Start with Tablet Liv-52 1-0-1 after food with water. Kutaj ghanvati 1-0-0 after food with water Bilva churan 1/2tsp - 0 - 1/2tsp.after food with water. Avoid wheat and wheat products Avoid milk, but can have buttermilk with pinch of asafoetida black salt and roasted jeera powder after lunch daily. Have light easily digestible foods like khichdi, curds rice, soft cooked vegetables. Can have pomegranate juice or fruit, apples, Include doodhi as vegetables in your diet.

Agni (digestive fire) is weak Grahani / IBS-type condition Gas, semi-liquid stool, weight loss, fatigue = Vata + Pitta imbalance
Kutaja ghan vati – 1 tab morning (If stool becomes hard → stop) Bilva churna – ½ tsp before lunch with warm water Takra (buttermilk) daily at lunch pinch roasted cumin + dry ginger
Hingvastak churna – ½ tsp before meals Avoid raw foods, curd at night, cold drinks
Dadimashtaka churna – ½ tsp after meals Eat rice, moong dal, ghee, cooked vegetables Small meals, regular timing
Hlo,
Your symptoms suggest a Grahani disorder with: Mandagni (weak digestive fire) Vata–Pitta dominance Poor absorption → gas, bloating, semi-liquid stool, weight loss, fatigue
Kutaj made stool hard because it over-controlled Pitta and aggravated Vata, so it was not suitable for long-term use in your case.
Ayurveda Prescription (mild & balanced) 1. Hingvashtak Churna Dose: ½ tsp How: With warm water Timing: 15 minutes before lunch and dinner Purpose: Reduces gas, bloating, improves digestion
2. Bilva Avaleha Dose: 1 tsp How: After breakfast Purpose: Firms stool without causing constipation, strengthens Grahani
3. Takra (Buttermilk) Therapy – Very Important Fresh buttermilk (not sour) Add: Roasted jeera powder – ¼ tsp Hing – a pinch Timing: After lunch daily Purpose: Best classical treatment for Grahani
4. Ashwagandha Churna Dose: ½ tsp How: With warm water or milk Timing: At night Purpose: Helps weight loss, fatigue, weakness, foot pain
5. Dadimashtaka Churna (optional but helpful) Dose: ½ tsp Timing: After meals (once or twice daily) Purpose: Improves digestion + absorption
Diet Rules (VERY IMPORTANT) Avoid completely for now: Curd (especially at night) Raw vegetables Fried food Tea/coffee Cold water Prefer: Rice, moong dal Soft chapati Steamed vegetables Pomegranate Warm water only Eat fixed timing, no overeating.
What to Expect Gas & bloating ↓ in 7–10 days Stool consistency improves in 2–3 weeks Weight & strength slowly improve over 1–2 months
Tq
Your digestive system shows a chronic pattern of vata pitta imbalance with ama formation and weak agni The temporary improvement in 2022 with livamrit arogyavardhini chitrakadi vati and punarvadi mandur shows that supporting liver and agni along with rasayana therapy can improve metabolism and weight gain However changes with kutaj leading to hard stool and stopping medication have led to recurrence Semi liquid stool bloating excessive gas fatigue and weakness indicate persistent ama and mandagni with vata kapha imbalance affecting absorption and overall strength
For current management triphala churna 5 grams with warm water at night helps regulate bowel movement and reduce mucus Hingvashtak churna 2 grams after lunch and dinner reduces gas and bloating Sitopaladi churna 3 grams with warm milk morning and night improves digestion and nourishes ojas Punarvadi mandur 250 mg two tablets twice daily after food strengthens liver and metabolism Continue warm cooked meals avoid cold drinks raw food heavy oily fried items and sugar Adequate hydration light exercise and proper sleep will support digestion and gradually improve stool consistency strength and overall vitality
The text is already in English, so no translation is needed.
Medicines 1 Bilvadi Churna – 3 gm + warm water twice daily after meals 2 Kutajarishta – 15 ml + 30 ml warm water after lunch & dinner 3 Hingwashtak Churna – 1 tsp + warm water after lunch & dinner 4 Panchamrit Parpati – 125 mg twice daily after food 5 Ashwagandha Lehyam – 5–10 gm night with warm milk
Diet (Very Important) Eat only: moong khichdi + 1–2 tsp ghee, thin buttermilk + roasted jeera, cooked lauki/pumpkin, pomegranate
Avoid completely: spicy/sour, raw salads, milk/curd, heavy pulses, fried food, cold drinks Small meals every 3–4 hours, dinner before 7 PM
Daily Routine Vajrasana 10 min after every meal (reduces gas & bloating) Warm sesame oil lower abdomen massage nightly followed by hot water bag 10 min Gentle walk 20 min after lunch
Regards Dr Gursimran Jeet Singh MD Panchakarma