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DETAILS

Introduction-

It is an acute viral infection ofthe brain. Many viruses can cause this infection of the cortex of the brain, but there are no recognizable signs and symptoms specific to each type. Comperisionly it is krikach sannipataj jvara.

Symptoms & Signs-

The onset is acute with severe headache and high fever other important symptoms are aphasia, hemiplegia or cranial nerve palsy. As the intracranial pressure rises, patient may develop drowsiness or coma.

Treatment-

Maintain fluid balance and nutritional state with adequate nursing care. Under supervision of a comptent physician suitable antibiotics and other drugs should be used.  

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Viral encephalitis. 

Definition: Inflammation of the brain parenchyma, with or without involvement of the meninges,caused by virus. The spinal cord and/or nerve roots may also involved rarely.

INCUBATION PERIOD- 4-10 DAYS

Signs and symptoms:

• Acute febrile illness with evidence of meningeal involvement (meningeal signs)

• Altered level of consciousness (ranging from lethargy to coma)

• Abnormal mental state (hallucinations, agitation, personality change, behavioural

disorder, psychosis)

• Evidence of either focal or diffuse neurologic signs or symptoms.

• Focal or generalized seizures occur in > 50 % of cases.

• Most common focal findings are aphasia, ataxia, hemiparesis (with hyperactive tendon

reflexes), involuntary movements and cranial nerve deficits. 

Laboratory findings:

􀂃 CSF examination: check for increased intracranial pressure first. Characteristic profile

is undistinguishable from viral meningitis and consists of lympocytic pleocytosis,

elevated protein, normal glucose level

􀂃 CSF PCR, if available

􀂃 CSF culture, usually negative (esp. in HSV-1 infections)

􀂃 Serologic studies and antigen detection, if available

􀂃 MRI, CT, and EEG: if available, done to exclude alternative diagnoses, and assist in

differentiation between focal and diffuse encephalitic process (e.g. 90 % of patients with

HSV-1 infection have abnormalities in the temporal lobe on MRI).

􀂃 Brain biopsy: reserved for patients with unclear diagnosis, lack of response to therapy

and who have abnormalities on imaging techniques.

Treatment:

Supportive therapy (usually in ICU):

• Check vital signs, restrict fluid, and give antipyretics.

• Treat seizures and/or give prophylactic therapy (high risk for seizures!).

Medication:

• Acyclovir 10 mg/kg TID for at least 14 days (adult dose).

• Gancyclovir (5 mg/kg BID) or Foscarnet (60 mg/kg TID) are especially

recommended for CMV infections. 

PATHYA-

- Purana Sali, Mudga, Masoor, Parval, Karela, Sahijan, Choulai, Gaduchi, Jeevanti, Makoya, Manukka, Anar, Laghu Ahar, Yavagu, Peya, Vilepi, Yava, Lajamanda, Daliya

APATHYA-

- Guru, vidahi, vistambhi, dushita jala sevana, ankurita anna, tilkuta, sweet, chole, lassi, chana dal

- Vegadharana, vyayama, divasvapna, sanana, adhyasana

NISHEDHJA-

- Nava jvar me divasvapna, snana, abhyanga, maithuna, krodha, dhimi hava   

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Tribhuvan kirti rasa-(hingula,vatsanabh,trikatu,tankan)

- Hinguleshver rasa-(vatsanabh,pippali,hungula)

- Swarnbasant malti rasa-(swarna,muktapisti,hingula,maricha)

- Kasturi bhairav rasa-(javitri,jayphala,marich,pippali,kasturi)

- Mritunjaya rasa-(vatsanabh,hingula,gandhak,tankan,pippali,marich)

- Jwar keshri rasa-(parad,gandhak,triphala,trikatu,vatsanabh,jayphaala)

- Jwar sanhar rasa-(rasasindura,trikatu,kuth,mustak,tankan,katuki)

- Godanti bhasma-(godanti)

- Shringa bhasma-(mrigshringa)

- Jaharmora pisti-(jaharmohra)

- Laxmivilas rasa-(swarn,rajat,abhrak,tamra,nagabhasma)

- Praval pisti

- Kaphaketu rasa-(vatsanabh,tankan,sankh,pippali)

VATI-(250-500MG WITH USHNA JALA)

- Sanjeevani vati-(vidang,nagar,pippali,abhaya,vibhitaki,vacha,guduchi,bhallataka,visha)

- Shoubhagya vati-(rasasindura,dvikshar,trilavan,loha,trikatu,triphala)

- Sansamani vati-(guduchi)

- Vishatindukadi vati-(kuchala,mustak,parpat,triphala)

- Jayavati-(suddha visha,trikatu,motha,haridra,nimbapatra,bidanga)

- Amrita satva-(guduchi)

- Karanjadi vati-(karanj beej,parpat,atish,guduchi,patol,kutki)

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Sudarshan curna-(triphala,trimada,atish,chirayata)

- Panchkol curna-(pippali,pippalimula,chavya,chitrak,sunthi)

- Sitophaladi curna-(dalchini,ela,pippali,vanshlochan,mishri)

- Talisadi curna-(talisa,marich,sunthi,pippali,vanshlochan,mishri)

- Lavangadi curna-(lavanga,sheetal chini,khas,sveta chandana,tagar,bhringraja,motha)

- Drakshadi curna-(draksha,harad,mustak,kutki,amaltas,parpat)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Kiratiktadi kvatha-9chiryata,motha,minbachal,guduchi,kantkari)

- Dasamula kvatha-(brihat & laghu panchmula)

- Brihat panchmuadi kvatha-(bilva,agnimatha,shayonak)

- Bhunimbadi kvatha-(chirayata,motha,guduchi,brihati,kantakari,pushkar mula)

- Satpuspadi kvatha-(sounf,sunth,vacha,kuth,khas,mustak)

GHRITA(20-30ML WITH USHNODAKA)

- Panchtikta ghrita-(patol,saptaparna,nimba,vasa,guduchi)

- Amritadhya ghrita-9guduchi,mulethi,draksha)

- Shatpalak ghrita-(pippali,pippali mula, chavya,chitrak,sunthi,saindhav)

- Chandanadi ghrita-(svetachandan,vasa,karanj)

AVLEHA-(20-30 GM WITH DUGDHA)

- Drakshavaleha-(draksha,madhur varga aushadhiya)

- Chyavanprash-(amla,trikatu,jeevaniyagana)