the following case stuy is compilation of single case study analysis on history taking and its importance along with more correlation available in classical ayuverda text done in NIA,Jaipur ,diagnosed pandu/sotha here are some relatable keywords-anaemia-śotha-edema-case study-inflammation-ayurvedic treatment-ayurveda-trisothiya adhyaya-carak samhita-sushrutha samhita-ashtanga-vagbhatta
3. DATE 20-10-22
C/O BLOOD IN URINE- EVERY MORNING 3 MONTHS THEN TOOK MEDICATION,
EDEMA IN FEET GRADUALLY INCREASING 2 YEARS(O/E-PITTING EDEMA)
K/C/O DMT2-2002, HTN 2013, STENTS IMPLANT :2015 ,2018
BP-110/70mmHg
OTHER MEDICATION-URIMAX,ATORVASTATIN,APLAZAR,DYTOR,SHELCAL,UROTONAL
P/H APPETITE-REGULAR,VEGETARIAN DIET
BOWEL-2/DAY WITH MEDICATION,
MICTURITION-SARAKTA,DAURGANDHYA DAY-7-8,NIGHT-2~5 LITRE WATER CONSUMPTION,
SLEEP-NORMAL
REGIME- 6AM-WAKE UP, BrkF-DUGDHA,DALIA, LunC-1PM-ROTI SABJI ,DAHI(RARE) ,Dinn-7-8PM-DAAL ROTI
SABJI,
LABS 30-08-22-BLOOD UREA-84.16MG%, BLOOD UREA NITROGEN-40.07MG%,SERUM CREATININE-2.14MG%
26-04-22-HbA1C-5.44%, Hb-7.3 BP-110/70 MMHG
29-09-22-URINE ROUTINE -E.COLI, KLEBESSIA,PNEMONIA ,NAROPANOM INJ.-RELIEF IN PAIN FOR 7DAYS HAD
CLOTS IN URINE NOW IMPROVED
4. Analysis-HISTORY TAKING
Presenting illness (प्रधानवेदना)-ŚOTHA
Associatedillness(अनुबन्धवेदना)-PASSIN
G URINE WITH BLOOD-GIVING REDDISH
APPEARENCE
H/o presentingillness
(अद्यत नकवेदनावृत्तिान्तः)-
-SARAKTA MUTRATA-2019-2-3DAYS EVERY
MORNING 3 MONTHS THEN TOOK
MEDICATION
-PADASOPH GRADUALLY INCREASING 2
YEARS(O/E-PITTING EDEMA)
Relieving/Aggravating factors
(उपशयः/ अनुपशयः) –
आहार (Food article)-DUGDHA,DALIA,ROTI
SABJI ,DAHI(RARE)
वहार (Activities/regimen)-UNABLE TO
PERFORM MOST DAY TO DAY ACTIVITIES
औषध
(MEDICATION)-URIMAX,ATORVASTATIN,APLAZ
AR,DYTOR,SHELCAL,UROTONAL
देशः(Place)--
कालः( Season/ time of the day) -
ŚARAD/ONSET IN VARSHĀ-SINCE 3MONTHS
5. Analysis-history taking
Diet and Food habits (आहार)
How many times you eat in a day
(Major Meal)?- Thrice Daily
What kind of food you usually
take?-Light food
How do you rate your food quantity?
N/A
Do you get hunger for the
successive food time?- Yes
How do you enjoy the taste of food?
N/A
6. Analysis-history taking
H/O past illness
(पूवर्मव्या धवृत्तिान्तः)-DMT2-2002, HTN
2013,UTI
Family history (क
ु लजवृत्तिान्तः)-N/A
Treatment history ( च कत्सावृत्तिान्तः)
Treatment-URIMAX,ATORVASTATIN,APLAZ
AR,DYTOR,SHELCAL,UROTONAL
Surgical-STENTS IMPLANT :2015 ,2018
7. Analysis-history taking
व्यायामः(Physical exercise)-UNABLE TO
DUE TO ILLNNESS
Nature: Walking-VERY LESS
Drinking Water
Source : -
Type : Boiled and Cooled
Quantity: How many glasses per day/
night?-3litres
Habit of drinking large amount of
water soon after waking up?-
Habit of taking liquids/ water/ liquid
food at night?-
Habit of drinking water and vomiting
out on empty stomach each day?-
8. Analysis-history taking
Type of diet: Veg
Vegetarian:Grain: Rice/ Wheat
Pulses: MUNGA, MASURA,CHANNA,MIX
DAAL
नद्रा: SLEEP- DISTURBED
How many times do you wake up in
the middle of the night- once
How time does it take to fall
asleep after you get into bed at
bedtime-DELAYED
Dream habits: Less
15. DATE 10-11-22
C/O FOLLOW UP
℅ PADASOPHA DECREASED
SARAKTAMUTRATA-IMPROVED NOT SINCE 28-10-22
K/C/O -
P/H APP -N ,
BOWEL-1/DAY, UNSATISFACTORY, DARK COLOR STOOL-URGE TO PASS STOOL ONLY AFTER 1SPOON
CREMAFINPLUS OR ELSE NO URGE ,
SLEEP-NEGATIVE THOUGHTS SO UNABLE TO SLEEP PROPERLY,NO DAY SLEEP,
URINE-IMPROVEMNET ,
STOPPED DUGDHA DALIA Brkf, TAKING KLEDAGHNA PEYA, LunC & Dinn-ROTI SABJI
LABS 29-09-22
URINE ROUTINE -E.COLI, KLEBESSIA,PNEMONIA ,NAROPANOM INJ.-RELIEF IN PAIN FOR 7DAYS HAD CLOTS IN
URINE NOW IMPROVED
17. DATE 10-11-22
C/O FOLLOW UP
℅ PADASOPHA DECREASED
SARAKTAMUTRATA-IMPROVED NOT SINCE 28-10-22
K/C/O -
P/H APP -N ,
BOWEL-1/DAY, UNSATISFACTORY, DARK COLOR STOOL-URGE TO PASS STOOL ONLY AFTER 1SPOON
CREMAFINPLUS OR ELSE NO URGE ,
SLEEP-NEGATIVE THOUGHTS SO UNABLE TO SLEEP PROPERLY,NO DAY SLEEP,
URINE-IMPROVEMNET ,
STOPPED DUGDHA DALIA Brkf, TAKING KLEDAGHNA PEYA, LunC & Dinn-ROTI SABJI
LABS
Rx 1. CST 20-10-22
2. ADV-AVOID DUGHDA,RICE
18. DATE 04-02-23
C/O -PEDAL EDEMA B/L-INCREASE BY EVENING
-SEVERE HEADACHE, WITH BREATHLESSNESS
-RELIEF IN BLEEDING WHILE URINATION
K/C/O H/O-URINE INFECTION 22’SEPT-
P/H APP-DECREASED
BOWEL-CONSTIPATED, UNABLE TO PASS WITHOUT MEDICATION
LABS BP-160/110MMHG
WT-64KG