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General Medicine
Question #17948
228 days ago
289

Shivering - #17948

Christopher

For the past few weeks, I have been experiencing random episodes of shivering, even when I don’t feel particularly cold. Sometimes, it happens after eating, sometimes at night, and other times at completely random moments. I do not have a fever, but I have been feeling weak, fatigued, and even slightly dizzy at times. The shivering episodes last for a few minutes and then stop, but they have been happening frequently, and I am starting to get worried. Doctor, I want to understand what could be causing these episodes of shivering and how Ayurveda explains such symptoms. Does Ayurveda link shivering to vata imbalance, nerve issues, or poor circulation? I have also noticed that my hands and feet feel cold most of the time, even when others around me seem comfortable. Could this be related to weak digestion, anemia, or some underlying health issue? I have read that certain Ayurvedic remedies like Ashwagandha, Bala, and sesame oil massages help in improving circulation and maintaining body warmth. Would these be beneficial in my case? If so, how should they be used—externally or internally? I am also curious if my diet has anything to do with this issue. Are there specific foods that Ayurveda recommends for maintaining body heat and preventing shivering? I also experience occasional anxiety, and I read that stress can sometimes cause sudden chills or shivering episodes. Could this be a nervous system response, and does Ayurveda have solutions to calm the nervous system and reduce these episodes? Doctor, please suggest an Ayurvedic approach to treating shivering naturally, including dietary changes, herbal remedies, or specific therapies that may help me regain balance and prevent further episodes.

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Doctors’ responses

Your random episodes of shivering without fever could be linked to Vata imbalance, poor circulation, low hemoglobin (anemia), weak digestion, or even stress-related nervous system issues. According to Ayurveda, Vata dosha governs movement, circulation, and the nervous system, and when aggravated, it can cause cold sensations, involuntary tremors, and shivering. Additionally, if your hands and feet are often cold, it may indicate poor circulation or weak digestive fire (Agni), leading to inadequate absorption of warmth and energy in the body.

To manage this, Ayurveda recommends warming therapies and nourishing herbs. Ashwagandha and Bala are excellent for strengthening nerves and improving circulation, while sesame oil massages (Abhyanga) help in warming the body and reducing Vata imbalance. A daily self-massage with warm sesame or mustard oil before a bath can enhance blood flow and prevent sudden chills. Internally, Ashwagandha and Bala can be taken with warm milk for energy and strength. Additionally, a Vata-pacifying diet with warm, cooked foods, ghee, nuts, root vegetables, and mild spices like ginger, cinnamon, and black pepper can help maintain body warmth.

Since stress and anxiety can also trigger nervous shivering, incorporating calming herbs like Brahmi, Shankhpushpi, and Tulsi tea may help in balancing the nervous system. Pranayama (deep breathing), meditation, and warm herbal teas before bed can also reduce anxiety-related chills. If anemia is suspected, iron-rich foods like dates, figs, sesame seeds, and jaggery should be included in the diet. Addressing the root cause with proper diet, herbal support, and Vata-balancing therapies will help restore warmth, circulation, and overall well-being.

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Dr. Harsha Joy
Dr. Harsha Joy is a renowned Ayurvedic practitioner with a wealth of expertise in lifestyle consultation, skin and hair care, gynecology, and infertility treatments. With years of experience, she is dedicated to helping individuals achieve optimal health through a balanced approach rooted in Ayurveda's time-tested principles. Dr. Harsha has a unique ability to connect with her patients, offering personalized care plans that cater to individual needs, whether addressing hormonal imbalances, fertility concerns, or chronic skin and hair conditions. In addition to her clinical practice, Dr. Harsha is a core content creator in the field of Ayurveda, contributing extensively to educational platforms and medical literature. She is passionate about making Ayurvedic wisdom accessible to a broader audience, combining ancient knowledge with modern advancements to empower her clients on their wellness journeys. Her areas of interest include promoting women's health, managing lifestyle disorders, and addressing the root causes of skin and hair issues through natural, non-invasive therapies. Dr. Harsha’s holistic approach focuses on not just treating symptoms but addressing the underlying causes of imbalances, ensuring sustainable and long-lasting results. Her warm and empathetic nature, coupled with her deep expertise, has made her a sought-after consultant for those looking for natural, effective solutions to improve their quality of life. Whether you're seeking to enhance fertility, rejuvenate your skin and hair, or improve overall well-being, Dr. Harsha Joy offers a compassionate and knowledgeable pathway to achieving your health goals.
227 days ago
4.83

In Ayurveda, episodes of shivering, especially without a fever, are often linked to an imbalance in Vata dosha, which governs movement, circulation, and the nervous system. Vata imbalance can cause symptoms like cold extremities, weakness, fatigue, and shivering, as it disrupts the body’s ability to maintain warmth and balance. This can also be associated with poor circulation or nerve-related issues. If you’re feeling cold in your hands and feet, this could also be due to weak digestion (Agni) or anemia, which reduces the body’s internal heat and energy.

To restore balance, Ayurveda suggests remedies to strengthen circulation and warmth. Ashwagandha (to balance Vata and reduce stress) and Bala (to support strength and vitality) are beneficial when taken internally, typically as powders or in capsule form. Sesame oil massages (abhyanga) are highly effective externally to nourish the body, improve circulation, and generate heat. Regular self-massage before bath can also calm the nervous system and reduce anxiety.

Dietary changes should focus on warm, grounding foods such as cooked root vegetables, soups, and stews, along with spices like ginger, cinnamon, and turmeric, which stimulate digestion and promote warmth. Ayurveda also suggests avoiding cold, raw, or heavy foods, as they can aggravate Vata and weaken Agni.

For your anxiety, Ayurvedic herbs like Brahmi or Jatamansi can help calm the nervous system and reduce stress-related symptoms like shivering. Additionally, practices like Yoga and Pranayama (especially Nadi Shodhana or alternate nostril breathing) can help calm your mind and stabilize Vata.

Overall, combining these remedies with a warm, nutritious diet and regular self-care routines can help restore your balance and reduce these episodes of shivering.

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Your symptoms suggest a potential imbalance in vata dosha, which can manifest as shivering, cold extremities, weakness, and anxiety. Ayurveda links these symptoms to disturbances in agni (digestive fire) and circulation, possibly influenced by stress or anxiety.

Immediate Recommendations

1. Dietary Changes: - Warm, Nourishing Foods: Incorporate cooked, warm meals with grounding spices like ginger, black pepper, and cumin. Opt for warm soups, khichdi, and stews that include whole grains and legumes. - Avoid Cold Foods: Limit raw vegetables, salads, and iced drinks, as they can aggravate vata. - Healthy Fats: Include sources of healthy fats like ghee and sesame oil to provide warmth and improve digestion. - Hydration: Sip warm water or herbal teas (ginger or tulsi) throughout the day.

2. Herbal Remedies: - Ashwagandha: Take 1 teaspoon of Ashwagandha powder mixed with warm milk or water daily, preferably in the evening. This will help in reducing anxiety and promoting warmth. - Bala (Sida cordifolia): Can be taken in powder form (1 teaspoon) mixed with honey or warm milk once daily to strengthen the body.

3. Lifestyle Practices: - Self-Massage (Abhyanga): Use warm sesame oil or a blend of sesame and coconut oil for a nourishing self-massage before bathing, particularly focusing on hands and feet to stimulate circulation. - Stress Management: Practice calming techniques like Pranayama (breathing exercises) or meditation daily, focusing on grounding practices to soothe vata.

Additional Support:

For your cold extremities and shivering, you may also consider:

- Warm Compresses: Apply warm cloths to your feet and hands to promote circulation. - Herbal Baths: Soak in warm baths with added Epsom salts and essential oils (like eucalyptus or lavender) to enhance relaxation and circulation.

Monitoring Progress:

Keep a journal documenting your dietary intake, stress levels, and episodes of shivering. This will help identify patterns or triggers in your lifestyle that need to be managed.

If symptoms persist or worsen, it’s essential to consult a healthcare provider to explore any underlying issues. By implementing these personalized Ayurvedic recommendations, you can work towards restoring balance and improving your well-being.

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Thank you for sharing your symptoms and concerns. Based on your description, it seems that your experiences of shivering, along with feelings of weakness, fatigue, and cold extremities, point towards a Vata imbalance. In Ayurveda, Vata is associated with movement, nervous system function, and circulation. When Vata is aggravated, it can lead to symptoms like shivering and a sense of coldness, particularly when the digestive fire (Agni) is weak, which can also lead to feelings of anxiety.

Ayurvedic Recommendations:

Dietary Changes: 1. Warm, Nourishing Foods: Incorporate warm, cooked foods to enhance digestion and balance Vata: - Soups and Stews: Use warming spices like cumin, ginger, and black pepper. - Grains: Opt for warm cereals, such as oatmeal or cooked quinoa, which provide nourishment. - Healthy Fats: Use ghee or sesame oil to promote warmth and strengthen Agni. - Avoid Cold Foods: Minimize cold beverages, raw vegetables, and heavy, fatty foods.

2. Hydration: Drink warm water or herbal teas like ginger or cinnamon tea throughout the day to maintain warmth.

Herbal Remedies: 1. Ashwagandha: Take 1 teaspoon of Ashwagandha powder with warm milk or honey daily to support the nervous system and enhance vitality. 2. Ginger: Incorporate fresh ginger in teas or cooking to improve circulation and digestion. 3. Bala: If available, Bala (Sida cordifolia) can be used as a paste or in powder form to strengthen and revitalize.

Therapies: 1. Sesame oil massage (Abhyanga): Perform daily self-massage with warmed sesame oil before bathing. This nurturing practice calms Vata and promotes circulation. 2. Warm Baths: Consider taking warm baths with Epsom salt or essential oils like lavender to soothe your nerves.

Lifestyle Adjustments: 1. Stress Management: Practice mindful breathing, meditation, or yoga to manage anxiety and promote relaxation. This can help calm the nervous system and reduce episodes of shivering. 2. Sleep Hygiene: Ensure you have a consistent sleep routine that promotes restful sleep.

Monitoring and Follow-Up: Keep track of your symptoms in relation to dietary changes and lifestyle modifications. If symptoms persist or worsen, it is essential to consult a healthcare professional for a thorough evaluation.

Incorporating these practices should help regain balance and mitigate shivering episodes. Take care, and remember the importance of gradual changes for optimal results.

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Based on the symptoms you’ve described—random episodes of shivering, weakness, fatigue, dizziness, and cold extremities—your condition suggests a possible imbalance in Vata dosha, particularly linked to the nervous system and circulation. In Ayurveda, shivering can stem from Vata aggravation, which may be heightened by stress, weak digestion (Agni), or imbalances in Dhatus (tissues), especially if you’re experiencing digestive issues like low appetite or bloating.

Dietary Recommendations: 1. Warm, Nourishing Foods: Favor warm, cooked meals that are easy to digest. Include grains like oatmeal or quinoa, cooked root vegetables (sweet potatoes, carrots), and warming spices (ginger, cumin, cinnamon). 2. Healthy Fats: Incorporate good fats like ghee and olive oil into your meals, as they help retain body heat. 3. Hydrating Herbal Teas: Drink warm herbal teas such as ginger or cinnamon tea to support digestion and enhance circulation. 4. Avoid Cold and Raw Foods: Eliminate dairy (if it causes mucus), ice-cold beverages, salads, and raw foods, as they can aggravate Vata.

Herbal Remedies: 1. Ashwagandha: Take 1 teaspoon of Ashwagandha powder daily with warm milk or water. It supports the nervous system and helps reduce anxiety. 2. Bala: This herb can be taken in powder form (½ teaspoon) with honey or ghee to promote circulation and strengthen the tissues. 3. Triphala: If you have digestive issues, consider taking Triphala (1 teaspoon at bedtime) to aid digestion and enhance nutrient absorption.

External Therapies: 1. Warm Oil Massage: Regularly massage your body with warm sesame oil, which helps improve circulation and reduces Vata. Aim for 15-30 minutes before your shower, ideally done daily. 2. Follow with Sauna or Steam: If accessible, steam for a few minutes to further relax muscles and increase blood flow.

Calming the Nervous System: 1. Daily Meditation/Yoga: Practice calming activities like meditation or yoga to manage stress and balance Vata. Gentle yoga poses help to ground the body. 2. Breathwork: Engage in deep, slow breathing exercises (like Pranayama) for 10-15 minutes daily to soothe the nervous system.

Monitoring your symptoms closely is essential. If they persist or worsen, consider consulting a healthcare professional, as underlying conditions like anemia or hormonal imbalances may need to be addressed. Your well-being is paramount, and these Ayurvedic practices should help restore balance and warmth while supporting your overall health.

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I am Dr. Hemanshu—right now a 2nd year MD scholar in Shalya Tantra, which basically means I’m training deep into the surgical side of Ayurveda. Not just cutting and stitching, btw, but the whole spectrum of para-surgical tools like Agnikarma, Viddhakarma, and Kshara Karma... these aren’t just traditional, they’re super precise when done right. I’m not saying I know everything yet (still learning every day honestly), but I do have solid exposure in handling chronic pain issues, muscle-joint disorders, and anorectal conditions like piles, fissures, fistulas—especially where modern treatments fall short or the patient’s tired of going through loops. During clinical rounds, I’ve seen how even simple Kshara application or well-timed Agnikarma can ease stuff like tennis elbow or planter fasciatis, fast. But more than the technique, I feel the key is figuring what matches the patient’s constitution n lifestyle... like one-size-never-fits-all here. I try to go beyond the complaint—looking into their ahar, sleep, stress levels, digestion, and just how they feel in general. That part gets missed often. I honestly believe healing isn’t just a “procedure done” kind of thing. I try not to rush—spend time on pre-procedure prep, post-care advice, what diet might help the tissue rebuild faster, whether they’re mentally up for it too. And no, I don’t ignore pathology reports either—modern diagnostic tools help me stay grounded while applying ancient methods. It’s not this vs that, it’s both, when needed. My aim, tbh, is to become the kind of Ayurvedic surgeon who doesn't just do the work but understands why that karma or technique is needed at that point in time. Every case teaches me something new, and that curiosity keeps me moving.
5
186 reviews
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
133 reviews
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
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