Pandu widely described in various vedas and ayurvedic texts as an independent disease or associated symptoms of other disease.Pandu is the disease of Rasavaha srotas according to Charaka samhita-viddha lakshana and Rasadoshaja Vikara as Acharya Sushruta.Acahrya Sushruta has mentioned after Hridroga due to same samkhya samprapti.There are various Loha kalpas described in pandu roga chikitsa.Tapyadi loha is one of them which is given in charak samhita and Ashtang Hrudaya.The ratio on gender in male and female is 1:3.A 21 year old female patient was enrolled at parul Institute of Ayurved college and Hospitals OPD with the registration number 23018495.She lives in Manpur,Dahod district .the patients main complaints were Daurbalya(weakness),Bhrama(fatigue),Shirashoola(Headache),Hri tshoola(chest pain).