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    Long Case Kayachikitsa

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    Long Case Kayachikitsa

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    Kayachikitsa long case

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    Kayachikitsa long case

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    99 views7 pages

    Long Case Kayachikitsa

    Uploaded by

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    Kayachikitsa long case

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    DEPARTMENT OF KAYACHIKITSA

    ( Long Case )

    OPD No: IPD No: BED No:


    Patient’s Name:
    Age/Sex: Religion: Desha: Season:
    DOB: Education: Occupation: Marital status:
    Address:
    DOE: DOA: DOD:
    Provitional Diagnosis:
    Final Diagnosis:

    Chief complaints with duration:

    History of Present illness:

    History of Past illness:

    History of Past & Present medicine:


    (Ayuvedic, Modern, Homeo others)

    History of Blood transfusion:

    History of Past Surgery


    Family History:

    1. Maternal History:
    2. Paternal History:
    3. Self-family Personal History:

    General Examination:

    1. Temperature 2. Respiratory rate 3. Blood pressure

    Shadang Pariksha:

    Shiro-griva
    Hairs Nose Palate
    Scalp Face Tonsils
    Forehead Lips Thyroid
    Eyes Teeth Neck
    Ears Tongue

    Antardi
    Examination of: Inspection palpation Percussion Auscultation
    Ura / Chest

    Examination of: Inspection palpation Percussion Auscultation


    Udar / Abdomen

    Shakha
    Upper extremities: Right - Left –

    Lower extremities: Right - Left –

    Shadvidhapariksha: Examination of Gyanendriya & Karmendriya

    Gyanendriya Karmendriya

    Shtrotraendriya Vak
    Sparshanendriya Pani
    Chakshunendriya Pad
    Rasanendriya Payu
    Ghranendriya Upastha
    Ashtavidha-Pariksha:

    Nadi: Gati: Rate/min: Dosha:

    Mutra: Quantity: Colour: Frequency:

    Mala: Quantity: Colur: Frequency:

    Consistency:

    Jivha: Colour: Nature:

    Shabda: Nature of Voice:

    Sparsha: Nature:

    Drika: Colour of Eyes: Nature: Eyesight:

    Akriti:

    Dashvidha-Pariksha:

    1. Prakriti- Sharira
    Manas

    2. Vikriti Pariksha:

    3. Sara:

    4. Samhanan:

    5. Praman:

    6. Satmya:

    7. Satva:

    8. Aaharshakti:

    9. Vyayamshakti:

    10. Vaya:

    Rugna Bala: Pravar / Madhya / Avar Vyadhi Bala: Pravar / Madhya / Avar
    Examination of strotas
    Strotas Darshan Sparshan Pariksha
    1. Pranvaha

    2. Udakvaha

    3. Annavaha

    4. Rasavaha

    5. Raktavaha

    6. Mamsavaha

    7. Medovaha

    8. Ashtivaha

    9. Majjavaha

    10. Shukravaha

    11. Aartavvaha

    12. Manovaha

    13. Mutravaha

    14. Purishavaha

    15. Swedavaha
    Examination of Vikruta Strotas

    Strotas Dushti Hetu Dushti Lakshan

    Other Examinations:

    Examination of Ojovikriti :

    Ojovyapad

    Ojovistrance

    Ojokshya

    Nidanpanchak:
    1. Hetu
    2. Purvaroopa
    3. Rupa:
    4. Upshaya & Anupshaya
    5. Samprapti

    Shatkriyakala (Dosha/kala/Chaya/Prakop/Prasar/Sthan/samshray/VvaktiBhed)
    Vata

    Pitta

    Kapha
    Sampraptighatak :

    Dushya Srotodusti Upadrava

    Mala Agni Udarka

    Udhabhavsthana Vyadhiavastha Sadhyasadhyata

    Vyaktisthana Vyadhimarga Arishta Lakshana

    Provisional Diagnosis:

    Investigations:

    Differential Diagnosis:

    Final Diagnosis

    Chikitsa Sutra

    Shaman Chikitsa
    Shodhan Chikitsa:

    Pathya:

    Apathya:

    Follow-up
    Sr. No. Date Particulars

    Signature of student Signature of Teacher

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