P/t-46F
C/o-Aamvat(RA+ ve from 2.5yrs)
Symptoms-sarv sandhi shul
Dakshin hasta shul+
Padtal dah(ratro)
Asmyak malpravartan(sama 2veg/day)

O/E-kshudha
Mutra
Nidra
...normal

Symptoms aggregated early morning

Treatment given-

Trayodashang guggul250 bd
Vatvidhwans250bd
Tapyadi loha250
Chandraprabha 250
All after meal

Gandharwahastadi kashay
3tsp 2time

Powder used-
Rasna
Erandmul
Guduchi
Vacha
All equal quantity made doses for 15 days for each follw up
Shankhwati250
All after meal

Gandharwa haritki ( modifiable dose)
(30-40mg)

Treatment went for about 10-12month to recover the p/t

Panchkarma done
Snehan swedana
Basti for 7 days( vyatyasat- kwath n tail) (3 times by gap of 3 months in 12months)

Abhyang - vishgarbha tail+ sahachradi tail while in treatment

Ginger juice 1tsp+ honey before meal


Here in treatment vatvidwans was excluded after 4/5months

Some medicine changes according to symptoms