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Endocrinological Disorders
Question #26237
143 days ago
392

How to reduce hot flashes and sleep more during the night. - #26237

Juliette

Because of menaupose I cannot have a complete night of sleep. I always wake up around 3 or 4 in the morning. And because of hot flashes too I wake up during the night. I also gained some weight around my belly. I used to intermittent fasting but lately I have headache when I fast more than 12 hours

Age: 52
Chronic illnesses: High blood pressure
PAID
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Doctors' responses

Don’t worry dear, You’ll definitely get relief 😌 Start taking1.Saraswatarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 2.shatavari choorna 1tsf with lukewarm milk twice in a day. 3.Ashwagandha choorna 1tsf with lukewarm milk twice in a day. 4.Brahmi ghrita 1tsf with lukewarm milk at bed time. 5.Neem tab.2-0-2 **Daily drink water of soaked coriander seeds (overnight)in the morning… **Daily Massage your full body with CHANDANAADI OIL. **Avoid excessive spicy, sour food,sesame seeds,curd etc. **Drink coconut water… Follow up after 45 days.

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Take Cap Evanova 1-0-1 after food with water Brahmi vati 1-0-1 with water after food. Avipattikar tablet 1-0-1 after food with water Do pranayam lom -vilom bhastrika kapalbhati brahmri daily 5-10 minutes twice. Learn Rajyoga meditation and practice daily.

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Menopausal symptoms like hot flashes and disrupted sleep often indicate an imbalance in Pitta dosha coupled with Vata disturbance. Implementing specific Ayurvedic strategies can help in restoring balance and improving your sleep. First, let’s address the hot flashes and sleep issues. Try consuming cooling foods and herbs, like aloe vera juice or coriander tea, which pacify Pitta. Drinking a glass of cold cow’s milk with a pinch of cardamom before bedtime can also soothe the mind and body, easing your way into sleep. Ensure your bedroom environment is calm, with cooler temperatures, to alleviate hot flashes.

For establishing a good sleep routine, practice Abhyanga—an oil massage with coconut or sesame oil—before showering to stimulate circulation and relax your nervous system. Additionally, taking Shatavari powder can support hormonal balance. Consume 1 teaspoon in warm milk daily. Practicing Nidra Yoga, a specific form of guided meditation, may also aid deeper relaxation and uninterrupted sleep.

Now, regarding dietary habits and weight around the belly, its crucial to eat grounding and nourishing meals. Include cooked vegetables, whole grains like quinoa and warm herbal teas. Intermitting fasting can be helpful, but listen to your body; try not extending fasts excessively until headches subside. Eat regular, smaller meals rich in fibrous content. Adding Triphala at night, taken with warm water, aids digestion and supports gentle detoxification. Always be mindful and avoid heavy, spicy, or oily foods as they might aggravate Pitta.

Remember, the integration of these practices should complement your lifestyle and you should consult with healthcare professionals, especially if symptoms persist. These recommendations require patience and consistency, offered as part of a holistic approach to well-being.

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Because of hormonal imbalance you are facing these symptoms to control your symptoms start doing yoga Start with simple Surya namaskar daily Do pranayama regularly Do dhyana these will help to overcome the sleep problems as well as help to maintain your body weight Use milk and ghee in your diet help to overcome hot flashes Do foot massage with mahanarayana taila before sleep help to improve your sleep Take tab manasamitra vati 1 bd after food Take mahatiktaka grita 1 tsp with milk If possible visit the nearby panchakarma centre and take one course of shirodhara or shirobasti

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Avoid spicy, oily and processed food. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Tab.Shatavari 2-0-2 Tab.Menosen 2-0-2 Ashokarishta 15ml twice after meal with lukewarm water

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HELLO JULIETTE,

You are in the menopausal phase, a natural biological transition that usually occurs between ages 45-55. In Ayurveda, this time of life is governed by vata dosha, but with clear signs of pitta imbalance in your case.

MAIN IMBALANCES IN YOUR CASE

HOT FLASHES= increased Pitta dosha(excess internal heat)

WAKING AT 3-4 AM= aggravated vata dosha(lightness, dryness, instability of mind)

HEADACHES DURING FASTING= vata+pitta imbalance, depleted Ojas ad unstable blood sugar

BELLY FAT INCREASE= sluggish agni(digestive fire) and increased kapha in abdominal region

HIGH BLOOD PRESSURE= pitta kapha imbalance, with tension in blood channels

TREATMENT GOALS -balances pitta to reduce heat(hot flashes, irritability) -stabilize vata to improve sleep and nervous system calmness -strengthen agni(digestion/metabolism) to reduce belly fat -protect the heart and vessels(important due to high BP) -support Ojas (vital energy), which declines during menopause -promote hormonal harmony using cooling and nourishing medications

INTERNAL MEDICATIONS

1) ASHOKARISHTA= 25ml with equal water after meals twice daily =balances female hormones, reduces hot flashes, supports uterus and hormonal axis

2) SARASWARISHTA= 15 ml with water after dinner =nerve tonic, helps with mood swings, anxiety, and improve sleep

3) PRADANTAK CHURNA= 1 tsp twice daily with lukewarm water after meals =balances hormones and control pitta and vata

4) MAHAT VIDHWANSAN RAS= 125 mg with honey in morning =deep vata pacification, used carefully to calm nerves and support sleep

5) KALYANAK GHRITA= 10 mlwith warm milk at bedtime =nourishes brain, improves sleep, memory, and calms pitta vata

6) CHANDRAPRABHA VATI= 2 tabs twice daily after meals =controls urinary issues, balances pitta reduce bloating and supports metabolism

7) ARJUNARISHTA= 20 ml with water after meals =cardiac tonic, supports blood pressure regulation and improves circulation

EXTERNAL THERAPIES these help settle vata and pitta, improves sleep and circulation

1) OIL MASSAGE= with ksheerbala taila daily =calms vata, reduces insomnia supports joint and nerve ealth

2) FOOT MASSAGE= use sesame oil for foot massage before sleeping at night =stimulates marma points, reduces waking at night

IN CLINIC GO FOR -SHIRODHARA -TAKRADHARA

YOGA ASANA(15-30 min/day) -supta baddha konasana= opens pelvic area -viparita karani= reduces stress, improves sleep -paschimottanasana= cools the system -balasana= calming, introspective -Setu Bandhasana= strengthens core and hormonal axis

Avoid intense, hot or heating postures. Focus on calming, cooling, and grounding asanas

PRANAYAM(10-15 min/day) -Nadi sodhana= balances both hemispheres of brain and doshas -Sheetali= reduces heat, pitta, and hot flashes -Bhramari= improves sleep, calms anxiety -Avoid bhastrika and kapalbhati

DIET TO FOLLOW -warm, moist, soft, lightly spiced foods -cooked vegetables- pumpkin , zucchini, spinach, beetroot -whole grains= oats, barley, rice, quinoa -healthy fats= the, olive oil, small amount of coconut oil -fruits= pomegranate, pear, figs, apple, coconut water -spices= cumin, fennel, coriander, cardamom(avoid chili)

AVOID -coffee, alcohol, black tea -fried, fermented, or spicy food -excess sour itms- yogurt, vinegar , tomato -heavy, cold, or raw foods- salads, smoothies at night

HOME REMEDIES 1) Cooling herbal infused water -boil 1 tsp fennel + 1 tsp coriander + 1 tsp cumin in 1 litre water =strain and sip throughout the day-cooling and detoxifying

2) ALOE VERA JUICE -10-15 ml with water in morning, empty stomach =clears excess pitta, hormonal support

3) POMEGRANATE PEEL TEA -boil dried peels in water and sip for reducing heat and uterine support

4) NUTMEG SLEEP MILK -warm milk+ pinch nutmeg + cardamom

5) GHEE WITH WARM WATER -1 tsp ghee in warm water in morning or bedtime= lubricates vata, aids digestion

LIFESTYLE AND BEHAVIORAL TIPS -maintain early bedtime- before 10pm -avoid screen exposure at night- blue light worsens vata and insomnia -walk daily-30 min slow paced -keep a worry journal- reduce mental overactivity -practie gratitude and calming rituals at night -prefer natural fibres for clothing , especially during hot flushes(cotton, linen)

INVESTIGATION NEEDED -CBC, ESR -fasting sugar + insulin -Thyroid profile -Lipid profile -Vitamin D, B12 -Pelvic USG -ECG or ECHO

Menopause Is not a disease- it is a natural transition . But if left unmanaged, it can cause suffering due to internal imbalances. Ayurveda dosen’t just suppress symptom like hot flashes or insomnia - it rebuilds hormonal, digestive and emotional balance.

Your healing may take 2-6 months, but with discipline and consistency, results are long lasting and profound.

DO FOLLOW CONSISTENTLY

HOPE THIS IGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
142 days ago
5

1) Shatavari leha -1tsf before food 2 times with warm milk 2) pushyanuga churna -2 gm+laghumalini vasant rasa-500mg + svarnamakshika bhasma- 100 mg+ pravala pishti-100 mg after food 2 times with water

Diet and Lifestyle

Pathya: Nutritious food, milk and ghee, carrot, wheat grass juice, soya protein, meat soup, fish, cod liver oil, seafood, green vegetables-methi,spinach, green onions, exercise, weight bearing exercise especially walking and climbing stairs.

Apathya: Kashaya, Amla, Lavana rasa, abhishyandi, Vidahi Ahara.

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Don’t worry just take Rx Punarnava tab 1-0-1 Shatavari avleh 1/2 tsf Chandraprabha Vati

Avoid spicy, oily and junk food Practice Bhramari Pranayama

985 answered questions
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Menopause brings a series of changes like hot flashes that can disrupt sleep. These symptoms are often tied to vata-pitta imbalances. Evening rituals and dietary adjustments can support both issues. Consider consuming a decoction of vetiver and sandalwood water—steeped and cooled—before bed. These herbs pacify pitta and bring cooling effects. You might also benefit from massaging your feet with Brahmi oil at bedtime to calm vata and aid in better sleep.

Hot flashes can be further addressed by incorporating shatavari into your daily regimen. It’s a cooling, nourishing herb that’s well-suited for balancing both vata and pitta. About one teaspoon of shatavari powder in warm milk can be taken, ideally in the morning. In your case, weight gain around the belly may be linked to weakened agni, which impacts metabolism. Focus on balanced meals that are warm and cooked, avoiding cold or raw foods which can aggravate vata.

Regarding intermittent fasting, it seems your agni might currently be too low to handle longer fasts. You could try a gentler approach by ensuring your meals are at regular intervals—try not to go more than 12 hours without food. Include small, digestible snacks like soaked almonds if you’re feeling hungry. If headaches persist or if the condition worsens, consider consulting a healthcare provider for further medical advice, as these symptoms should not be ignored.

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I am currently a PG 2nd yr student in the dept of Shalakya Tantra at Parul Institute of Ayurveda and Research, batch 2024. I joined right after UG—no break—straight into PG (regular batch). I did my undergrad from Rajiv Gandhi Ayurveda Medical College (2017 batch, CCRAS syllabus under Pondicherry Univ). Somehow managed to secure 2nd rank university-wide back then, which I didn’t totally expect. Right now, my core interest lies in the Ayurvedic and integrative management of eye disorders. I’ve got decent exposure to both classical texts and clinical practice. From anatomy to pathology, I try to stay grounded in both the traditional Ayurvedic view and also the modern opthalmic understanding, especially with conditions related to the cornea, retina, and anterior segment. During PG deputation in 2nd year, I handled like 200+ OPD patients daily within 1–2 hrs (felt crazy at first but got used to the pace). I’m also trained hands-on in cataract and cornea surgeries under supervision. Not calling myself a surgeon yet, but I did get a good amout of surgical exposure in the PG postings. In terms of academics, I got 82% in the first-year PG exams—distinction score—secured department 1st and university topper at Parul Institute. Sometimes I do wonder if all this speed actually lets me go deep into each case but I’m learning to balance efficiency with proper patient care. Honestly I think that’s the biggest challenge in clinical ayurveda today—staying rooted in shastra while also being practically useful in today's overloaded OPDs. Anyway, still got a lot to learn, but I try to show up with clarity, humility and the will to keep improving every day.
5
230 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
85 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
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