I have breathing issues since a year due yo anxiety i feel i have increased vatta dosha nd recently diagnosed with fattyliver too. - #26539

Hi Mili totally understood your situation. Since Mental health is also as important as physical health, Ayurveda offers soo many effective methods to manage Anxiety, stress ,etc. You have to follow some dietary changes and lifestyle modifications that is beneficial for mental health and to regain liver health too.

Internally

1.Guluchyadi kwatham tab 2-0-2 before food 2.Aswagandarishtam 15ml twice daily after food 3.Manasamitra tab 1-0-1 After food

Externally (Therapies)

1.Shirodhara [with ksheerabala taila] which will effectively helps to make your mind calm . For this please do visit a nearby Ayurvedic treatment center.

2.Thalam - This is a special Ayurvedic treatment method ,which is very popular in Kerala in which we are applying some medicine/oil bregma /vertex of head for 10-20min .

Here for your condition you can do this from your home itself *Ksheerabala taila (1tsp) + Kachuradi churnam (1tsp) - Mix it and make it as a thick paste apply over the bregma/vertex area of head ,in evening for 10-20min then you can remove it or wipe it off.

*Practice PRANAYAMA/DEEP BREATHING Exercises regularly

* Have proper food on proper times *Have 6-7hours of sound sleep(Avoid late night awakening ) * Engage in some hobbies (as per your interest) *Take 3-4litres of water/day * Avoid all junk type foods *Avoid smoking,Alcoholism (if any )

Don’t worry Mili, Start taking these medications too,

1.Syp.Livomyn charak pharmacy 3 tsf with lukewarm water twice in a day 2.Aarogyavardhini vati 1-0-1 3.Brahmi cap.1-0-1 4.tab.Bresol 1-1-1

**Daily Massage your scalp with BRAHMI OIL. Follow up after 15 days.

Take manasmitra vatikam 1-0-1 after food with water Aarogyavardhini 1-0-0 after food with water Yastimadhu churan 1tsp twice daily after food with honey Brahmi vati 1-0-1 after food with water Do Nasya with Brahmi grith 2 drops in both nostril once daily. Do pranayam lom -vilom bhastrika kapalbhati brahmri daily for 5-10mins twice Learn Rajyoga meditation and practice daily

Medha vati- Tab liv 52- 1 tab each twice daily after food with lukewarm water Ashwagandha capsule- 1 capsule daily Avoid oily spicy fried non veg foods Do regular pranayama yogaaa meditation

Vashishta Haritaki

Simple Remedies

1. Decoction of Glycirhizia glabra, Adhotoda Vasika, black pepper. Ocimum sanctum and Clerodendrum Serratum.

2. Hot fomentations to the back of the neck, thorax, and front of the chest are helpful, along with a hot footbath.

Treatment

1) Dashamularishta+ Pushkaramul asava-2 tsf after food with water 3 times

2) Sitopaladi churna-3 gm

Yashti churna-1gm

Sootashekhara rasa-250mg

Samirapannag rasa-65mg

Pravala pishti-100mg

Abhraka bhasma-100mg

mayurapiccha bhasma-125mg – after food with honey and ghee

3) vyaghri haritaki leha- 1 tsf before food 1 time a day with warm milk

Yoga Therapy

Asanas

Bhujangasana (1 minute)

Shalabhasana (15 Sec)

Ushtrasana (1 min)

Chakrasana

Dhanurasana (30 sec)

Trikonasana (1 minute on each side)

Ardha Matsyendrasana (2 minutes on each side)

Veerasana (1 minute on each side)

Akarna Dhanurasana (1 minute on each side)

Shavasana (when needed)

Pranayama

Anuloma-Viloma Deep Breathing (15 minutes).

Ujjayi Pranayama without Kumbhaka (10 minutes).

Right Nostrill Purak followed by Bhramari Rechaka (21 rounds).

Nadishodhana Pranayama with Kumbhak (15 minutes).

Bhastrika Pranayama with Kumbhak (10 minutes).

Bhramari Pranayama (60 minutes).

Contraindications: Sheetali and Sitakari Pranayama, Left Nostr Breathing.

Meditation: Meditation for 15-30 minutes.

Diet and Lifestyle

Pathya: Low fat, light, hot diet, not too oily, not too dry.

Apathya: Cold, irritating, oily, sour, curd, avoid milk and milk product, non vegetarian food.

Avoid gas-forming foods, such as legumes and cabbage. These cause abdominal distention which can interfere with breathing.

Don’t use mosquito repellents and insecticides if it is causing cough.

hello mili.,

Thank you for sharing your concerns so openly. I want to first say what you’re feeling is absolutely real, and you’re not imagining this. When the mind and body stay in a loop of overthinking, breathlessness, and fatigue, it can feel like you’re stuck, even though deep inside you want to move forward. I hear that you’re feeling drained, and I want you to know that this can be reversed gently, with care and the right support. In Ayurveda, your current state shows Vata aggravation at the mind level (leading to anxiety, racing thoughts, breathlessness) and Kapha imbalance at the physical level (causing heaviness, low energy, fatty liver, and lack of motivation). Vata governs the nervous system and breath; when it gets disturbed due to emotional strain, irregular food habits, late nights, or unprocessed emotions, it creates mental restlessness and shallow breathing. On the other hand, Kapha when blocked or stagnant can make you feel sluggish, demotivated, and trapped in your own thoughts.

When both Vata and Kapha are out of balance, it becomes hard to act on your goals you keep thinking but cannot execute. Your breath becomes shallow, your sleep disturbed, and your digestive fire slows down. This is also how fatty liver begins through slow digestion, unprocessed toxins (ama), and suppressed emotions. But this can be turned around.

Let’s work together step by step.

1. Ama Pachana (First 5 days) To remove toxic buildup and rekindle your digestive fire. Hingvashtaka Churna – 1 tsp with warm water after meals, twice daily Ardrak (Ginger) juice – 1 tsp with a pinch of rock salt on empty stomach in the morning Cumin-fennel-ajwain decoction – Boil 1 tsp each in 1 litre water and sip warm throughout the day

2. Internal Medicines (From Day 6 onwards) Avipattikara Churna – ½ tsp at bedtime with warm water (relieves acidity, clears ama) Maharasnadi Kashayam – 15 ml with equal water twice daily before meals (helps with Vata regulation and nervous system balance) Brahmi Vati – 1 tablet at bedtime with warm water (to calm mental overactivity and promote sound sleep) Triphala Ghrita – ½ tsp at night with warm water (supports liver detox and bowel regulation)

3. Lifestyle Advice Fix your daily routine: wake and sleep at the same time each day Go for gentle walks in morning sunlight (helps liver, mind and prana flow) Practice Nadi Shodhana Pranayama daily – 10 mins in morning and evening Avoid phone/laptop 1 hour before bedtime Start journaling your thoughts for 5 mins every night – helps relieve mental congestion Play calm instrumental music during meals or while working

4. Food Guidance Eat warm, freshly cooked, easy-to-digest meals Avoid cold, dry, fried food and raw salads Add cow ghee to meals (1 tsp in rice or roti helps balance both Vata and liver function) Include turmeric, cumin, coriander, ginger, and cinnamon in cooking Avoid long gaps between meals – have something every 3–4 hours Take 2–3 soaked dates and 5 almonds in the morning

5. Investigations Suggested Liver Function Test (LFT) Serum Vitamin D and B12 CBC, ESR Thyroid profile (especially if motivation is chronically low) Ultrasound abdomen (if not done recently)

You’re young, and your body still has strong healing potential. What you’re experiencing is not weakness it’s your body signaling that it’s tired of carrying unprocessed stress and needs nurturing. Once digestion, breath, and mind come back into rhythm, you’ll feel lighter, calmer, and more capable. Take that first step gently. Everything else will begin to shift in your favour.

Warm regards, Dr. Karthika

You should visit nearby Panchkarma Center for proper counseling and Shirodhara Chikitsa

Your situation involves a complex interplay of vata and kapha dosha imbalances, impacting your mental state and physical conditions like fatty liver. Addressing these requires a multi-pronged approach.

Firstly, for anxiety-related breathing issues, a regular practice of Pranayama, specifically Anulom Vilom (alternate nostril breathing), can help balance vata and calm the mind, reduce overthinking and regulate breathing. Start with a few minutes daily, preferably in the morning when the mind is quiet. Also consider Nadi shodhan, which is excellent for balancing doshas.

For your overactive mind and low motivation, establishing a daily routine or dinacharya is vital. Wake up early, preferably before sunrise, and engage in moderate physical activity like yoga forms like Surya Namaskar, which help in aligning vata dosha. Abhyanga (self-massage with warm sesame oil) can also be grounding for vata and stimulate kapha for better motivation.

For the fatty liver, your diet must be scrutinized. Eating warm, cooked foods rather than cold, raw ones aids kapha and assists digestion, which is crucial for liver health. Avoid heavy, oily, and fried foods that can exacerbate kapha imbalances. Introduce bitter herbs and vegetables like karela (bitter gourd), methi (fenugreek), and turmeric, which can support the liver and digestion. Triphala, a staple in Ayurveda, taken with warm water before bedtime, may help in detoxifying the liver.

Since the liver is connected to digestion in Ayurveda, maintaining good agni, or digestive fire, is crucial. Eating at regular times, allowing your stomach to empty between meals, and avoiding late-night eating can support this. Including spices like cumin, coriander, and ginger in your meals can enhance digestion.

Lastly, managing stress is key in vata-related conditions. Meditation or mindfulness practices are advised. Apply them consistently to see improvements over time.

Please, for a fatty liver diagnosis, collaborate with your healthcare provider for accurate monitoring and care. Prioritize, especially in acute symptoms.

Breathing issues linked to anxiety often indicate an imbalance where vatta dosha might be aggravated. Vatta governs movement and flow in the body, so its imbalance can disrupt normal respiratory function. For anxiety and overthinking, simple breathing practices such as Nadi Shodhana (alternate nostril breathing) can be calming for the mind and help settle vaiata. Practicing this daily for 5-10 minutes in the morning and evening can regulate your nervous system.

Your description of breathlessness and low motivation points toward a kapha imbalance too, which can make mental execution difficult. A good way to balance kapha is to incorporate more warmth and movement into daily routine: small exercises like brisk walking for 20-30 minutes daily can energize you. Dry ginger or trikatu (a blend of ginger, black pepper, and long pepper) with warm water half an hour before meals can stimulate digestive fire (agni), assist digestion, and help with reducing kapha.

For the fatty liver condition, dietary adjustments can be effective. Triphala, a traditional formula made of three fruits, is often recommended. Taking half a teaspoon with warm water at bedtime aids liver function and digestion, which may assist in mitigating fatty liver. Avoid heavy, oily, or very sour foods for liver health.

If the symptoms are severe or worsen, or the breathing issues become more serious, seeking prompt medical help is crucial. Ayurvedic approaches support but should not delay critical treatments. Make sure to consult your primary healthcare provider for a comprehensive evaluation and coordinated care.

HELLO MILI,

You’re 21, dealing with anxiety related breathing issues for about a year, racing thoughts, low motivation, and now fatty liver. From an ayurveda perspective , this points toward vata aggravation (anxiety, overthinking, breath irregularity) with kapha imbalance (low energy, sluggishness, fatty liver)

1) DIET

VATA PACIFYING= warm, freshly cooked, slightly oily, mildly spiced food

KAPHA REDUCING= avoid heavy, oily, cold, fried, sugary and processed food

FOR FATTY LIVER= bitter greens (methi, karela), turmeric, ginger, lemon water

Reduce wheat and dairy, favour millets, moong dal, vegetables

2) LIFESTYLE

ROUTINE= fixed sleep/wake time, eat at the same time daily

BREATHING PRACTICE= Anulom Vilom , 10-15 min morning and evening

EXERCISE= gentle yoga- Bhujangasana , setu band hasana, pawanmuktasana for lungs and liver

Avoid excessive screen time and overstimulation

3) INTERNAL MEDICATIONS

-MANASMITRA VATAKAM= 1 tab twice daily after meals with warm water =calms anxiety, racing thoughts, improves sleep and concentration

2) BRAHMI VATI (gold or plain)= 1 tab twice daily after meals =reduces overthinking, strengthen nerves , supports focus

3) PUNARNAVA MANDUR= 2 tabs twice daily after meals =reduces fatty liver, improves blood purification, reduces kapha heaviness

4) AROGYAVARDHINI VATI= 1 tab twice daily after meals =very effective for fatty liver, sluggish digestion, skin clarity

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =calms vata, builds stamina, supports breathing capacity

6) TRIKATU CHURNA= 1 gm twice daily before meals with honey =improves digestion, clears mucus, stimulates liver function

4) MENTAL AND EMOTIONAL BALANCE

Warm sesame oil massage 2-3 times/week= calms vata, improve circulation

MEDITATION= 10 minutes daily, focusing on breath

Write down thoughts at night to reduce mental clutter

5) AVOID -skipping meals -excess cold drinks and ice -late night sleeping -overthinking without action (plan small, do able steps daily)

THANK YOU

DR. HEMANSHU MEHTA