Mr. RV aged 46 years complains of severe pain over lower back region since 7 months. He feels difficulty to walk and to climb stairs .Since 2 days , after traveling from Mumbai to Bangalore in train , he was unable to stand or walk erect and got bent at hips with very intense low back pain. He has neck pain with numbness of thumb and index finger of right hand since 6 months and burning sensation of the finger tips of right hand since 3 months. He also has severe bloating in the abdomen since 20 days and has severe dry eyes since 8 months. Hence he approached us for better Ayurvedic management.