Table 1.

Showing the timeline of medical management of adverse drug reactions (ADR) and its effect.

Date and Event	Clinical status	Medicines given	Remarks
26.03.2023	Patient developed pyrexia post nasya. Patient developed myalgia, heaviness of head and body and poor appetite.	AmruthotharamKwatha (AK) 60 ml BID, Vettumaran Gulika (VG) 1 nos BID, Thalam with RasnadiChurna and JambeeraSwarasa (∼juice of lemon) (RJT)	All treatments and previous internal medicines were suspended. No reduction in pyrexia even after administration of 120 ml of AK, 2 VG, and RJT by 10 p.m. Patient self-medicated Paracetamol.
27.03.2023	Temperature, myalgia, heaviness of head and body reduced. Temperature came to normal by 13.25 h and continued to be normal. Appetite improved, but was not good, bowels were not good.	AmruthotharamKwatha (AK) 60 ml QID, Vettumaran Gulika (VG) 1 nos BID, Thalam with RasnadiChurna and JambeeraSwarasa (∼juice of lemon) (RJT)	AK was increased to QID and rest was continued as on 26.03.2023.
28.03.2023	Temperature came subnormal by 07.00 h. No myalgia, and heaviness of head. Good appetite and bowels were clear.	AmruthotharamKwatha (AK) 60 ml QID, Ayush-64 2nos BID	VG was replaced with Ayush 64. AK was continued. Dhoomapana with KaishoraGugguluVarti two times was continued. Other Eye related treatments like Anjana, Padabhyanga, and Kabala was initiated.