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**Source Audio File:**

 * **Patient:**  Female
 * **As a 10 year old:**  Chubby (K)
 * **Sleep:**  Always been good (K) 
 * **Emotions:**  Even-tempered (K)
 * **Memory:**  Learns fast and remembers (P)
 * [[BP]]:  High (P,K)
 * [[Cholesterol]]:  There is a diagonal crease which is very pronounced on both earlobes indicating Kapha in the Heart and possible risk of Coronary Heart disease).  Patient said that there is a family history of heart disease. (K)
 * **Bowel Movement:**  2 well shaped (K), sometimes sinks (toxins).  
 * **Mucus:**  Yellow/Green (P), has allergies (K)
 * **Ama (tongue exam):** Pitta with very little [[ama]] coating.
 * **Wrinkle line:**  Spleen line (K)
 * **Pain:**  Arthritic pain which is hot, sharp inflammatory and burning (P).  Pain also moves around (V).
 * **Menstruation:**  13 years old (V, but still hard to determine), regular (K).
 * **Others:**  Main concern is the [[Arthritis]] which she says becomes overwhelming and debilitating if she does not take the prescribed medications.  However, these medications caused her inflammatory skin conditions.\\ \\


 * The patient says that her skin conditions resulted from the immuno-repressive drugs prescribed for her to treat her Arthritis.  The medications are effective in getting rid of the inflammation arthritically, but are creating localized skin-conditions.  Ayurvedically, this means that the medications are disturbing her liver and causing skin inflammations.  The patient says that she is using [[Milk Thistle]], herb also known as [[Silybum marianum]], to detox her liver and treat the side-effects of the medications.
 * The patient expected to have [[Turmeric]] ([[Curcuma longa]]) and [[Boswellia]] (Boswellia serrata]] in the herbal formula.  The doctor explained to her that we include turmeric in our food most of the time, and Boswellia is only a 5th level herb not as effective in treating arthritis as [[Kysoor Guggulu]], and is extensively promoted for marketing purposes. 
 * The patient of a P-K constitution, which is a good constitution indicating good health and longevity unless obese.  P-K can put on weight easily and this usually results in high cholesterol, coronary heart problems, high blood pressure.  These are results of blockages that occur in the body.  The blockages are usually related to aggravated qualities of [[Kapha]] and may be of mineral or fat or mucus deposits.
 * The patient should not eat or drinks cold, icy, frozen and heavy foods and drinks.  Cold congeals fat and mucus resulting in blockages, deposits and congestions.  Heat liquefies and melts away deposits and blockages (mucus and fat) which are then released through urine, stool, or sweat.
 * Herbs and medication consist of only 5% of the cure.  The body gradually gets used to them and they become less effective.  The 95% of the cure lies in the lifestyle and diet of the person.  The person must adopt the right lifestyle/diet for her/his constitution to totally eliminate the cause of the disease.
 * Arthritis is mainly related to build up of [[ama]] toxins.  Thus it is necessary to cleanse the body of ama and then avoid the buildup of ama through eating diet appropriate to one's constitution as well as avoiding incompatible food combining, such as combining fruit with milk or fruit with food.
 * The patient is not to confuse and take [[Guggulu sterones]] instead of the [[Kysoor Guggulu]].  Guggulu sterones are available in the market and treat high cholesterol mainly.\\ \\


 * 5 pts [[Kysoor Guggulu]] ([[Guduchi]]-[[Tinospora Cordifolia]], [[Guggulu]]-[[Commiphora mukul]] for the P hot, sharp, precise, red, inflamed pain.  It will minimize the side effects of the medication and arthritis.  Guggulu is a tree resin that has direct action on arthritis, joints, cartilage and connective tissues.  It is an anti-inflammatory compound of herbs that will help the side effects of the medications.  It contains [[Triphala]] which help in cleansing the body and joints of [[ama]] and [[Trikatu]]-([[Ginger]]-[[Zingiber officinale]] and [[Pippali]]-[[Piper longum]] and [[Black pepper]]-[[Piper nigrum]]) to burn ama.  Thus Kysoor Guggulu is great for P type Arthritis.  Guggulu is also good for the high blood pressure and is a [[lekhana]] which means that it scrapes off deposits of fat/mucus/minerals which may cause heart and artery blockages.
 * 4 pts [[Punarnava]] ([[Boerhaavia diffusa]]), V-P-K-, especially for K prakruti, it is also good for K type allergies.
 * 3 pts [[Simhanad Guggulu]] (contains Guggulu-Commiphora mukul, as well as castor oil, triphala, [[Gandhak]] which is purified sulphur, reduced iron).  It is good for cleansing the joints and maintaining the movement and flexibility of the joints.  It is also good for digestion.
 * 3 pts [[Kutki]] (Picrorrhiza kurroa]], V+P-K-, good for cleansing and detoxifying the liver, also good for high blood pressure.
 * 2 pts [[Brahmi]] ([[Centella asiatica]]), good for the memory, inflammations in the body, joint pains, and is detoxifying.
 * 2 pts [[Arjuna]] ([[Terminalia arjuna]]) for the heart.\\ \\ 

//Take 1 tsp with 1 tsp of honey (astringent and lekhana) and follow with a cup of water as a chaser 3 times a day. Honey is the vehicle or anupan.

This is a bitter herbal formula, for it is known in Ayurveda and Chinese medicine that bitters reduce the P inflammations while boosting the K metabolism.

The result (Vipaka) of the herbs on the body may be experienced from few hours to few weeks depending on the digestion of the individual and the duration of the disease/condition.//

cln301_v1p3k2_arthritis_09082003.txt · Last modified: 2018/02/26 18:11 (external edit)