Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches.
With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors.
I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief.
Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
NAMASTE PURNIMA JI,
62 year old female patient with-
RA positive,
hypothyroidism,
dependent on allopathic steroids,
which cause side effects,
pain and swelling flare up immediately when medications are reduced
1)RA = AMAVATA IN AYURVEDA
AMA=undigested sticky toxins formed due to weak digestion
VATA=responsible for movement, dry, rough,and painful in imbalance
PATHOLOGY= Ama+Vata=Amavata->reaches joints->swelling, stiffness, pain
2)HYPOTHYROIDISM=low digestive fire+kapha imbalance
low digestive fire leads to low metabolism
sluggishness, weight gain,fatigue,dryness,stiffness-kapha-vata features
thus, both conditions share Agnimandya(digestive weakness)as a root.so key is to correct Digestion
Treatment should be divided in 2 phases
1)phase 1 - agnideepana +Ama pachana- for first 20 days and after that
2)phase 2- shaman aushadhi-anti-inflammatory + rejuvenating phase- for 3 months
PHASE1 -FOR 20 DAYS
1) TRIKATU CHURNA- 1/4 tsp with warm water before lunch and dinner- it improves Agni,Melts undigested toxins
2) AJAMODADI CHURNA- 1 tsp with buttermilk-after meals twice daily= reduces joint pain, gas,stiffness
3)Hingwastaka churna-1/2 tsp with warm water post meals twice daly- relieves bloating, supports digestion
ginger+tulsi+ajwain+saunf-boil and sip warm through out the day
PHASE 2- FOR 3 MONTHS START AFTER 20 DAYS OF PHASE 1
-MORNING-EMPTY STOMACH
1)MAHASUDARSHANA VATI- 1 tab -clears low grade systematic inflammation
2)YOGARAJ GUGGULU- 1 tab- strengthen joints, relieve pain
-AFTER BREAKFAST AND DINNER-
3)SIMHANADA GUGGULU- 1 tab-removes toxins from joints, reduces swelling
4)KAISHOR GUGGULU- 1 tabb- reduces inflammation, and purifies blood
5)PUNARNAVA MANDOOR- 1 tab-improves blood, reduces fluid retention and supports thyroid
*start gradually, monitor response and reduce steroids or stop taking steroids at all
*LOCAL APPLICATION-
MASSAGE WITH DHANWANTARAM TAILA-
warm oil, gently massage affected joints for 15 minutes
followed by hot fomentation using hot water bag or steam towel
LEPA(HERBAL PASTE APPLICATION-DURIG SWELLING OCCURS)
mic DASHANGA lepa churna+warm castor oil
apply to swollen joints for 20-30 min, then wash with warm water
DIET TO BE FOLLOWED STRICTLY-
-Eat,warm easy to digest freshly prepared food
support thyroid by avoiding goitrogenic foods
eat:-
GRAINS- old rice, wheat,jowar,barley
DALS- moong,massor,toor dal(well cooked with hing and jeera)
VEGETABLES- bottle gourd, ridge gourd, pumpkin, snake gourd, spinach(well cooked no raw)
FRUITS- pomegranate, papaaya,apple,figs,raisins
SPICES- ajawain,jeera,saunth,methi,haldi,hing(improve digestion and reduce swelling)
FATS- cows ghee-1 tsp/day,sesame oil for cooking
BEVERAGES- warm water, herbal tea(ginger+tulsi), coriander water in mooring
AVOID STRICTLY
HEAVLY/COLD FOOD- curd, panner,yogurt, cold milk, ice cream
VEGETABLES- brinjal,tomato, potato,capsicum
PULSES- rajma, chana, urad dal
FERMENTED-dhokle, idli, bread,vingar, cheese
RAW FOOD-salads, sprouts, fruits with high water content like watermelon
GOITROGENS- soy,broccoli,cauliflower, cabbage strictly avoid
*YOGA AND LIFESTYLE-
GENTLE MORNING ROUTINE- 30 MIN
joint movements-neck, wrist,ankle rotation
TADASANA- stretches spine
Bhujangasana-Improves back flexibility
Ardha matsyendrasana- spine twist, helps digestion
Setu Bandhasana - gentle backbend
Makarasana and shavasana- relax joints and body
PRANAYAM-10-15 MIN
anulom-vilom- 5-10 min
ujjai-3 min
bhramari- 5 min
avoid. kaplbhati or strong pranayam during flare up
wake up early by 7am
warm water sip throughout the day
meal timing- fixed hours, no overeating
avoid- daytime sleep, cold exposure,night vigils,sudden movements
CASTOR OIL PURGE- once every 15 days. 1 tsp castor oil in warm milk at bedtime to reduce toxins
IF FEASIBLE CAN GO FOR PANCHAKARMA PROCEDURE TO GET INSTANT RELIEF-
WHEN CONDITION IS STABLE AND THERE IS NO ACUTE PAIN EPISODE THEN ONLY GO FOR
RUKSHA UDWARTANA
SWEDANA
KATI BASTI/JANU BASTI
VIIRECHANA
BASTI-ANUVASANA +NIRUHA
advice-
regular blood test - ESR,CRP,RA FACTOR,TSH EVERY 2-3 MONTHS
STERIODS SHOULD STOP COMPLETELY
IMPROVEMENT SIGNS- BETTER DIGESTION,REDUCED JOINT STIFFNESS IN MORNING,REDUCED ESR/CRP
key principle of treatment is-
Ama pachana is first priority-correct digestion
do follow for 3 months and see results
thank you