines :

Dasamoola kudineer 60ml morning and night before food

Nilavembu kudineer 60ml morning and night before food

Kungumapoo mathirai 2-0-2 with hot water morning and night after food

Gorochanadi tablet 2-0-2 with with hot water after food

Brahmananda bhairavam mathirai 2-0-2 with hot water after food

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 Inji lehyam

5gm morning and night after food

Pathyam ;

Rice Gruel +green gram take regularly

Dried ginger +coriander seeds boiled with water use as drinking water.

Keep close the vatha places like ear, chest with blanket

Apathyam :

Avoid spicy , salty , sour , oily foods

Avoid taking bath with cold water

After bath or micturition wetness should be completely dried

Avoid sore throut

Avoid cold foods

104 .Rickets
M FK G. Causes Deficiency of vitamin D
57

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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

Internal medicines:

Pavala parpam 1gm with honey morning and night after food

Muthu parpam - 1gm with honey morning and night after food

Manicka ghrtam 10ml morning and night after food

Sanga vati

-2-2-2 after food with hot water

Bala ashwagandha lakshadi -10 ml at night with milk

Sesame balls

10 gm with milk

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

Advice

Direct sun light for 20 minutes

Pathyam : Milk and milk products , sesame , ghee, Take Greens ,vegetables contains calcium Do surya namaskaram daily Take Millet which is contain calcium

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

Causes Primary idiopathic Secondary-Due to other diseases like Pagets disease Infection

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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 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

MEDICINES

For lean people:

Internal:

Amukkara choornam- 10 gm with milk at night

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

Chittramutti tailam with glass of milk at bedtime

Masha tailam with glass of milk at bedtime

External:

Vatakodari tailam for external

Vishamusti tailam for external

Bala Ashwagandha Lakshadi tailam for external

For obese patient:

Dasamoola kudineer 60 ml morning and night before food

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

Kadukkai lehyam 1 tsp with hot water for purgation

Narasimha lehyam 1tsp with milk to regulate vatham Pathyam Practice regular exercise

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Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam

Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods

Severe Exercises

106. Asthma
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

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Wheeze Chest tightness Sweating In severe asthma attack confusion,lethargy and cyanosis present

Internal medicine :

Adathodai kudineer 60ml before food morning and night

Dasamoola kudineer- 60ml before food morning and night

Gorochanadi kudineer 60ml before food morning and night

Tulasi kudineer 60ml before food morning and night

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

Thuthuvalai choornam 5gm with honey morning and night after food

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

External :

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.

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

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 Use water boiled with dried ginger,pepper and coriander seeds as drinking water.

107. Chronic pancreatitis

Acute pancreatitis- C F . Chronic

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

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

Investigations USG abdomen pelvis Serum amylase,lipase

Internal medicines:

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Karivepilai kudineer 60ml before food morning and night

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

Vilvadi gulikai 2-2-2 with butter milk

Thair sundi mathirai 2-2-2 with butter milk

Chundaivattal choornam 5gm with honey morning and night

Note:

Do not use nei (ghirtham), aristam

Pathyam ;

Keep the pathyam for kapha disease

Apathyam :

Avoid salty , oily , sour foods . milk and milk products , wheat

Avoid alcohol

108.Deep vein thrombosis

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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

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

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Investigations Arterial Doppler study Homocystein CRP

Internal medicines :

Parangipattai kudineer

60ml morning and night before night

Marutham mathirai

2-2-2 with honey after food

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

Chanda maruda chenduram

100mg with honey morning and night after food

Poondu lehyam food

10 gm with milk morning and night after

Pathyam ;

There is no specific pathyam for deep vein thrombosis

Stop the smoking completely

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Control diabetes

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 medicine:

Amukkura choornam 1 tsp with honey morning and night after food

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 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.

Pathyam :

Take spicy foods

Apathyam ;

Avoid diet which has sweet in taste

Avoid oily , curd, and foods which increases fatty in nature

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110.Avascular necrosis of head of the femur

K M C FK vF A G. YF . 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
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Investigations CT pelvis

Internal medicines:

Seenthil kudineer 60ml before food morning and night

Kombarakku choornam 1tsp with honey morning and night

Sarvanga rasayanam 10 gm with milk morning and night after food

Pavala parpam 1gm with honey morning and nigh after food

Chittramuti madakku tailam -1 tsp with milk

External :

Oil:

Vidamusti tailam external application

Pathyam : Milk and milk products , sesame , ghee,pavala parpam , Take Greens ,vegetables contains calcium Take Millet which is contain calcium

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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

Internal medicines :

Peipudal kudineer 60ml before food morning and night

Karisalai karpam 1tsp with honey morning and night after food

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 Kizhanelli mathirai 2-0-2 with hot water morning and night after food

Thippili rasayanam 5gm with milk morning and night after food

Drakshadi rasayanam 5gm with milk after food morning and night

Kadukkai lehyam 10 gm with milk for purgation

Sara punga vilvadi lehyam 10gm milk morning and night after food

Amanakku ilai -20gm with milk

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

Pathyam :

Take water with nellikai (amla)

Take only veg diet

Take

more

amount

of

water,

sugarcane

juice,nellikai

drakshai,pomegranate ,dates and tender coconut

Apathyam :

Avoid spicy, oily, sour foods in 1st week

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

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

Internal medicines:

Kollu soup

60ml morning and night before food

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Mullangi juice 60ml morning and night before food

Madhulai juice 60ml morning and night before food

Thippili choornam

1tsp with honey after food

Triphala karpam

1tsp with honey morning and night after food

Trikatu choornam

1tsp with honey morning and night after food

Gorochanadi vati

2-0-2 after food with hot water

Drakshadi lehyam

1tsp with milk morning and night after food

Ayakantha chenduram 100mg with honey after food morning and night

Advice :

Chicken meat

External:

Virechanam not indicated

Note :

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

Pathyam :

Take more amount of kollu kashayam , murungai leaves , radish , chicken , thirkadu ,

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

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Muscle atrophy

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

Internal medicines:

Drakshadi kudineer-60ml morning and night before food

Sarapunga vilvadi lehyam 1tsp with milk morning and night

Drakshadi lehyam 1 tsp with milk morning and night

Kizhaneli mathirai

2-0-2 with hot water morning and night after food

Seenthil tablet

2-0-2 with hot water morning and night after food

Pathyam :

Take protein regularly

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Take

more

amount

of

green

grams

,kizhanelli,

karisalai,

ponnanganni , pomegranate, dates,pudal

Apathyam :

Avoid alcohol , spicy ,oily,salty foods

Pain killers should be avoided

116. Frozen shoulder

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

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 Decreased motion of the shoulder

Internal medicines:

Dasamoola kudineer 60 ml morning and night before food

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

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

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 Do exercise Check sugar (GTT) and control sugar.

Pathyam Practice regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods

Severe Exercises

117. Fatty liver

HF HF FK G. Causes Obesity Diabetes mellitus Malnutrition and a low protein diet Alcohol abuse

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 Excess corticosteroids Vitamin A toxicity Vital diagnostic points Usually asymptomatic In rare cases Jaundice Nausea Vomiting Pain Abdominal tenderness Investigation SGPT SGOT Serum bilirubin USG- abdomen, pelvis

Internal medicines:

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 Pitta sura kudineer 60 ml morning and night before food

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 with hot water

Kariveppilai choornam- 1tsp with butter milk morning and night after food

Thippali rasayanam 1 tsp with milk morning and night after food

Drakshadi lehyam- 10gm with milk morning and night after food

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
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 Secondary hypertension

Hormonal disorders

hyperthyroidism ,cushings syndrome ,acromegaly

Kidney disorders -renal artery stenosis ,glomerulonephritis,polycystic kidney 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

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 fatigue

Internal

Sarpakantha tablet

1 tablet morning and night after food

Gnanavalli capsule

2-2-2 after food with hotwater

Venthamarai choornam

- 1tsp with honey after food

Kadukkai lehyam

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

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

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 Smoking 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 medicine :

Parangipattai kudineer 60 ml morning and night before food

Marutham tablet- 2-2-2 with hot water after food

Kadukkai lehyam -10gm with hot water at bedtime

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

Sarvanga rasayanam- 5 gm with milk after food morning and night

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120. Heart failure

. M Y A.

Causes

Ischaemic heart diseases Cigarette smoking Hypertension Obesity Diabetes Valvular heart diseases

Vital diagnostic points 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

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 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

Internal medicines :

Dasamoola kudineer-60ml before food morning and night

Manduradi kudineer-60ml before food morning and night

Neermulli kudineer-60ml before food morning and night

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

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

Venthamarai choornam- 1tsp with seeraga kudineer morning and night after food

121. Motor neuron disease

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

Vital Diagnostic Points Progressive muscle weakness Dysphagia Limb weakness slurred speech

Impaired gait Facial weakness Muscle cramps

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

Internal medicines:

Orithazh thamarai Pal kashayam 60 ml morning and night before food

(Or)

Amukkura pal kashayam 60 ml morning and night before food

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

Kshaya kulanthaga rasam 50mg with ghee morning and night

Ashwagandhadi lehyam-1 tsp with milk after food morning and night

Dhatu pushti lehyam 1 tsp with milk after food morning and night

Chittamutti madakku tailam-5ml with milk at night

Masha tailam-5ml with milk morning and night

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 Thanga parpam

50 mg with ghee morning and night

Velli parpam

External

Maha masha tailam

Pathyam ;

Use gingely oil for cook

Take diet which increases the kapha like milk , ghee, badam

Apathyam :

Avoid diet which increases the vata

Avoid spicy , sour , salty , oily foods

122.Benign prostrate hypertrophy

F G. WA .

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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

Internal medicines :

Dasamoola kudineer- 60ml before food morning and night

Mavilanga kudineer-60ml before food morning and night

Amirtadi sanjeevi choornam 1tsp with hot water morning and night after food

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

Kadukkai lehyam

- 1tsp with milk after food at night

Pathyam ;

Take more amount of water(>3 litres )

Take Barley , tender coconut, radish ,kollu , drumstick ,plantine stem , flower of plantine

Take cucumber in more amount

Apathyam :

Avoid Spicy , salty , sour

Avoid constipation

Avoid common toilets

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

Vital diagnostic points 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 Internal medicines :

Nilavembu kudineer - 60 ml before food morning and night

Kapha sura kudineer - 60 ml before food morning and night

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

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

External

Tailam

Karpoora tailam

- external application

Vishamusti tailam

Kizhi

Thavidu (Husk) kizhi- for fomentation

Pathyam ;

Take gruel , rasa satham , nartham kai , green gram

Take diet which has bitter taste

Apathyam ;

Avoid spicy , sour , salty , oily foods, curd, black gram ,

Avoid cold water bath

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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 After 6 -8 hrs ,each spots become raised ,forms an itchy ,round ,fluid filled blister against a red back ground and finally crusts

Internal medicines :

Pitta sura kudineer- 60ml before food morning and night

Venthamarai choornam- 1tsp with hot water after food morning and night
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 Nannari lehyam- 1tsp with milk after food morning and night

Pavazha parpam- 1gm with honey morning and night

Pathhyam ;

125.MALABSORPTION IN CHILDREN
AE Causes Lack of pancreatic enzyme 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

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 Abdominal pain Heavy steatorrhoea Investigations Hb,ESR Urine examination Serum iron,Vitamin B12,immunoglobulin examination Plasma protein CRP

Internal medicines :

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

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

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Pathyam :

Avoid milk and wheat when we will find the reason

Take Kariveppalai , fenugreek , coriander seeds pomegranate , senai kizhangu , karunai kizhangu ,

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 Vital diagnostic points Usually asymptomatic

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 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 Internal medicine:

Kollu kudineer 60 ml morning and night before food

Karisalai karpa choornam- 1tsp with honey morning and night

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

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

Thippali rasayanam - 5 gm with milk morning and night

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 Drakshadi rasayanam - 5 gm with milk morning and night

Pathyam ;

Take butter milk , dried ginger , pepper , thippli , lemon , karisalai , ponnanganni ,

Apathyam ;

Avoid milk and milk products

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 medicines :

Mavilanga kudineer - 60ml morning and night before food

Nerunjil kudineer - 60ml morning and night before food

Dasamoola kudineer - 60ml morning and night before food

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

Silajit tablet-1-0-1 with kashaym morning and night after food

Kadukkai lehyam- 1tsp with milk at bedtime for purgation

Pathyam ;

Take more amount of water(>3 litres )

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Take Barley , tender coconut, radish ,kollu , drumstick ,plantine stem , flower of plantine

Take cucumber in more amount

Apathyam :

Avoid Spicy , salty , sour

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

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 Morning headache Mood changes Nocturia Dryness of mouth and throat

Investigations EEG Polysomnography Internal medicines:

Dasamoola kudineer-60ml morning and night before food

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.

Pathyam:

Sleep early in night

Head should be rise during sleep

Reduce the body weight

Do pranayamam regularly

Apathyam ;

Avoid diet which increases the kapha

Air conditioner should be avoided

129.Vaginal candidiasis

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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 .

Karpokiarisi kudineer 60ml before food morning and night

Madhumega kudineer 60ml before food morning and night

Masikkai kudiner 60ml before food morning and night

Karpoora silasath parpam tab 2-0-2 with kudineer

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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 .

Pathyam :

Avoid diet which increases kapha .

Keep the pathyam same in piramegam

Avoid watery diet

Keep clean in sexual life .

130.Glaucoma

HF H. FKA. A.
Causes
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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:

Triphala karpam - 5gm with milk morning and night

Manduradi kudineer 60ml before food morning and night

Neermulli kudineer 60ml before food morning and night

Kadukkai lehyam 10 gm with hot water at bed time

External :

Anjanam:

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 Murungaicharu

Pathyam :

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: pleural disorders ,intertial lung disease ,mediastinal lesions Productive cough:

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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: Dasamoola kudineer 60 ml before food morning and night

Thuthuvalai choornam - 5 gm with honey morning and night after food

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 Adhimadura mathirai - 2-0-2 after food with hot water morning and night Gungumapoo mathirai 1-0-1 with hot water after morning and night Gorochanadi mathirai 1-0-1 with hot water morning and night after food Inji lehyam 5 gm with milk morning and night after food Kadukai lehyam 10 gm with hot water at bedtime Pavala parpam 1gm with honey morning and night after food If not cure give poorna Chandrathoyam -1-0-1 with hot water after food Pathyam : Take pepper , thhulasi , dried ginger ,garlic Do pranayamam regularly Use hot water to drink and bath Apathyam: Avoid dust , smoke , bakery foods , icecreams , cool drinks , curd Avoid sweet and sour foods and fruits

132.SCABIES

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, O H FKA. C . c Y H .

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: Parangipattai kudineer 60 ml morning and night before food

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 Nannari lehyam - 5gm with milk morning and night after food Gandaka mathirai 2-0-2 after food with hot water morning and night 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 . Pathyam : Use coconut oil instead of gingely oil Apathyam : Avoid spicy , oily , salty , sour foods , curd , milk,alcohol, non veg

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 Avoid day sleep Avoid direct sunlight

133. IMPETIGO CONTAGIOSUM H . , C, . . Essentials of diagnosis: Non bullous impetigo can be caused by staphylococcus or streptococcus or combination of two 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 . Internal medicine: Parangipattai kudineer -60 ml morning and night before food Veepampattai kudineer 60 ml morning and night before food Nanchu murivu choornam 1 tsp with honey tds after food
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 Nannari choornam 5gm with honey after food morning and night Nandhi mezhugu -50 mg morning and night with jaggery after food Nannari lehyam -5gm morning and night after food External medicine : Masikai oil (70%)+pungan oil (30%)-apply externally Butter milk also apply externally Thiripala powder for wash Virechanam: Pala lakshathi - 20ml once in a week Pathyam : Use coconut oil instead of gingely oil Apathyam : Avoid spicy , oily , salty , sour foods , curd , milk,alcohol, non veg Avoid day sleep Avoid direct sunlight

134.VESICULO BULLOUS LESION

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 . 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 CSF PCR Internal medicine : 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 Adhimadura mathirai -2-0-2 with kudineer Seenthil mathirai 2-0-2 with kudineer

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 Saantha chandrodaya mathirai 1-0-1 with kudineer Nannari choornam -1 tsp with honey after food morning and night Nanchu murivu choornam 1tsp with honey after food morning and night 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 After recovery: Manikka ghirtham- 5ml with milk morning and night Nellikai ghirtham 5 ml with milk morning and night Pathyam ; Take diet which decreases the pitta Take diet which sweet in taste e.g dates , dried grapes , milk Apathyam ; Avoid spicy ,oily , salty , alcohol , fruits in taste of sour

135.HERPETIC NEURALGIA

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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 : Amukkara pal kashayam -60 ml morning and night before food Nannari lehyam 5gm with milk morning and night afterfood Nellikai lehyam 5gm with milk morning and night after food Van mezhugu 3gm with milk morning and night after food Velli parpam gm with honey morning and night Pavala parpam -1gm with honey after food Chittramotti madakku tailam -10 ml at night after food with milk External use: Tailam: Sivappu kukil tailam external application

Pathyam ; Take diet which decreases the pitta Take diet which sweet in taste e.g dates , dried grapes , milk Apathyam ;

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 Avoid spicy ,oily , salty , alcohol , fruits in taste of sour 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 : Murukkan vithai mathirai with kumari tailam 25 ml at morning 10o clock in empty stomach . Rasagandhi melugu 50 mg with jagrry after food morning and night

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 Kukil vallathi lehyam -5 gm morning and night with milk after food External medicine : Tailam : Oomathai tailam , elathi kairem apply for head Juice of datura apply to the head for 10 minutes Pathyam ; Maintain the sclap hygiene Apathyam : Avoid diet which increase the fat Avoid carbohydrate diet and sugar and jagrrey 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 : 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 kapha sura kudineer 60 ml morning and night before food
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 Mantharai guggulu 2-0-2 with hot water after food morning and night Manathakkali leaves 50 gm morning and night after food food or food Pathyam ; Drumstick, murungai thuvaiyal , butter milk ,manathakali,thirphla , honey with water Apathyam : Avoid salty ,oily , sour foods ,curd , Avoid day sleep Avoid diet which increases the fat Do exercise regularly valladi lehyam - 5gm with milk morning and night after Seenthil choornam 5gm with honey morning and night after food Nandhi mezhugu 3gm with jaggery morning and night after food Narasimha lehyam - 5gm with milk morning and night after

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138.Migraine Internal medicine :

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 Investigations Check eye power

If persists for more than 6 months, CT scan to be done to rule out brain tumour

Internal medicines: Pitta sura kudineer 60 ml before food morning and night Nilavembu kudineer 60 ml before food morning and night

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Amirtha sanjeevi choornam 5 gm with honey morning and night after food

Sirunga perathi choornam 5 gm with honey after food Amukkura choornam - 5gm with honey after food

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 . Pathyam ; Take food in correct time Apathyam ;

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 Take food before hunger will arise Avoid oily ,salty , foods Air conditioner should be avoided

139. STYE

F FKA. A. F .
Causes 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

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Blood Sugar

Internal medicine: 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 Amirtha sanjeevi choornam 5 gm with honey morning and night after food Nanchu murivu choornam- 5gm with honey morning and night after food Kadukai lehyam 10 gm with hot water at bed time Kumari tailam 5ml after food at bedtime Pathyam : Take diet which are decreses the kapha Take bitter taste greens and vegetables Apathyam ; Avoid spicy ,salty , sour foods

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 Avoid diet which are increase the fat

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

Internal medicine: Seenthil pal kashayam 60ml morning and night before food Karuppu Vishnu chakra mathirai 1-0-1 with hot water after food External :
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 Vidamusti tailam- external application Vata kodari tailam external application Patru : Chukka patru Moosambara patru muttai patru
Pathyam Practice regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods Severe Exercises

141.Carpal tunnel syndrome

Causes Repetitive stress injury causing median nerve compression

Vital diagnostic points

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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 Chanda marutha chenduram 50 mg with honey after food Poondu lehyam 1 tsp with mik morning and night

Bala aswagandha lakshadi tailam 5ml at bed time External medicine: Oil: Vasavu oil Vida musti tailam Vatakodari tailam kayathirumeni tailam Otradam Narankai kizhi

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Nasiyam: Chukku tailam 2 drops each nostrils Pala aswagandha lakshadi 2drops each nostrils
Pathyam Practice regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods Severe Exercises

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

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Vital diagnostic points Person cannot extend the wrist and it hangs flaccidly

Internal medicine :

Amukkura choornam -

5gm with milk morning and night after food

Chanda marutha chenduram

gm with honey morning and night

Kshaya kulanthaga rasam External medicine: Oil: Vasavu ennai Masha tailam Advice : TENS physiotheraphy

1-0-1 with hot water afterfood

Bandage
Pathyam Practice regular exercise Greens ,fruits , barley , samba , green gram , ulunthu ,butter milk sesame , badam

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Apathyam
Cold food items, dry and heavy foods

Dried fruits ,dried vegetables soya beans ,plantine ,flower of plantine .cool drinks ,coffee ,tea ,spicy foods

Severe Exercises

143. Psoriasis 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

132

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Internal medicine : Pitta sura kudineer Parangipattai kudineer Nannari manapagu Kadukkai lehyam purgation External medicine: Oil: Vetpalai tailam external application
Pathyam Maintain hygiene Dry palms on using water Wear gloves while using soaps, washing vessels, clothes etc.,

60ml before food morning and night - 60ml before food morning and night 10ml after food morning and night 1tsp with hot water at bedtime for once in 5 days

Apathyam Hot, spicy, oily food Non vegetarian foods Stress Avoid shelled fish,chicken, chips etc.

144.Wax in ear

F H. FKA.
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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

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 Pathyam ; There is no specific pathyam
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Apathyam ; Avoid diet which increases the kapha Avoid buds to clean the ear

145.Non hodgskin lymphoma

H .

Internal medicines : Manduradi kudineer -60ml morning and night before food Seenthil kudineer 60ml morning and night before food Pavala parpam 1gm with honey after food Sarvanga rasayanam 5mg with milk after food Drakshadi rasayanam -5 gm with milk after food Thippili rasayanam 5gm with milk after food Pathyam : Take diet which decreases the kapha pitta

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 Apathyam ;

Take diet which have bitter taste Take green gram add with rice gruel once in a day .

Avoid Oily foods , curd , black gram , Avoid non- veg diet 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 : Musumusukai pal kashayam 60 ml morning and night before food Inji lehyam 1tsp with milk morning and night after food

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 vallarai nei 10ml with milk morning and night 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 . Pathyam : Take Musumusukai , pomegranate , ginger in more amount in diet Use Pitta vata samana oil use for head Apathyam ; Avoid foods which causes acidity Avoid foods which increases vata Do not use oil when ear with pus 147.

A.
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internal medicines : Siru thekku kudineer 60 ml morning and night before food 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

Brahmi nei 5m.l with milk at bed time Pathyam ;

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

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Internal:

Arugan kattai kudineer- 60 ml morning nad night before food

Parangipattai kudineer 60 ml morning and night before food

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

Pathyam :

Use coconut oil ,and ghee instead of gingely oil

Apathyam :

Avoid spicy ,salty , sour food s

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 Avoid black gram , milk, curd , jagerry, alcohol

Avoid day sleep and non-veg

Avoid direct sun light

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 Decreased energy and appetite Evening rise of temperature Weight loss

Chest pain
140

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Internal:

Karisalai choornam - 5gm with honey morning and night

Amukkura choornam 5 gm with milk morning and night

Vasantha kusumaharam mathirai 1-0-1 with hot water

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

Sara punga vilvathi lehyam 10 gm with morning and night

External :

Chukku tailam external application

Pathyam :

Diet to rectify the digestive fire like thippli churnam

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 pistha ,

Give nutritious diet like milk , ghee , meat soup , badam ,

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

EEG

Internal medicines:

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 Vata sura kudineer 60 ml morning & night before food (or)

Kazharchi kudineer 60 ml morning & night before food (or)

Siru thekku kudineer- 60 ml morning & night before food

kazharchi churnam 5 gm with milk after food morning and night

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

Poondu lehyam 10 gm with millk morning and night

Brahmi nei 1 tsp with milk morning and night after food

Bala aswagandha lakshadi tailam 10ml with milk morning and night

External:

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Nasyam;

Tulsi swrasam 2drops each nostrils

Bala aswagandha lakshadi tailam - 2drops each nostrils

Pathyam :

Do not leave the patient alone

Do not lock the doors when alone in a room

Be aware of swimming pool and fire

Do not drive the vehicles

Apathyam ;

Avoid sour and undigested food

Sleep early in night

Keep mind be calm

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