Thank you for reaching out and trusting these platform with your Health journey Everything which you have described, fits very clearly into a long-standing vata kapha imbalance with underlying rasa dhatu depletion low Agni and mild kapha obstruction around the thyroid The picture is very classic - Lifelong low ferritin, dry cracked lips, pale, dry skin, thinning hair, cold intolerance, poor appetite constipation, anxiety, overthinking, swollen eyes, fluffy face, scanty, and irregular menstrual flow, and low energy throughout the day
This shows that the tissues are not getting nourished properly, even though your heamoglobin alone has improved… Ferritin at 36 explains why you still feel the typical hypothyroid symptoms, even with a normal HB value In such cases, the thyroid gland and reproductive system behave as though they are undernourished… and the body remains stuck in a low fuel state Stress and overthinking further drive up vata and disturb Ani, which explains why your symptoms intensify during phases of worry
Punarnava aristha or rohitakaristha or not the best primary choices for you Punarnava works more on swelling, water retention and kapha pitta fluid imbalance Rohitaka aristha wo Mohan liver congestion While you have some fufi, your deeper pattern is depletion, dryness, low Agni and vata kapha thyroid sluggishness, not fluid, excess or liver heat So these aristha won’t address the route of your condition and may even drive you further, if used alone You do not need another diagnosis. You already have a very clear combined picture from both Ayurveda and TCM.- Agni weakness, rasa dhatu depletion low, vata arrange arrangement, and Qi deficiency What you need is rebuilding, warming, nourishing, and stabilising, not drain or detoxifying
For someone with your pattern, the best direction is to support Agni gently,rebuild depleted tissues and calm vata
Medicines that work well in this state or Saraswathi aristha Draksha aristha Take 10 ML each with equal amount of water after meals Kalyanaka gritha -1 teaspoon with warm water at morning Ashwagandhadi lehyam 1 teaspoon with warm milk at night Shatavari churna half teaspoon with warm milk, cut morning Kanchanar guggulu One tablet twice daily after food with warm water Avipattikara churna half teaspoon before meals with water
For ferritin iron, tonic alone won’t work, unless your digestive fire is supported That is why A helped you, it improve absorption, indirectly You would benefit much more from mandura waste preparation, like you can take- Punarnavadi mandura one tablet twice daily after food with warm water Drink pomegranate juice daily at 12 PM
Your symptoms are not because of missing diagnosis, but because the body has been under, no reach at the tissue level for many years Treating this is very possible, it requires steady nourishment vata coming better digestion, and gentle thyroid support
Hello, Before starting anything it is better to address the digestion as you are mentioning poor appetite and tendency to get constipated. For that you can start with- 1. Dasamoolarishtam(Vaidyaratnam/Kottakkal) 20ml—0----20ml immediately after breakfast and dinner for 90 days. Once you complete one weeks dosage, along with medicine no.1 please start- 2. Munithyrone tablets 2—0----2 with a cup of boiled warm water after breakfast and dinner for 90 days.
Do a repeat check of thyroid profile after 90 days.
Take care, Kind regards.
Hello
Thank you for providing the details of your symptoms. Judging by the picture, your symptoms seem to correlate with an Ayurvedic imbalance of Vata-Kapha that has been going on for a long time, accompanied by low Agni and Rasa–Rakta Dhatu deficiency, which is the root cause of your low energy, puffy face, dry skin, hair thinning, constipation, and irregular period pattern.
Don’t worry — with the right Rasayana + Agni Deepana + Stress management, you can make very good progress quite fast.
Your symptoms point to: Ayurvedic Diagnosis Vata-Kapha Vriddhi Agnimandya → Ama formation
Rasa–Rakta Dhatu Kshaya (Blood & Qi deficiency in TCM = same as Rasadhatu + Raktadhatu depletion) Apana Vata Dusti → Scanty / painful periods Kapha blocking Vata → Subclinical Hypothyroidism picture
👉Why do your iron & energy stay low?
Weak digestive fire (Manda Agni) → nutrients are not absorbed properly
Stress → Vata aggravation → low appetite, dryness, anxiety
Hormonal imbalance → irregular flow, spotting, fatigue
This is a typical case of Vata-Kapha hormonal dysregulation with chronic Rasa-Rakta depletion.
SHOULD YOU TAKE PUNARVARISTHA OR ROHITAKAARISTHA?
Punarnavarishta – Mainly for edema, water retention, digestion, liver weakness Not appropriate for you.
Rohitakarishta – Nice for liver, spleen, anemia
Both these are not the first-line Ayurvedic medicines for your condition.
AYURVEDIC TREATMENT PLAN
INTERNAL MEDICATION. (Safe, gentle options you can start)
1. Kanchnar Guggulu– 1 tablet twice daily after food Balances Kapha, regulates thyroid.
2. Saraswata Ghrita– 1 tsp at night with warm water Excellent for Vata, anxiety, brain fog.
3. Dashmoolarishta– 15 ml with equal water after lunch Improves Apana Vata, painful periods & low energy.
4. Punarnava Mandur (Better than Punarnavarishta)– 10 ml after lunch Supports low ferritin without causing constipation.
5. Hingwashtak Churna– 1 tsp before meals with warm water For Agni deepana, bloating & absorption.
Yogic Support Bhramari pranayama – 7 rounds morning Ujjayi pranayama – excellent for thyroid Moon salutations 3–5 rounds on non-period days
DIET PLAN To correct Agni + nourish Rasa-Rakta:
Add black sesame seeds, dates, beetroot, cow ghee, soaked raisins, drumstickWarm, freshly cooked foods
Avoid: cold foods, curd at night, wheat-heavy diet, excess salads, skipping meals
Drink: jeera–ajwain–hing water after lunch
LIFESTYLE
Regular sleep (10:30 pm) Oil massage with warm Ksheerabala taila 3x weekly Reduce overstimulation & screen time after 8 pm Reduce excessive worrying (Vata pacification)
INVESTIGATION NEEDED To track root cause:
TSH, FT3, FT4 Anti-TPO antibodies Serum Ferritin, Iron, TIBC Vitamin B12 & Vitamin D Lipid profile
There is no need for Punarnavarishta in your situation. Your real issue is Agnimandya + Vata-Kapha endocrine imbalance + Rasa-Rakta depletion.
With the medicines + diet + routine stated above, you should get better in: Energy Thyroid symptoms Period pattern Hair & skin dryness Anxiety levels Ferritin levels
Warm regards, Dr Snehal Vidhate
