Abhishek Banavane

Manyastambha - Hetu-Samprapti- Aggravated vata due to improper posture, injury to the neck, constant travelling causes stiffness and pain in the neck. Samanya  Chikitsa- Oleation and then dry fomentation with the leaves of nirgundi should be done at the region of neck. Nasya is also useful. Similarly massage to the neck with vishagarbha oil should be done. Vishesha chikitsa Nasya Eranda taila nasya should be done in the morning and evening. Kwath - Dashamula decoction in dose of 15 ml. 3 times day with  Decoction of ashwagandha and rasna should be given in dose of 30 ml. 3 times day. Medicated Ghee  Mayura ghrita in dose of 2 gm. 3 times day for 15 days. Medicated Oil  Varuni taila Prepare decoction of varuna add sesame oil and prepare medicated oil. The dose of this oil is only 8 drops for internal use. Baladi taila Mix decoction of bala and dashmula. Add milk and sesame oil. Add paste of jeevaniya herbs, shatavari, manjishtha, kushtha, ...

Akshepaka   Samprapti - Vitiated Vata lodges at various nerves in the body, causing attacks of convulsions. Aggravated Vata also affects muscles and tendons of various organs and causes atrophy of them.  (Ch.Chi.28/ 50). This should be treated as Convulsive disorder.  Bheda - Vataja,  Vata-Kaphaja,  Vata-Pittaja  and due to trauma (abhigataja akshepaka).  Samanya Chikitsa - During the convulsive stage, use of penetrating quality of nasya, teekshna anjana or teekshna dhupana which are against Vata, should be carried out. Abhyanga with prasarini oil and then whole body sudation should be done, till the convulsions are over.  When the convulsions are over then bloodletting by siravyadha should be done after giving proper internal snehana. Vishesha Chikitsa - In avegavastha, follow anti-Vata regimen. Give alternate niruha and anuvasana basti for 15 days. Kwath - Dashamula 30 ml. 4 to 5 times day. Prepare...

  ARBUDA (TUMOURS) Development of arbuda: (Su.Sam.Ni 11/13) Aggravated dosa, accumulate, vitiate mamsa etc and lead to the development of a rounded, fixed, large, deep rooted, slow growing, non-inflammatory swelling associated with mild pain. Such a swelling is termed arbuda. Classification (1) Vataja arbuda  (4) Raktaja (2) Pittaja              (5) Mémsaja (3) 'Kaphaja.        (6) Medoja arbuda The symptoms produced in each of these variety are similar to those produced in various granthi roga. Raktarbuda- The vitiated, aggravated dosa in turn Vitiate rakta and then localise in the vessels. By narrowing their passages and obstructing the flow of blood, the dosa cause the development of  a rapidly growing swelling, covered with fleshy sprouts and which readily bleeds on touch etc. This is termed raktarbuda. This condition is incurable. Owing to continuous haemorrhage the person suffers from anaemia e...

LUNG ABSCESS Localised lung infections leading to necrosis of lung tissue, result in the appearance of lung abscess. The infection causes thrombosis of segmental artery and vein resulting in necrosis. The commoaest cause of lung abscess is pneumoma secondary to aspiration of gastric contents. The other causes bemg septic emboli, penetrating injuries, chronic upper respiratory tract infections etc. Clinical features- (i) Patient is ill for few days with dry cough and pleural pain (ii) Once the abscess ruptures into bronchus, patient complains of expectoration of large quantity of sputum which is Offensive, containing pus and blood. Management- Majority of lung abscesses canbe managed by medicines. The main methodologies involved are (i) Intense antibiotic therapy (ii) Adequate drainage of abscess cavity through postural means Culture and sensitivity test of the sputum indicates the appropriate antibiotic to be prescribed. The prescribed antibiotic should be ad...

EMPYEMA THORACIC Collections of pus (purulent fluid) in the pleural Space is defined as empyema. Empyema is always secondary to pyogenic infections of the neighbouring structures, the mOSt common being lobar pneumonia, bronchopneumonia, lung abscess, tuberculesis; bronchopleural fistula,'oesophageal perfoxration, infected lymph nodes, osteomyelitis of thoracic vertebrae, subphrenic abscess, trauma, osteomyelitis of ribs etc. The commonly involved organisms are staphylococcus aureus, streptococcus, pneumococcus, pseudomonas, Esch. coli etc. . As the infections reach the pleural cavity, due to inflammation, protien rich fluid is exudated. This is replaced by fibrin, which causes adhesion of pleural layers at the periphery of collected fluid. Gradually granulation tissue is formed which is than replaced by fibrous tissue. As the empyema is covered by adhesions. The fluid within gradually thickens. Gradually, as the lung is covered by a tough fibrous covering. The affected segme...

GYNAECOMASTIA When there is a breast-like swelling in the males, the condition is termed gynaecomastia. Though the breast may be enlarged, the areola and nipple may not show the characteristic feminine features. This maybe unilateral or bilateral. Slight swelling of breasts in adolescent boys is sometimes a common feature. This is secondary to hormonal changes, typical of adolescence. Oestrogen excess or defeciency of testosterone or testicular failure or drugs with oestrogenic activity etc are the main aetiological factors. The main complaint of the patient is generally a unilateral enlargement of breast with no associated symptoms. Sometimes this abnormal enlargement maybe associated with pain. Management Many times the disease resolves on its own. Hence one can wait to observe the regression of the condition. But if the condition is due to deficiency of testosterone, its administration can ensure regression of the enlargement. If the exact reason cannot be identified and ...

1. Chronic lymphocitic thyroiditis:-   This is common condition is associated with raised titres of thyroid antibodies. It presents as multinodular goitre with established or subclinical thyroid failure. Primary myxoedema without detectable thyroid enlargement represents the terminal stage the pathological process. Clinical features:- Gradual and asymptomatic or sudden and painful Mild hyperthyroidism initialy, hypothyroidism sets in gradually. Goitre is lobulated, diffused or localised to one lobe Commonest in women, at menopause. On investigation, raised titres of thyroid antibodies are present. FNAC is the confirmatory procedure. Treatment:- Full replacement dosage of thyroxine for hypothyroidism  Steroid therapy, if thyroid enlarges inspite of harmone treatment . In case , thyroid enlarges causing discomfort, thyroidectomy is advised. 2.Granulomatous thyroiditis  Caused due to a virus infection C/F- Fever, malaise, pain in neck; with a firm, ...

Is inflamation of the investing paratend on and maybe diagnosed by eliciting tenderness around the full circumference of the tendon. It is an extremely painful conditionParatendinitis responds well to anti inflamatory analgesics, local massage, local injection of an anaesthetic and cortico steroid into the paratendon.

Are dry, rough excerscence on the skin. It is a virus indused toumer that undergoes spontanous resolustion. Transmission is by direct or intimate contact, the various matereal usually being inoculated through an  abrassion.  It is observed that immino compromised pationts generally appear on site of trauma viz bearded area, hand, feet and genital region. Wharts are common in chidren, but can be seen in any age. They maybe sometimes associated with pain. Planter warts are multiple andsome times associated with pain. Plantar warts are multiple and sometimes affect mobility as well. Though many methods of management are available, complete cure is sometimes not possible. Surgical excision is associated with  scarring and reoccurence. Diathermygive god results  along with cryotherapy. Veneral warts and moist warts occur in the genital region.

The exact cause is not clearly undrstood. Many causes have been put forward viz. , bicipital tinosinovitis, injury or overuse causing degeneration of tendon of supraspinatus or low grade chronic inflamation , leading to adhesions and formation of fibrous tissue etc. Clinical Features- History of trauma which many times maybe minor. pain around shoulder joint. Pain is felt above the greater tuberosity, whichh then radiates along the  outer tuberosity, which then radiates along the outerside of arm and forearm. gradualy pain becomes severe, especially during nights. Gradually, as the pain reduces stiffness increases. Gradually, the stiffness reduces, to restore the normal range of movement. Management- Infra-red heat thearpy. Anti inflamatory analgesics. Active and regular exercise. Injection of local anesthesia and hydrocortisone.