Hi, I am 47 yr old and my e.S.R count is 78 mm/hr please suggest me how can I get to normal...I am worried?

Recheck ESR. I would make sure that this is not just a spurious result. Have it checked again. If it is still elevated, talk to your md to explore whether or not this is clinically important. Some people have high esrs for no particular reason, and consequently have no disease.