Regarding high blood pressure and sleep issues - #26421

hello Sunita, Thank you for sharing about your mother’s condition. From your description, it seems she is in the post-menopausal phase with chronic hypertension, sleep disturbances, and symptoms of vata-pitta imbalance such as overthinking, fatigue, night sweats, constipation, and frequent urination. All these are interlinked, and with an Ayurvedic approach, her quality of life can be improved, and medications can often be reduced gradually under supervision.

At this age, hormonal changes lead to vata and pitta going out of balance. This can result in hot flashes (pitta), disturbed sleep and anxiety (vata), and fatigue. Long-term use of medications for BP also slightly affects digestion and natural rhythms. If sleep is poor, digestion and bowel movements also get affected. Ayurveda believes if digestion (agni) is regulated and mind is calmed, most issues including BP can improve.

Strengthen digestion (agni) Calm the nervous system Cool down pitta (heat) and regulate vata Improve deep sleep Support heart and kidney function naturally

Treatment Plan

Step 1: Ama Pachana (3–5 days)

To clear out sluggish digestion and toxins that affect energy and sleep.

Trikatu Churna – ¼ tsp with warm water before lunch and dinner Jeera-Dhaniya-Saunf Tea – Boil ½ tsp of each in 2 cups water, reduce to 1 cup, sip 2x/day Light food like moong dal soup, rice kanji, steamed veggies during this phase Avoid cold foods, curd, wheat, and sugar during this time

Step 2: Internal Medicines (30 days at least)

Sarpagandha Vati – 1 tab at night with water (for BP and calming mind) Ashwagandha Churna – ½ tsp with warm milk at bedtime (for sleep, strength, stress) Punarnavadi Mandoor – 1 tab morning and evening after food (supports kidney and BP) Shatavari Gulam – 1 tsp at bedtime (balances hormones, reduces hot flashes)

If constipation persists:

Avipattikar Churna – 1 tsp with warm water at night as needed

Lifestyle and Diet Tips Sleep by 10 PM – avoid screens 1 hour before sleep Oil massage – Warm sesame oil on feet, back, and scalp 3–4 times/week Food timing – Dinner by 7 PM, light and warm (like soup or khichdi) Avoid: Pickles, papad, tea/coffee at night, curd, and cold water

Suggested Investigations (if not done recently): Serum Creatinine, Electrolytes HbA1c, Fasting Lipid Profile TSH, FSH (for menopausal status) ECG or Echo (if there are palpitations or chest heaviness)

This integrative approach will not replace medicines immediately, but may help reduce dosage over 3–6 months with regular monitoring by her physician. The goal is to restore her natural sleep cycle, digestion, and energy step by step.

Warm regards, Dr. Karthika

Don’t worry dear, **Reduce consumption of salty, oily, and spicy foods. Start taking, 1.Sarivadyasava 20ml +20ml lukewarm water Just after having meal twice in a day. 2.Mukta vati 2-0-2 empty stomach 3.Brahmi tab.1-0-1 4.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. **Daily Massage her scalp with BRAHMI OIL. Follow up after 1 month.

For constipation, you can take PANCHSAKAR CHOORNA 1tsf just after having meal.

Dnt worry sunita ji your mom and suffers hypertension as well as stress issue …it’s totally curable take care of him and take ayurvedic medicines do follow instructions:-

Divya mukta vati=2-2 tab before meal twice daily

Divya medha vati=2-2 tab after meal

Nutrela ashwagandha with melatonin=1 tab chew at night time .

Do regular exercise=ANULOMAVILOM=10min

BHRAMRI=10min

SAVASANA=10min…

AVOID spicy/junk/salty foods

Your mother is easily cured

Hi Sunita this is Dr Vinayak as considering your problem…you have explained about mom complaints… They are actually interrelated maa See for High blood pressure you can’t change the medicine immediately from allopathic to ayurveda It can be managed along with that then gradually reduced

Next frequent urination also has different causes like it may due to UTI or sugar related… Once check the RBS and HbA1C and share reports

Any how because of frequent urination there is disturbed sleep bcz of improper sleep there is digestive issues

Rx-Avipattikara churna 1tsp twice before food T Anuloma ds 0-0-1 only night T Manasamitra vati 1-0-1after food Thank you

Can I know what all medications she is currently on?? N routinely how much her BP WILL be???

HELLO SUNITA,

Your mothers, AGE= 59 years Known history of -hypertension for 10+ years -sleep disturbances due to overthinking -frquent urination at night -constipation especially after poor sleep -fatigue and early evening drowsiness -hot flashes and night sweating -menopausal or post menopausal phase

In Ayurveda, all health issues arise from imbalance in the three doshas- vata, pitta and kapha

In your mothers case

HYPERTENSION= vata + pitta- overactivity of nervous system, and aggravated heat in blood channels

SLEEP PROBLEMS= vata- vata disturbs the mind, causing restlessness and overthinking

NOCTURIA- vata- weak control over bladder due to disturbed apana vata

CONSTIPATION- vata- dryness and irregular bowel movement due to imbalanced vata

FATIGUE- vata+possible Ojas depletion- weak digestion and poor tissue nourishment

HOT FLASHES- pitta- heat rising in the body due to menopause

TREATMENT GOALS -balance vata and pitta -improves sleep quality -normalise bowel and bladder functions -reduce internal heat-hot flashes -build physical and mental strength -eventualy reduce dependency on medication

INTERNAL MEDICATIONS

1) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =reduces stress, balances vata, supports sleep and strength

2) SARPAGANDHA VATI= 1 tab at night =controls blood pressure naturally

3) ARJUN POWDER= 1 tsp with milk twice daily after meals =strengthens heart , lowers BP

4) PUNARNAVADI MANDUR= 1 tab twice daily after meals =supports kidney function, reduces swelling, helps urination

5) TRIPHALA CHURNA= 1 tsp at night with warm water =relieves constipation and supports gut detoc

6) SHATAVARI CHURNA= 1 tsp with milk in morning =hormonal balance, reduces hot flashes

7) SHANKHAPUSHPI SYRUP= 1 tsp at night =calms mind, promotes goof sleep

CONTINUE THIS FOR 3 MONTHS

EXTERNAL TREATMENT

1) OIL MASSAGE= daily before bath using ksheerbala taila =balances vata, relaxes mind and nerves, improves circulation

2) HEAD MASSAGE= use brahmi oil 2-3 times/week =improves sleep, reduces overthinking

3) FOOT MASSAGE AT BEDTIME= use ghee =calms nervous system, improves sleep

4) NASYA= 2 drops of Anu taila in each nostril in morning after steam =balances head region vata, improves sleep and memory

YOGA ASANAS(hold each for 1-2 minutes, with deep breathing) -balasana= calms brain -viparita karani= relieves tiredness and anxiety -paschimittanasana= releases mental stress -supta baddha konasana= excellent for rest -Setu Bandhasana= opens chest and calms mind

PRANAYAM -Nadi sodhana= 7 mins, balances left and right brain -Bhramari= 5 mins, deeply calming -Sheetali= for excessive pitta

DIET TO BE FOLLOWED -warm, cooked meals like rice , dal, khichdi, soup, porridge -healthy fats= ghee, sesame oil, soaked almonds -milk- boiled with nutmeg, cardamom, and turmeric -sweet fruits= like banana, mango, ripe papaya -spices= cumin, fennel, ajwain, ginger small amount

AVOID -cold food or drinks, raw salads at night -stimulants- coffee, tea, chocolate especially after 2 pm -heavy fried foods, leftocers -eating late after 8 pm

HOME REMEDIES 1) NUTMEG MILK -1 pinch of nutmeg in 1 cup milk before bed =helps naturally sedate the mind(can add with ashwagandha milk)

2) WARM SESAME OIL MASSAGE -self massage, feet, and palms daily

3) SOAKED ALMONDS WITH DATES -5 almonds+ 1 dat soaked overnight - eat in morning

4) CHAMOMILE OR TULSI TEA -1 cup in evening for relaxation

LIFESTYLE CHANGES -stick to some sleep wake cycle daily -avoid daytime naps longer than 30 mins -minimize screen time at night- use blue light filter if needed -use your bedroom only for sleep -avoid news, arguments, heavy thinking before bed

-Her condition is manageable naturally, but patience, consistency, and a gradual approach are key -Ayurveda aims to correct the root cause and not just symptoms, so benefits take time but are more sustainable -Continue allopathic medicines until BP becomes stable, then review

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello, It is not suggested to stop high blood pressure medications at this stage. However, other symptoms(looks like she is having post menopausal symptoms also) can be effectively managed by following the guidelines listed below- 1. Let her learn to practice yogasana(45 minutes), pranayama(15 minutes) and meditation (20 minutes) daily. Her blood pressure will be under control,her sleep will be rectified and also the hot flushes. 2. Do not drink lots of water and/liquid after 0400PM in the evening(of needed let her sip few sopa. 3. Early dinner which is easy to digest (like soup and sald); there should be atleast 2 hours of gap between dinner and going to bed. 4. Let her avoid excess salt in the diet, processed food, deep fried food from here diet. 5. Please do urine routine just to rule out UTI.

Along with the above let her start- 1. MAHAKALYANAKA GHRITHAM 1 tsp in the morning in empty stomach for 30 days with a cup of hot water. Take care. Kind regards.

1) Tab. Sarpagandha Ghana vati-2 - after food with water

2) Ashwagandha Churna-2gm+ Pippalimula Churna-½ gm + Agnimantha bhavita Shilajatu-250- mg + Gokshura-1gm + Brahmi-1gm + Shankhapushpi-1 gm + Sutashekhara rasa-250mg- after food 3 times with arjun lashuna ksheera paka

Recommended Yoga Therapy

Pranayama

Rhythmic breathing, nadi-sodhna (alternate breathing, without retention of the breath).

Asanas

Padmasana (the lotus position), Viparitakarani (the inverted posture), Shavasana (complete relaxation posture).

Meditation

Meditation for 20 minutes.

Diet and Lifestyle

Pathya: Exercise, less salt, sour and fat; eat vegetable more.

6-8 hours of Sleep.

DASH diet is recommended.

The DASH eating plan:

Emphasizes vegetables, fruits, and fat-free or low-fat dairy products.

Includes whole grains, fish, poultry, beans, seeds, and nuts, and vegetable oils.

Limits sodium, sweets, sugary beverages, and red meats.

In terms of nutrition content, DASH is:

Low in saturated and trans fats.

Rich in potassium in potassium, calcium, magnesium, fiber, and protein.

Apathya: Salt, tension, anxiety, anger.

High blood pressure and sleep disturbances are interconnected, impacting your mom’s overall well-being. Ayurveda can offer complimentary support alongside her current regimen. Here’s a tailored approach based on Ayurvedic principles:

For blood pressure, try incorporating stress-reducing practices. Regular meditation, pranayama, like Anulom Vilom, and yoga are beneficial. These practices calm the nervous system and can be done daily in the morning, improving her response to stress, potentially aiding in blood pressure control.

Diet plays a vital role too. Encourage foods that pacify Pitta, which may be in imbalance given the hot flashes and sweating at night. Focus on cooling foods like cucumbers, coriander, and coconut water. Additionally, maintain a balance between the six tastes (sweet, sour, salty, bitter, pungent, astringent), emphasizing astringent, bitter, and sweet for this situation. Include more fiber-rich foods to ensure regular bowel movements and prevent constipation.

Regulating sleep patterns is essential. Before bed, sipping warm milk with a pinch of nutmeg can be soothing. Encourage a stable bedtime routine, keeping electronics away for at least an hour before sleeping to reduce overthinking. Brahmi or Ashwagandha as herbal supplements may help in calming the mind, but consult with a local Ayurvedic practitioner before starting any new supplement.

For frequent urination at night, consider reducing fluid intake after 7 PM. Should this persists, it might require consultation since it could signal other underlying issues.

Lastly, for fatigue, suggest incorporating daily walks, preferably during early morning hours. Exposure to sunlight helps regulate melatonin, aiding wakefulness. Simple stretching exercises around 4 PM can also uplift energy levels.

These lifestyle modifications can take time, sometimes months, for noticeable change, so patience and consistency are key. Always keep her physician informed of these additions to ensure they align with her ongoing medications. If symptoms worsen or persist, professional healthcare consultation remains critical to her health and safety.

When dealing with high blood pressure, sleep issues, and hot flashes, a holistic approach can be very beneficial. For naturally managing high blood pressure, focus on a Pitta-pacifying diet that includes cooling, mild, and soothing foods such as cucumbers, watermelons, and leafy greens. Avoid spicy, salty, and excessively sour foods. Encourage her to include garlic and Ayurvedic herbs like Arjuna, which are known to support heart health. Consider regular intake of Triphala to aid digestion, which can also positively impact blood sugar and pressure levels. Yet, it’s essential to consult her healthcare provider before making any modifications to her medication or diet.

Addressing the sleep issues, practicing a routine that calms Vata dosha is helpful. Meditation and yoga, especially poses like Viparita Karani (legs up the wall), can promote relaxation before bed. Maharishi Ayurveda recommends Ashwagandha to aid sleep and reduce stress originating from overthinking. It might be helpful to keep a warm sesame oil massage in the evening as it soothes both the nervous system and aids sleep by grounding Vata.

Frequent urination at night might be sign of an imbalance in Apana Vata, particularly concerning kidney function. Encourage hydration during daytime but reduce fluid intake later in the evening. Including a pinch of cumin, coriander, or fennel seeds in her meals can reduce excessive urination and balance water retention.

The night-time hot flashes, indicating a Pitta imbalance, can be managed by avoiding caffeine, alcohol, and heavy meals before bed. Driking century-old Ayurvedic decoctions like Shatavari could help regulate hormones and reduce heat accumulation but should be approached cautiously and under guidance. If her sleep issues are severe or her blood pressure problematic, advising a primary care consultation is key to ruling out serious concerns.