For your condition, it seems there’s indeed a predominant imbalance in Vata alongside symptoms suggesting a disturbed Pitta. Basti can be beneficial especially in chronic Vata disorders like yours. Since you’ve experienced adverse effects with Dipana (digestive stimulants) due to high Pitta, it’s important to approach this with care. Begin with Basti therapy, but ensured it’s appropriately tailored.
Consider commencing with Anuvasana Basti (oil-based enema) which can help in nourishing and balancing Vata without aggravating Pitta. Castor oil or sesame oil can be used but should be prepared by a skilled practitioner who can determine the right amount and frequency based on your individual needs. After a couple of treatments, Niruha Basti (decoction enema) might be included, involving herbs like Dashamoola and Bala which work to stabilize Vata without provoking Pitta further.
For Mand Agni and liver function, opt for gentle Aam Pachana and mild liver Rasayana formulations. You might try Arogyavardhini Vati in small doses, but have your doctor monitor liver enzymes closely. Optimize dietary habits to pacify both. Include adequate healthy fats like ghee and meals rich in whole grains like red rice, as they provide strength without taxing the liver.
Ensure regularity in daily routines—eating, waking, and sleeping at the same time aids in stabilizing Vata. Avoid known Pitta aggravators: spicy, sour, and fermented foods. Practice gentle Pranayama to reduce stress and avoid stimulants such as coffee.
Lastly, due to the complexity of your condition, staying under close guidance of an experienced Ayurveda practitioner for ongoing evaluation and adjustment is crucial. If vertigo or joint pains significantly worsen, immediate non-ayurvedic medical advice may be advised.
