Online Consultations Please fill the form to respond to your ailment. Choose the option below as applicable. Please click the appropriate checkbox.   Name* Address (line1)* Address (line2) City * State * Country * << select country >> AFGHANISTAN ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA MOLDOVA MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR RÉUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET NAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE Zip/Pin * Phone * Fax Email Address * Age * Male or Female ? *    Male    Female Height * Weight *   Present complaints with full history * If you have any Pathological reports please write here with detail Any cause known to you for the disease Has the patient or his/her near relatives had such complaint (Hereditary factor) if so, please details in brief What is your diet in one day with quantity, timing and types of food (Veg. & Nonveg.) Nature of work: Whether it involves constant traveling, etc Marital Status Married   Unmarried               Living Standard Luxurious   Hard   Normal   Hygienic Conditions Poor   Medium   Good   Addiction Tobacco   Alcohol   Tranquilizer   Others   Mental Status Hyper   Moderate   Slow   Physical Activities Hyper   Moderate   Slow   Body Structure Thin   Normal   Large   Body Weight Low   Medium   Over   Skin Thin   Cold   Dry   Dark   Charming   Soft   Reddish   Hot   Thick   Cool   Oily   White   Hair Dry   Hard   Brownish   Black   Stiff   Weak   Straight   Blond   Smooth   Bald   Grey   Red   Curly   Oily   Ample   Dense   Thick   Dark Black   Eyes Small   Sunken   Dry   Active   Black/Brown pupil   Hazy conjunctiva   Sharp   Insightful   Brighter Green   Yellow/Red conjunctiva   Beautiful   Calm   Big   Dazzling   White conjunctiva   Dark black pupil   Nose Irregular Shape   Deviated Septum   Long   Red Nose Tip   Pointed   Button Nose   Short   Rounded   Chin Thin   Angular   Tapering   Rounded   Double Chin   Cheeks Wrinkled   Sunken   Smooth   Flat   Rounded   Chubby   Lips Dry   Cracked   Tinge   Black/Brown   Soft   Yellowish   Inflamed   Rosy   Smooth   Oily   Pale   Whitish   Teeth Stick Out   Big   Roomy   Thin Gums   Medium   Soft   Tender Gums   Healthy   White   Strong Gums   Tongue Dry   Cracked   Thin   Dirty   Soft   Red   Clean   Sensitive   Whitish layer   Thick   Neck Thin   Tall   Medium   Big   Folded   Chest Flat   Sunken   Moderate   Round   Expanded   Nails Dry   Rough   Brittle   Break Easily   Sharp   Flexible   Luxurious   Pink   Thick   Oily   Smooth   Polished   Voice Heavy   Unclear   Rapid   Excess   Clear   Penetrating   Sharp   Good Speaker   Sweet   Monotonous   Slow   Less Speak   Mouth Condition Irregular   Dry   Wet   Mouth Taste Tasteless   Bitter/ Sour   Sweet   Appetite Irregular   Scanty   Strong   Unbearable   Slow   Balanced   Digestion Irregular   Form Gas   Quick   Causes Burning Prolonged   Form Mucous Elimination Constipation   Loose   Thick/oily   Stool Tendency Dry   Hard   Breaked   Small Quantity   Loose   Yellowish   Burning Sensation   Excess   Greasy   Solid   Whitish   Normal   Urine Watery   Dirty   Broken Stream  Yellowish   Burning   Whitish   Excess Quantity   Thick   Sweating Less   Smell Less   Excess   Bad Smell   Hot Sweat   Normal   Cold Sweat   Thirst Irregular   Excess   Less   Sleep Irregular   Little But Sound Sleep    Deep   Prolonged   Female Genital Menstruration Regular   Irregular   Blackish Red   Reddish   Brownish Red   Acute Inflammation   Dryness in Vagina   Pain During Menstruation   Before Menstruation   After Menstruation   During Coitus   Quantity Less   Normal   Excess   No   Period 28 Days