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Gynecology and Obstetrics
प्रश्न #26933
97 दिनों पहले
381

I have irregular menstruation,along with high cholesterol, and piles - #26933

Neepa

I am facing the problem of irregularpainful menstruation,heavy pain ,hairloss, excessive growth of hair, along with it constipation ,piles problem, no exercise is reducing my weight , sweet craving , anger

आयु: 27
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डॉक्टरों की प्रतिक्रियाएं

Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
97 दिनों पहले
5

Don’t worry take take shatavarighritam 1tsp,and navaka Guggulu,piles for swadista virechana churnam 1tsp with Luke warm water, Kanchananara Guggulu 1tab bd , arogya vardini vati 1tab bd

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Start with Tablet M2TONE 1-0-1 after food with water and Triphala guggul 1-0-1 after food with water Abhayarist 15ml twice daily after food with water Avoid processed fatty fast street foods. Brisk walking atleast 30 mins daily Brahmi vati 1-0-1 after food with water

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Hi neepa this is Dr Vinayak as considering your problem…see maa there are 2 factors to be considered here 1.irregular periods 2.your weight… Have you ever done with USG abdomen and pelvis…/thyroid…is so kindly share me the reports…

For these 2 problems best of best treatment is one classical VIRECHANA…which really really have best benifits for your issue

Try both internal and external method treatment then only the results be as you expected…

Rx- varunadi kashaya 10ml twice after food T.chandraprabha vati 2-0-2after food Avipattikar churna 1tsp twice before food T rajapravartini vati 2-0-0after food Shanka vati 1-0-1after food Follow these medicines…will get relief

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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
97 दिनों पहले
5

Hello, 1. Do you have any supporting reports which says,you have high cholesterol? Please share all the reports so that appropriate suggestion can be given. 2. If not done- the following need to be done: Thyroid profile Lipid profile USG of abdomen

To access the stage of piles please consult a doctor nearby as it requires physical examination.

On immediate note start the following: 1. Avipathikara churnam 1 tsp at bed time with warm water.

Diet and lifestyle - 1. Switch to freshly cooked home food. 2. Dinner-raw salads 1.5 hours before going to bed. 3. Take 2 liters of boiled warm water a day 4. Avoid refrigerated-processed-deep fried food 5. Start practicing yogasana-pranayama every day. Kind regards, Take care.

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Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Sy. M2Tone 15ml twice a day Tab. Erandbhrushta haritaki 0-0-2 With lukewarm water at bedtime Tab. Saptamrut lauh 2-0-2 Tab. Shatavari 2-0-2

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Don’t worry dear,

Start taking, 1.Sukumar kashayam 15ml with 30ml of lukewarm water empty stomach twice in a day. 2.shatavari choorna 1tsf B.d.with lukewarm milk. 3.syp.M2tone 2tsf twice in a day with Lukewarm water. 4.Kanchnaar guggulu 1-0-1 for chewing.

*FOR CONSTIPATION TAKE 1TSF OF PANCHSAKAR CHOORNA WITH LUKEWARM WATER AFTER HAVING MEAL TWICEINADAY…(You’ll definitely get relief 😌)

TAKE CARE😊

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Hello Neepa,

Mash ripe papaya and mix it with a pinch of turmeric powder to create a paste. Apply the mask to your face and leave it on for 15-20 minutes before rinsing it off. **you can also add besan in this mixture. **Daily Massage with few drops of LOMSHATANAADI OIL. It will take some time but you’ll definitely get rid from your unwanted hair…

TAKE CARE😊

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Hello Neepa Thank you for sharing everything so clearly I understand how frustrating it can be when the body feels stuck despite efforts. Bit dont worry we are here to help you out😊 👉 Ayurveda + small lifestyle changes + mind-body balance can really help you

✅ AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Ashokarishta 30ml-0-30ml with equal water after food (Regulates cycle, reduces cramps & heavy bleeding) 2 Kanchanar Guggulu 2-0-2 after food ( Balances hormones, reduces cysts & weight) 3 Chiruvilwadi ks tab 2-0-2 after food ( for piles) 4 Soornadi lehyam 1 tsp at bed time follwed by warm water ( for internal healing of piles)

👉Optional 1 tsp flax seeds daily for natural hormonal support.

✅EXTERNAL TREATMENT 1 Neelibhringadi taila- warm oil apply on head half hour before bath 2 use any chemical free shampoo for hair wash 3 weekly once you hair pack made up of shikakyi+ reeta+ bhringaraja + amla powder

✅LIFESTYLE MODIFICATION 👉 waking (Detox & metabolism boost) 15–20 min brisk walk + 5 Surya Namaskar Improves circulation & hormonal balance 👉Baddha Konasana, Setu Bandhasana, Malasana Yoga poses for PCOS 👉10 min Anulom Vilom and Bhramari pranayama Calms mind, balances hormones 👉 15 min early winding down, no screens( this mproves sleep & hormonal health)

✅DIET MODIFICATION

✅Include Warm, freshly cooked light meals Steamed veggies (bottle gourd, ridge gourd, drumstick, spinach) Herbal teas cinnamon + ginger or fennel + ajwain after meals 1 tsp cow ghee daily (balances Vata & Pitta)

❌Avoid Refined sugar, cold drinks, fried & junk food Excess dairy (especially cheese, paneer, curd at night) Wheat in excess – prefer millet or rice in moderation

👉ADDITIONAL TIPS-

✅ Period pain relief- Castor oil hot fomentation on lower abdomen during cramps ✅ Stress control- 5 min “Om” chanting morning and night ✅ Piles care- Sitz bath with warm water + Triphala churna regularly take 5 gm of triphala choorna in 3 litre of water boil and reduce to half and pour in a large tub and sit in it for 20 mins Do it daily you will definately feel the difference

Wish you a good health😊

Warm Regards Dr Snehal Vidhate

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
97 दिनों पहले
5

1) Shatavari Leha-1tsf before food 2 times a day

2) Pushyanuga Churna-2gm+ Laghumalini Vasant Rasa-500mg+ Svarnamakshika Bhasma-100mg+ Pravala pishti-100mg – after food 2 times a day

3) chandraprabha vati -2 times before food

4) ashokarishta- 3tsf after food 3 times a day After food; 3 times

Diet and Lifestyle Pathya: Exercise, low calorie diet. In obese patients - Vigorous exercise, asana, pranayama.

Apathya: High calorie, carbohydrates, fat rich diet, bakery items, fast food.

765 उत्तरित प्रश्न
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Ashokarishta 20 ml + 20 ml water twice daily after meal Shatavari Churan 1 tsp with milk twice daily after meal Abhyarishta 20 ml + 20 ml water twice daily after meal Triphala 2 tab at bed time Neelibhringadi Oil-scalp massage 3-4 times a week

Kindly get scanned for PCOD

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HELLO NEEPA,

You’ve shared symptoms such as -irregular, painful, and heavy periods -hairfall and unwanted hair growth -constipation and piles -weight gain that doesn’t reduce with exercise -sweet cravings -irritability or anger

WHAT THIS INDICATES This combination of symptoms points toward a hormonal imbalance, most likely a condition similar to PCOS , along with digestive and metabolic issue like constipation, piles and weight gain

In Ayurveda, these symptoms relate to an imbalance in KAPHA DOSHA= causing weight gain, slow metabolism, cysts, and excessive hair growth

VATA DOSHA= responsible for irregular and painful periods, dryness, and constipation

PITTA DOSHA= linked with anger, inflammation, and sweet cravings

Together, these doshas disturb the reproductive system , digestive system, and excretory system

GOALS OF TREATMENT -Regulate the menstrual cycle and reduce pain -balance hormones naturally without artificial pills -improves digestion and bowel movements -reduce piles and constipation -enhance metabolism for heavy weight loss -calm the mind and control cravings -prevent long term complications like infertility, diabetes, or thyroid imbalance

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 20 ml with equal water twice daily after meals for 3 months =tones uterus , regulates periods, reduces bleeding and pain

2) KANCHANAR GUGGULU= 2 tabs twice daily after meals for 3 months =reduces ovarian cysts, balances hormones

3) RAJAPRAVARTINI VATI= 1 tab twice a day (start 5 days before expected menses and stop once periods arrive) for 3 consecutive cycle =stimulates delayed menstruation

4) AROGYAVARDHINI VATI= 2 tabs daily in morning for 3 months =improves liver function, cholesterol, support metabolism

5) ABHYARISHTA= 20 ml with equal water at night =softer stool, relieves piles and bloating

6) TRIPHALA CHURNA= 1 tsp with warm water + 1 tsp ghee at bedtime =maintains digestion, cleanses colon

7) BRAHMI VATI= 2 tabs at night for 3 months =reduces stress, anger and improves mood

EXTERNAL THERAPIES

1) OIL MASSAGE= with KOTTAMCHUKADI TAILA =reduces kapha, improves circulation, and balances hormones

2) HERBAL PASTE APPLICATION= for unwanted hair -paste of turmeric + gram flour + rose water, applied to affected areas

3) STIZ BATH WITH TRIPHALA DECOCTION = daily for 10 mins =soothes piles, cleanses rectal area

4) DRY POWDER MASSAGE = with kolakullathadi churna =helps in fat breakdown and improves skin texture

HOME REMEDIES

1) FENUGRREK SEEDS= soak 1 tsp overnight chew in morning - controls blood sugar and hormones

2) FLAX SEEDS= 1 tsp roasted daily= contains lignans which balance estrogen

3) CINNAMON POWDER= 1/2 tsp with honey- improves insulin sensitivity

4) ALOE VERA JUICE= 15 ml empty stomach- balances hormones

5) ISABGOL + WARM MILK AT NIGHT= helps with constipation

6) CASTOR OIL + HOT MILK AT BEDTIME once or twice weekly= for gentle detox

DIET -warm, freshly cooked meals -plenty of FIBERS- leafy vegetables, pumpkin, beetroot, apples -barley, millets, old rice, and green gram -spices like cumin, ajwain, black pepper, turmeric- stimulates digestion -ghee in small amounts- nourishes reproductive tissues -herbal teas= coriander+cumin+ fennel water

AVOID -cold foods, ice cream, cold drinks -white sugar, maida, and processed snacks -curd especially at night -deep fried or oily foods -heavy legumes like rajma, chana in excess -excessive tea, coffee, or late night meals

YOGA ASANAS (3-5 round each) -baddhakonasana -bhujangasana -dhanurasana -malasana= excellent for piles and digestion -ustrasana= balances hormones -naukasana= helps reduce belly fat

PRANAYAM (5-10 mins daily) -Anulom vilom= balances vata and hormones -Kapalbhati= burns fat anddetox system -Sheetali= cools excess pitta and reduces anger

INVESTIGATIONS ADVISED -Pelvic ultrasound= to check for ovarian cyst -Lipid profile for cholesterol (can take medohara guggulu= 2 tabs twice daily after meals ) -TSH, FSH, LH, Prolactin, Testosterone- hormone levels -HbA1c or fasting insulin- insulin resistance -CBC, ESR= general inflammation and anemia -STOOL TEST= if piles are bleeding

You are facing a multi-system imbalance, but the good news is that Ayurveda offers a safe, natural, and long term solution to restore your health without needing hormonal pills or surgery

Hormone balance isn’t just about the uterus or ovaries- it’s about your digestion, liver, mind, and daily routine. Ayurveda connects all of these together

STAY COMMITED TO -A simple warm diet -regular yoga and breathing -avoiding sugar and fried food -having patience- the body heals gradually but deeply with Ayurveda

If you follow this path consistently for 3 months, you can expect -Regular pain free periods -reduction in weight and cravings -controlled piles and better digestion -clearer skin, better mood, and hormonal balance

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
96 दिनों पहले
5

Hello Neepa,there is some hormonal imbalance.In case of hormonal imbalance,the diet , exercise and other lifestyle modifications are as important as the medicine itself. Treatment - 1. Ashokaristha -2 tsp with 2 tsp water twice a day after meal 2. Lodhrasava- 2tsp with 2tsp water twice a day after meal 3. Nagkesar churna -1tsp with pure honey twice a day after meal.

Tests needed - Hemoglobin level Thyroid profile USG lower abdomen Diet- Eat seasonal fruits and vegetables. Get a nutritious and protein rich diet. Eat dates, raisins,amla, beetroot, apple. Take coconut water,fresh fruit juices. Avoid alcohol, caffeine in excess. Yoga- Anulom vilom,balasan, uttanasan,legs up the wall pose,ardhavhanrasan, uttanasan. Don’t do strainous exercise or yoga and heavy physical work during menses. Lifestyle modification - Take proper rest during periods. Keep track of duration of menses for better evaluation of treatment. Stress management -Through meditation,walking, journaling, gardening . Don’t worry follow these and you will definitely get relief. Don’t hesitate to reach out for any further query. Take care Regards, Dr. Anupriya

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Irregular periods, excessive hair growth, and weight struggles may suggest a hormonal imbalance, possibly linked to a condition like polycystic ovary syndrome (PCOS). Ayurveda views these concerns through the lens of dosha imbalances, mainly involving Kapha and Vata. Begin by paying attention to your diet, lifestyle, and stress management.

With menstruation issues, increase Pitta-appropriate foods – fresh fruits like pomegranate and organic vegetables can be beneficial. Avoid cold and heavy foods that aggravate Kapha. Favor warming spices like cinnamon, ginger, and turmeric in your meals to enhance digestion. Consuming Aloe Vera juice or Shatavari kalpa may support reproductive health, but consult an Ayurvedic practitioner for tailored advice.

For hair health and excess hair growth, apply Bhringraj oil on your scalp weekly. Triphala powder can be taken nightly to aid digestion and support constipation concerns. It’s crucial to drink warm water and maintain regular meal times. Explore Pranayama and gentle yoga postures, which can aid in stress relief and circulation, indirectly helping with piles and overall hormonal balance.

The sweet cravings and anger could point towards imbalanced blood sugar levels and emotional factors affecting your Pitta. Incorporate more whole grains like barley or millet, and reduce processed sugars. Ashwagandha might help with stress and mood stabilization.

Piles need specific care, like Sitz baths with Triphala. Apply coconut oil to soothe the area if swelling occurs. Abstain from spicy foods, as they aggravate the condition. If piles are severe or leading to significant discomfort, consult a healthcare professional immediately for further evaluation and care.

Stick to these manageable changes, prioritizing consistency over aggressiveness. As every individual is unique, a personalized consultation would offer more precise measures.

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The symptoms you’re experiencing suggest an imbalance of Vata and Pitta doshas, potentially complicated by Kapha imbalances. Irregular and painful menstruation, along with hair loss and excessive hair growth, might indicate a disruption in hormonal balance linked to these doshas. Meanwhile, constipation, piles, weight gain, and sweet cravings often indicate aggravated Vata and Kapha doshas, leading to weakened digestive fire (Agni) and sluggish metabolism.

First, for relief from irregular menstruation and hormone-related issues, consider incorporating herbs like Ashoka (Saraca asoca) and Shatavari (Asparagus racemosus). Take Ashoka powder (5 grams) mixed with warm water once a day, and Shatavari churna (1-2 grams) twice a day. This will help in regularizing menstrual cycles and balancing hormones.

Addressing your digestive complaints is crucial. Triphala churna can aid mild constipation: take 1 teaspoon with warm water at bedtime. For piles, applying a paste of Haritaki/ Chebulic Myrobalan with water externally can sooth inflammation. It’s important to adjust your diet to include more fiber-rich foods like fruits and vegetables, and reduce spicy, oily, and heavy-to-digest foods, which aggravate Pitta and Kapha both.

Engage in regular physical activities like yoga and pranayama which alleviate stress and improve digestion. Practices like Surya Namaskar and specific asanas like Pawanmuktasana (Wind-Relieving Pose) can be beneficial. Try to establish a routine, eating at regular intervals.

Consider managing your sweet cravings with naturally sweet fruits and include a moderate amount of Gud (jaggery) instead of refined sugar. Additionally, managing stress levels can reduce your anger and help calm Vata dosha. Practicing grounding breathing techniques, such as Anulom Vilom (Alternate Nostril Breathing), to balance your energies.

As certain conditions can be serious or time-sensitive, consulting with a qualified Ayurvedic practitioner or a healthcare professional is advised to receive a comprehensive diagnosis and personalized treatment plan.

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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.
92 दिनों पहले
5

HELLO NEEPA,

The issues you described, suggests PCOS- like symptoms, hormonal imbalance , constipation and metabolic issues

1) DIET -AVOID= excess sugar, fried and junk food, white flour, excess dairy, heavy oily foods -INCLUDE= fresh vegetables, whole grains, oats, millets, legumes, flax seeds, pumpkin seeds -FRUITS= berries, apple, pomegranate, papaya -SPICES= turmeric, cumin, coriander, ginger, cinnamon -HYDRATION= warm water throughout the day

2) LIFESTYLE -EXERCISE= daily brisk walk, yoga, or light cardio for 30-45 min -SLEEP= 7-8 hours, avoid late nights -STRESS MANAGEMENT= meditation, deep breathing, or self massage with warm sesame oil

TREATMENT PROTOCOL

1) DEEPANA-PACHANA (enhance digestion and reduce aa) DURATION= 7-10 days

-Trikatu churna= 1/2 tsp with warm water before lunch and dinner

-Hingwastaka churna= 1/2 tsp after meals with ghee

DIET -warm,light, freshly cooked food -avoid cold, heavy, oily, dairy, and processed food -drink warm water with ginger throughout the day

2) VIRECHANA (mild purgation to balance pitta and hormones)

-2 tsp castor oil in warm milk on empty stomach only one time

3) HORMONAL BALANCING AND MENSTRUAL REGULATION DURATION= 2-3 months

-Pushyanug churna= 1 tsp with rice water twice daily if heavy bleeding

-Ashokarishta= 20 ml with water twice after meals

-Rajapravartini vati= 1 tab twice daily before meals if scanty periods

-Kanchanar guggulu= 2 tabs twice daily after meals for PCOD and weight

4) CONSTIPATION AND PILES MANAGEMENT

-Triphala churna= 1 tsp at night with warm water

-Arshoghni vati= 1 tab twice daily after meals

-Abhyarishta= 20 ml with water at night if severe constipation

EXTERNAL -sitz bath with warm water + turmeric + neem leaves -apply pilex ointment or arshonil ointment locally

5) WEIGHT MANAGEMENT AND METABOLIC SUPPORT

-Medohar guggulu= 2 tabs twice daily before meals

-methi powder- 1 tsp soaked overnight taken on empty stomach

6) HAIRFALL/ EXCESS HAIR

-Bhringaraj churna= 1 tsp daily with honey

-Amalaki rasayana= 1 tsp daily in morning

-Shatavari churna= 1 tsp with warm milk at night

-Neelibrigadi taila= scalp massage

THANK YOU

DR. HEMANSHU MEHTA

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हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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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.
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5

Do not worry Start on Strirasayana vati- Medha vati-1 tab twice daily after food with lukewarm water Triphala churna-1 tsp with warm water at night Asoka aristha-4 tsp with equal quantity of water twice daily after food

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28% सर्वश्रेष्ठ उत्तर
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।
आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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हमारे डॉक्टरों के बारे में

हमारी सेवा पर केवल योग्य आयुर्वेदिक डॉक्टर ही परामर्श देते हैं, जिन्होंने चिकित्सा शिक्षा और अन्य चिकित्सा अभ्यास प्रमाणपत्रों की उपलब्धता की पुष्टि की है। आप डॉक्टर के प्रोफाइल में योग्यता की पुष्टि देख सकते हैं।


संबंधित प्रश्न

ऑनलाइन डॉक्टर

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
323 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
201 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
104 समीक्षाएँ
Dr. Atul Painuli
I am Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.
5
82 समीक्षाएँ
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
276 समीक्षाएँ
Dr. Suchin M
I am someone who’s honestly just really drawn to how deep Ayurveda goes—like really deep—not just treating what’s showing on the surface but getting into what’s actually causing it underneath. I really believe that even those complicated lifestyle diseases, stuff like diabetes or BP or obesity that people think they’ll just have to live with forever, can totally be managed with Ayurvedic principles. Not magically or overnight, but through proper diagnosis, diet tweaks, daily habits, and herbs that actually work if you use them right. That’s the part I focus on—making Ayurveda work practically, not just in theory. After finishing my BAMS, I’ve worked with chronic conditions for over a year now in clinical setups. Mostly patients dealing with long-term stuff that doesn’t go away with one pill—usually the kind of disorders rooted in stress, wrong food choices or too much sitting. I’ve seen that if you really listen first, like actually listen—hear their story, feel where they’re coming from—half the work’s already done. Then when you assess their Prakriti, figure out where the doshas are out of balance, and connect that with their history (plus any modern test reports they might bring), it gives you this full picture that’s so valuable. My treatment plans aren't one-size-fits-all. Sometimes it’s about bringing agni back into balance. Sometimes just clearing aam helps. Most people are shocked that things like bloating or even periods issues can shift just by aligning food and herbs with their constitution. And if the case is acute or there’s a red flag, I have no problem referring for emergency allopathic care. Integrative care makes sense—Ayurveda doesn’t have to be isolated from modern medicine. My aim? It's not just to fix a symptom. I want people to feel at ease in their own body again. To build habits they don’t need to break later. To know their own rhythm, not just follow some generic health trend. That’s what Ayurvedic healing means to me... not perfect, but real.
5
31 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
552 समीक्षाएँ
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
80 समीक्षाएँ
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
36 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
544 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
1143 समीक्षाएँ

नवीनतम समीक्षाएँ

Caleb
9 घंटे पहले
This response really made a difference. Clear, detailed and super helpful advice. Feel so much better about managing my knee and back pain now, thanks!
This response really made a difference. Clear, detailed and super helpful advice. Feel so much better about managing my knee and back pain now, thanks!
Savannah
10 घंटे पहले
Thanks for the advice! The tips were really clear and helpful. Just started the routine and already feel more at ease about it all. 😊
Thanks for the advice! The tips were really clear and helpful. Just started the routine and already feel more at ease about it all. 😊
Lucas
16 घंटे पहले
Appreciate the detailed advice! It’s reassuring to have these options, and the practical tips for eveyday changes are really useful. Thank you!
Appreciate the detailed advice! It’s reassuring to have these options, and the practical tips for eveyday changes are really useful. Thank you!
Lillian
16 घंटे पहले
Thanks for the advice doc! Super clear and feels like it really covers all the bases. I'll get my grandson started on his new routine! Appreciate it!
Thanks for the advice doc! Super clear and feels like it really covers all the bases. I'll get my grandson started on his new routine! Appreciate it!