Medicines 1 Maha Rasnadi Kashayam: 15ml mixed with 45ml warm water, twice daily before food. 2 Trayodashang Guggulu: 2 tablets twice daily with warm water. 3 Ksheerabala 101 (Softgel Capsules): 2 capsules daily (1 morning, 1 night) with warm milk. 4 Ashwagandha Churna: 1 teaspoon mixed with 5 Kapikacchu Churna (1/2 teaspoon) in warm milk at bedtime.
External Therapy Local Abhyanga: Apply warm Mahanarayan Thailam gently on the lower back and down the right leg. Leave for 30 minutes before warm water bath. Kati Pichu: Soak a cotton pad in warm Murivenna Oil or Mahanarayan Oil and place it on the lower back (L4-S1 area) for 20 minutes daily while lying down.
Dietary Advice Vata Pacifying Diet: Eat warm, cooked, and slightly oily foods (using Ghee). Exclusions: Strictly avoid chickpeas (chana), kidney beans (rajma), potatoes, cauliflower, and cold drinks. Hydration: Drink only warm water to prevent constipation.
Lifestyle Advice Posture: Avoid forward bending completely. Ensure knees are not higher than hips when sitting. Lumbar Support: Continue using the small towel roll under the lower back. Activity: Restrict sexual activity until acute pain subsides.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Maharasnadi guggulu 1 BD Ashwagandha capsule 1 BD Dashamoola aristha 4 tsp BD MAHAMASHA taila - for massage
No worries Let him start on Dashamoola kwath -1 teaspoon in 400 ML water boil until it remains hundred ML filter and drink twice daily on empty stomach Trayodashanga guggulu 1-0-1 Peedantaka vati 1-0-1 Maharasnadi kashayam 15-0-15 ml with water Ashwagandha churna half teaspoon with warm milk at night Mahanarayana taila gentle massage to be done Avoid lifting heavyweight Bending forward Take rest, if still pain persist. It’s better to offer for Panchakarma procedure.
Don’t worry take brihath vata chintamani ras 1tab bd, rasandi Guggulu 1tab bd,maha yoga Raja Guggulu with Gold 1tab, mahanarayana tail external application enough, swadista virechana churnam 1tsp with lukewarm water enough
Take ashtisrukhala ghee 5 ml morning at empty stomach Take lubartone 2 tds Take pulcurd 2 bd Take mahayograj gugulu 2 bd
Start with Brihat vat chintamani ras 1-0-1 after food with water Trayodashang guggul 1-0-1 after food with water Ekangvir ras 1-0-1 after food with water Apply ashwagandha oil+ Nirgundi oil on affected painful areas twice daily Wear lumbo sacral waist belt during the day Avoid moving in vehicles on rough roads surface. Once pain reduces start with yogasana or exercises specific under expert guidance. Follow up after 1 month.
The chronic lower back pain and right leg radiation you’re experiencing seems to be largely due to nerve root compression at L5-S1, linked with the disc bulge revealed in your MRI. The symptoms you describe, such as sharp shooting pain, occasional tingling, and the temporary relief from placing a towel under your back, align with the typical signs of sciatic nerve irritation.
From an Ayurvedic standpoint, the imbalances may be related to aggravated Vata dosha, which governs movement and nerve impulses. The goal here would be to pacify Vata through lifestyle adjustments, diet, and specific therapies.
Diet and Lifestyle Changes:
1. Support your digestion by favoring warm, nourishing foods that can quiet Vata. Use spices like ginger, cumin, and turmeric in cooking, which assist in reducing inflammation.
2. Ensure regularity with meals and consider including dairy like warm milk with a pinch of nutmeg or turmeric at bedtime, as these can be soothing and help improve sleep quality which is often disturbed by pain.
3. Sedentary positions can exacerbate your condition. Practice subtle spine movements and gentle stretches (like cat-cow) one to two times daily to maintain flexibility without straining. Capsaicin-based creams may also be applied locally for some relief.
Ayurvedic Therapies:
1. Abhyanga (warm oil massage) using oils like Mahanarayana or Dhanwantharam taila can aid in relieving stiffness and Vata accumulation. Massage should be gentle and, if possible, carried out by a trained therapist initially.
2. Bastis (medicated enemas) are recommended for Vata imbalances in the lower body. These should be administered under professional guidance for effectiveness.
3. Consider oral Ayurvedic formulations like Trayodashang Guggul or Yograj Guggul, which help normalizing Vata and support nerve health, always consulted with a practitioner to assure safe integration with current medications.
Remember, while these suggestions may alleviate symptoms, continuing consultation with your healthcare provider is crucial for multifaceted management of your symptoms to prevent further complications.
Some regime you should follow
✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible)
🧘♀️Yoga🧘♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana
🧘♀️Pranayam🧘♀️ Anulom Vilom Bhastrika Kapalbhati
❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes.
💊Medication💊
Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Sinhanad Guggul 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Syp. Dashmoolarishta 3 tsp twice a day before food with warm water.
Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola
Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.



