Prescription — Dr. Rajesh Sharma
Shallaki (Boswellia) 500mg BD, Yograj Guggulu 1 tab BD, Maharasnadi Kwath 20ml BD. For knee joint pain (Janu Sandhi Shoola).
JC
John Carter
Vata-Pitta Prakriti
- Date of BirthMar 12, 1984
- Phone+91 98765 43210
- Emailjohn@email.com
- Address42 Maple Ave, Kerala
- OccupationSoftware Engineer
- EmergencyJane Carter (Wife)
Chief Complaint
Chronic lower back pain (Kati Shoola) for 6 months, aggravated by prolonged sitting and cold weather. Associated with constipation (Vibandha) and disturbed sleep.
Latest Vitals
Recorded May 15, 2026128/82
mmHg
Blood Pressure
78
bpm
Pulse (Nadi)
98.4
°F
Temperature
18
bpm
Resp. Rate
96%
SpO2
Oxygen Sat.
72 kg
Weight
Weight
Allergies & Alerts
Penicillin
Shellfish
Severe rash and respiratory distress with penicillin derivatives. Use herbal alternatives with caution.
Prakriti & Vikriti
Prakriti (Constitution)
Vata-Pitta Prakriti
Vikriti (Current Imbalance)
Vata Pradhana Vikriti
Agni Type
Vishamagni (Irregular Digestive Fire)
Dhatu Affection
Asthi Dhatu (Bone tissue)
Dosha Assessment
Vata65%
Pitta30%
Kapha15%
Ashtavidha Pariksha
| Examination | Findings |
|---|---|
| Nadi (Pulse) | Vata pradhana — irregular, fast, thread-like (Tantu), 78 bpm |
| Jihva (Tongue) | Dry, brownish coating in posterior third, cracked margins |
| Drika (Eyes) | Sunken, slight redness, frequent blinking, poor luster |
| Sparsha (Touch) | Skin cold and rough to touch, reduced sweating |
| Akriti (Build) | Lean, stooped posture, restless movements, dry skin |
| Shabda (Voice) | Weak, hoarse at times, talks rapidly |
| Mutra (Urine) | Scanty, dark yellow, occasional burning |
| Purisha (Stool) | Dry, hard, irregular — every 2–3 days, painful defecation |
Diagnosis (Roga Nidana)
Nidana (Causative Factors)
Prolonged sitting (Asana), late night work (Ratri Jagarana), irregular meals, excessive intake of dry/cold foods, stress.
Samprapti (Pathogenesis)
Vata Prakopa → Apana Vayu obstruction → Asthi Dhatu Kshaya → Kati Shoola. Vata vitiation in Pakvashaya causing Mala Baddhata.
Roga
Kati Shoola (Vataja)
Dosha
Vata Pradhana
Dushya
Asthi, Mamsa
Srota
Vatavaha, Purishavaha
Current Ayurvedic Medicines
+ Add Medicine| Medicine | Form | Dose | Anupana | Duration | Status |
|---|---|---|---|---|---|
| Trayodashanga Guggulu | Tablet | 1 tab BD | Warm water | 30 days | Active |
| Mahanarayana Tailam | Oil | 10 ml BD | Warm milk | 30 days | Active |
| Eranda Snehana | Oil | 20 ml HS | Warm water | 7 days | Active |
| Hingvastak Churna | Churna | 3 gm BD | Ghee + Warm water | 15 days | Active |
| Ashwagandha Churna | Churna | 3 gm BD | Warm milk | 60 days | Active |
Previous Prescriptions
-
Apr 10
2026 -
Mar 22
2026Prescription — Dr. Rajesh Sharma
Aarogyavardhini Vati 1 tab BD, Kutki Churna 1 gm BD, Amla Swaras 20ml BD. For liver detox and digestion improvement.
Pathya (Recommended)
- Warm, freshly cooked meals. Avoid cold/refrigerated food.
- Include ghee, sesame oil, and warm soups in diet.
- Soaked raisins (5–6) and figs in warm water daily.
- Warm milk with Ashwagandha at bedtime.
- Drink warm water throughout the day.
- Green leafy vegetables, pumpkin, ash gourd.
- Whole grains: rice, wheat, oats (cooked soft).
- Sweet fruits: banana, mango, papaya, dates.
Apathya (To Avoid)
- Avoid dry, cold, and light foods (salads, popcorn, crackers).
- Avoid late night meals and staying awake past 10 PM.
- Avoid prolonged sitting — take breaks every 45 minutes.
- Avoid suppression of natural urges (stool, urine, sleep).
- Reduce caffeine and aerated drinks.
- Bitter and astringent tastes in excess.
- Legumes: excessive rajma, chana, dry pulses.
- Cold beverages, ice cream, refrigerated water.
Lifestyle Recommendations
Yoga & Exercise
- Bhujangasana — 3 rounds, hold 15 sec
- Pavanmuktasana — 5 rounds
- Setu Bandhasana — 3 rounds, hold 20 sec
- Shalabhasana — 3 rounds
- Walking — 30 min daily morning
Pranayama & Meditation
- Nadi Shodhana — 10 min, morning & evening
- Bhramari — 5 min, before sleep
- Kapalabhati — 5 min (gentle pace)
- Anuloma Viloma — 10 min
- Abhyanga (self-massage) with warm sesame oil before bath
Daily Routine (Dinacharya): Wake at 6 AM, tongue scraping, oil pulling with sesame oil, warm water intake, bowel evacuation, yoga & pranayama, breakfast at 8 AM, lunch at 12:30 PM (main meal), light walk, dinner before 7 PM, sleep by 10 PM.
Active Panchakarma / Therapies
+ Add Treatment-
🛁
Kati Basti with Mahanarayana Tailam
Localized oil pooling therapy for lower back. Warm Mahanarayana Tailam held in a dough ring on the lumbar region.
-
🌿
Abhyanga (Full Body Massage)
Full body synchronized massage with Dhanwantharam Tailam by two therapists. Improves circulation and reduces Vata.
-
💨
Pinda Sweda with Dashamoola
Herbal bolus fomentation using Dashamoola leaves and rice cooked in milk. Reduces pain and stiffness.
-
🥛
Sneha Basti (Medicated Enema)
Oil-based enema with Eranda Taila to pacify Vata and improve bowel movements. Administered alternate days.
Treatment History
-
Apr 2026
Janu Basti + Patra Pinda Sweda
7-day course for knee joint pain. Significant improvement in mobility and pain reduction.
-
Feb 2026
Shirodhara with Brahmi Tailam
14-day course for stress and insomnia. Patient reported improved sleep quality.
Payment History
Receive Payment| Receipt # | Date | Description | Amount | Mode | Status |
|---|---|---|---|---|---|
| RCP-2026-01842 | May 15, 2026 | Consultation + Medicines + Kati Basti | ₹5,400 | UPI | Paid |
| RCP-2026-01815 | May 01, 2026 | Consultation + Medicines | ₹2,100 | Cash | Paid |
| RCP-2026-01788 | Apr 15, 2026 | Consultation + Janu Basti course | ₹8,500 | Card | Paid |
| RCP-2026-01752 | Apr 01, 2026 | Consultation + Shirodhara | ₹3,200 | UPI | Paid |
Outstanding Dues
Panchakarma package (remaining 4 days)₹4,800
Medicines (last refill)₹1,350
Total Due₹6,150