Patient of age 68 years, male Problem started 5 years ago, symptoms are:- 1) Started with slight change in speech (slurred, progressively increased- Progressive dysarthria 2) Then year later walking/ balancing disturbance accompanied with fall- Progressive gait imbalance. 3) Upward gaze restricted & marked downward gaze restriction. 4) clumsiness at right hand, dexterity loss at right hand, also handwriting became tiny and illegible (unreadble) little rigidity at right side, movement of upper limb & lower limb is slow at right side 5) after 3 years problem choking sometimes on gulping liquid started, salivation also started 6) constipation & urine control problem sometimes. Has strong urge to urinate many times. 7) Diabetic (but remain control on medication) There's no Memory related complain, memory is good, & no tremors in any part of body. But rigidity at right side is Medicine taking are:- These medicine are of not much help in curbing progression of disease Anti parkinsons medicine:- Syndopa125 (4times a day), ropark0.5 (3 times a day), amantrel (2 times), rasalect0.5, ecosprin 150 (OD)+ diabetes medicine + thyrox 75+ Vitamin E cap Current situation:- Patient cud not stand on its own or walk 2-3 step, cud not able to balance, Fall down, but can walk with someone support. Also feel less power on right leg & hand, and choking while drinking liquid (water) is increase a bit.