Don’t worry take brihath vata chintamani ras 1tab bd, makaradwaja 1tab bd, DHANWANTARI tail+ murivenaa tail for kati vasti, anuloman ds 1tab bd, rasansapthaka kashyam 20ml bd enough U ll get results
Dr RC BAMS MS
Hello, Your history of ankylosing spondylitis (HLA-B27 positive) for more than 10 years, with severe inflammatory low-back and sciatic pain causing wheelchair dependence during flares, along with iritis (eye nerve inflammation) and recurrent urinary/bladder issues, clearly indicates a long-standing systemic inflammatory autoimmune disorder with deep involvement of the spine, sacroiliac joints, nerves (Majja), eyes, and Apana Vata (pelvic–bladder region). Past head injuries further aggravate Vata, worsening neurological pain and flare severity.
In such chronic cases, conventional medicine often offers symptomatic control only. Ayurveda approaches this condition as Gambhira Vata–Pitta Pradhana Vata Vyadhi, affecting Asthi–Majja Dhatu, where treatment aims to control inflammation, pacify aggravated Vata, nourish nerves and joints, and prevent flare recurrence through stage-wise therapy. Regarding your question on gold and mineral medicines: 👉 Vasant Kusumakar Rasa and Sameera Pannaga Rasa should NOT be taken together. They are used sequentially, based on disease stage and flare activity, under strict supervision.
🔎 Recommended Investigations (If not done in the last 6 months) CBC, ESR, CRP – disease activity & inflammation Liver & Kidney Function Tests – safety before Rasoushadhis Serum Vitamin D, B12, Calcium Urine routine & culture – recurrent UTIs MRI spine / SI joints – disease progression (if available)
💊 Internal Medicines Phase 1 – 30 days 1.Simhanada Guggulu – 2 tablets twice daily after meals 2.Mahayogaraja Guggulu (without gold) – 1 tablet twice daily 3.Dashamoola–Guduchi Kashayam – 15 ml + 30 ml warm water, twice daily before food 4.Shallaki (Boswellia serrata) – 400–500 mg capsule, twice daily
Phase 2 – 45 days 1.Vasant Kusumakar Rasa – ½ tablet once daily after breakfast With cow’s milk OR honey + ghee (equal quantity) 2.Ashwagandha Ghana Vati – 1 tablet twice daily 3.Guduchi Satva – 500 mg twice daily 4.Gokshura Churna – ½ tsp twice daily with warm water (supports bladder & Apana Vata) ⚠️ Do not use Sameera Pannaga Rasa during this phase.
Phase 3 – Acute flare-up protocol (short-term only) (For severe pain & immobility) 1.Sameera Pannaga Rasa – ¼ tablet once daily, for 7–10 days only 2.Rasna Saptaka Kashayam – 15 ml + 30 ml warm water, twice daily 3.Castor oil – 5 ml with warm milk at bedtime (if digestion allows) 👉 Stop Sameera Pannaga as soon as the flare subsides.
🌿 External & Supportive Therapies 1.Abhyanga (daily oil massage) Mahanarayana Taila / Sahacharadi Taila 2.Swedana (sudation therapy) Nadi Sweda or Patra Pinda Sweda 3.Basti Therapy (most important for AS) Anuvasana Basti – Ksheerabala / Sahacharadi Taila Niruha Basti – Dashamoola-based Kati Basti – during lumbar & sciatic flares
🥗 Diet & Lifestyle Recommendations ❌ Avoid Cold exposure, cold water bathing Excess physical exertion during flares Red meat, fermented foods, alcohol Late nights, fasting Suppressing urine or bowel urges ✅ Include Warm, freshly prepared, unctuous food Rice, moong dal, vegetable soups Cow’s ghee – 1–2 tsp daily Turmeric with ghee (small quantity) Regular sleep–wake routine
🧘🏻♂️ Yoga & Breathing Practices (Only during remission, gently) Asanas Gentle spinal mobility Supported stretches Vajrasana after meals Pranayama Anulom Vilom – 10 minutes Bhramari – 7 rounds Nadi Shodhana – daily ❌ Avoid aggressive backbends or forceful physiotherapy.
🕉️ Follow-up & Duration Reduction in flare severity: 4–6 weeks Improved mobility between flares: 2–3 months Reduced flare frequency with consistent Basti & Rasayana therapy Eye and bladder symptoms stabilize with Apana Vata correction
✨Chronic ankylosing spondylitis with nerve, eye, and bladder involvement can be significantly controlled, but requires structured, phased Ayurvedic management. Gold-based medicines help only when introduced at the right stage, and Sameera Pannaga is reserved strictly for short-term flare control.
With kind regards, Dr. Sumi MS (Ayu)



