Hello I appreciate that you have explained your symptoms very clearly. I understand that you are worried about your digestion, constipation, post-herb weakness, and that you have low B12 in your history. However, don’t be worried, we are here to assist you out 😊
✅AYURVEDIC UNDERSTANDING
The patient appears to suffer from Pitta + Vata imbalance with Mandagni
Grade 1 fatty liver: Kapha-Pitta accumulation in Yakrit (liver) Medo-Dushti.
Poor digestion for 1 year: Mandagni - Ama formation - heaviness, irregular bowels.
Constipation after Triphala (1:2:4 ratio): This ratio is Pitta-reducing but Vata-increasing - caused dryness = mild weakness.
Past B12 deficiency + tingling Majja-vaha srotas mild depletion.
✅ AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
👉 For Fatty Liver
1 Punarnavadi Kashayam – 15 ml + warm water twice daily before food ( Improves liver function,Reduces swelling & clears Ama)
2 Arogyavardhini Vati – 1 tablet twice after food ( Yakrit-uttejaka, Reduces fatty liver grade)
👉For Digestion (Primary Focus)
1 Hingwashtak Churna – ½ tsp with warm water before lunch & dinner ( Improves Agni, reduces bloating, prevents constipation)
2 Guduchi Satva – 1 tsp morning empty stomach (Balances Pitta, Builds strength without heaviness)
👉For Mild Constipation
Don’t use strong Triphala ratios. Use: Triphala Churna (equal ratio) – ½ tsp at bedtime with warm water
✅ EXTERNAL THERAPY
Abhyanga (warm sesame oil massage) on abdomen clockwise for 5–7 minutes daily ( Improves bowel movement)
5-minute deep breathing before sleep ( Improves parasympathetic tone & digestion.)
✅ DIET AND LIFESTYLE MODIFICATION
❌Avoid (very important) Fried foods, bakery, cheese Cold water Late-night dinners Overuse of Triphala in non-equal ratios Long fasting (aggravates Vata)
☑️Include Warm water frequently Moong dal khichdi 2–3 times a week 1 tsp cow ghee with hot rice or dal daily Jeera + Ajwain + Saunf water after meal
Wishing you a good health😊
Warm Regards, Dr Snehal Vidhate



