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

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

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

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

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.

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

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.