Dr Ramesh Killedar
37 years alcoholic,non-Diabetic and non-Hypertensive moderately built Coolie from suburb presented with a discolored peripheral skin and non-healing ulcers in left lower leg and foot respectively with no history of trauma, associated with pain on movement, itching, odema and foul discharge on/off since3 years.
Patient unfolded a similar event on right limb 8 years back but the complaints were of sub-acute type as the event was not long standing and got relief within 6 months.
On examination the two ulcers were oval shape with pale granulation tissue, indurated margins and serous discharge. Digital pulse was feeble and Investigational reports said DVT (deep vein thrombosis) involving external iliac vein, common femoral vein, superficial vein, chronic cellulitis of calf (blood PT 19.7 sec) and cardiomegaly.
Team shalya (general surgery) diagnosed it as UttanaVataraktha (Deep vein thrombosis) and treated like wise. By 2 sittings of 8 Days for Sthanika Chikithsa (in situ treatment) with Jaluka (leech therapy) and wound cleansing, an appreciable recovery was seen.Along with oral medications in 20 days the calf region and foot odema was brought down from 14 inches to 13 inches and 11 inches to 10.5 respectively (in symmetry with right leg).
Immediately to this Virechana (purgative therapy) was planned by 2 weeks of admission to Shalya Department. There was drastic changes seen after 15 days of virechana like wound heeled and the digital pulse was felt sharply which indicated that there may be lumen calibration of veins which were previously pathologic in nature. In 3 months the wound healed completely with minimal discoloration at foot.
Herbs evade Hysterectomy
Dr Asha Hosur.
Women aged 50 years approached with low abdominal pain, irregular and excessive bleeding for 7 months. On advice of local doctor got ultrasonography of pelvis and got diagnosed as bulky uterus (10.5*6*5cm, Endometrial Thickness – 10mm) and multiple intramural fibroids (8- 10mm largest one). Hysterectomy was the solution offered form conventional medicine. But this was not acceptable for patient and shook her confidence.
As an alternative consulted for Ayurveda and found remarkable results and quality of life. She was subjected to aggressive sthanika chikitsa (local procedure) for initial 3 days and samana chikitsa (palliative care) successively for 2 months. After two months with simple drugs she felt decision of avoiding hysterectomy was a right one, based on USG report (which read Uterus measures 8.5*3.9*4.4cm ET – 4mm, Multiple small fibroids noted largest measuring about 5mm). Rest complaints like menorrhagia, metrorrhagia and Dysmenorrhea.
Silver lined child
Dr Sukumar NandiGoudar
Relentless efforts and desire for a issue a obese couple left nothing unturned to have a progeny , but they faced a futile result every time for 3 years across infertility centers even after IVF with donor. About define a hard luck; couple approached Srishti Fertility Centre which it turned out to be a silver lining.
Husband with 103 kilogram & grade II varicocele was diagnosed as Nashtaretas (Azoospermia: semen volume 0.5 ml and zero count), and wife as Anarthava (PCOD) with left fallopian tubal block.
He was put onto Shamana therapy (oral) like Shukrala (spermatogenic drugs)and Lekhanachikithsa (for weight reduction). It took 2months for the count to be 40 million from zero and another 5 months to reach 56 million. Volume increased upto 1.5 ml with good morphology of active motile viable healthy sperms and semen.
Parallel to this wife, who was loaded with hormonal replacement therapy was taken to decisive panchakarma therapies in hospital for10 days like Anuvasana and NiruhaBasti (medicated enema), Uttara basti (vaginal enema an unique contribution of ayurveda to womenhood) and counseling. Following to panchakarma she was put on Shamana therapy (oral medications) for a month. Ovary spilled a dominant follicle of size 21*19 cm in a span of 3 months
Considering the age and issue as precious IUI was done with Husbands sample, with the first attempt at Srishti fertility centre the couple is blesses with baby boy.
A women brought her disturbed and impulsive husband, a farmer by occupation of age 50 with complaints of occipital headache and disturbed sleep associated with sense of persecution since 10 years to Manasaroga department. After slicing the history the farmer had a severe gradual addiction to alcohol with almost carving on daily basis and tobacco chewing continuously.
He had mood swings and on counseling an altered desire (Bhakti), Temperament (sila), psychomotor activity (chesta), cognition (uhyam), negative and biased thinking (chinta) was noted. Percolating into Anxiety (anxiety), Greif (Shoka), Depression & anguish (Vishada) and physical complaints, the family moved across multiple psychiatric consultancies and de-addiction centers without much success, transient results and facing economic and social constrains.
Team started holistic approach to Madatyaya (chronic alcoholic) with satwavayajachikithsa (dynamic counseling) and Panchakrma like SarvangaAbhayanga (body massage), Takradhara (medicated liquid stream over forehead), Shiropicchu (medicated patch over scalp) &bastiChikitsa (Medicated enema) and palliative treatment (Oral medications) by admitting him for 10 days . It hardly took a week for his sleep to be improved form 4 hours to 7 hours and Anxiety and fear reduced to minimal. Now that he was off with conventional therapies obvious trivial withdrawal signs were anticipated with Ayurveda. Continued treatment for 5 months with 15-20 days follow up, with oral medications , farmer has made it to good social involvement & family communication and confronts alcoholic intake hardly once a month with avoidance of tobacco.
Dr Savita Angadi
Sneezing and itchy morning with nasal obstruction on and often was a bane to 43 year old Clerk since 3 years even after specialty consultations across city. Associated with rhinorrhea (watery discharge), Headache, heaviness, throat irritation since 1 year and constipation since two months.
On nasal examination, it showed congested mucosa of both cavities with severe left sided ITH of turbinate, deviated septum to right-side and no signs of sinusitis. Oro-pharyngeal examination revealed elongated and deviated uvula with congested posterior pharyngeal wall. Investigation showed raised Absolute eosinophil count (660c/mcl) and ESR (35 mm/hr).
Team diagnosed it as Nasanaha (Turbinate Hypertrophy) on basis of history where patient was put on regular Nasal decongestants and exposure to dust. He was put on Sthanika (In Situ treatment) like Nasya (freshly prepared medicated nasal drops) for 7 days of two course and oral therapy for increasing vyadhikshamatva (anti-allergic and immunomodulation) for month.
All the symptoms reduced, Hypertrophied Turbinate was gradually normalized with normal breathing and itching mornings were no more seen even after 2 months of follow up.
Recurrent cold and nasal obstruction with mucopurrelent discharge was frequently encountered by 8 years child since 4 years. Not an exception to every guardian the parents got consulted to local physicians. But the complaints worsened since 1 year with severe cold attacks, foul smell from nose, thick muco-purulent discharge. Deep and painful vestibular cracks (right more than left) with complete nasal obstruction and oral breathingsince 1 week.
On examinationanterior nasal nares showed excoriation of skin and cracks, turgescent nasal mucosa with Mucopurulent discharge, crust formation and foul smell. Diagnoses was made as Putinasa (Atrophic Rhinitis) and treatment was began with  sthanikaChkithsa (in situ treatment) like Lepa (ointment), Nasya (nasal medication), dhumapana (fomentation by medicated powder) and Kavala (oral gargling) for 7 Days. Parallel to the local treatment Shaman therapy was started with drugs of vyadhikshamatavavardakawere prescribed for a month. Nasal obstruction and  Discharge was reduced completely by month and the child was followed up for 6 months with no complaints of replace.
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