Hello Harsha Vardhan
Thank you for reaching out and trusting this platform with your Health journey from what you have described. Your condition is behaving exactly like a vata drive, an inflammatory arthritis pattern that versions with cold dryness and seasonal change The good part is that your ESR and CRP or normal, which means the deeper inflammatory fire is under control … Reason of rise and borderline. T3 usually reflect a mild immune over reactivity and a little strain on Agni due to seasonal change, not a disease flareup The pain in the right side joint during winter is very typical - vata tends to Lord in the lower back pelvis sacroiliac area and hip when temperature drop, so the aim now is to keep the pain down, support the joints and avoid over medicating
Your current list as some overlap, but nothing hurtful or contradictory You do not need to stop anything. Suddenly. You only need a clean order, so the body can observe each medicine properly without burdening digestion.
You can take them in one simple sequence At morning, and at night after food, take Trayodashanga guggulu Kaishore guggulu Vata vidhwamsana rasa Ashwagandha-you can take this at night RA PLUS TAKE AFTER LUNCH AND DINNER TAKE Dolosol- on days when pain increases, otherwise you can skip it If you are sleepy, good and pain is mild ashwagandha at night is enough, or else you can take twice daily The medicine which you are taking is actually stabilising the vata pitta immune disturbance that causes B 27 related symptoms None of these clash with each other, … You can add Dashamoola kashayam 15 ml with equal warm water after meals can be taken during this winter Massage with warm sesame oil or Mahanarayana taila over hip and SI joint Avoid sitting on the cold floors
Thank you so much for detailed explanation and understanding my conern and now finally some relief for my worries and negativites that run in my mind and i have a habbit of purchasing medicines but the soon little reduction in pain nd symptoms i wont use them thinking of they may be burden to kidneys so i will stop and how one knows how many days are enough are they really hurtfull if overmedicated ? means i am taking one or other from past 2 years as everywhere it states lesser side effects with ayurveda medicines prescribed by doctors only even doctors saying long medication journey bcoz mine is a chronic condition
I am really glad that my explanation eased your worries even a little … N regarding medicine we usually advise to take for 3 to 6 months and depending upon the condition further either we taper the dose or stop it Vatavidwamsana ras you take it totally for 3 months give a gap of 15 days , check your renal function test if it’s normal and symptoms still persisting then take for another 3 months, as it’s a herbo mineral drug , taking continuously without monitoring kidney function test is not ideal Rest you can continue as advised
hello !!
In HLA-B27 inflammatory arthritis, especially during winter, the body’s Vata increases, making joints stiff and painful even if inflammation markers (ESR, CRP) are normal.
Your medicines belong to three categories: Anti-inflammatory & anti-ama (Kaishore Guggulu, R.A Plus, Dolosol) Vata-balancing & nerve-support (Trayodashanga, Vata Vidhwamsana Rasa, Ashwagandha) Pain-control (Dolosol short-term only) To avoid overloading digestion, we place them in correct time slots and avoid combining similar guggulus unnecessarily.
🌿 Correct Schedule : Always after food unless mentioned. Continue for 6–8 weeks unless pain settles earlier. 👉 Morning (after breakfast) R.A Plus – 1 tablet Kaishore Guggulu – 1 tablet Ashwagandha – 1 tablet 👉 Afternoon (after lunch) Trayodashanga Guggulu – 1 tablet Kaishore Guggulu – 1 tablet 👉 Evening (after dinner) Vata Vidhwamsana Rasa – 1 tablet R.A Plus – 1 tablet Ashwagandha – 1 tablet
👉 Only if pain is high (max 5–7 days) Dolosol – 1 tablet after dinner (Do NOT use long-term; it is for acute episodes only)
🚫 Medicines NOT to take together Two rasoushadhi (metal/mineral herbs) should not be taken at the same time → That’s why Vata Vidhwamsana Rasa is only at night. Two new anti-inflammatory guggulus should not be taken on empty stomach. Dolosol must not be combined with other painkillers.
📉 When can you stop some medicines? If pain becomes mild and stable for 2–3 weeks: Stop Dolosol immediately Reduce R.A Plus to once daily Continue Kaishore + Trayodashanga + Ashwagandha as your baseline
This is evidence-aligned because chronic HLA-B27 spondyloarthritis needs maintenance, not sudden stopping.
🧘 Exercises :
Cat–Cow stretch (Marjari) – 10 rounds Pelvic tilts – 15 rounds Hamstring stretch – 20 sec × 3 Avoid deep forward bending These open the SI joint and reduce the winter flare.
🧪 Investigations to monitor Every 3–4 months: ESR CRP CBC Thyroid profile (your T3 borderline suggests monitoring) Serum uric acid If eosinophils continue to stay high, rule out: Allergic sinusitis Parasitic infection Drug reaction
Warm Assurance 🤝
You’re already doing the right thing by combining Ayurveda and careful monitoring. This type of SI joint pain flare is common in winter for HLA-B27 positive patients, but with the correct medicine spacing and gentle physiotherapy, the pain becomes manageable and long-term progression slows down significantly.
Warm regards, Dr. Karthika
Thanks for clear explaination and suggestions before i do mistake in this process i forgot to inform about my kashayams i have morning balagulchyadi kashayam and evening rasnaerandadhi kashyam how to incorporate them too will be best suggestion i can get
(Continue 6–8 weeks, then review based on pain) 👉 Early Morning (empty stomach — 6–7 am) Balaguluchyadi Kashayam – 15 ml + equal warm water
👉 After Breakfast (first tablet slot) R.A Plus – 1 tablet Kaishore Guggulu – 1 tablet Ashwagandha – 1 tablet
👉 After Lunch Trayodashanga Guggulu – 1 tablet Kaishore Guggulu – 1 tablet
👉 Evening (6–7 pm, empty stomach) Rasnaerandadi Kashayam – 15 ml + equal warm water (This kashayam + later Vata Vidhwamsana Rasa creates a strong Vata-reducing sequence)
👉 After Dinner Vata Vidhwamsana Rasa – 1 tablet R.A Plus – 1 tablet Ashwagandha – 1 tablet
👉 Only if pain is high (for 5–7 days max) Dolosol – 1 tablet after dinner Stop once pain settles.
🚫 Medicine Combinations to Avoid Do NOT take kashayams + tablets together they must always be spaced (your schedule does this correctly). Do NOT take two rasoushadhis at the same time (we kept Vata Vidhwamsana Rasa alone at night). Do NOT take Dolosol long term.
If pain stays mild for 2–3 weeks: Reduce R.A Plus → once daily Continue Kaishore + Trayodashanga + Ashwagandha Keep kashayams if winter stiffness continues
You are doing everything correctly, and your awareness of how medicines interact shows you’re managing your condition with real commitment. With this updated schedule, digestion stays comfortable, inflammation remains controlled, SI joint stiffness reduces, and long-term progression slows down significantly.
thank you !!!
Your so pain looks like a simple winter triggered vata flare not an inflammatory relapse as esr and crp are normal so inflammation is controlled . High eosinophils point to seasonal allergy. You can continue with Morning Kaishore guggulu and Trayodashanga guggulu after food After lunch take R A plus Night after dinner take Kaishore guggulu and Trayodashanga guggulu Ashwagandha capsule Vata vidhwamsana rasa can be taken once daily for 14 days Warm sesame oil massage can be done before bath daily
Stop both guggul in the given treatment Take 1. Simhanad guggul 1BD AF 2. Suvarna guggul 1 tab crush it mix with honey keep it sublingual once a day Before food. All other are ok.
Take accordingly- Morning empty stomach: Kaishore Guggulu 2 tab (warm water)
After breakfast: Trayodashanga Guggulu 2 tab + Vata Vidhvamsana Ras 1 tab + RA Plus 1 tab
After lunch: Ashwagandha 500–1000 mg
After dinner: Dolosol 1 tab + Kaishore Guggulu 2 tab
If pain <3/10 (like now) Stop Dolosol & RA Plus after 15–30 days Reduce Vata Vidhvamsana Ras to 1 tab/day after 30 days Keep Kaishore + Trayodashanga + Ashwagandha lifelong (low dose)
Add if needed Shallaki (Boswellia) 500 mg twice daily Curcumin (Haridra Khand) 5 gm night No interactions – all safe together.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Managing Ayurvedic medications requires careful consideration. To address your condition, let’s consider the medicines prescribed and their role. Starting with, Kaishore Guggulu is often used for inflammatory conditions and supports cleansing; it can be taken with water after meals twice daily. R A Plus is typically tailored for rheumatoid arthritis symptoms, best taken before meals in the morning and evening. Dolosol is usually for immediate pain relief and should be taken on an as-needed basis with doctor’s advice. Combining these appropriately ensures efficacy without overlap.
Now, for those you’ve been continuing: Vata Vidhvamsana Rasa is usually balanced for vata dominance, taken twice daily. It should not be mixed with Kaishore Guggulu in a single dose but can be taken at different times of the day to avoid interaction. Trayodashanga Guggulu supports joint health; take it twice after meals. Ashwagandha, known for its adaptogenic properties, can be consumed at bedtime to enhance rest and rejuvenation. Separating Ashwagandha from more potent herbs allows it to act effectively without interference.
While combining these, avoid taking all medicines simultaneously. Space them out at least 30 to 45 minutes, depending on your schedule. Before making any changes, it’s essential to consult your Ayurvedic doctor, as personalized conditions may require different adjustments. If your pain is manageable, sustain your current medications to prevent flare-ups, but never abruptly stop without guidance, as it can cause imbalances.
Adding further supplements or medicines is not recommended without professional advice. Monitoring your body’s response, especially during weather changes, is crucial, as ayurveda emphasizes seasonal adjustments. Adjust lifestyle and diet, stay warm, eat cooked foods to help balance vata during cold months. Remember, methods like avoiding cold exposure and practicing gentle yoga can also provide substantial support alongside the medicines you’re taking.
Managing your Ayurvedic medication regimen effectively is crucial in addressing inflammatory arthritis and maintaining balance in your body. Let’s break down how you can incorporate these medicines and whether any adjustments could be made.
Start by taking your current prescriptions of Vata Vidhvamsana Rasa, Trayodashanga Guggulu, and Ashwagandha as follows:
1. Vata Vidhvamsana Rasa: Generally taken before meals to help mitigate Vata imbalance, often responsible for pain. Please follow your practitioner’s instructions on dosage. 2. Trayodashanga Guggulu: Typically recommended after meals to aid in pacifying deep-seated Vata and Kapha-related joint issues. Check your recommended dose. 3. Ashwagandha: Best taken at night, as it can also improve sleep and reduce stress, which helps overall condition management.
Now let’s fit in the newer medicines:
1. RA Plus: Could be taken in the morning along with Vata Vidhvamsana, as both aid in reducing symptoms of rheumatism. 2. Dolsol: Use it as directed during acute pain flare-ups to quickly address inflammation and pain. 3. Kaishore Guggulu: Take it after lunch or dinner; it targets chronic inflammation and purifies the blood.
Always consider the recommendations from your Ayurvedic practitioner and adapt them as needed. There’s no particular contraindication between these medicines, but staggering them helps optimize absorption and effect.
If pain is manageable, you might consult with your doctor about possibly pausing some medicines. Introduce dietary changes or mild exercises like yoga tailored to arthritis for further benefits, always with the consent of your healthcare provider.
Remember, while managing pain, monitoring symptoms and consulting regularly with both your Ayurveda and rheumatology specialists is essential. If new symptoms arise, do not hesitate to seek immediate medical advice.