A girl of 19 years came with delayed menses since puberty. general weak, lean, thin and fair complexion. Generalities- Hot pt. tendency to take Cold easily Appetite- moderate craving- salty, cold food thirst-moderate tongue- white coated stool-regular urine- clear menses- irregular, delayed and scanty leucorrhea- present mind- want to be alone history of disappointed love, weeps easily but don't want company or consolation nervous irritable introverted plz respected doctors share your views in this case.

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She needs Thyroid profile test and treat according to totality.

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Firstly advice for investigation like CBC(may be a case of anaemia),USG of lower abdomen......... according to totality NATRUM MUR IS INDICATED REMEDY

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dx iron deficiency rx tab folic acid bd tab a2z bd add yoga and meditation develope healthy eating habits

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Pr having VATA kapha Dushti. Advice her, Vata kapha shamak Ahar vihar. Rx. Rajopravartini vati. 2--0--2. Pushyanug Churna BD. TAPYADI Lauh. 2--2--2. Lodhrasav 3 tsp With 20 ml water TDS.

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Aneamia to be corrected first. In ayu can go with punarnavar mandura, sangfer syrup, arogyavardhini vati. Advice for more intake of fruits and vegetables. If even after aneamia correction she s having irregual menses, den sud go wit usg abdomen and pelvis

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Helleborus Disappointed love with delayed menses or amenorrhea

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Nat Mur 0/1 , 3dose. After 15 day's IGNATIA 0/1, 6dose ,

I already gave Nat mur 1m one dose
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According to your case Rx Natrum mur 30

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IRON DEFICIENCY ANAEMIA. OTHER NECESSARY INVESTIGATIONS ARE REQUIRED!! 1) HPLC (CHANCES OF THALESSEMIA DUE TO VERY LOW MCV) 2) RETICULOCYES COUNT 3) RPI FURTHER INVESTIGATIONS MAY NEED WHICH ARE AS FOLLOWS:- 1) SERUM IRON 2) FERRITIN 3) TIBC NAT MUR COULD BE THE SIMILLIMUM.

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Give tablet leucol tablet azitral 500 od zintac 150 mg folic acid syrup M2tone

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