DYSMENORRHEA

Dysmenorrhea is a condition of pain during menstruation which interferes with daily activities or defined simply as menstrual pain or at least menstrual pain that is excessive. Contractions and relaxation of uterus is a normal phenomenon but these contractions are generally of higher strength, duration and frequency than in the rest of the menstrual cycle.

Dysmenorrhea due to some underlying disease or structural change inside or outside of uterus is termed as secondary dysmenorrhea. The most common cause of secondary dysmenorrhea is endometriosis, a condition in which cells from the lining of the uterus, endometrium appear and flourish outside the uterus, most commonly on the peritoneum which lines the abdominal cavity. These endometrial cells are influenced by hormonal changes in similar way as the cells inside the uterus respond. Symptoms often worsen at the time of menses.

Other causes are leiomyoma, a benign smooth muscle growth which is rarely premalignant and most commonly occur in the uterus, small intestine and esophagus, ademomyosis, ovarian cysts and pelvic congestions. A copper IUCD (intra uterine contraceptive devise) can also cause dysmenorrhea. Primary dysmenorrhea is diagnosed when none of these are detected.

The main symptom of dysmenorrhea is pain concentrated in the lower abdomen, in the umbilical region or above the pubic region of the abdomen. The pain may felt in the right or left abdomen and may radiate to the thighs and lower back. A patient may feel different kinds of pain as throbbing, shooting, burning, nauseating, cramp like, dull or sharp pains. The pain may precede menstruation by several days for example may start at or just after ovulation which occurs around 14^th day of a regular cycle or may accompany menstruation and it usually subsides as menstruation tapers off. There may excessively blood loss with dysmenorrheal, known as menorrhagia. 

Menstrual pains may occur with nausea and vomiting, diarrhea or constipation, headache, vertigo, hypersensitivity to sound, light, smell and touch, disorientation, fainting and fatigue. Use of certain types of birth control pills can prevent the symptoms of dysmenorrhea because ovulation is prevented by birth control pills.

The diagnosis of dysmenorrhea is usually based on a medical history of menstrual pain that interferes with daily activities. Underlying cause should be investigated. Beside certain laboratory tests pap’s test and gynecologic ultrasonography are necessary. Sometime, leproscopy (Opening and looking into abdomen) may be required to diagnose the problem.

Treatment                                                                                                                                                                  Non steroidal anti-inflammatory drugs and hormonal contraceptives offer no permanent relief with their side effects. In secondary dysmenorrhea cause needs to be treated. Homeopathic treatment solves both primary and secondary dysmenorrhea. Decision of prescription of homoeopathic medicine is based on specific symptoms therefore patient need to observe type of pain and time and circumstances in which pains are aggravated.  Following are some medicines and example of modalities that is symptom variation –                                                                                                     

PAIN - Uterus - menses- before - agg.
– Alumina., Apis mel., Arund., Belladona.,  Bry., Bufo .,CALC., CALC-P., CAUL.,
Caust., Cham., Coloc., KALI-C.,  Lach., Lyc., Mag-p., Mosch., Nat-m., Nux-v.,
 Phos., PULS., Sec., SEP., Sil., Ustilago., Vibernum op., Zincum met.
– Burning – Bufo, Carb-an., Conium, Curare, Natrum-mur.
– Cramping – Cactus., CALC-P., Caust., CHAM., Mag-p., Thymol., Viber. op.
– Cutting pain – Caust., Mag-c., Murx., Natrum-carb.
– drawing pain – Juglans-reg., Thymol.
– pinching pain – Alum., Bry.
– pressing pain –jug-r.
– sore – bov.
– stitching pain – borx.
-  tearing pain – nat – m.

– during – agg .

Acon., Agar., agn., alum., Am-c., apis.,_, Arist-cl., ars-met., bamb-a., BELL., CACT., CALC., Calc-p., calc-s., caul., Cham., Cimic., Cocc., cupr., ferr., Gels., Ham., Ign., Kali-c., kali-s., Kreos., Lac-c., Lach., led., Lil-t., Lyc., Mag-m., merc., NUX-V., op., phyt., Plat., PULS., sars., sep., Stann., Sulph., symph., syph., Tarent., tritic-vg., Tub., Ust., xan., xanth.

Other methods – Transdermal nitroglycerin has been said to be effective in dysmenorrhea. Behavioral interventions are base on assumption that the physiological processes underlying dysmenorrhea are affected by environmental and psychological factors. Acupressure, spinal manipulation, topical heat and transcutaneous electric nerve stimulation, thiamine, vitamin E, acupuncture, fish oil, magnet or vitamin B 12 is used for treating dysmenorrheal.

Case - Miss A.       22 yrs.      female        student             hindu                   vegetarian

Diagnosis – Dysmenorrhea

The patient had regular menses for six days but with lower abdomen pain extending to back, aggravated 2 days before and menses, since menarche at age 14 yrs. The pain was relieved by lying on back. She has numbness in her hands on grasping anything which was relieved by motion. Her pain abdomen and head pain was aggravated on fasting. Pain in calves and ankles occurred in morning on rising. She has pain in the lumber region of her back. She got itching in inner corners of eyes.

She has desires sweets and lemon and strong aversion to milk. She perspires on forehead, in palms and soles. She prefers cold things and dislikes warmth. Has fair complexion.

26/09/11 Rx 1. Natrum mur.      30      two doses to take at 10 minutes interval.                                                            

                    2. Phytum               30      two pills thrice a day for one month,

                    3. L. S.                  200      two pills once a day.

08/11/11 No numbness in hands but knees pain and itching in eyelids was still there. Menses were almost painless this time. Hairs were graying.

                  Rx 1. Natrum mur.      30      two doses to take at 10 minutes interval.

                       2. Phytum               30      two pills thrice a day for one month,

                       3. L. S.                  200      two pills once a day.

17/12/11 Menses were painless. Pains in knees decreased. Itching eyes decreased.

                  Rx 1. Natrum mur.      30      two doses to take at 10 minutes interval.

                       2. Phytum              30      two pills thrice a day for one month.  

                       3. L. S.                  200      two pills once a day

Thereafter menses were painless and lumber pain and itching in eyes was relieved.

Dr. M. K. Tyagi

D.H.M.S., Dip. N.I.H.

Research Officer, Sewa Mandir.

Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

HERPES ZOSTER

                                                          

Herpes zoster or zoster or shingles or zona, is a viral disease characterized by a painful skin rash with blisters often in a stripe in a limited area on one side of the body. The initial varicella zoster virus (VZV) infection causes the acute (short-lived) illness chickenpox in children and young people. After chickenpox has resolved, the virus is not eliminated from the body but become latent in the nerve cell bodies and sometimes in non-neural satellite cells of dorsal root, cranial nerve or autonomic ganglion without causing any symptom. Years or decades after a chickenpox infection (after age of 50 years), the virus may break out of nerve cell bodies and travel down nerve axons to cause viral infection of the skin in the region of the nerve. The virus may spread from one or more ganglia along nerves of an affected segment and infect the area of skin supplied by the spinal nerve (called dermatome) causing a painful rash. Although the rash usually heals within three to five weeks, some sufferers experience residual nerve pain for months or years, a condition called post-herpetic neuralgia. Exactly how the virus remains latent in the body, and subsequently re-activates is not understood.

Signs and symptoms

The earliest symptoms of herpes zoster, which include headache, fever and malaise, are commonly followed by burning pain, itching, hyperesthesia (oversensitivity) or paresthesia ("pins and needles" sensation, tingling, pricking or numbness). The pain may be mild to extreme in the affected dermatome, sometimes aching, throbbing and quick stabbing, agonizing pain occurs. The pain radiates along the path of a single spinal nerve (a dermatomal distribution). In children, herpes zoster is often painless.

The initial phase of 2 days to 3 weeks is followed by the appearance of the skin rash. The pain and rash mostly occurs on the body but can appear on the face, eyes or other parts of the body. At first the rash may simulate to hives but herpes zoster skin changes are limited to a dermatome normally resulting in a stripe or belt-like pattern that too, to one side of the body and it never crosses the midline. Zoster sine herpete is a condition “zoster without herpes" where a patient who has all of the symptoms of herpes zoster except the characteristic rash.

Later the rash is tuned into painful, small blisters filled with serous exudates, with the fever and general malaise. The vesicles become cloudy or darkened as fill with blood. They crust over within seven to ten days; which fall off and the skin heals, but sometimes, after severe blistering, scarring and discolored skin remain.

Depending on the dermatome involved some additional symptoms may occur. Herpes zoster ophthamicus   involves the orbit of the eye, due to the virus reactivating in the ophthalmic division of trigeminal nerve. The symptoms may include conjunctivitis, keratitis, uveitis and optic nerve palsies that can sometimes cause chronic ocular inflammation, loss of vision, and debilitating pain. Herpes zoster oticus, or Ramsay Hunt syndrome type II ( It has variable presentation which may include Bell’s palsy, deafness, vertigo and pain) involves the ear. Here the virus spreads from the facial nerve to the vestibulo-cochlear nerve. Symptoms include hearing loss and vertigo (rotational dizziness).

 Most people have history of episode of chickenpox in child hood. Repeated attacks of herpes zoster are rare and rarely a patient suffers more than three recurrences. Although it can occur at any age, but most commonly occurs after the age of 50 years. In contrast to herpes simplex virus the latency of VZV is poorly understood. The virus has not been recovered from human nerve cells by cell culture and the location and structure of the viral DNA is not known. Virus-specific proteins continue to be made by the infected cells during the latent period, so true latency, as opposed to a chronic low level infection, has not been proven. Although VZV has been detected in autopsies of nervous tissue, there is no method to find dormant virus in the ganglia in living people.

Uncompromised immune system suppresses reactivation of the virus and prevents herpes zoster. Why this suppression sometimes fails is not known, but aging, immunosuppressive therapy, psychological stress, or other factors impair immune system.

A person has no immunity to Varicella zoster virus may get chickenpox but not shingles immediately.  Until the herpes rash has developed crusts, a person is extremely contagious. A person is not infectious before blisters appear, or during post herpetic neuralgia (pain after the rash is gone).

Diagnosis:

Diagnosis is mostly made by a visual examination of the rash, since the rash in a dermatomal pattern. In absence of rash (early or late in the disease, or in the case of zoster sine herpete, a condition in which pain occurs without appearance of rash), herpes zoster can be difficult to diagnose.

Prevention:

A live vaccine for VZV exists. Adults also receive an immune boost from contact with children infected with varicell (chicken pox), a boosting method that prevents about a quarter of herpes zoster cases among unvaccinated adults,

In a controlled study it was found that intake of fresh fruit is associated with a reduced risk of developing shingles. People who consumed less than one serving of fruit a day had three times more risk than those who consumed more than three serving. For those aged 60 or more, vitamins and vegetable intake had a similar association.

Treatment

The aims of treatment are to limit the severity and duration of the episode and pain and reduce complications of post herpetic neuralgia. Post-herpetic neuralgia is very rare in people less than 50 years age and it wears off in time; even in people over 70 in 85% people the pain wore off one year after their shingles outbreak.

Homoeopathic medicines

Homoeopathic medicine is always prescribed on individualizing indications; the case given here is a good example. Iris versicolor was selected for the specific location of herpes that was right side of abdomen with acidity and constipation. Some of the homoeopathic medicines commonly indicated for herpes zoster/zona are –

Iris versicolor, Mercurius solubilis, Mezerium, Ranunculus bulbosus., Rhus toxicodendron, Arsenicum album, Carbolicum acidum., Clematis, Graphites, Heper sulphuricum, Kali bichromicum., Kali chlororicum., Lachesis, Natrum muriaticum, Nitricum acidum., Petroleum, Prunus spinosa., Sarsaparilla, Sepia, Silicea, Sulphur, Thuja, Variolinum.

Zona with neuralgic pain – Ars. alb., Dolichos, Kalmia, Mezerium, Ran.b., Stillingia sylvatica, Zincum metalicum.  

With stomach complaints – Iris. ver.

Cold application ameliorates – Apis melifica.

Warm application ameliorates – Ars. alb.

Prognosis

The rash and pain generally subside within three to five weeks, but about twenty percent patients develop post-herpetic neuralgia which is a very painful condition and often difficult to manage. Sometime there occurs zoster sine herpete due to reactivation of the virus. Sometimes complications affect several levels of the nervous system and cause many cranial neuropathies, polyneuritis, myelitis or aseptic meningitis. Other complications that may occur in some cases include partial facial paralysis  (usually temporary), ear damage or encephalitis. Chickenpox during pregnancy, may lead to infection of the fetus and complications in the newborn but chronic infection or herpes are not associated with fetal infection. Though the mechanism is not clear but after a herpes zoster infection an increased risk of developing cancer has been observed.                                                                                                                                                                                                                                                                                                                                                                      Other complications – Secondary bacterial infection, motor involvement – including weakness especially in "motor herpes zoster". Eye involvement – trigeminal nerve involvement (as seen in herpes ophthalmicus) should be treated early and aggressively as it may lead to blindness. Involvement of tip of the nose in the zoster rash is a strong predictor of herpes ophthalmicus.

Case – Mr. Ajit Bhatnagar     52 yrs.     Male    married      bank manager     hindu       nonvegetarian

Diagnosis – Herpes zoster.                                                                                                                                      

 The patient was suffering from painful herpes eruption on right side of abdomen for last three weeks which were persisting in spite of various treatments and medication. He was also having indigestion, burning, sour eructation and rumbling in abdomen with constipation.

 03/12/09 Rx 1. Iris vers.        30    twice a day for 5 days.  

                        2. P. L.               200   two doses at 10 minutes interval.                                                                                   

08/12/09 Pains were relieved after second dose of Iris. Eruptions started drying. Bowel clear and regular. Rumbling and eructation were relieved.    

                  Rx 1. Rubrum         30    twice a day for 5 days.

                       2. P. L.               200   two doses at 10 minutes interval.

14/12/09 No pain or burning. No more eruption except marks. The patient was continued on the last prescription for next 10 days. It was full recovery without after pains of herpes in last 20 months.

Dr. M. K. Tyagi

D.H.M.S., Dip. N.I.H.
Research Officer 

Sewa Mandir

Mobile" 09829157926

Email: manju_mkt2003@yahoo.co.in

CALORIES IN FRUITS AND DRY FRUITS

Fruits including dry fruits are good source of minerals specially trace elements. Still certain food provide great amount of calories. While dates seems highest in count but mango is more risky as taking 100 grams of dates at a time would rather, be difficult but taking one or even more mangoes at one go is quite possible. They may be used to substitute the foods provide more calories. Whole fruit should be used as a filler to reduce calorie intake but juices or concentrated extracts must be avoided as they contain more calories.

  ITEMS                                 AMOUNT                       CALORIES

·         Fruits

Apple                                   one 3” diameter                         90

Banana                                     one 6”                                 100

Black grapes                           100 gm                                  45

Grapes                                 30 medium size                       75

Chickoo                                   100 gm                                  94

Cherries                                  100 gm                                  70

Dates                                      100 gm                                 281

Guava                                      100 gm                                  66

Leechies                                 100 gm                                   61

Mango                                  one medium                            180     

Orange                                   100 gm                                   62

Papaya                                   100 gm                                   32

Pears                                   one medium                           100

Pine apple                              100 gm                                   46

Plum                                      100 gm                                   56

Pomegranate                         100 gm                                   77

Water melon                          100 gm                                   40

     

·         Salted nuts

Almond                                      10                                      130

Cashews                                   10                                        60

Peanuts                                     10                                        60

Dr. M. K. Tyagi

D.H.M.S., Dip. N.I.H.

Research Officer, Sewa Mandir.

Mobile" 09829157926

Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

CALORIES IN SOFT DRINKS AND BEVERAGES

When drinking, drinks are generally taken equivalent to water and harmless specially colas and carbonated drinks and beverages! But researches show that average 70 ml of cola per day causes about 5 kg of weight gain in one year. This simply signifies the importance of avoiding or taking these drinks with caution if one wants to lose weight.

Similarly one peg of alcohol with cola provides as much calories as 300 ml of cola and 240 ml of beer is equivalent to 200 ml of carbonated drink. One cup of hot chocolate contain highest amount of calorie.

  ITEMS                                           AMOUNT                       CALORIES

·         Juices and Soft Drinks

Cola                                                   300 ml                              140            

Carbonated beverages                      200 ml                              100

Coconut water                                  100 ml                                25

Hot chocolate                                    1 cup                                 200

Orange juice                                     100 ml                                47

Tea or coffee

   With no cream/sugar                      1 cup                                  00

   2 tbsp                                              1 cup                                  90

   2 tbsp                                              1 cup                                  90

Tomato juice                                     100 ml                                 22

·         Alcoholic beverages

Alcohol with cola                              one peg                             140

Beer                                                   240 ml                             114

Dry Gin                                               30 ml                                 80

Martini (cocktail)                              one (average)                     160

Rum, Scotch                                      30 ml                                 80

Sherry                                                60 ml                                 80                         


Dr. M. K. Tyagi

D.H.M.S., Dip. N.I.H.

Research Officer 

Sewa Mandir

Mobile" 09829157926

Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

CALORIES IN MILK, MILK PRODUCTS, ICECREAMS and OILS

 Milk is said to be a complete food but no one can depend only on milk. Milk and milk products add enough calories to a person who is purposed to lose weight. Each gram of ghee and oils provide 9 calories. This is the highest among the foods.

  ITEMS                              AMOUNT                         CALORIES

·         Milk and milk products

Milk

   Cow                                     1 cup                                    100

   Buffalo                                 1 cup                                    115

   Skimmed                             1 cup                                      45

Butter                                     10 gm                                     75

Butter milk                              1 cup                                      19

Cheese                                  100 gm                                  315

Cream                                   100 gm                                  210

Ghee                                      100 gm                                  900

·         Ice cream

Chocolate bars

   Plain                                    one bar                                 190 

   With nuts                              35 gm                                  278

Chocolate                               small cup                             150

Vanilla, strawberry                 small cup                              130

Sundaes                                 average                                400

Ice cream sodas                     300 ml                                  270


Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer 
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

CALORIES IN DAILY INDIAN SNACKS,SWEETS AND DESERTS

Snacks are the item eaten in the most casual manner and sometimes more for taste than for the need. At the same time these are the items very rich in calories specially when we compare with the amount in which they could be eaten. For example two pieces of kachori or samosa or dahi vada are commonly taken, rather some people even go for more.  Still they are not taken single but some sweets are to be followed! Which contain even higher values of calories as few pieces of biscuits, two gulab jamuns or halwa or gujia. Srikhand or kheer are not very rare item. Most interestingly one cheese pizza supplies calories required for one whole day for a light worker with average weight. Even if the pizza is shared among  three or four person it supplies more than 300 calories.So always remember when NOT to eat and how much to eat.

ITEMS                               AMOUNT                      CALORIES

·         Snacks

Aloo ka Bonda                       two                                    268

Besan ka pura                       one                                   222

Dahi vada                           two pieces                           343

Dosa  Coconut                     one                                     312

Dosa Masala                         one                                     205

Idli                                          two                                     132

Kachori                                  two                                     334

Onion dosa                            one                                     409

Pakoras                              8 pieces                                280

Papad                                    one                                       55

Pizza,cheese                         one                                  1440

Potato chips                       one serving                            108

Samosa                                 one                                     207

Vada                                   two pieces                              138

Vegetable cutlets                   two                                      132

·         Sweets and Deserts

Biscuits (glucose)                 100 gm                                 448

Boondi ka laddoo                   one                                      180

Cake, two layers iced white   one                                      345

Cake, fruit                          ¼” slice                                    125

Fruit pie                                100 gm                                  236

Fruit salad                            100 gm                                    80

Gujia                                     100 gm                                  501

Gulab jamun                        2 pieces                                 387

Halwa (aata)                         100 gm                                  263

Halwa (suji)                           100 gm                                 181

Jalebi                                     100 gm                                 494

Jelly  and custard                 1 katori                                  104

Kheer                                    1 katori                                  332

Kheer (carrot)                       100 gm                                 226

Maalpua                                100 gm                                   87

Rasogolla                           two pieces                              150

Sandesh                             two pieces                              140

Savaiya                                1 katori                                   249

Srikand                                ½  katori                                 382

Suji ki kheer                         1 katori                                   267

Honey                                1 table spoon                             90

Sugar                                  10 gm                                       90

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer 
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in

CALORIES IN DAILY INDIAN NON-VEG FOODS

Common preparations of meat, chicken, fish and eggs contain more calories than the vegetable preparations. So one should have to be more alert about calorie intake while eating non- veg preparations. The caloric value of food items given here are for average servings but actual value would vary as per the amount and the method of preparing the item. For example someone may not be satisfied with 100 gram of chicken, at the same time how much of fat has been added to fry or to make it tastier in another factor which changes its caloric value. These facts are applicable to all preparations. Also there could be a difference in kind of raw material as mentioned under fish preparations.

     ITEMS                                  AMOUNT                    CALORIES
Non – vegetarian delicacies

Chicken

Chicken roasted                           70 gm                               100

Chicken curry                           100 gm (1 small bowl)         323

Chicken hyderabadi                     100 gm                              399

Chicken Kathi roll                          one                                   197

Chicken korma                             100 gm                              250

Chicken biryani                             1 plate                               470

Chicken breast Tandoori              125 gm                              270

Chicken tikka                                100 gm                              155

Chicken tikka                                 1 plate                               273

Chicken madras                           125 gm                              600

Fish

Fish curry                                     100 gm                              323

Fish cutlets                                   100 gm                             228

Fish molee (with coconut milk)    100 gm                              319

Fish sukha                                    100 gm                             258

(The calorie count slightly varies with different kind of fishes.)

Meat

Beef rogan josh                             125 gm                             550

Liver Do Piaza                                140 gm                            330

Mutton biryani                                100 gm                              470

Mutton Curry                                   100 gm                            323

Mutton Hyderabadi                         100 gm                             390

Mutton kheema                               100 gm                            175

Mutton korma                                 100 gm                             243

Mutton Mughlai                               100 gm                             243

Mutton palak                                   100 gm                            186

Mutton pilaf                                     125 gm                             550

Prawn curry                                   145 gm                             219        

Egg                                                    one                                 80

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer 
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in 

CALORIES IN DAILY INDIAN FOODS

It is easy and simpler to count calorie in a raw food article say 100 gm of wheat flour or rice or potato or banana when we know its composition in terms of carbohydrates, fats and proteins but practically we use a few of them as raw otherwise they are used in form of one or other preparation. There it becomes difficult to say calorie count or value of any prepared food item because it varies and depends on how it was prepared beside that what it contains in terms of size and composition. Method of preparation of a food item varies widely with the taste and style of the person who prepared it. Regional culture and living style of the people also affect it. Therefore, there could be a wide variation in amount of calories in the same item, for example take paratha or puri or gulab jamun and even dahi bada, the calories in it depends not only on size but also how deeply it was fried. At the same time, what is added to make it tastier should be counted to the calories in the final preparation as curry or sauce with some kachori or kofta or samosa.

To make an actual count of calories in the food one was eating is though not very difficult but a crafty task. Here we are listing average caloric values of certain commonly eaten Indian food items. This is not the final list and all types of suggestions are well come.

  ITEMS                                  AMOUNT                    CALORIES

Roti/ phulka/ chapatti                  one                                     85

Bread slice                                  one                                    60

Paratha                                       one                                   150

Alu ka paratha                             one                                    241

Gobhi ka paratha                         one                                    230

Puri                                              one                                     80

Hamburger on buns              3-inches patty                         500

Masala dosa                                  one                                  200

Naan                                             one                                   280

Rice (Ready to serve)               2 katori                                222

Pulao                                        2 katori                                  358

Khicheri                                    2 katori                                  430

Upma                                        2 katori                                  200

Rice dal papad                         one plate                                280

Puri bhaji                                  one plate                                350

·         Dal ready to serve

Arhar dal                                      1 katori                              109

Chana dal (bengal gram)               1 katori                             108

Chana dal fried                              1 katori                             248

Chana masala                             1 katori                               158

Dal fry                                           1 katori                              174

Dal makkhani                                 1 katori                             160

Kabuli chana                                 1 katori                             119

Moong dal whole                           1 katori                              86

Moong  dal                                    1 katori                             116

Moong dal fried                             1 katori                              180

Masoor dal                                     1 katori                             148

Razma                                          1 katori                             153

Sabut moong                                1 katori                             113

Sambhar                                       1 katori                              81

Urd dal                                           1 katori                             161

·         Vegetarian delicacies –

Preparations with gravy

Aloo gobhi                                      100 gm                           165

Aloo Matar                                     1 katori                             132

Aloo ki subji                                    1 katori                            130

Aloo palak                                     100 gm                             109

Matar Paneer                                1 katori                               91

Palak Paneer                                 1 katori                             125

Raita                                              1 karori                             200

Vegetable kofta                              1 katori                             217

Vegetable korma                           1 katori                             132

Dry preparation –

Aloo Baingan                                 1 katori                             134

Aloo shimla mirch                          1 katori                            116

Bhindi                                             1 katori                             150

Baingan ka bhurta                          1 katori                            152

Mixed vegetable                             1 katori                             100

Parmal/ parval                               1 katori                              78

Patta Gobhi (Cabbage)                  1 katori                             131

Seetaphal/kashiphal                       1 katori                             110

Stuffed Tomato                                 one                                 84

Torai                                              1 katori                               97

Vegetable cutlets                               two                               132

·       

Dr. M. K. Tyagi
D.H.M.S., Dip. N.I.H.Research Officer 
Sewa Mandir
Mobile" 09829157926
Email: 1.sewamandir@usa.net, 2.manju_mkt2003@yahoo.co.in