Our Treatments Piles Migraine Sciatica & Cervical Spondylosis Female Diseases Hair Fall Pimples Dental care Piles 1.WHAT ARE THE PROBLEMS YOU ARE FACING ? 1.BURNING PAIN AT ANUS2. BLEEDING DURING OR AFTER DEAFECATION3. ONLY SWELLING WHILE DEAFECATION4. ITCHING AT ANUS5.WEAKNESS AT LITTLE EXERTION6.WEIGHT LOSS7. NONE OF THESE Next2. SINCE WHEN YOU ARE SUFFERING FROM THESE PROBLEMS? 1. SINCE 1 OR 2 MONTHS OR LESS THEN THAT2.SINCE 2 – 3 YRS3.MORE THEN THAT4. NONE OF THESEBackNext3. ARE YOU SUFFERING FROM CONSTIPATION / HARD STOOL ? 1.YES2. NO3. NONE OF THESEBackNext4. HOW MANY TIMES YOU GO FOR STOOL / DEFEACATION IN A DAY? 1.NORMAL ONE TIME IN A MORNING2.2 TO 3 TIMES A DAY3. NONE OF THESE BackNext5. STOOL IS ? 1.SATISFACTORY2.UNSATISFACTORY3. NONE OF THESEBackNext 6. IS ANYTHING / SWELLING COMING OUT FROM ANUS DURING / AFTER STOOL ? 1.YES2. No3. NONE OF THESEBackNext 7. SWELLING – PLS SPECIFY 1. AUTOMATIC SUBSIDES2. REMAINS FOR SOME TIME AND THEN AUTOMATIC GOES INSIDE3. YOU PUT MANUALLY INSIDE4. REMAINS THROUGH OUT DAY5. NONE OF THESE BackNext 8. FOR HOW MUCH TIME BURNING / PAIN REMAINS AFTER DEAFECATION ? 1. FOR SOME TIME2. FOR 5 TO 6 HRS3. FOR FULL DAY4. NONE OF THESEBackNext 9. HOW YOU GET RELIEF IN BURNING / PAIN ? 1. BY APPLICATION OF HOT WATER2. BY APPLICATION OF COLD WATER3. NONE OF THESEBackNext 10. WHETHER BURNING /PAIN IS AGGRAVATED BY CONSUMPTION OF SPICY / NON VEG THINS ? 1. YES2. NO3. NONE OF THESEBackNext 11. WHAT IS YOUR NATURE OF JOB ? 1. SITTING / SEDENTARY TYPE2. TOURING JOB3. NONE OF THESEBackNext 12. WETHER YOU CONSUME OUTSIDE FOOD VERY FREQUENTLY ? 1. YES2. NO3. NONE OF THESEBackNext 13. IF ANY OTHER RELEVANT INFORMATION YOU WANT TO MENTION YOU CAN WRITE HERE SAPERATLY. BackNext 14. PLEASE ATTACH ALL THE INVESTIGATION REPORTS ( IF YOU HAVE ANY) BackNext Name Email Phone No. Back Migraine 1. SINCE WHEN YOU ARE SUFFERING WITH THIS PROBLEM.? Next 2. WHAT EXACTLY IS HAPPENING TO YOU ? backnext 3. WHICH SIDE YOU HAVE PAIN MORE ? A) RIGHTB) LEFTC) WHOLE HEADC) NONE OF THESEBackNext 4. WHAT YOU FEEL ALONG WITH HEADACHE ? A) NAUSEAB) VOMITINGC) NONE OF THESEBackNext 5. HOW PAIN STARTS? BackNext 6. WHAT IS THE FREQUENCY OF HEADACHE ? A) ONCE OR TWO TIMES IN A WEEKB) ONCE OR TWO TIMES IN 15 DAYSC) ALMOST EVERY DAYD) ALTERNETDAYE) NONE OF THESE BackNext 7. WHETHER VOMITING GIVE SOME RELIEF IN HEADACHE ? A)YESB) NOC) NONE OF THESEBackNext 8. WHAT ARE THE CONDITIONS WHICH INCREASES THE HEADACHE ? A) SUN LIGHTB) HEAT IN ANY FORMC) MENTAL& PHYSICAL EXERTIOND)TENTIONE) NOISY ENVIORNMENTF) LOSS OF SLEEPG) ANY OTHERH) NONE OF THESEBackNext 9. WHAT ARE THE CONDITIONS WHICH DECREASES THE CONDITION ? A) RESTB) SLEEPC) AFTER VOMITINGD) AFTER URINATIONE) APPLICATION OF COLD WATERF) ANY OTHERG) NONE OF THESEBackNext 10. WHICH WEATHER YOU PREFER ? A) COLDB) HOTC) NIETHER COLD NOR HOTD) NONE OF THESE BackNext 11. WHAT ABOUT YOUR THIRST ? A) THIRSTY – DRINKS LOT OF WATERB) NO THIRST – DRINKS VERY RARELYC) ONLY AT TIMES OF FOODD) NONE OF THESE BackNext 12. SINCE HOW LONG YOU ARE TAKING PAINKILLER FOR THE SAME ( IN YEARS)? BackNext 13. ANY OTHER RELEVANT INFORMATION / SYMPTOMS WHICH YOU WANT TO SHARE. PLEASE SHARE. BackNext 14. ANY INVESTIGATIONS ( IF YOU HAVE ANY) – PLEASE ATTACH BackNext Name Email Phone No. Back Sciatica & Cervical Spondylosis 1. WHAT ARE YOUR PROBLEMS ? Describe Herenext 2. SINCE WHEN YOU ARE SUFFERING WITH THESE PROBLEMS ( IN YEARS) ? backnext 3. ARE YOU HAVING MORNING STIFFNESS (STIFFNESS OF THE REGION ESPECIALLY IN MORNING) ? A) YESB) NOC) NONE OF THESE BackNext 4. HOW YOU GET RELIEF FROM MORNING STIFFNESS ? A) AUTOMATICALLY AFTER SOME TIMEB) RUBBING THE PARTC) HOT FOMENTATIOND) COLD APPLICATIONE) PRESSING THE PARTF) NONE OF THESEBackNext 5. WHAT IS THE DIRECTION OF PAIN ? A) FROM ABOVE DOWNWARDB) FROM BELOW UPWARDC) RADIATES EVERYWHERE FROM SOURCE POINTD) NONE OF THESEBackNext 6. TYPE OF PAIN A) BURNINGB) THROBBINGC)SHOOTINGD) NONE OF THESEBackNext 7. REGARDING PAIN – SPECIFY A) PAIN COMES SUDDENLY & GOES SUDDENLYB) PAIN COMESSLOWLY & GOES SLOWLYC)PAIN COMES SUDDENLY & GOES SLOWLYD)PAIN COMES SLOWLY & GOES SUDDENLYE) NONE OF THESEBackNext 8. FACTORS WHICH INCREASES YOUR PROBLEMS BackNext 9. FACTORS WHICH DECREASES YOUR PROBLEMS BackNext 10. THIRST – PLS SPECIFY A) YOU DRINK FREQUENTLYB) YOU DRINK OFTENELYC)YOU DRINK ONLY WITH MEALSD) NONE OF THESE BackNext 11. WEATHER – PLS SPECIFY A) PREFER COLDB) PREFER HOTC)NIETHER COLD OR HOTD)COMFORTABLE IN ALL SEASONE) NONE OF THESEBackNext 12. FOOD – PLS SPECIFY A)PREFER HOT FOODB) PREFER HOT DRINKSC)PREFER NORMAL FOODD)PREFER COLD DRINKSD) NONE OF THESEBackNext 13. BATHING– PLS SPECIFY A)PREFER HOT WATER IN ALL SEASONB) PREFER COLD( TAP) WATER IN ALL SEASONC)SEASONALD) NONE OF THESE BackNext 14. STOOL– PLS SPECIFY A)ONE TIMEB) 2-3 TIMESC)SATISFACTORYD) UNSATISFACTORYE)HARDF)SOFTG)SEMI LIQUIDH)OFFENSIVEI)NON OFFENSIVEJ)PASSES WITH FLATUS WITH FLUTTERING NOISEK) NONE OF THESE BackNext 15. PLEASE ATTACH ALL THE INVESTIGATION REPORTS ( IF YOU HAVE ANY) BackNext 16. IF ANY OTHER RELEVANT INFORMATION YOU WANT TO MENTION YOU CAN WRITE HERE SAPERATLY. Describe Here BackNext Name Email Phone No. Back Female Diseases 1. WHAT ARE YOUR PROBLEMS ? next 2. SINCE WHEN YOU ARE SUFFERING WITH THESE PROBLEMS ( IN YEARS) ? backnext 3. IF YOU FEEL PAIN THEN SPECIFY A) PAIN GOES FROM FRONT TO BACKB) PAIN GOES BACK TO FRONTC)PAIN IN SIDESD) NONE OF THESE BackNext 4. TYPE OF PAIN A) BURNINGB) THROBBINGC)SHOOTINGD) NONE OF THESEBackNext 5. REGARDING PAIN – SPECIFY A) PAIN COMES SUDDENLY & GOES SUDDENLYB) PAIN COMESSLOWLY & GOES SLOWLYC)PAIN COMES SUDDENLY & GOES SLOWLYD)PAIN COMES SLOWLY & GOES SUDDENLYE) NONE OF THESEBackNext 6. COLOUR OF DISCHARGE A)BLACKISHB) BRIGHT REDC) BROWNISH – IN CASE OF LEUCORRHOEAD)WATERY – IN CASE OF LEUCORRHOEAE) MILKY – IN CASE OF LEUCORRHOEAF) NONE OF THESE BackNext 7. TYPE OF DISCHARGE A) CLOTTEDB) UN CLOTTEDC) EASILY WASHABLED) STICKYE) STRINGYF) OFFENSIVE ( MENTION IF PARTICULAR SMELL)G) NON OFFENSIVEH) NONE OF THESEBackNext 8. FACTORS WHICH INCREASES YOUR PROBLEMS/FLOW (LEUCORRHOEA/MENSES) BackNext 9. FACTORS WHICH DECREASES YOUR PROBLEMS/FLOW (LEUCORRHOEA/ MENSES) BackNext 10. THIRST – PLS SPECIFY A) YOU DRINK FREQUENTLYB) YOU DRINK OFTENELYC)YOU DRINK ONLY WITH MEALSD) NONE OF THESEBackNext 11. WEATHER – PLS SPECIFY A) PREFER COLDB) PREFER HOTC)NIETHER COLD OR HOTD)COMFORTABLE IN ALL SEASONE) NONE OF THESEBackNext 12. FOOD – PLS SPECIFY A)PREFER HOT FOODB) PREFER HOT DRINKSC)PREFER NORMAL FOODD)PREFER COLD DRINKSE) NONE OF THESEBackNext 13. BATHING– PLS SPECIFY A)PREFER HOT WATER IN ALL SEASONB) PREFER COLD( TAP) WATER IN ALL SEASONC)SEASONALD) NONE OF THESEBackNext 14. STOOL– PLS SPECIFY A)ONE TIMEB) 2-3 TIMESC)SATISFACTORYD) UNSATISFACTORYE)HARDF)SOFTG)SEMI LIQUIDH)OFFENSIVEI)NON OFFENSIVEJ)PASSES WITH FLATUS WITH FLUTTERING NOISEK) NONE OF THESE BackNext 15. PLEASE ATTACH ALL THE INVESTIGATION REPORTS ( IF YOU HAVE ANY) BackNext 16. IF ANY OTHER RELEVANT INFORMATION YOU WANT TO MENTION YOU CAN WRITE HERE SAPERATLY. Backnext Name Email Phone No. Back Hair Fall 1. SINCE WHEN YOU ARE FACING THE PROBLEM OF HAIR FALL ( IN YEARS)?& HOW IT STARTED next 2. PLEASE SPECIFY WHEN IT STARTED A)AFTER ANY MEDICATIONB) STRESSC) AFTER DELIVARYD)AFTER CHANGING HAIR CARE PRODUCTS ( OIL, SHAMPOO, HAIR COLOUR)E)AFTER ANY SCALP INFECTIONF)DANDRUFFG)AFTER ANY CHRONIC DISEASEH)AFTER CHRONIC HEADACHEI) NONE OF THESE backnext 3. WHAT IS THE QUALITY OF WATER IN YOUR AREA ? A) HARDB) SOFTC) NONE OF THESE BackNext 4. WETHER YOU GET ITCHING AT SCALP.? A) YESB)NOC) NONE OF THESEBackNext 5. IS THERE ANY PUS FORMATION AND PAIN AT YOUR SCALP? BackNext 6. ARE YOU SUFFERING WITH DANDRUFF ALSO ALONG WITH HAIR FALL? A)YESB) NOC) NONE OF THESE BackNext 7. WHETHER DANDRUFF FALLS OUT FROM YOUR HAIR WHEN YOU SCRATCH YOUR SCALP ? A)YESB) NOC) NONE OF THESE BackNext 8. WHETHER HAIR FALL IS SINCE BIRTH OR IMMEDIATE AFTER BIRTH A)YESB) NOC) NONE OF THESE BackNext 9. HOW MANY TIMES YOU WASH YOUR HAIR IN A WEEK ? BackNext 10. ARE YOU SUFFERING WITH VIT D DEFICIENCY? A)YESB) NOC) NONE OF THESE BackNext 11. ARE YOU SUFFEREING WITH VIT B 12 DEFICIENCY? A)YESB) NOC) NONE OF THESE BackNext 12. ARE YOU CHANGING YOUR SHAMPOO / COSMETIC PRODUCTS VERY FREQUENTLY ? BackNext 13. WHAT IS THE TEXTURE OF YOUR HAIR? WHETHER IT IS A)DRY , THIN & LUSTERLESSB) SHINY & DENSEC) NONE OF THESEBackNext 14. ARE YOU ALLERGIC TO ANY MEDICINE / SUBSTANCE ? A)YESB) NOC) NONE OF THESE BackNext 15. HOW MUCH QUANTITY OF HAIR FALL IS THEIR ? BackNext 16. IS IT MORE AFTER HEAD WASH ? A)YESB) NOC) NONE OF THESE BackNext 17. IS YOUR HAIRS ARE GETTING THIN AND SPLITTINGS ? A)YESB) NOC) NONE OF THESE BackNext 18. ARE HAIRS COMING OUT IN BUNCHES AND LEAVING BALD AND SMOOTH AREA? A)YESB) NOC) NONE OF THESE BackNext 19. WHICH WEATHER YOU PREFER ? A)COLDB) HOTC)NIETHER COLD NOR HOTD) NONE OF THESE BackNext 20. WHAT ABOUT YOUR THIRST ? A)THIRSTY – DRINKS LOT OF WATERB) NO THIRST – DRINKS VERY RARELYC)ONLY AT TIMES OF FOODD) NONE OF THESE BackNext 21. ANY OTHER RELEVANT INFORMATION / SYMPTOMS WHICH YOU WANT TO SHARE. PLEASE SHARE. BackNext 22. ANY INVESTIGATIONS ( IF YOU HAVE ANY) – PLEASE ATTACH BackNext Name Email Phone No. Back Pimples 1. SINCE HOW LONG YOU ARE SUFFERING FROM PIMPLES ( IN YEARS /MONTHS)? next 2. IS IT PAINFULL ? A) YESB) NOC) NONE OF THESE backnext 3. WHETHER YOU FEEL ITCHING IN IT ? A) YESB) NOC) NONE OF THESEBackNext 4. WHETHER PUS IS PRESENT OR NOT ? A) PRESENTB) NOT PRESENTC) NONE OF THESEBackNext 5. IF YES, WHAT IS THE COLOUR OF PUS ? A) WATERYB) CREAMISH LIGHT YELLOWC) GREENISHD) NONE OF THESEBackNext 6. WHETHER PUS IS OFFENSIVE ? A) YESB) NOC) NONE OF THESEBackNext 7. HOW MANY PIMPLES IN A WEEK ( ON AN AVERAGE) ? BackNext 8. IS THERE ANY EFFECT OF PERIODS/ MENSES ON IT ? A) YESB) NOC) NONE OF THESEBackNext 9. WHEN IT IS MORE IN NOS ? A) BEFORE MENSESB) DURING MENSESC) AFTER MENSESD) NONE OF THESEBackNext 10. WHAT ABOUT YOUR SKIN OF FACE ? A) IT IS OILY AND GREASYB) IT IS DRY AND ROUGHC) NONE OF THESEBackNext 11. WHETHER YOU USE ANY CREAM / COSMETICS ? A) YESB) NOC) NONE OF THESEBackNext 12. WHETHER YOU FREQUENTLY CHANGE THE BRANDS OF YOUR COSMETICS? A) YESB) NOC) NONE OF THESEBackNext 13. ARE YOU SUFFERING WITH CONSTIPATION ? A) YESB) NOC) NONE OF THESEBackNext 14. WHAT ABOUT YOUR STOOL, HOW MANY TIMES YOU GO TO STOOL.? A) ONLY ONCEB) 2 – 3 TIMES A DAYC) NONE OF THESE BackNext 15. IS IT SATISFACTORY ? A)YESB) NOC) NONE OF THESE BackNext 16. WHICH WEATHER YOU PREFER ? A) COLDB) SUMMERC) SPRINGD) RAINYE) NONE OF THESE BackNext 17. HOW IS YOUR THIRST ? A) THIRSTY – DRINKS LOT OF WATERB) NO THIRST – DRINKS VERY RARELYC) ONLY AT TIMES OF FOODD) NONE OF THESE BackNext 18. ANY OTHER RELEVANT INFORMATION / SYMPTOMS WHICH YOU WANT TO SHARE. PLEASE SHARE. BackNext 19. ANY INVESTIGATIONS ( IF YOU HAVE ANY) – PLEASE ATTACH BackNext Name Email Phone No. Back Dental care 1. SINCE WHEN YOU ARE FACING THE PROBLEM OF HAIR FALL ( IN YEARS)?& HOW IT STARTED next 2. PLEASE SPECIFY WHEN IT STARTED A)AFTER ANY MEDICATIONB) STRESSC) AFTER DELIVARYD)AFTER CHANGING HAIR CARE PRODUCTS ( OIL, SHAMPOO, HAIR COLOUR)E)AFTER ANY SCALP INFECTIONF)DANDRUFFG)AFTER ANY CHRONIC DISEASEH)AFTER CHRONIC HEADACHEI) NONE OF THESE backnext 3. WHAT IS THE QUALITY OF WATER IN YOUR AREA ? A) HARDB) SOFTC) NONE OF THESE BackNext 4. WETHER YOU GET ITCHING AT SCALP.? A) YESB)NOC) NONE OF THESEBackNext 5. IS THERE ANY PUS FORMATION AND PAIN AT YOUR SCALP? BackNext 6. ARE YOU SUFFERING WITH DANDRUFF ALSO ALONG WITH HAIR FALL? A)YESB) NOC) NONE OF THESE BackNext 7. WHETHER DANDRUFF FALLS OUT FROM YOUR HAIR WHEN YOU SCRATCH YOUR SCALP ? A)YESB) NOC) NONE OF THESE BackNext 8. WHETHER HAIR FALL IS SINCE BIRTH OR IMMEDIATE AFTER BIRTH A)YESB) NOC) NONE OF THESE BackNext 9. HOW MANY TIMES YOU WASH YOUR HAIR IN A WEEK ? BackNext 10. ARE YOU SUFFERING WITH VIT D DEFICIENCY? A)YESB) NOC) NONE OF THESE BackNext 11. ARE YOU SUFFEREING WITH VIT B 12 DEFICIENCY? A)YESB) NOC) NONE OF THESE BackNext 12. ARE YOU CHANGING YOUR SHAMPOO / COSMETIC PRODUCTS VERY FREQUENTLY ? BackNext 13. WHAT IS THE TEXTURE OF YOUR HAIR? WHETHER IT IS A)DRY , THIN & LUSTERLESSB) SHINY & DENSEC) NONE OF THESEBackNext 14. ARE YOU ALLERGIC TO ANY MEDICINE / SUBSTANCE ? A)YESB) NOC) NONE OF THESE BackNext 15. HOW MUCH QUANTITY OF HAIR FALL IS THEIR ? BackNext 16. IS IT MORE AFTER HEAD WASH ? A)YESB) NOC) NONE OF THESE BackNext 17. IS YOUR HAIRS ARE GETTING THIN AND SPLITTINGS ? A)YESB) NOC) NONE OF THESE BackNext 18. ARE HAIRS COMING OUT IN BUNCHES AND LEAVING BALD AND SMOOTH AREA? A)YESB) NOC) NONE OF THESE BackNext 19. WHICH WEATHER YOU PREFER ? A)COLDB) HOTC)NIETHER COLD NOR HOTD) NONE OF THESE BackNext 20. WHAT ABOUT YOUR THIRST ? A)THIRSTY – DRINKS LOT OF WATERB) NO THIRST – DRINKS VERY RARELYC)ONLY AT TIMES OF FOODD) NONE OF THESE BackNext 21. ANY OTHER RELEVANT INFORMATION / SYMPTOMS WHICH YOU WANT TO SHARE. PLEASE SHARE. BackNext 22. ANY INVESTIGATIONS ( IF YOU HAVE ANY) – PLEASE ATTACH BackNext Name Email Phone No. Back