R you on chemo ??
No
Diagnosed with prostate cancer with multiple localized lesions and possible extension near the rectum and urethra and that you are currently relying only on Ayurvedic medicines without undergoing any other form of treatment…
It is positive that you have not experienced side effects and that your energy levels are moderate,which suggests that your digestion strength and overall tissue response are still reasonably supportive and this gives some scope to work with the body in a gentle and thoughtful manner…
At the same time a PSA level of 24 along with involvement close to surrounding structures indicates an active and serious disease process and this is not a stage where care should depend only on long term self directed remedies even if they feel comfortable and well tolerated…
The medicines you are currently taking are commonly used to support glandular health,help regulate abnormal tissue activity, improve waste clearance and support circulation,however when there is extension beyond the primary organ the approach needs to be more comprehensive,individualized and periodically reviewed rather than continuing the same combination for months without reassessment.
Along with your present medicines, a few additional supportive options can be considered selectively and not all together.Triphala guggulu may be continued as it supports bowel regularity internal cleansing and local tissue balance Guduchi satwa can be added once daily preferably in the morning with warm water to support immunity,inflammation control and general strength without burdening digestion. Panchatikta ghanavati may be introduced after food twice daily to support regulation of abnormal tissue activity Arogyavardhini vati can be considered ,if appetite digestion and bowel movements are stable and it should be avoided if there is weakness loose stools or digestive discomfort. Decoctions such as Aragwadhadi or Gojihwadi should not be taken together only one may be selected based on bowel comfort urinary symptoms and overall tolerance and used for a limited period under observation…
More medicines do not mean better results and overloading the system can weaken digestion and resilience over time so selection and timing are more important than quantity
Diet and daily habits play an equally important role Light freshly cooked food is preferred barley,red rice,green gram soup and well cooked vegetables like, bottle gourd ,ridge gourd ,bitter gourd and drumstick can be included. Cow milk may be taken. Mild use of turmeric and black pepper in cooking.
Heavy oily fried foods, refined flour items ,excess sweets, red meat,packaged foods,tobacco,alcohol and late night overeating ,should be avoided. Constipation strain during urination,prolonged sitting and mental stress also need to be reduced . Adequate hydration, walking breathing practices and good quality sleep are supportive…
I would advise that you continue regular PSA testing imaging and medical follow up and remain in contact with an oncologist or urologist even if you are not opting for surgery,radiation or hormone therapy at this stage this is essential for safety timely decisions and clarity.
From an Ayurvedic perspective the next step is not merely adding medicines but reassessing digestion tissue involvement urinary comfort bowel habits sleep mental stress and immunity and then adjusting medicines diet and routine accordingly.
Ayurveda works best when it is applied strategically in coordination with disease stage and reviewed periodically rather than followed as a fixed formula.
Ayurvedic view
Likely Vata-Kapha predominance with Granthi/Arbuda involvement Urethral encasement → Apana Vata dushti Rectal proximity → care with vasti choice Ayurvedic supportive treatment
Kanchanara Guggulu 1tab bd Triphala Guggulu 1tab Varunadi Kashayam 20 ml + equal warm water, BD Punarnavadi Kashayam 1tab bd Chandraprabha Vati 1tab BD Guduchi Satva – 1tab bd Ashwagandha churna 3–5 g at night
Vasti therapy Matra Vasti with Balashwagandhadi Taila or Ksheerabala Taila
Diet Recommended Barley (yava), green gram, bottle gourd, ridge gourd Pomegranate, amla Cow ghee (small quantity) Avoid Red meat, dairy excess Spicy, fried, fermented food Alcohol, tobacco
Monitoring (must) PSA every 6–8 weeks MRI/PSMA PET as advised by oncologist
Hello Thanks for sharing all these details. I know this is a tough diagnosis to deal with—emotionally and physically. But dont worry we are here to help you out 😊
YOUR CONCERN
You have localized prostate cancer that’s starting to move toward the rectum. Your PSA is 24, which shows active disease, but there’s no lymph node involvement. There’s also some partial wrapping of the urethra.
In Ayurveda, we see this as
- Mutraghata or Mutravaha srotodushti - Granthi/Arbuda involving Apana Vata, Kapha, and Rakta - Long-term “Ama” (toxic buildup), congestion, and blockage around the urinary and rectal channels
Honestly, your current Ayurvedic mix already shows a solid understanding of the classical approach.
Here’s what you’re taking right now: - Kanchanara Guggulu - Mustha - Lodhra - Arjuna - Triphala Guggulu
You’re making a decoction (kwatha), 3 grams each, boiled down to one cup and split into three doses daily, and you’ve been doing this for more than six months. No side effects, moderate energy. This is a good base for glandular issues, inflammation, and blockages.
But with a PSA of 24 and some spread, you need to strengthen and fine-tune the protocol.
Here’s how I suggest optimizing your Ayurvedic support:
1. Internal Medicines Morning (empty stomach):
- Varunadi Kashayam, 15–20 ml with equal warm water
(Helps with swelling and urinary blockage)
After breakfast:
- Kanchanara Guggulu, 2 tabs twice daily
(Keep this going—very important)
After lunch:
- Chandraprabha Vati, 2 tabs
(Supports urinary tract, eases pelvic pressure and inflammation)
Evening:
- Guduchi (Giloy) Satva or Kwatha
(Boosts immunity, calms inflammation)
Night (before bed):
- Triphala Churna, 1 teaspoon with warm water
(Cleanses gut, supports prostate, prevents rectal pressure)
2. Basti Therapy (If possible, and under a qualified Panchakarma doctor)
- Matra Basti with Balashwagandhadi Taila or Sahacharadi Taila (30–60 ml daily or every other day) (This regulates Apana Vata, boosts pelvic circulation, helps with rectal symptoms, pain, and urinary issues)
DIET PLAN
✅INCLUDE
- Warm, freshly cooked meals - Moong dal, masoor dal - Bottle gourd, ridge gourd, pumpkin - Steamed veggies - Pomegranate - Turmeric plus black pepper - Flaxseed (1 tsp/day) - Plenty of warm water
❌AVOID
- Red meat - Too much dairy (especially cheese, curd at night) - Sugar - Fried foods - Alcohol - Excessively spicy or sour foods - Eating late at night
LIFESTYLE AND SUPPORT
- Gentle walking daily (30–40 minutes) - Don’t sit for too long at a stretch - Don’t suppress the urge to urinate or have a bowel movement - Try Pranayama: Anulom Vilom and Bhramari - Manage your stress—stress can make PSA go up
Please read this part carefully: –Ayurveda can’t replace surgery, radiation, or hormone therapy if those are needed. –With your PSA level and the cancer starting to spread, you must keep seeing your oncologist regularly. –Use Ayurveda for support, symptom relief, quality of life, and to help your immune system and metabolism. –Don’t delay or skip standard medical care in favor of Ayurveda alone.
Keep an eye on: - PSA every 2–3 months - MRI or other scans as needed - Any changes in urine flow, pain, or retention - Any rectal pain or constipation
IN SHORT - Ayurveda helps reduce inflammation and Kapha - Varuna and Guggulu support urinary flow - Basti and Triphala help with rectal symptoms - Guduchi boosts immunity - Diet and Pranayama improve quality of life
Warm Regards Dr. Snehal Vidhate
Hi You are using a good combination but besides this if you start taking giloyghan vati -2 tab BD And juice of fresh amla and raw turmeric in morning empty stomach
If the patient is on chemo / radiation / hormone therapy, these Ayurvedic medicines can be continued as supportive care (to improve digestion, immunity, urinary flow, inflammation control & quality of life) but keep 2–3 hours gap from chemo medicines.
✅ Ayurvedic Supportive Prescription (Along with Chemo)
1) Kanchnaar Guggulu
Dose: 1 tab BD (after meals) Duration: 8–12 weeks ➡️ Supports glandular swellings, granthi, growth control.
2) Varunadi Kashayam / Varunadi Kwath
Dose: 15 ml + equal warm water BD (before meals) ➡️ Best for prostate swelling + urine obstruction + urinary inflammation.
3) Chandraprabha Vati
Dose: 1 tab BD (after meals) ➡️ Useful for urinary symptoms, burning, infection tendency, bladder/prostate support.
4) Triphala Churna
Dose: 2 g at night with warm water ➡️ Detox, improves bowel movement (important during chemo), reduces ama.
5) Guduchi Satva
Dose: 1 tab BD (after meals) ➡️ Immunity, liver protection, chemo tolerance, fatigue reduction.
✅ Panchkarma Recommendation
Uttar Basti
⚠️ Only under experienced Panchkarma doctor and only if doctor confirms it is safe. ➡️ Helps in urinary flow, prostate region inflammation.
✅ Diet Plan for Cancer (Supportive Ayurveda)
Intermittent Fasting
✅ 14:10 fasting (safe) Example:
Dinner by 7:30 PM
Breakfast at 9:30 AM
⚠️ Avoid fasting on chemo day if weakness/nausea.
✅ Cancer-supportive Diet
Include:
Moong dal khichdi, vegetable soups
Cooked vegetables (lauki, tori, pumpkin, carrot)
Pomegranate, berries, apple
Turmeric + black pepper in food
Flaxseed powder 1 tsp/day
Green tea / tulsi tea
Avoid:
❌ Sugar, bakery, cold drinks ❌ Deep fried foods, chips, fast food ❌ Red meat, processed meats ❌ Alcohol, smoking ❌ Dairy excess (curd at night strictly avoid)
✅ Daily Remedies (Simple + Safe)
✅ Tulsi + Giloy kadha (only if no fever/very low BP)
Tulsi 5 leaves + giloy 2–3 inch + ginger small piece
1 cup/day (morning)
✅ Turmeric milk at night (optional)
½ tsp haldi in warm milk / almond milk (avoid if severe mucositis or indigestion)
✅ Yoga & Lifestyle (Very Important)
Daily (20–30 min):
Anulom Vilom 10 min
Bhramari 5 min
Vajrasana after meals 5 min
Walking 20–30 min (as tolerated)
✅ Sleep 7–8 hrs ✅ Stress reduction is key (meditation / pranayam)
⚠️ Important Safety Notes
Keep 2–3 hrs gap between Ayurvedic medicines and chemo/hormone medicines
Monitor: PSA, CBC, LFT, KFT
If urine retention, bleeding in urine, severe burning, fever → urgent medical review.
Hi Firstly you need to understand that Ayurvedic medicine you are taking is complementary, not a replacement for Chemo / Radiation / hormonal therapy if advised to you. Remember Ayurvedic treatment works best alongside modern cancer care. I’ll suggest some ayurvedic medicine for you as follows
1) Kanchanara Guggulu - 2 tab - twice daily - After food with warm water 2) Gokshuradi Guggulu - 2 tabs twice daily - After food - with water 3) Ashwagandha Churna - 3gm at night - with warm milk or water 4) Guduchi Satva - 500 mg twice daily - After food - with water or Amritarisht - 15 ml twice daily after food 5) Haridra Khanda / Curcumin Capsules - 500mg - twice daily - empty stomach - with milk or water 6) Varunadi Kashaya - 15 ml + 15 ml warm water, twice daily before food 7) Bhallataka Rasayana (Purified) - 125 mg once daily.
Also add ghee in your diet, avoid spicy and very high protein food, Red meat, processed food, Sugar, alcohol
Follow Steamed vegetables Turmeric, ginger, garlic Pomegranate, bottle gourd Warm water only
Take regular follow up with oncologist.



