Here I want to discuss few points regarding this case which may be helpful for understanding the etiology, disease pathology & diagnosis in allopathic as well as ayurvedic point of view for the upcoming junior doctors .
Before going to the discussion one thing I want to tell ….. that ….. the patient will come in contact to a physician in any stage of the disease …. i.e …… among …… sanchaya , prakopa , prasara , sthanasamsraya , vyakti & bhedha ….. that to usually the pts will come to a doctor in …….. stanasamsraya /vyakta / bhedha avastha. … If the pt will come to us as early as means i.e in stanasamsrayavastha ……. Where the pt already crossed the prasaravastha ….means already the pravriddha doshas …… spread to all the dhatus or related dhatus …….
But the pts usually comes to vyaktavastha or Bhedhavastha ….. in these situations we may not get the poorvaroopas or some times the poorvaroopas can not be recollected by the patient. So at this juncture we have to diagnose depending on what the symptoms & signs we are getting ….
In the present case also the same thing is happened . Disease pathology started 5 years back and still the disease is in progressive stage … that’s why every time the presentation is different . In this case still we will get many more different clinical presentations in future.
To understand this case better if we have to go through the Ayurvedic aspect as well as Allopathic aspect.
Ayervedic aspect :.......
http://ayurvedaconsultants.com/caseshow.aspx?ivalue=engoogle3276
Before going to the discussion one thing I want to tell ….. that ….. the patient will come in contact to a physician in any stage of the disease …. i.e …… among …… sanchaya , prakopa , prasara , sthanasamsraya , vyakti & bhedha ….. that to usually the pts will come to a doctor in …….. stanasamsraya /vyakta / bhedha avastha. … If the pt will come to us as early as means i.e in stanasamsrayavastha ……. Where the pt already crossed the prasaravastha ….means already the pravriddha doshas …… spread to all the dhatus or related dhatus …….
But the pts usually comes to vyaktavastha or Bhedhavastha ….. in these situations we may not get the poorvaroopas or some times the poorvaroopas can not be recollected by the patient. So at this juncture we have to diagnose depending on what the symptoms & signs we are getting ….
In the present case also the same thing is happened . Disease pathology started 5 years back and still the disease is in progressive stage … that’s why every time the presentation is different . In this case still we will get many more different clinical presentations in future.
To understand this case better if we have to go through the Ayurvedic aspect as well as Allopathic aspect.
Ayervedic aspect :.......
http://ayurvedaconsultants.com/caseshow.aspx?ivalue=engoogle3276
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