Hey Nikhil, along with mentioned internal medication 5.Medhya Rasayana- (Brahmi, Shankhpushpi mix) 1 tsp with water at bedtime Rewires stress circuits in the brain.
## Drafting Dietary Guidelines-
Eat: Warm, cooked foods: rice, moong dal, ghee
Buttermilk with jeera and rock salt
Turmeric + ginger tea (anti-inflammatory)
Soaked almonds, pumpkin seeds, raisins
Avoid: Cold/raw foods, carbonated drinks
Spicy/oily food, especially late-night
Caffeine, smoking, alcohol
4. Stress Relief + Mind-Body Integration
Practice-
Pranayama (Anulom-Vilom + Bhramari) 15 mins daily Balances nervous system, calms panic Yoga also will help.
HELLO V S NIKHIL BHARADWAJ,
It sounds like you’re dealing with persistent discomfort in the left hypochondriac, radiating to the upper chest and arm, along with nerve like symptoms sun as tingling. you’ve already done a thorough investigation with various specialist, including cardiology and neurology, with no serious findings except slightly elevated homocysteine and lipid profile- which is encouraging in one sense but understandably frustrating for ongoing symptoms
In Ayurvedic terms, your condition suggests a multi-doshic imbalance, especially- VATA VYADHI(nervous system disorder) -vyana vata governs circulation and nerve impulses, its disturbance causes radiating pain, tingling, erratic sensations -Apana vata affects the abdominal and lower trunk; involvement may explain discomfort in the hypochondriac.
PITTA AGGRAVATION -burning in the chest, especially localised over the heart/chest, and stress-induced episodes, point to pitta imbalance -emotional stress is a major factor in pitta and vata aggravation
AMA(TOXIN) ACCUMULATION -possibly due to poor digestion, emotional blockages, and metabolic errors, leading to blocked channels -slightly raised Homocysteine and lipids are reflective of AMA+KAPHA involvement
TREATMENT GOAL -Pacify aggravated vata- to relieve nerve tingling , radiating pain, and stress response -Reduce excess pitta- to calm burning sensation, emotional heat and irritation -Eliminate toxins- to clear metabolic waste linked to homocysteine / lipids -Nourish dhatu(tissues)- especially Majja dhatu(nervous tissue) and rasa/rakta dhatu(blood, circulation) -Balance Agni(digestion/metabolism)- to optimise nutrient absorption and detoxification.
INTERNAL MEDICINES PLANNED FOR YOU
1)ASHWAGANDHA CHURNA- 1 tsp with warm milk, twice daily after meals for 3-6 months =strengthens nerves, reduces anxiety, anti-inflammatory
2)BRAHMI GHRITA- 1 tsp in morning with warm water for 3 months =nervine tonic, cognitive support
3)SARASWARISHTA- 15ml with equal water after lunch and dinner for 3-4 months =for sleep issues, nerve calming, anxiety
4)DASHMOOLA KASHAYA- 15ml with equal water before breakfast and dinner for 2-3 months =Deep vata pacifier, relieves chest and muscle pain
5)ARJUNARISHTA- 15ml with equal water after lunch and dinner for 3-4 months =cardiac tonic, lipid regulator, balances pitta-vata
6)TRIPHALA GUGGULU- 2 tabs after meals, twice daily for 2-3 months =reduces cholesterol, improves digestion and detox
7)YOGENDRA RAS- 1 tab with ghee once daily in morning for 1 month =A rejuvinator especially for nerve and cardiac synergy
EXTERNAL THERAPY -warm oil massage with DHANWANTARAM TAILA -daily or 3-4 times/week =strengthen nerves, relaxes muscles, improves circulation
AYURVEDIC DIET PLAN -GRAINS= light, warm , easy to digest -old rice, wheat, moong dal, barley, oats(well cooked and warm no cold overnight oats)
-VEGETABLES= bottle gourd, ridge gourd, ash gourd, pumpkin, carrots, beets, green beans, cluster beans, zucchini, spinach, methi, drumsticks (all cooked , strictly no raw salad) Cook all vegetables with ghee or sesame oil and mild spices like cumin, coriander, turmeric
-DAIRY- nourishing and grounding Warm cows milk- preferably A2; boil with cardamom or turmeric -Homemade ghee- 1-2 tsp/day(anti-inflammatory) -buttermlik (thin, spiced with jeera)- improves gut health
FRUITS- sweet ripe and of room temperature -ripe bananas, apple(boiled or stewed), papaya, pomegranate, grapes, chikoo -avoid citrus fruits during high pitta phase -raisins soaked overnight(5-7)- excellent for calming heart and mind
-SPICES- mild, digestive, vata-pitta friendly cumin, coriander, fennel , turmeric , ginger(dry), cardamon -small amount of black pepper okay; avoid chilli
-HEALTHY FATS AND OILS cow ghee- brain and nerve nourishing cold pressed sesame oil- grounding especially for cookking small amount of olive oil
-HERBAL TEAS AND DECOCTION -CCF tea-cumin+coriander+fennel -tulsi tea -brahmi tea or brahmi water -ginger water(mild)- if digestion is weak and no burning
AVOID STRICTLY -COLD AND DRY FOODS= vata aggravating cold salads, smoothies, raw veggies leftover refrigerated food dry snacks like chips, popcorn, granola
SPICY,SOUR,OR FRIED FOODS- PITTA AND AMA INDUCING pickles, vinegar, tomato ketchup deep fried snacks, samosa, pakoras green chillies, red chillies powder excess garlic, onion-pitta aggravating in high amounts
COLD BEVERAGES AND DAIRY ice water, soda, soft drinks ice creams, cold milk cold coffee or tea
HEAVY ANIMAL PROTIEN red meat-heats the system and increases ama excessive eggs- 1-2/week is fine if not vegetarian non-fresh seafood
PROCESSED OR SYNTHETIC FOODS biscuits, pastries, artificial sweetners preserved or canned foods instant noodles or packaged meals
STIMULANTS limit tea and coffee-can aggravate vata+pitta no energy drinks or alcohol
MEAL - HOW TO TAKE -eat warm , freshly cooked food- never stale or reheated multiple times -add ghee to meals to support nerve health and improve digestion -don’t eat when stressed or immediately after heavy exercise -eat only until 75% full- do not overheat -allow at least 3 hours between meals for proper digestion
SEASONAL MODIFICATIONS MOONSOON- redcues ama and avoid curd= light khichdi,ginger,black pepper
WINTER- support vata, more ghee= root vegetables, sesame oil massage
SUMMER- calm pitta, hydrate more= buttermilk, coconut water, less spices
LIFESTYLE IMPROVEMENTS -daily warm oil self massage
PRANAYAM- Brahmari, anulom-vilom GENTLE YOGA- vajrasana, balasana, shavasana, suryanamaskar etc
SLEEP- sleep by 10 pm, avoid screens after 9 pm
TREATMENT DURATION
ACUTE PHASE- control pain, improve nerve strength= 4-6 weeks
RESTORATIVE PHASE- rebuild nerve and muscle tone= 3-6 months
PREVENTIVE PHASE- lifestyle, stress, metabolic balance= long term
your diet is your daily medicine in ayurveda. consistency following all above advices will -reduce nerve irritation and radiating pain -Support emotional balance and stress resilience -aid in correcting lipid metabolism naturally
THANK YOU
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
DR. MAITRI ACHARYA
take bramhi vati 1-01 avipattikar powder 1/2 tsf with leukworm water at early morning ksheerbala oil for shiroabhyang(gently massage on forehead)
avoid addiction if any practice bhramari and anulomvilom pranayam regularly
Take avipattikar tablet 1-0-1 after food with water Trayodashang guggul 1-0-1 after food with water Apply mahanarayan oil on chest area and abdominal area Mentat -DS 10ml twice daily after food with water and Do pranamyam daily 5-10mins Learn Rajyoga meditation and practice daily.
What you’re describing might be related to imbalances that need addressing through Ayurveda, particularly focusing on the Vata dosha which governs movement and can cause such uneven symptoms when out of balance. Since you already had your heart checked and got the all-clear from several specialists, we can turn our attention to possibly harmonizing your doshas.
Firstly, incorporating a daily routine and minding a balanced diet is key. This can help stabilize Vata. Start your morning with a glass of warm water followed by abhyanga (self-massage) with warm sesame oil, which is highly beneficial for calming the nervous system and grounding Vata. Do this before bath for 10-15 minutes, ideally every day.
Your diet should include warm, moist, and nourishing foods that pacify Vata. Favor root vegetables, stews, soups, and slightly oily and salty foods. Avoid raw, cold, and dry items like salads and dry cereals, which might aggravate Vata imbalance. Adding spices such as cumin, ginger, and turmeric can help ignite your digestive fire or “agni.”
Regarding herbal support, Ashwagandha and Brahmi are two adaptogens that can help manage stress and balance your system. Take Ashwagandha as a churna (powder), 1 teaspoon in warm milk at night for around 3 months. Meanwhile, Brahmi can be taken as a capsule or in powdered form with warm water, once in morning.
Definitely incorporate yoga and pranayama to your routine, gently practicing poses that open up the chest and spine such as Bhujangasana (cobra pose), which can releieve tension and add stability to the physical system.
Since your situation has an emotional component, meditating for stress relief or even practicing mindfulness to reduce anxiety can be beneficial, too.
Be patient with this process, as Ayurveda often works more gradually. Continuous practice and consistency are important; give it 3 to 6 months. If there’s no improvement, or you experience intensified symptoms, please get in touch with a healthcare provider immediately.
NAMASTE JI,
Thank you for your detailed description- it helps in understanding your case thoroughly. you’re describing chronic left hypochondrial pain that radiates to upper chest and sometimes left arm, with nerve like tingling occasional burning, and psychosomatic stress components.
Likely involved doshas vata- responsible for nerve conduction, movement, anxiety pitta- associated with burning sensation and inflammation possible vata pitta vitiation , affecting nervous tissue and mind.
POSSIBLE AYURVEDIC DIAGNOSIS -vataja shool- nerve origin pain -agnimandya with vata-pitta imbalances -uroshoola/parshwashoola-pain in chest or flank -mansika vyadhi- stress induced nervous dysfunction
stress and panic attacks have an undeniable link with vata aggravation, especially after lifestyle transitions like moving back from UK.
INTERNALLY START WITH 1)ASHWAGANDHA TABLETS- 500MG tab twice daily after meals with warm milk= reduces stress, balances vata, nerve support
2)SANKHAPUSHPI SYRUP- 10 ml twice daily after food= mental calmness, nerve relaxation
3)RASANADI KASHAYA- 15 ml twice daily with warm water before food= anti-inflammatory, balances vata
4)MAHAYOGRAJ GUGGULU- 2 TABS twice daily after meals
5)ARJUNA KSHEERAPAK- 20 ml twice daily after food -herat circulation, lipid balance
6)MAHATVATVIDHWAMSA RAS- 1 tab once daily= strong nerve pain releif
DURATION- Take for 3 - 4 months with consistency
EXTERNAL THERAPY
-SELF OIL MASSAGE WITH nirgundi taila 3-4 times/week -NASYA - 3 drops of brahmi taila in each nostril daily morning for 30 days
DIET- warm ,light, easy to digest avoid sour, cold, fried, spicy foods add ghee, cumin , coriander, turmeric
ROUTINE- fixed sleep/wake times, avoid overexertion, don’t skip meals pranayam anulom vilom daily
aAVOID- cold drinks, smoking, alcohol, high screen time at night, sudden exertion
Do follow with consistency for results
thank you
DR. HEMANSHU MEHTA
