C/O-Vatvyadhi age 72M prakriti pitta kapha ,rutu-sharad
P/t got relief by following the treatment👉
Symptoms -right shoulder pain
Adhman
Aanah
Right under arm shoth shul
Mukha vaivrnya prachiti
O/E- bowel movement - normal
Khsudha. - n
Mutra. - n
Nidra. - khandit, irregular

Involving doshas-vat+pitta
Dushya-rakta ,ras dushti
Manovah srotas dushti -stress

P/t followed rx for 6 month
Rx-kaishor guggul 1bd
Vatvidhwansa 1 bd
It removes Sam pitta with anuloman
Establishe prakrut gati of vata
Churna formulation -guduchi
Vacha
Rasna
Earandmul
Amalki
Each eqaual quantity made doses for 7 days

At night -gandharwa haritaki - customize doses
For irregular sleep - bramhi vati
In next follow up we use jatamansi+dhamasa+ haritaki with Luke warm water

In panchakarma -snehan Swedan
Nasya-til Tail..2drps each nostril ......bala tailam can be used
Murivenna tail 4 LA at home