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Skin and Hair Disorders
प्रश्न #24302
155 दिनों पहले
530

fragmentation dark patch on the face - #24302

Shinivas

I am male 49 years. Have got dark patch on the left side of the face since last 5 to 6 years. Looks due to pigmentation. Consulted skin specialist and applied medicine - cream "Melaltite" - and the dark patch became light. Again it developed dark. Suggested to apply sunscreen lotion. I am working in office where no sufficient sunlight.

आयु: 49
पुरानी बीमारियाँ: Nil
300 रुपये (~3.51 डॉलर)
प्रश्न बंद है

अभी हमारे स्टोर में खरीदें

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डॉक्टरों की प्रतिक्रियाएं

Mix besan coarse + turmeric powder+ honey+ multani mitti , make a paste and apply on dark patch., keep for 15 minutes then rub and wash with clean tapid water, do this twice weekly. Take sariva ghanvati 1-0-1 after food with water Use Sunscreen SPF 50++ and apply on exposed areas daily. Apply kumkumadi oil daily at night before bedtime.keep overnight.and wash in the morning. Follow up after 1 month

3061 उत्तरित प्रश्न
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Don’t worry shinivas. First of all avoid pittavardhak ahar vihar like excessive sour,spicy,salty food etc. And start taking 1.Mahamanjishthadi kwath 20 ml with equal amount of Lukewarm water empty stomach twice in a day. 2. Khadirarishta 20 ml with equal amount of Lukewarm water just after having meal 3.Aarogyavardhini vati 1-0-1 4.neem rasa 10 ml in a cup of lukewarm water twice in a day… Apply few drops of kumkumaadi tailam over affected area of your face at night …

Follow up after 15 days…

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✔️ Do’s: ✔️ Stay Hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Stress free lifestyle Pranayam : ANULOM VILOM, TRATAK Yoga: SHIRSHASAN, PASHIMOTANASAN, TRIKONASAN.

❌ Dont’s: ❌ Oily and Spicy food. Processed food. Preserved food. Packed and ready to eat items. Pickles Papad Dried Fish Curd

💊 Medication: 💊

Cap. Marvin (S.G.Phytopharma) 2 caps twice a day before food. Syp. Raktdoshantak 2 tsp twice a day after food.

Kumkumadi tailam. Apply on the pigmentation.

Panchendriya vardhan Tailam. 2 drops in each nostril early in the morning empty stomach. Make the oil lukewarm.

495 उत्तरित प्रश्न
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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
155 दिनों पहले
5

Can use kumkumadi tailam - just 2 drops apply over the area and do gentle massage Leave it for 1/2 an hour and wash off Avoid spicy or oily fermented food

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0 replies

Srinivas ji ,You need a internal detoxification Internal Detox First (Pigmentation reflects liver/gut)

Take for 4–6 weeks:

Triphala Churna – 1 tsp at bedtime with warm water (clears gut & skin toxins)

Avipattikar Churna – ½ tsp before lunch & dinner (if acidity/constipation)

Khadirarishta + Manjishthadi Kwath (20 ml each, with water, after meals)

Daily Cream (Non-steroid, gentle for long-term use)

Kumkumadi Tailam (Use few drops at night)

Or Vicco Turmeric Cream (day use, non-irritating)


4. Diet Support

Include Avoid

Amla juice, coconut water Tea/coffee excess Bottle gourd, beetroot, turmeric Pickles, fermented food Soaked almonds, black raisins Excess salt & sour foods

Drink warm water, avoid fried food and processed sugar.


🧘 Lifestyle Tips

Sleep well (lack of sleep worsens pigmentation)

Manage screen exposure (use blue light filter if working long hours)

No harsh soap or scrubbing on affected skin

Always pat dry, no rubbing

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Hello You problem can be resolved Rx Evenshade cream apply on dark pathces Panchtikta ghrit guggulu 1 tab twice a day Arjun powder+ honey paste apply on face Arogyavardhini vati 1 tab twice a day

Stay hydrated, avoid sun exposure

980 उत्तरित प्रश्न
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0 replies

1.manjistaghanvati 2-2-2 after meal 2. Kesor Guggulu 2-2-2 after meal

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1.Thriphaladi churnam ½tsp+ Honey ½tsp+ Sugar ½tsp- Do a mild scrub over the area/weekly twice 2.Kumkumadi taila- 2-3drops apply over the area and do a gentle massage, leave it for a whole night and then wash

Internally (we need detoxification of body too) 3.Thriphala tab 2 at bedtime

You can do A medicated enema (*Kashaya vasthi) from a near by Ayurvedic treatment center /weekly once f0r complete detoxification

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Don’t worry

❌ Avoid day sleep, deep fried food

* Avoid curd, oily, sour, spicy food items

✅ Use ayurvedic face wash

* Often wash with warm water 

💊 Medicines

1. Aragwadarishtam+ khadirarishtam Each 10 ml mixed morning and evening after food

2. Kaishora gulgulu gulika - 2 - 0 - 2 after food

3. Madhusnuhi rasayanam - 1 tspn with warm water at bed time

4. Dadimadi ghritam - 1 tspn with warm water morning and evening before food

🍀 Externally

Apply - Lodhradi choornam with rose water

* Kumkumadi lepam in later phase

🌱 After 2 weeks

 1. Khadirarishtam - 25 ml + 20 ml luke warm water morning and night after food

2. Manjishtadi kashayam - 15 ml with 60 ml boiled hot water morning and evening before food

3. Mahathikthakam ghrtam - 1 tspn at bed time

💠 Avoid oily, junk food, undigested foods

Avoid salty, sour foods

🍀 Intake cucumber, gooseberry, drumstick, pumpkin, pomegranate, papaya, onion, Green leafy vegetables, carrot, beetroot

🍀The following medicines are very useful

1. Jeerakalepa - the paste of cumin seeds are applied over the affected area

2. The paste of Rakthachandana ( red sandal wood) and turmeric made with milk is very efficacious local application

3. The mixture of made of 1 part of Rakthachandana oil and 2 part of mustard very efficacious

🌱 Avoid nonveg. For a while , avoid curd, deep fried food, oily, Salt, sour , pungent, spicy food i kiwi, grapes, 

🌱 Kumkumadi tailam + mukhakanthi vati gutika - 2tab ( vaidyaratnam) make paste and apply affected area.

1. Saribadyaasavam - 15 ml morning and night after food - later

   Thank you 
168 उत्तरित प्रश्न
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Hello Shrinivas I can understand your concern regarding hyperpigmentation on your face, but don’t worry we are here to help you out!!😊

☑️YOUR CONCERN 1. you have a dark patch on left side of your face since 5-6 year 2. You have used allopathic ointment melalite but after stopping it agin reappeared

☑️MELALITE IS ALLOPTHIC OINTMEMT CONTAINING HYDROCLOROQUINE AND CORTICOSTERIODS ☑️ THIS WILL GIVE ONLY TEMPORARY RESULT ☑️IT WILL TEMPORARILY STOP. PRODUCTION OF EXCESSIVE MELANIN

THIS AYURVEDIC TREATMENT WILL DEFINIETLY HELP YOU TO GET NORMAL COLOR SKIN

☑️INTERNAL MEDICATION 1. Saribadhyasavam 30 ml-0-30ml after food 2. Mahatiktakam ks tab 2-0-2 after food 3. Tiktakam ghritham 1 tsp at bed time follewed by warm water

☑️EXTERNAL TREATMENT 1. Apply kumkumadi taila daily and massage the face for 15 mins 2.Take face steam daily for 5 mins

☑️WEEKLY. ONCE TREATMENT 1. FACE MASSAGE WITH KUMKUMADI THAILA 2. FACE STEAM 3. WASH THE FACE WITH MILD CLEANSER 4. APPLY RAKTACHANDAN POWDER + RAW MILK PASTE ON FACE AND KEEP TILL IT BECOMES HALF DRY AND THEN WASH IT OFF 5. APPLY MOISTURIZER 6. APPLY SUNSCREEN

DAILY SKIN CARE 1. apply moisturizer and sun screen daily even if you are not going out!!"

Hope you found it helpful!!! Wish you a good health 😊

1134 उत्तरित प्रश्न
26% सर्वश्रेष्ठ उत्तर

0 replies

HELLO SHINIVAS,

Based on your symptoms- persistent dark patch(hyperpigmentation) on the left side of the face for over 5-6 years, which responds to topical treatment but recurs- and assuming no underlying chronic conditions,

IN AYURVEDA IT IS CORRELATED WITH -VYANGA= A condition characterised by bluish-brown or blackish patches on the face, usually without inflammation or itching . it falls under KSHUDRA ROGA(minor skin disease) and is primarily a RAKTA-PITTA disorder with secondary involvement of VATA dosha

1)CAUSES- excessive stress, anger, or mental strain -excess intake of spicy, sour, salty, or oily foods -sun exposure, even indirect-uv through windows -use of chemical cosmetics -late night working habits or disturbed sleep -pitta aggravating lifestyle

DOSHA INVOLVEMENT -PITTA= causes pigmentation, discolouration -VATA= helps spread the pigmentation -RAKTA DHATU= blood is carrier of doshas to the skin -TWACHA(skin) and BHRAJAKA PITTA(skin metabolism) are involved

TREATMENT PROTOCOL

1)DETOX AND CLEANSING THERAPIES -FOR 1ST THREE DAYS TAKE -HINGWASTAKA CHURNA- 1/2 TSP WITH GHEE TWICE DAILY BEFORE MEALS -AGNITUNDI VATI- 2 TABS THRICE DAILY AFTER MEALS

(DAILY MORNING TAKE ONE TSP GHEE WITH WARM WATER COMPULSORY FOR 3 DAYS)

FOLLOWED BY ON 4TH DAY- IN EARLY MORNING BY 6 AM TAKE 50GMS OF TRIVRIT LEHA WITH WARM MILK - AFTER THAT DONT EAT ANYTHING TILL MOTIONS STOPS YOU WILL OBSERVE 10-12 TIMES MOTIONS AFTER TAKING THIS MEDICATION THIS WILL HELP DETOX YOUR BODY , REMOVES EXCESS PITTA AGGRVATED AND TOXINS FROM THE BODY

ON SAME DAY JUST HAVE KHICHDI, OR KANJI FOR FOOD- LUNCH/DINNER

-NASYA- instill 2 drops of Anu taila in each nostril daily morning

FROM 5TH DAY START TAKING THIS MEDICATIONS

1)MAHAMANJISTHADI KASHAYA- 20 ml twice a day with warm water after meals for 3-6 months =blood purifier, reduces pigmentation

2)KHADIRARISHTA- 15 ml twice a day with equal water after meals for 3-6 months =acts on skin and rant dhatu

3)SARIVADYASAVA- 15ml twice a day with equal water for 3-4 months =pitta pacifier, improves complexion

4)AVIPATIKAR CHURNA- 1/2 tsp before meals with warm water for 2-3 months =liver detox, pitta regulation

5)AROGYAVARDHINI VATI- 1 tab twice daily after food for 2 months =supports liver, blood detox

6)KAMADUDHA RAS(WITH MUKTA)- 125 mg twice a day with honey or ghee for 6 weeks =for excess pitta

LOCAL TREATMENT apply in the evening for 30-45 mins, wash off gently

1)FACE PACK 1- manjistha+lodhra+yashtimadhu+multani mitti -mix with rose water or cows raw milk

2)FACE PACK 2- sandalwood+aloe vera+neem powder

3)KUMKUMADI TAILA- night application -apply 3-5 drops on clean face at night, massage gently -avoid during day as it increases photosensitivity

NATURAL SUNSCREEN even though indoors, UV and blue light can affect skin. use -Aloe vera gel+zinc oxide powder+licorice extract(homemade) -avoid chemical sunscreen with synthetic filters

DIET PLAN GOAL- pacify pitta and rakta, support liver, improve skin tone -cooling foods= coriander, amla, cucumber, coconut water -moong dal, barley, ghee, bitter vegetables -turmeric in cooking -cows milk(boiled), ghee

AVOID -spicy, sour, fermented foods= pickles, vinegar, curd in afternoon -red chilli, tomatoes, citrus fruits-lemons/oranges -oily, fried, junk foods -tea,coffe,smoking,alcohol -reheated food or leftover -incompatible combinations like fish + milk, milk+salty food

ASANAS(DO 20-30 MIN DAILY) -sarvangasana- shoulder stand -matsyasana -halasana -uttanasana -trikonasana these increase blood flow to the face and improves skin tone

PRANAYAM(15-20 MIN/DAY) -Sheetali= for pitta reduction -Anulom-vilom= for dosha balance -Bhramari- for stress relief -Nadi sodhana- detoxification

MONITORING AND DURATION -VISIBLE RESULTS= within 6-8 weeks if regimen is consistent -COMPLETE CLEARING= may take 4-6 months -MAINTTENANCE= mild face pack and kumkumadi oil 2-3 times/week after cure

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

2036 उत्तरित प्रश्न
27% सर्वश्रेष्ठ उत्तर

0 replies

Hello There are many reasons for pigmentation.

Avoid oily food, carbonate juices, processed food

Don’t expose to direct sunlight

1) kumkumadi lepa for external application massage in morning leave for 15 mins and then wash

2) aloevera gel and turmeric pinch massage weekly 3 times in night time and then wash it.(don’t apply to moustache and beard)

Thank you

240 उत्तरित प्रश्न
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Dark patch in face due to aggrivated pitta dosha in human body/ and metabolic disorder of liver called fatty liver/ it’s can vanished eaisly but it’s take time to hide… Take

Divya SARWAKALP KWATH =100GM DIVYA KAYAKALP KWATH=100GM DIVYA GOKHRU KWATH=100GM… MIX ALL AND TAKE 2 TSP BOIL 200ML OF WATER TILL REDUCES 100ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY

AROGYAWARDNI VATI KAISHORE GUGULU NEEM GHAN VATI=2-2 TAB AFTER MEAL TWICE DAILY

KUMKUMADI OIL=2-3 DROP ALOEVERA GEL=1/2 TSP VIT C SERUM=2/3 DROP…MIX AND MASSAGE OF FACE AT NIGHT AND WASH IN EARLY MORNING

DO YOGA AND PRANAYAM=BHARMRI/KAPALBHATI/VAZRASANA

AVOID TAKE HOT AND SPICY FOOD

YOU CAN CURED DEFINITELY

667 उत्तरित प्रश्न
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0 replies

The dark patch you’re experiencing could indeed be related to an imbalance in your Pitta dosha, which governs pigmentation and skin health in Ayurveda. As you’ve noticed change under exposure to sunlight and modern cream, let’s explore some natural, lifestyle and dietary adjustments in line with Ayurvedic principles.

Firstly, despite working indoors, it’s important to maintain protection from UV exposure. Sunscreen should be regularly applied, even when indoors, especially if you’re near windows where indirect sunlight might still reach you. Use one with natural ingredients to minimize further irritation.

From an Ayurvedic perspective, consider incorporating foods that pacify Pitta. This means favoring cooling foods, such as cucumbers, melons, and zucchini. Try to cut down on spicy and acidic foods that could exacerbate pigmentation issues. Including turmeric in your diet can help due to its anti-inflammatory and skin-lightening properties - mix a pinch in with warm milk or add it to dishes.

Stress can also affect Pitta and exacerbate skin conditions. Incorporate practices such as yoga or meditation into your routine for stress management. Cooling pranayama techniques like Sheetali or Shitakari might be beneficial to cool down internal heat.

Consider topical Ayurvedic applications too. Aloe vera gel, applied directly to the skin, can be soothing and assist with hyperpigmentation. The juice of a potato is traditionally used for lightening pigmented areas — apply the fresh juice to the patch, leave it for about 15 minutes, and wash off.

Evening routines can include face packs made from sandalwood powder and rose water, which have cooling properties and can help adjust the skin tone balance. Be consistent with these routines, bearing in mind that Ayurveda emphasizes gradual and gentle healing.

Keep an eye on caffeine and alcohol intake, as they potentially aggravate Pitta, and consider reaching out to a local Ayurvedic practitioner who might offer personalized medicinal formulations if needed. If pigmentation worsens rapidly or shows other symptoms, consult healthcare specialists for a comprehensive evaluation to rule out underlying disorders.

1742 उत्तरित प्रश्न
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Hello Shrinivas

“NO NEED TO WORRY”

" I WILL HELP YOU UNDERSTAND & RECOVER WITH HYPERPIGMENTATION / MELASMA SAFE EFFECTIVELY "

UR ISSUES

* Hyperpigmentation (Melasma/ Vyang) * Recurrent Dark Pigmentation on left side of Face Since 5 -6 Yrs

ABOUT VYANG HYPERPIGMENTATION MELASMA

* The Darker Brown Black Patches on skin caused by Excess Melamin Pigment doens’t have Pain Burning Itching * Hyperpigmentation is Minor Skin disease ( Kshudra Rog ) has more Cosmetics Concern than Actual disease

PROBABLE CAUSE

* Ageing Effects * Hypermelanosis * Too Acidic Heavy Fast Juck Foods Salty Sour Spicy Masala Fried Oily items Intake * Digestive Metabolic Toxins Accumulation at Skin causing Melanosis * Excessive Sun Heat Chemicals Exposure * Hormonal Disturbance * Certain Skin allergies * Autoimmune issues * Nutritional Deficiencies * Sedentary Lifestyles * Lack of Physical Activities * Stress Anxiety * Poor Hygiene * Night Shifts * Genetic Hereditary Factors

MANIFESTATION

Due to Above Causes —>( Agni Dosh) Weak Digestive Fire —>Ama ( Toxins) —>Ama + High Pitta + Vata Imablance —> Pitta + Rakta + Vata Imbalance at Skin —> Affect Bhjark Pitta at Skin( Melanosis) ----> Vyang ( Hyperpigmentation)

TREATMENT AIM

* Balance Pitta Rakta Vata Agni * Reducing Melanosis Balancing Bhrajak Pitta * Blood Purification * Skin Detoxification * Skin Rejuvenation * Skin Natural Colour Restoration * Non Recurrence

AYURVEDIC TREATMENT

NOTE - APPLYING ONLY CREAN IS NOT ENOUGH TO CURE THIS ISSUES PERMENANTLY

IN MY CLINICAL PRACTICE I HAVE SEEN BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS

" Causes & Imablance identification & Correction+ Ayurvedic Medicine+ Proper Diet + Yoga + Exercise+ Lifestyle Modifications+ Stress Management+ Hygiene correction + Instructions to follow"

HIGHLY EFFECTIVE AYURVEDIC MEDICINES

U MUST TRY

( Improvement in skin Glow Pigmentation Faded Lighten and Gradually vanishes in 3 months)

1 ) DAILY DETOX

—>For Skin Hair Body Daily Detoxification * Aloe Vera Juice ( Patanajali Pharma) 30 ml On Empty Stomach with 1 Glass of Normal Water Daily

2 ) INTERNAL MEDICINE

—>For Metabolic Corrections & Skin Rejuvenation * Tab.Aarogyavardhini Ras ( Dhootapapeahwar Pharma) 1 -0-1 After Food —>Blood Purification & Toxin Removal * Syrup.Mahamanjistadi Kadha ( Dhootapapeahwar Pharma) 15 ml -0- 15 ml After Food —>For Skin Rejuvenation and Pigmentation issue * Syrup.Sarivasav ( Dabur Pharma) 15 ml -0- 15 ml Night After Food

3 ) EXTERNAL APPLICATIONS

—>For Hyperpigmentation Skin Glow * Imis Kumkumadi Cream ( Imis Pharma) For Using as Regular Daily Cream —>For Hyperpigmentation Melanin Control * Nalapamaradi Tailam Night Application over Pigmentation area and Mild Massage —>Natural Sunscreen Lotion to use while Going Outside * Himalaya Sun protect Sunscreen with SPF 50

4 ) HOME REMEDY

Nutmeg ( Jayphal ) Seed + Chandan Bark (Pure While /Red Sandalwood ) + Turmeric Root ( Amraharidra ) + Mulethi Stem ( Liquorice) ----> To be Scratched or Grinded Over Stone Adding Drops of Cow Milk ----> Apply Paste Overnight on Hyperpigmentation areas

INSTRUCTIONS TO FOLLOW IN HYPERPIGMENTATION

* Avoid Excessive Sun Heat Chemicals Exposure * Use Sunscreen Moisturizer Lotion Before Going Outside * Wear hats, long sleeves, and sunglasses when exposed to the sun. * Limit sun exposure between 10 a.m. and 4 p.m. * Avoid harsh scrubs, cleansers, and hot water that can irritate the skin and potentially worsen hyperpigmentation. * Use Chemical Parabens Sulfates Mineral Oils Alcohol free Natural Skin products * Maintain Proper Personal Hygiene * Avoid Stress Anxiety * Avoid Night Duties Late Night Sleeps * Avoid Acidic Spicy Foods

DIET

NORMAL DIET ( Less Oily, Less Spicy Sour Salty, Well Cooked )

* BREAKFAST - Rava Ragi Bajra Oats Items/ Fruits Salads/ Home made Soups

* LUNCH - Ghee Applied Roti ( Non Gluten) Jwar/ Bajara/ Ragi + Leafy Vegetable like Palak Methi+ Green Salad Rayta + Any Sabji+ Fresh Butter Milk with Cream + Rice + Dal

* DINNER - Half of Lunch Quantity/ Fruits Salads/ Light Diet

DO’S

* Plenty of Water Fluids Juices intake Approximately 3 Liters Per Day * All Alkaline Highly Nutritious Healthy Leafy Vegetables Fruits salads sprouts Fibers * Cereals - Wheat Jawar Bajra Ragi Oats * Pulses - Moomg Massor * Vegitables - Lauki Turai Karela Drumstick Methi Palak Carrot * Fruits - Apple Pomegranate Guava Watermelon * Dry fruits - Soaked Dry Fruits Milk products. * Dairy - Milk ButterMilk Cow Ghee * Neem Leaves Amla Flaxseed Pumpkin seeds Sunflower Seeds * Soaked Almonds Anjir Dates
* Herbs : Aloe Vera Neem Alma Moringa

DON’TS

* Too Acidic Spicy Salty Sour Masala * Fast Juck Foods * Bakery Foods * Fermented Foods * Non Veg Curd * Carbonated Beverages * Excessive Tea Coffee * Packed Canned Processed Sweets * Chemicals Related Hair Products and procedures. * Avoid Soda Vinegar Pickles

LIFESTYLE MODIFICATIONS

* Rest Good Sleep * Active Lifestyle * Physical Activities * Timely Food Intakes * Sleep Early Wake Early * Avoid Sedentary Lifestyle * Maintain Personal Hygiene * Heavy Sun Heat Chemicals Exposure * Limit Screentime

YOGA

* Anulom Vilom Pranayam( 20 Rounds ) * Sheetali Pranayam ( 10 Rounds ) * Surya Namaskar ( 10 Rounds ) * Sarvangasana ( 10 Rounds) * Vajrasan * Paschimottanasan ( 5 Rounds )

EXERCISES

* Walking 6000 Steps Per Day * Jogging * Mild Mobility Exercise * Aerobics

ANTISTRESS REGIME

* Dhyan * Meditation

REGARDS

Dr Arun Desai

God Bless You 😊🙏

If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here.

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40% सर्वश्रेष्ठ उत्तर

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
151 दिनों पहले
5

NAMASTE SHINIVAS,

For your chronic dark facial patch-like melanoma or post inflammatory hyperpigmentation, ayurvedic management aims to address the root imbalances usually pitta or bhrajak pitta aggravation and improve skin tone and detoxification

The patch you’re describing sounds like vyanga in ayurveda- hyper pigmented patches usually caused by -pitta dosha aggravation- heat, sun,stress -liver function imbalance -poor digestion- toxin buildup -hormonal changes or chronic stress

INTERNALLY START WITH

1) MANJISTHADI KASHAYA- 20 ml with water twice daily before meals =blood purifier, helpful for skin discoloration

2) SARIVADYASAVA- 20 ml with water twice daily after meals =pitta shaman, and skin detoxifier

3) AROGYAVARDHINI VATI- 1 tab twice daily after meals =for liver support and pigmentation

4) NEEM CAPSULES- 1 cap thrice daily after meals =immune and skin support

TOPICAL APPLICATIONS

-KUMKUMADI TAILA= apply a 2-3 drops at night to affected area. helps lighten pigmentation and nourish skin

-ALOE VERA GEL with TURMERIC- natural skin lightener and anti-inflamatroy

-CHANDAN+ ROSE WATER PASTE= cooling and improves skin tone

DIET RECOMMENDATIONS -AVOID= spicy , oily, and sour foods- they aggravate pitta INCLUDE= amla, vitamin c, turmeric milk, coconut water, leafy greens -drink warm water to flush toxins

USE NATURAL SUNSCREEN OR HERBAL SUN BLOCK even indoors- uv from screens/indirect light can still affect sensitive skin. -avoid stress practice yoga, pranayam sheetali -regular bowel movements are essential

consistency is key, ayurveda works gradually

do follow

thank you

DR. HEMANSHU MEHTA

807 उत्तरित प्रश्न
27% सर्वश्रेष्ठ उत्तर

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संबंधित प्रश्न

ऑनलाइन डॉक्टर

Dr. Snehal Vidhate
I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
275 समीक्षाएँ
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
101 समीक्षाएँ
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
548 समीक्षाएँ
Dr. Shaniba P
I am an Ayurvedic doctor, someone who’s pretty much built her clinical journey around natural healing, balance and yeah—just trying to help ppl feel a bit more whole again. I work mostly with conditions that kinda stay with people... like joint pain that won’t go away, periods all over the place, kids falling sick again n again, or just the kind of stress that messes up digestion n sleep n everything in between. A lot of my practice circles around arthritis, lower back pain, PCOD-ish symptoms, antenatal care, immunity problems in kids, and those quiet mental health imbalances ppl often don't talk much about. My approach isn’t just pulling herbs off a shelf and calling it a day. I spend time with classical diagnosis—checking Prakriti, figuring out doshas, seeing how much of this is physical and how much is coming from daily routine or emotional burnout. And treatments? Usually a mix of traditional Ayurvedic meds, Panchakarma (only if needed!!), changing food habits, tweaking the daily rhythm, and honestly... just slowing down sometimes. I’m also really into helping ppl understand themselves better—like once someone gets how their body is wired, things make more sense. I talk to patients about what actually suits their dosha, what throws them off balance, and how they can stop chasing quick fixes that don’t stick. Education's a big part of it. And yes, I’ve had patients walk in for constant cold and walk out realizing it’s more about weak agni n poor gut routines than just low immunity. Every case’s diff. Some are simple. Some not. But whether it’s a young woman trying to fix her cycles without hormones or a 6-year-old catching colds every week, I try building plans that last—not just short term relief stuff. Healing takes time and needs trust from both sides. End of the day, I try to keep it rooted—classical where it matters but flexible enough to blend with the world we're livin in rn. That balance is tricky, but worth it.
5
120 समीक्षाएँ
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
1067 समीक्षाएँ
Dr. Karthika
I am currently a PG 2nd yr student in the dept of Shalakya Tantra at Parul Institute of Ayurveda and Research, batch 2024. I joined right after UG—no break—straight into PG (regular batch). I did my undergrad from Rajiv Gandhi Ayurveda Medical College (2017 batch, CCRAS syllabus under Pondicherry Univ). Somehow managed to secure 2nd rank university-wide back then, which I didn’t totally expect. Right now, my core interest lies in the Ayurvedic and integrative management of eye disorders. I’ve got decent exposure to both classical texts and clinical practice. From anatomy to pathology, I try to stay grounded in both the traditional Ayurvedic view and also the modern opthalmic understanding, especially with conditions related to the cornea, retina, and anterior segment. During PG deputation in 2nd year, I handled like 200+ OPD patients daily within 1–2 hrs (felt crazy at first but got used to the pace). I’m also trained hands-on in cataract and cornea surgeries under supervision. Not calling myself a surgeon yet, but I did get a good amout of surgical exposure in the PG postings. In terms of academics, I got 82% in the first-year PG exams—distinction score—secured department 1st and university topper at Parul Institute. Sometimes I do wonder if all this speed actually lets me go deep into each case but I’m learning to balance efficiency with proper patient care. Honestly I think that’s the biggest challenge in clinical ayurveda today—staying rooted in shastra while also being practically useful in today's overloaded OPDs. Anyway, still got a lot to learn, but I try to show up with clarity, humility and the will to keep improving every day.
5
214 समीक्षाएँ
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
320 समीक्षाएँ
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
199 समीक्षाएँ
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1138 समीक्षाएँ
Dr. Prasad Pentakota
I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
707 समीक्षाएँ
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
535 समीक्षाएँ

नवीनतम समीक्षाएँ

Harper
12 घंटे पहले
Ye jawab bahut helpful laga! Doctor ne sab samjhake bataya aur unka plan bhi detailed hai. Thanks a lot, mujhe ab sukoon mila.
Ye jawab bahut helpful laga! Doctor ne sab samjhake bataya aur unka plan bhi detailed hai. Thanks a lot, mujhe ab sukoon mila.
Evelyn
12 घंटे पहले
Really appreciate the thoroughness of the answer! Very helpful list of things to try for my anxiety probs. Thanks a ton for the clear guidance!
Really appreciate the thoroughness of the answer! Very helpful list of things to try for my anxiety probs. Thanks a ton for the clear guidance!
Audrey
22 घंटे पहले
Thanks for your advice! Your explanation was clear and made sense. Feel relieved knowing more about what's going on and how to manage it.
Thanks for your advice! Your explanation was clear and made sense. Feel relieved knowing more about what's going on and how to manage it.
Wyatt
22 घंटे पहले
Thanks so much for the detailed advice! I've been struggling and your suggestions already seem helpful and clear. Feeling optimistic!
Thanks so much for the detailed advice! I've been struggling and your suggestions already seem helpful and clear. Feeling optimistic!