How to treat diabetes and nerve weakness in my 61-year-old mother with a history of shingles? - #55609

For 61 years age with diabetes, weak digestion, gastric irritation and post-herpetic neuralgia symptoms, keep treatment mild and digestion-friendly. Take Nishamalaki Tablet 2 tablets twice daily after food with lukewarm water. Chandraprabha Vati 1 tablet twice daily after food. Ashwagandha Churna 3 grams at bedtime with warm milk or warm water for nerve weakness and fatigue. Gandharvahastadi Kashayam 15 ml + 45 ml warm water before breakfast and dinner for digestion, bloating and metabolism. For burning nerve pain after shingles: Ksheerabala 101 Avarti Capsule 1 capsule at bedtime after food. Diet: Avoid sugar, bakery items, cool drinks, white rice excess, curd at night. Use millets, green gram, bottle gourd, ridge gourd, methi leaves, bitter gourd. Small frequent meals only. 1 tsp methi seeds soaked overnight in morning. Warm water throughout day. Daily 30 minutes walking after meals.

Dx: Madhumeha with Vata dushti + Post-herpetic neuralgia + Agnimandya/Adhmana ----Rx 1) Chandraprabha Vati — 1 tab BD after food with lukewarm water 2) Gudmar/Meshashringi Vati — 1 tab BD before food 3) Mahayograj Guggulu — 1 tab BD after food (if BP/kidney status normal) 4) Hingwashtak Churna — 2 gm with first bite of lunch/dinner 5) Ksheerbala Taila — gentle local abhyanga on painful nerve area, followed by mild fomentation ----Panchkarma / Procedure Jalaukavacharana / Leech therapy — only by trained Ayurvedic doctor, not at home. Can be considered for localized burning pain/inflammation after shingles, but avoid if sugar uncontrolled, anemia, blood thinner use, skin infection, poor wound healing, low Hb, or bleeding tendency. -First control sugar and check CBC/RBS. ----Diet & Pathya Avoid: sugar, rice, maida, potato, fried food, cold drinks, heavy dinner Take: moong dal, lauki/tori/karela, salad, multigrain roti in limited quantity Add: methi dana soaked water, cinnamon small quantity, protein in each meal Walk 10–15 min after meals; monitor fasting + PP sugar regularly —Advice Continue Metformin; do not stop allopathic medicine. Get HbA1c, kidney function, Vitamin B12 checked and consult physician for sugar 250 fasting.