This is a case with sneezing and reduced sleep since 5 years reduced after 12 days of ayurveda treatment. the patient also has increased ESR level and constipation 

Diagnosis:  Kshavathu/ Nidranasham

Clinical Notes:  Sneezing in the mornings, reduced sleep, swelling on the neck.

History:   Sneezing started gradually since 1 month.  constipation

Investigation: Hb: 11.47g%, ESR: 22mm/hr

Medicines at the time starting treatments:

1.      Vyagryadi kasayam 15ml added with 45 ml lukewarm water and   Chukkumtippalyadi tab 1 all together to be taken in morning empty stomach & in evening 6PM

2.      Dasamoolarishtam+Vasarishtam+Lohasavam 30ml at noon and night after food.

3.      Agastya rasayanam 1 tsp +Vyoshadi vatakam 5 g taken at night bed time followed by a cup of boiled water

4.      Nirgundyadi coconut oil to be applied on the head  

5.      Nimbamruthadi tailam+Dhanwantaram kuzhambu+ Prabhanjanam kuzhambu to be applied on the body   

Treatments:

1.      Abyangam

2.      Pichu: Dhawantaram tailam

3.      Takradhara: 

4.      Podikizhi: Satahwadi Churnam

Change of medicines:  

1.      Sukhavirechanam churnam

Condition at the time of discharge:    swelling on the neck reduced. Sneezing relieved 

Follow up medicines: continue same internal medicines for 1 month