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A 28 year female, married, was brought with severe pain in the lower abdomen since today morning.
To relieve pain she tied dupatta around her belly but didn't relieved the pain.
Pain was spasmodic and intermittent pain, lasting for 2-3 mins and then disappears and again reoccurs after gap of 1-2 mins.
Pain scale was 10/10, patient was tossing on the examination table.
Her menses started since last night, flow was scanty and with clots.
Pain was also present in both thighs and legs due to which she was limping while walking. Have to walk with support.
Pain in abdomen started in the morning after she ate bread with vegetable gravy.
Her husband gave the history that she had similar episodes during MC Since last 2-3 years.
Diet- guru and ruksha diet.
Exposure to AC for 6 hrs daily- shita guna.
Pulse- 94/min, regular
BP- 130/80 mm hg
Eyes- no pallor/icterus/cyanosis
Tongue- not coated
Stool- no complaints
Urine- no complaints
Appetite - poor
Per abdomen- hypogastric tenderness
Bowel sounds- present
L/S/K- not palpable,non tender
Provisional Diagnosis- saama vata shoola
Treatment- pachana and anulomana.
Pain subsided in an hour with 1/6th of kashayam tablet having paachana and anulomana action.
After 4 doses at gap of 10-10mins.
Along with medicated water and pathya.
After 3 hours patient messaged stating that pain is now at grade of 3/4.
Investigations have been advised blood- CBC,ESR,CRP, FBSL,KFT, urine routine AND MICROSCOPIC, USG abdomen and pelvis.
With SBEBA diagnosis and treatment, acute conditions can be very well managed with minimum medications.