HELLO V S NIKHIL BHARADWAJ,
It sounds like you're dealing with persistent discomfort in the left hypochondriac, radiating to the upper chest and arm, along with nerve like symptoms sun as tingling. you've already done a thorough investigation with various specialist, including cardiology and neurology, with no serious findings except slightly elevated homocysteine and lipid profile- which is encouraging in one sense but understandably frustrating for ongoing symptoms
In Ayurvedic terms, your condition suggests a multi-doshic imbalance, especially-
VATA VYADHI(nervous system disorder)
-vyana vata governs circulation and nerve impulses, its disturbance causes radiating pain, tingling, erratic sensations
-Apana vata affects the abdominal and lower trunk; involvement may explain discomfort in the hypochondriac.
PITTA AGGRAVATION
-burning in the chest, especially localised over the heart/chest, and stress-induced episodes, point to pitta imbalance
-emotional stress is a major factor in pitta and vata aggravation
AMA(TOXIN) ACCUMULATION
-possibly due to poor digestion, emotional blockages, and metabolic errors, leading to blocked channels
-slightly raised Homocysteine and lipids are reflective of AMA+KAPHA involvement
TREATMENT GOAL
-Pacify aggravated vata- to relieve nerve tingling , radiating pain, and stress response
-Reduce excess pitta- to calm burning sensation, emotional heat and irritation
-Eliminate toxins- to clear metabolic waste linked to homocysteine / lipids
-Nourish dhatu(tissues)- especially Majja dhatu(nervous tissue) and rasa/rakta dhatu(blood, circulation)
-Balance Agni(digestion/metabolism)- to optimise nutrient absorption and detoxification.
INTERNAL MEDICINES PLANNED FOR YOU
1)ASHWAGANDHA CHURNA- 1 tsp with warm milk, twice daily after meals for 3-6 months
=strengthens nerves, reduces anxiety, anti-inflammatory
2)BRAHMI GHRITA- 1 tsp in morning with warm water for 3 months
=nervine tonic, cognitive support
3)SARASWARISHTA- 15ml with equal water after lunch and dinner for 3-4 months
=for sleep issues, nerve calming, anxiety
4)DASHMOOLA KASHAYA- 15ml with equal water before breakfast and dinner for 2-3 months
=Deep vata pacifier, relieves chest and muscle pain
5)ARJUNARISHTA- 15ml with equal water after lunch and dinner for 3-4 months
=cardiac tonic, lipid regulator, balances pitta-vata
6)TRIPHALA GUGGULU- 2 tabs after meals, twice daily for 2-3 months
=reduces cholesterol, improves digestion and detox
7)YOGENDRA RAS- 1 tab with ghee once daily in morning for 1 month
=A rejuvinator especially for nerve and cardiac synergy
EXTERNAL THERAPY
-warm oil massage with DHANWANTARAM TAILA -daily or 3-4 times/week
=strengthen nerves, relaxes muscles, improves circulation
AYURVEDIC DIET PLAN
-GRAINS= light, warm , easy to digest
-old rice, wheat, moong dal, barley, oats(well cooked and warm no cold overnight oats)
-VEGETABLES= bottle gourd, ridge gourd, ash gourd, pumpkin, carrots, beets, green beans, cluster beans, zucchini, spinach, methi, drumsticks (all cooked , strictly no raw salad)
Cook all vegetables with ghee or sesame oil and mild spices like cumin, coriander, turmeric
-DAIRY- nourishing and grounding
Warm cows milk- preferably A2; boil with cardamom or turmeric
-Homemade ghee- 1-2 tsp/day(anti-inflammatory)
-buttermlik (thin, spiced with jeera)- improves gut health
FRUITS- sweet ripe and of room temperature
-ripe bananas, apple(boiled or stewed), papaya, pomegranate, grapes, chikoo
-avoid citrus fruits during high pitta phase
-raisins soaked overnight(5-7)- excellent for calming heart and mind
-SPICES- mild, digestive, vata-pitta friendly
cumin, coriander, fennel , turmeric , ginger(dry), cardamon
-small amount of black pepper okay; avoid chilli
-HEALTHY FATS AND OILS
cow ghee- brain and nerve nourishing
cold pressed sesame oil- grounding especially for cookking
small amount of olive oil
-HERBAL TEAS AND DECOCTION
-CCF tea-cumin+coriander+fennel
-tulsi tea
-brahmi tea or brahmi water
-ginger water(mild)- if digestion is weak and no burning
AVOID STRICTLY
-COLD AND DRY FOODS= vata aggravating
cold salads, smoothies, raw veggies
leftover refrigerated food
dry snacks like chips, popcorn, granola
SPICY,SOUR,OR FRIED FOODS- PITTA AND AMA INDUCING
pickles, vinegar, tomato ketchup
deep fried snacks, samosa, pakoras
green chillies, red chillies powder
excess garlic, onion-pitta aggravating in high amounts
COLD BEVERAGES AND DAIRY
ice water, soda, soft drinks
ice creams, cold milk
cold coffee or tea
HEAVY ANIMAL PROTIEN
red meat-heats the system and increases ama
excessive eggs- 1-2/week is fine if not vegetarian
non-fresh seafood
PROCESSED OR SYNTHETIC FOODS
biscuits, pastries, artificial sweetners
preserved or canned foods
instant noodles or packaged meals
STIMULANTS
limit tea and coffee-can aggravate vata+pitta
no energy drinks or alcohol
MEAL - HOW TO TAKE
-eat warm , freshly cooked food- never stale or reheated multiple times
-add ghee to meals to support nerve health and improve digestion
-don't eat when stressed or immediately after heavy exercise
-eat only until 75% full- do not overheat
-allow at least 3 hours between meals for proper digestion
SEASONAL MODIFICATIONS
MOONSOON- redcues ama and avoid curd= light khichdi,ginger,black pepper
WINTER- support vata, more ghee= root vegetables, sesame oil massage
SUMMER- calm pitta, hydrate more= buttermilk, coconut water, less spices
LIFESTYLE IMPROVEMENTS
-daily warm oil self massage
PRANAYAM- Brahmari, anulom-vilom
GENTLE YOGA- vajrasana, balasana, shavasana, suryanamaskar etc
SLEEP- sleep by 10 pm, avoid screens after 9 pm
TREATMENT DURATION
ACUTE PHASE- control pain, improve nerve strength= 4-6 weeks
RESTORATIVE PHASE- rebuild nerve and muscle tone= 3-6 months
PREVENTIVE PHASE- lifestyle, stress, metabolic balance= long term
your diet is your daily medicine in ayurveda.
consistency following all above advices will
-reduce nerve irritation and radiating pain
-Support emotional balance and stress resilience
-aid in correcting lipid metabolism naturally
THANK YOU
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
DR. MAITRI ACHARYA