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Gynecology and Obstetrics
Question #31508
82 days ago
377

Pain in lower abdomen and groin area - #31508

Swati Bhatia

Sometimes needling pain in lower abdomen, joint hip area, pain in groin area of vaginas, discomfort in vagina. I have a cyst in kidney, liver, ovaries and fibroid. Frequent constipated and since 2..3 months black marks on neck are seen

Age: 37
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Hi Swati this is Dr Vinayak as considering your problem… Can you please share all your reports As your having too many issues… Kindly let me know what is proper diagnosis then only proced with treatment…

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HELLO SWATI,

You are having -Pain in lower abdomen, hip joint, and groin-> main due to vata dosha imbalance (dryness, irregular movement, nerve irritation) -Fibroid in uterus and ovarian/kidney/liver cysts-> these are Kapha dosha growths (blockage, stagnation, excess tissue formation) -Consitpation= due to vata imbalance and weak digestion -Black marks on neck-> could be related to insulin resistance or hormonal imbalance, in Ayurveda linked to kapha and Ama (toxins) accumulation

So, Ayurveda sees this as a kapha-vata disorder with Ama and hormonal imbalance

TREATMENT GOALS -reduce pain balance vata -shrink/control fibroid and cyst -improve digestion and remove toxins-> so body doesn’t produce new cysts/fibroids -regulate hormones and metabolism- control pigmentation , balance periods -rejuvination-> prevent recurrence, improve fertility, energy , and general health

INTERNAL MEDICATIONS

1) KANCHANAR GUGGULU= 2 tabs twice daily after meals with warm water -dissolves fibroids, cysts, and unwanted growths

2) VARUNADI KASHAYA= 15ml with equal water twice daily before meals =works on urinary system, ovarian cysts, and kapha disorders

3) ASHOKARISHTA= 20 ml with equal water after meals twice daily -=balances female hormones, relieves vaginal discomfort and groin pain

4) TRIPHALA CHURNA= 1 tsp at bedtime with warm water =relieves constipation, detoxifies body , prevents ama formation

5) PUNARNAVA MANDOOR= 1 tab twice daily after meals =improves liver and kidney function, reduces sweeling, helps in metabolism

6) HARIDRA KHANDA + AMLA POWDER= 1/2 tsp each daily =for pigmentation skin clarity and sugar balance

DIET -light, warm, cooked fod -whole grains, red rice , barley, millet, quinoa -green vegetables= bottle gourd, ridge gourd, drumstick, bitter gourd -moong dal, lentils -spices= turmeric, ginger, cumin ,coriander, fenugrrek , cinnamon -warm water or cumin-coriander- fennel seed water

AVOID -excess dairy especially curd at night, cheese, panner -fried/oily, fast food, refined flour, sugar, bakery, items -cold drinks, refrigerated food -red meat, heavy non veg

LIFESTYLE CHANGES -Sleep= early to bed, early to rise. avoid late nights -Hydration= warm water, avoid ice cold drinks -Routine= regular meals, regular bowel habits -Stress management= meditation, journaling, listening to calming music -avoid siting long hours= take short walks

YOGA ASANAS -supta baddha konasana= relaxes pelvis, improves blood flow -setu bandhasana= strengthens pelvic organs -malasana= improves digestion, relieves constipation -pawanmuktasana= reduces bloating, eases pain

PRANAYAM -Anulom vilom= balances hormones -bhramari= calms stress, reduces pain perception -kapalbhati= helps metabolism and insulin resistance

HOME REMEDIES -warm water with 1/2 tsp turmeric + pinch of black Pepper daily -soak fenugrrek seeds overnight -> drink water and chew seeds in morning -aloe vera pulp + turmeric small mix daily -apply neem+ turmeric paste on black neck marks

-Your condition is chronic but manageable with proper ayurvedic and lifestyle management -The main focus is removing toxins , balancing kapha and vata, supporting digestion, and correcting metabolism -Ayurvedic medicines will help shrink fibroids/cysts, relieve pain, regulate hormones, and improve overall energy -yoga, diet, and lifestyle changes are equally important as medicines

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
82 days ago
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HELLO SAPNA JI, AS YOU HAVE MULTIPLE HEALTH PROBLEMS, PLEASE BOOK PERESONAL CONSULTATION TO SHARE REPORTS, GE TREATMENT PLAN AND REGULAR FOLLOW UP.

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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.
82 days ago
5

​Based on the symptoms you’ve described, an Ayurvedic perspective would likely focus on balancing the body’s fundamental energies, or doshas, to address the root cause of these issues.

Your symptoms—including cysts, fibroids, constipation, and the darkening of the neck—suggest an imbalance of Kapha and Vata doshas.

​Ayurvedic Analysis of Your Symptoms

​Cysts and Fibroids (Kidney, Liver, Ovaries): In Ayurveda, these growths are considered a manifestation of a Kapha imbalance. Kapha is associated with earth and water elements and governs body structure, lubrication, and growth. An excess of Kapha can lead to the formation of tumors, cysts, and fibroids due to stagnation and the accumulation of toxins.

​Needling Pain (Lower Abdomen, Joint Hip, Groin): This type of sharp, pricking pain is a classic symptom of a Vata imbalance. Vata, associated with air and space elements, governs movement in the body, including nerve impulses and circulation. When Vata is aggravated, it can cause pain, dryness, and irregular bodily functions.

​Frequent Constipation: Constipation is another key sign of Vata imbalance. Vata’s dry and mobile nature can disrupt the proper movement of the colon, leading to dryness and difficulty in passing stool. ​Black Marks on the Neck

(Hyperpigmentation): In Ayurveda, this condition, often referred to as Griva Varna Vikara, can be linked to a deep-seated Kapha and Pitta imbalance. It’s often associated with sluggish metabolism and can be a sign of insulin resistance, which is closely related to metabolic disorders.

​Ayurvedic Recommendations ​An Ayurvedic practitioner would recommend a holistic approach focused on diet, lifestyle, and herbal remedies to restore balance. The goal is to pacify both Kapha and Vata while simultaneously cleansing the body of accumulated toxins.

​Dietary Guidelines ​Pacify Kapha: Avoid heavy, oily, sweet, and cold foods. Favor warm, light, and dry foods. Incorporate spices like ginger, black pepper, and turmeric to improve digestion and metabolism. ​Pacify Vata: Avoid dry, cold, and raw foods. Eat warm, well-cooked, and nourishing meals. Use healthy fats like ghee (clarified butter) to lubricate the system. ​Lifestyle Changes ​Regular Exercise: Gentle, consistent exercise, particularly yoga, can help improve circulation and reduce Kapha stagnation. ​Stress Management: Practice meditation and pranayama (breathing exercises) to calm the nervous system and balance Vata. ​Regular Routine: Maintain a consistent daily routine for meals, sleep, and exercise to stabilize Vata.

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hello swati bhatia ,

You are experiencing lower abdominal and hip pain, groin discomfort, and vaginal discomfort, along with a history of cysts in the kidney, liver, ovaries, and a fibroid. Frequent constipation and black marks on the neck suggest digestive and hormonal imbalance, leading to accumulation of toxins (Ama) and sluggish metabolism. This is why you feel heaviness, pain, and discomfort.

Ayurvedic Management:

1. Ama Pachana (First 5–7 days) Trikatu Churna – 1 teaspoon, twice daily before meals with warm water. Chitrakadi Vati – 1 tablet, twice daily before meals.

2. Internal Medicines (From day 6–7 onwards, for 4–6 weeks)

Kanchanara Guggulu – 2 tablets, twice daily after meals. Gokshuradi Guggulu – 1 tablet, twice daily after meals. Punarnavadi Kashayam – 30 ml, twice daily before meals.

Investigations :

Ultrasound abdomen and pelvis (to monitor cysts and fibroid). Liver and kidney function tests. Blood sugar, lipid profile, and hormonal panel if indicated. Routine complete blood count and urine examination. These steps will reduce Ama, improve digestion, relieve pain, and help manage cysts/fibroid naturally.

Warm regards, Dr. Karthika

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Your symptoms are suggestive of hormonal imbalance with possible, metabolic sluggishness, and tissue information due to Sis fibroid untested irregularities For relief take Asoka arista 4 tsp with water after meals Triphala churna 1 teaspoon at bedtime Kanchanar guggulu- 1 tab two times a day Shatavari churna -1/2 tsp after food with warm milk

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1.Triphala churna 1 tsp with warm water at bedtime 2.Kanchanar guggulu 2 tab twice daily with water after meals 3.Ashokarishta 20 ml with 20 ml water twice daily after meals 4.Shatavri churna 1 tsp twice daily with warm milk 4.Kumkumadui oil-apply 3-4 drops on the pigmented area followed by a gentle massage and leave it overnight

Lifestyle & Diet Tips - Avoid dairy, sugar, and fried foods: These aggravate Kapha and promote cyst growth. - Favor warm, cooked meals: Include turmeric, ginger, cumin, and bottle gourd. - Daily movement: Gentle yoga, especially pelvic-opening poses like Baddha Konasana and Malasana. - Pranayama: Practice Anulom Vilom and Bhramari for hormonal balance and stress relief.

For best results visit a nearby Ayurvedic Gynaecologist for personal consultation and panchkarma procedures

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Kanchanar guggulu Strirasayana vati- one tablet each Twice daily after food with warm water Dashamoola aristha-4 teaspoon with equal quantity of water twice daily after food Triphala churna-1 teaspoon with warm water at night

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You need to get USG - Full abdomen done, report to be shared here. For cyst you start with Kanchanar guggul 1-0-1 Vriddhivadhika vati 1-0-1 Both after food with water. Take arand brisht haritaki 0-0-2 at bedtime with warm water, will help relieve constipation. Apply kumkumadi oil on neck at night, and Aloe vera gel during the day. Follow up after 2 weeks.

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The symptoms you’re describing, including lower abdominal and groin discomfort, could be associated with the cysts and fibroid you’ve mentioned. In Ayurveda, such issues often correlate with an imbalance in the doshas, possibly a Vata and Pitta prakruti, affecting the reproductive and urinary systems. To address constipation and pain, enhancing Agni (digestive fire) is crucial.

Start by incorporating warm, easy-to-digest foods into your diet, such as kitchari (a mix of rice and mung dal), and avoid cold or raw foods which can aggravate Vata. Include ginger tea, sip on it throughout the day as it can help improve digestion and reduce abdominal discomfort. Also, a teaspoon of castor oil at bedtime for a few days might help relieve constipation, but observe how your body responds.

For the cysts and fibroid, lifestyle changes like ensuring regular physical activity, perhaps light yoga can help balance Vata and Pitta doshas. Practicing asanas like Vajrasana (after meals) and Supta Baddha Konasana may aid in alleviating discomfort in the pelvic region.

Avoid overly spiced, salty, or refined foods—these may further provoke Pitta dosha. Drink plenty of warm water throughout the day and consider Triphala churna at night to support bowel regularity.

Regarding the black marks, they might indicate an underlying imbalance. Eating antioxidant-rich foods, like amla or consuming mixed fruit juices, can support bodily detoxification.

Experiencing these kinds of pain, especially related to internal cysts and fibroids, necessitates periodic medical supervision. Working alongside Ayurvedic care with regular check-ups, particularly if symptoms persist or worsen, would be prudent. If pain becomes intense or if new symptoms arise, seeking immediate medical advice is essential for your overall well-being.

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Lower abdominal and groin discomfort alongside cysts in the kidneys, liver, ovaries, and fibroids could indicate an imbalance in the body that needs addressing holistically. This pain and the appearance of black marks on the neck suggest a possible Kapha and Pitta aggravation. Cyst formation often links with excess Kapha, leading to congestion and stagnation in tissue systems like the meda dhatu (fat tissues). These conditions are connected to digestive and liver issues as well.

Start by focusing on your diet and digestion to balance Pitta and Kapha. Avoid heavy, greasy, and overly sweet or salty foods that can exacerbate Kapha. Incorporate more bitter, astringent, and pungent tastes—like leafy vegetables, spices such as turmeric and ginger—to promote digestive fire and clearance of excess Kapha. Drinking warm water with a slice of lemon upon waking can aid digestion and improve metabolism.

Triphala churna is beneficial for supporting bowel regularity and gentle detoxification. Take a teaspoon with warm water before bed to assist with constipation. Maintain regular meals at consistent times to support agni (digestive fire).

Additionally, mild yoga and simple stretching can enhance circulation and ease joint discomfort, especially around the hip area. Nadi shodhana (alternate nostril breathing) can help balance energy channels, reduce stress, and support overall vitality.

For the cysts and fibroids, consulting with an Ayurvedic practitioner for personalized herbal formulations is recommended, as they’ll tailor remedies to your unique prakriti.

Given your conditions, regular follow-ups with your healthcare provider are crucial to monitor the cysts and any related complications. If the pain intensifies suddenly or if new symptoms arise, seek immediate medical attention. This balance of traditional and modern medicine will aid your path to healing.

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I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
236 reviews
Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
5
405 reviews
Dr. Manjula
I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
176 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
1266 reviews
Dr. Surya Bhagwati
I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.
5
1138 reviews

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