The patient, a 54-year-old male salesman, was admitted to the hospital for complaints of forgetfulness, difficulty recalling names and objects, weight loss, and tiredness. His relatives had observed these issues developing over the past year. Medical tests showed vitamin B12 deficiency and elevated CRP levels. During his hospital stay, Ayurvedic treatments including medications and Panchakarma therapies like nasya and abhyanga were administered. The patient showed gradual improvement in memory, as demonstrated by his increased ability to recall names of visitors and details like what he had for breakfast. He was discharged after successfully recalling most information.

1. Case summary
The 54 years old sales man named krishna
salian,O.P.No:254621,I.P.No:95931 Admmitted on:3/11/14
Discharged on:10/11/14
no H/o Dm and HTN was working in dubai 2 year before his
relatives observed that he began to have trouble in
remembering names and objects of recent incidences they
didn’t considerd as serious,one year back he came to mumbai
he stayed with his wife he was continuing his job as sales man
wife and son observed difficulty in recalling names words ,he
takes time to react the answer he became quiter and socially
with withdrawn,he lost 5 to 6 kg wt so they consulted near by
hospital and underwet CT brain and diagnosed as the case of
fronto-temoporal dementia. For these complaints he consulted a
neurologist took treatment 2 months before .he didn’t find any
improvement for that he admitted in Sdm ayurveda hospital.

2. Medicines taken by the patient
during the time of addmission
Investigation carried by the
patient at the time of addmission
1)Methyhex 1-0-0
2)Admenta 1-0-0
3)Mempel 0-0-1
Vitamin B12 211—911pg/ml
VRDL Non reactive
HIV negative
25 Hydroxy vit-D 64ng/ml
CRP LEVEL 8.7 mg/L

3. Complaints of patient at the time of admission
in this hospital
c/o forgetfullness of recent incidences
c/o difficulty in finding name objects
c/o weight loss and tiredness
Observation and clinical examination
RS: NVBS no added sounds
CVS: S1,S2 heard no added sounds
CNS:muscle bulk :reduced
Muscle tone: normotonic
Reflexes:
Steriognosis
Graphesthesia
Twopoint discrimination
normal

4. Mental status examination at the time of admission
a)Attention :alterd, bcz difficulty giving a history
of his problems and responding to the questions
asked
b)memory: difficulty to repeat the names ,forgets
what he did at morning eg breakfast, taking bath
or not etc
c)orientation: not alterd,he knows he is having the
problem of forgetfulness,he knows he came for
treatment ,place ,time ,personal identity not
altered
d)perceptions: responds to the external stimuli
e)mood: depressed and weakness always lies on the
bed
f)language: affectted,some times he forgets the
proper words to be used

5. date Shamana chikitssa Pachakarmachikitsa Daily observation
03/11/14 BVC gold 1-0-0
Saraswatharista
(kottakkal) 15ml -0-15ml
SMSR ½-0-1/2
1.Taila dara
2.Nasya karma with brahmi shritha
3ml to each nostril followed by
dhoomapana ,k.B taila abyanga to face
Patient couldn’t remember
the breakfast what he had
morning,how he came here
04/11/14 ,, ,, no other fresh complaints
05/11/14 ,, ,, no fresh complaints
06/11/14 ‘’’’ ,, no fresh complaINTS
07/11/14 ,, ,,,, night he tried to tell who all
person who came to see out
of 5 2 names he rememberd
08/11/14 He rememberd 4 persons
name ,wat he had morning
he told
09/11/14 he tried to tell the history of
illness ..his job and wife job
where she is working
presently
10/11/14 0ut of 5 names he
rememberd 4 names,