A 67 years man suffering with backache and weakness feeling. past illness-type 2 diabetes, in control Hypertension Appetite-less craving- salty thirst-moderate perspiration-profuse stool-regular urine- normal mind- want everything in order irritable Angry in contradiction want company please respected doctors share your views in that case

Respected Vaidyas, Today a rare case came to OPD. Below the details are mentioned. A male patient of Age 65 yrs complaining of - 1. Mild swelling of Bilateral Feet - 20-25 yrs. ( swelling automatically decreases but never come to normal) 2.Tingling sensation and Pricking type of pain in B/L feet since 3 yrs. 3. Stiffness in metatarsal and Tarsal joints 4. Decreases sensation of B/L feet 5. Burning Sensation of B/L feet 6. Discolouration of B/L Lower limbs ( Below knee joint ) 7. Swelling of face -2 yrs. NORMOTENSIVE, NON DIABETIC Occupation - Farmer Personal History - 1. Appetite - Normal 2.Bowel Habit - Regular, Not cleared since 1 yrs. 3. Urinary Habit - Normal 4. Sleeping Habit - Normal 5. Mental status - Stress = ++ ( Familiar, Land related ) Pathological Reports - LFT - WNL RFT- WNL Anti CCP - Negative ANA - Negative HbA1C - 4.51 WNL ESR - 25 ( 1st hour ) ( Increased ) Vitamin B1 and B12 levels are normal. Venous and Arterial Doppler of Both Lower limb - Normal MRI of L.S spine - 1. Diffuse posterior bulges of L1-L2, L2-L3,L3-L4,L5-S1 2. IV discs and Osteophytes causing narrowing of Neural foramina Bilaterally at respective level 3. Disc Osteophyte complex at L4-L5 level is causing indention over anterior Sub- arachnoid space All features in MRI suggestive of Lumbar Canal Stenosis. Nerve Conduction Study ( NCS ) suggestive of Axonal Sensori-Motor Polyneuropathy. Intellect Curofians kindly diagnose the case Acc. to Ayurvedic Parameters and suggest best possible management.

A 65 year old Female patient is suffering from knee pain since 5 years. She has swelling under the knee joint and has continuous pain in it. It is not the case of Vericose Vein. It can be OA. Please suggest ayurvedic treatment for pain management but the patient also have Renal stone of about 11mm to 15mm sized multiple stone. No BP problem and no Sugar problem. Please advise treatment for her.

A 52 years old lady c / o pain in knees for more than one year. Allopathic treatment was taken and now they suggest surgery. Now pain more felt in left knee and left calf muscle < walking a short distance. > rest. Raising the legs <. Pain more felt in the lateral side of left knee. She is a known diabetic under insulin. She is work holic. Her wight is 75kgs. please diagnose and suggest Rx. X-Ray attached herewith.

pt 45/F hv medium hard swelling over rt mandibular angle region since 15-20 days.this is her second visit to me .in first visit last week she came with much more swelling on almost all over rt face with pain.i prescribed antibiotics and anti inflammatory so that swelling went away but still this medium hard swelling is there. also 1st molar of the region is proximally carious with mild pain n mild sensitivity.iopa shows medium to large periapical radiolucency under 1st molar of the region. plz dx n rx.