** 1. ESR reflects changes in plasma proteins, and is not diagnostic but suggestive of some ongoing pathology. 2. urticaria along with joint pains, one should exclude SLE with ANA test, rheumatoid arthritis with RA factor, CRP {C-reactive protein} since [raised ESR], mixed connective tissue disease or with skin histopathology 3. your line of treatment in Ayurveda will be ‘AAMVAAT CHIKITSA’: . Langhan: [fasting] .Tikta & Kshaya Aushadhi [Bitter & Pungent Herbs/Medicines] . Basti [Medicated Enema] . Shotha har Chikitsa [Anti inflammatory/anti dropsy drug]. .Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind. . Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk.