OSTEOPENIA Old Archived Cases

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Respected panel members, This time i hv a case with following details: female,60 yrs c/o pain and swelling in right wrist joint no H/o any injury or so. H/o fatty liver in past Presently taking allopathic treatment for thyroid,also took allopathic medication for above complaint. She has been diagnosed OSTEOPENIA I started her with foll: Tab.Reosto(himalya)1 BD & Vishtinduk vati 1 BD with Kokilaksha kashaya Ashwagandha & shatawari pdr.with milk BD Hinghwastak ch.at bed time with warm water Ksheerbala tailam for local massage After taking the same she started complaining of anorexia.why is it so? A senior of mine said its bcz of vishtinduk vati .stop it or start a liver tonic. I stopped vishtinduk vati n started her with Ekangveer rasand along with hingwashtak i added lavanbhaskar. Its been 5 days since she started with the treatment.til nw she has no relief. Am i going right.shud i make some changes in the same.plz guide me. Regards & thanx DR.UPASANA PRIYA
Responses (17)
  • Accepted Answer

    Sunday, February 06 2011, 09:32 AM - #permalink
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    dr upasana 1st get done all the investigations.EKANGVEER ras to be replased with RASANADI KWATHA n advise to take VATAHAR diet along with SAWARNMAKSHEK,PUARNAVA MANDUR. prasarnioil for massage
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  • Accepted Answer

    Sunday, February 06 2011, 06:24 PM - #permalink
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    I think following t/t 1.cap shigru bd for 1 month 2.tab reosto bd 3.tab arrow [ vasu ] bd 4. tab livomin [ charak ]bd 5,local foment with lukewarm water add small quantity of salt .dr.s.k.khare
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  • Accepted Answer

    Sunday, February 06 2011, 06:41 PM - #permalink
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    ** Bone dendsity/ CRP/ ..?????????? ??? ????????
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  • Accepted Answer

    VD. BHAVIN
    VD. BHAVIN
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    Sunday, February 06 2011, 07:49 PM - #permalink
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    Think about asthidhatwagni in this case. For that guduchi+amalki+musta choorna in equal proportions can be given. Along with that for vataprakop due to ostopenia, dashmoolkwath+arjun+yashtimadhu choorna should definitely serve the purpose.

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  • Accepted Answer

    Sunday, February 06 2011, 09:55 PM - #permalink
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    medication is correct but plz. kindly add local massage wid mahanarayan and maha mash tail and after that fomentation,,,advise her to change the source of drinking water and add swarna makshik,asthi shrinkhla,and rasna di kwath..
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  • Accepted Answer

    Sunday, February 06 2011, 10:15 PM - #permalink
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    First complete all the investigations including X-Ray. if any thing special go for further investigations & inform me. Medicine: Tab Rumalaya Forte 1 BD+ Tab Reosto 2 BD+ Tab Spirulina 1 BD+ Maharasnadi Qwath 20 ml Bd Physiotherapy: Phonophoresis ( i.e. Ultrasonic Therapy with Rheumasyl oil )+ Parafin Wax Bath+ Mobilisation Exercises

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  • Accepted Answer

    Monday, February 07 2011, 12:00 PM - #permalink
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    preprations like godanti bhasma, praval pishti, kukuutand twak bhsma should be added to prescription. osteopenia usually develops in post menopausal women due to harmonal imbalance, and hence shatavari cooran is also herb of choice
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  • Accepted Answer

    Monday, February 07 2011, 04:33 PM - #permalink
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    balaristha, mahayograj gug. and avipattikar churna with sutsekhar rasa .
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  • Accepted Answer

    Monday, February 07 2011, 07:25 PM - #permalink
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    kukkutandatwak bhasma 1 pinch twice a day .
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  • Accepted Answer

    Tuesday, February 08 2011, 07:33 AM - #permalink
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    Asthimajja pachak,Cap Ossigen(SG PHYTOPHARMA),Cap Meecal(SG)can be added to your Rx. Continuous SingdhaAnuloman-To maintain Vat Dosha.
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  • Accepted Answer

    Tuesday, February 08 2011, 11:38 AM - #permalink
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    Dr. Upasana ji. I think, she must be suffering from Aama. It is the reason for agnimandya. U should add Rasna panchak or rasna saptak to the above prescription.
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  • Accepted Answer

    Tuesday, February 08 2011, 12:18 PM - #permalink
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    Ma'm agree with Dr.sachin gandhi sir... pt is in "sam" condition. plz stop shatavari+ashwagandha,kokilaksh kashay...all this are guru,snigdh. [i don't know abt the contains of reosteo] i think she needs just pachan..may be trifala and/or panchkol r useful. also stops snehan.only swedan'll be effective.
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  • Accepted Answer

    Tuesday, February 08 2011, 07:41 PM - #permalink
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    Dear Dr. Upasana I am having a patient named Malkiat singh aged 44 with bone density reduced having T score -1.8 and z score-9 diagnosed osteopenia. I just gave him ashwagandha sonth and vidharamool with praval pishti and triodasahng guggul in tds dose and patient got his bone density tests done after 2 months and were all within normallimits.
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  • Accepted Answer

    Tuesday, February 08 2011, 08:51 PM - #permalink
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    Hi madam ! In this case after giving deepana ,pachana drugs you can plan for KSHEERA VASTHI. Since how long she is taking Rx for thyroid ? Either it is for Hypo or Hyper ? If it is hypo ,...she might be using Thyroxine where she will get osteoporosis as adverse effect. So better if u go for TFT to know the status and requirment of the treatment.
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  • Accepted Answer

    DR. RISHI
    DR. RISHI
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    Saturday, February 12 2011, 11:52 AM - #permalink
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    Dear Doc, Looks like a case of aam sanchati from the fact that she has thyroid, fatty liver and now pain in wrist clearly suggests aam sanchiti. Rather then stopping vishtinduk vati, u need to stop Ashwagandha and shatavari. Hingwashtak is ok May be something for anuloman can be added like trifla/ gandarvhastadi kashyam Rather then doing abhyangam go for podikizhi (churna svedam)
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  • Accepted Answer

    Monday, February 21 2011, 12:07 AM - #permalink
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    thanx alot to all my worthy seniors for such a wonderful guidance. DR.MANISH & DR.RAO Im still waiting for ur replies n guidannce. kindly guide me. REGARDS & THANX DR.UPASANA PRIYA

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  • Accepted Answer

    Monday, February 28 2011, 05:39 PM - #permalink
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    abh with ksheerbala, navara rice pottli, ksheer basti , bonton cap
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