Considering that all your tests have returned normal and you have been experiencing severe pain for some time, let’s assess the Ayurvedic perspective here. Panchkola churna is generally useful for balancing Vata and Kapha doshas and enhancing digestive fire but it might not be directly causing your symptoms. However, if your body is not responding well to it, it’s wise to temporarily stop using it and observe any changes in your condition.
The symptoms you describe suggest that there may be an imbalance in the Vata dosha, as it often manifests with pain and discomfort, particularly in the lower abdomen and back. In addition, there might be an issue with Agni, your digestive fire, which could be contributing to your discomfort.
First, I’d recommend focusing on a Vata-pacifying diet and lifestyle. This includes:
1. Eating warm, cooked foods devoid of excessive spices or oil. Include foods like rice, mung dal, and cooked vegetables, and avoid raw food, cold drinks, and dry or hard foods.
2. Consuming warm herbal teas made from ginger, fennel, and cumin to aid digestion and relieve pain.
3. Applying warm sesame oil to your lower abdomen and back, followed by gentle massage. This can help in unblocking energy channels and alleviating pain.
Regarding virechana, it’s generally used for deep pitta imbalances and involves purgation. It’s not immediately recommended without assessing your overall health and dosha balance thoroughly. Consult your doctor or a qualified Ayurvedic practitioner before proceeding with any Panchakarma treatments like virechana.
If pain persists or worsens, it’s crucial to seek further medical evaluation to rule out any underlying conditions that might have been missed. Chronic, unexplained pain should not go uninvestigated, especially when it challenges daily life.



