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General Medicine
Question #31636
20 days ago
175

Unable to understand my diseases even if by my doctor - #31636

Rashmi Ranjan

I have all pitaa diseases like severe hairfall low ferritin level, non anemic iron deficiency, Vertigo, headache, acidity, indigestion, high SGOT/SGPT RATIO,LOW SERUM UREA, BUN, severe abdominal pain, psoriasis . all Pitta related issue... But I have Mand agni.. No appetite Severe drowsiness and sluginess after eating food.... My doctor suggested me virechana.... Still no result... He also unable understand what to do next.... Suggested medicine still no result....what to do suggest me it is a unique type of case according to my doctor....when he advise me medicine for enhancing digestive fire... My stomach started hurting and psoriasis started aggravating what to do... Is this or all problem due to vata unable to do anything.... Suggest me or don't have anything in ayurveda should I go for Basti... Please help me

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Doctors’ responses

Hey Kindly visit a nearby Ayurvedic physician (MD Panchkarma) as you need personal consultation.

Warm Regards, Dr. Anjali Sehrawat

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HELLO RASHMI,

I hear how much this has been weighing on you- when symptoms pile up in different directions and even your doctor feels puzzled, it can leave you feeling stuck and unseen. You’ve described a mix of strong pitta- type issues (inflammation, skin flare, acidity, liver imbalance) layered with signs of Manda agni (sluggish digestion, drowsiness after meals, low appetite), and even some Vata-like features (vertigo, variable pain). That clash itself can make standard “one-line” treatment backfire- like when your Agni-enhancing medicines aggravated your psoriasis

A few things stand out in your description -Virechana not giving releif suggest that your body may not have been ready for a strong purgative, or that underlying agni imbalance wasn’t stabilize first

-Sluggish digestion with pitta aggravation often requires gentler approaches rather than pushing agni directly

-Low ferritin and fatigue also suggest a nourishing side needs attention, not only reducing

From an Ayurvedic lens, this could be what’s called a Sama-pitta condition (pitta with ama), where stimulating fire without clearing the blockages can worsen things

You mentioned BASTI- in complex cases where pitta and vata are entangled, many physicians do turn to basti therapy because it can pacify Vata without directly flaring pitta. That said, the type of basti (anuvasana / oil based VS Niruha/decoction based) maters a lot, and it really needs a skilled practitioner;s hand

-Lighter non aggravating digestives= instead of strong ushna medicines, milder deepana like Pippali with ghee, or trikatu in very small amounts with honey-only if tolerated

-Pitta soothing diet=cooling but easy-to-digest foods (cooked gourds, rice, mung dal), avoiding oily, spicy, sour items, that aggravate both psoriasis and acidity

-Ama-clearing without harshness= mil formulation like guduchi, amla, musta, sometimes help bridge that line of pitta reduction with gentle agni support

-External support= oil massage with cooling oils (neem, coconut) for psoriasis and to stabilize vata

HOPE THIS MIGHT HELP YOU

THANK YOU

DR. MAITRI ACHARYA

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Dear Rashmi Go for complete detoxification. Please consult your nearest Panchkarma center for better management of your health issues.

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Rashmi Ranjan
Client
20 days ago

Okay thank you sir complete detoxification means which procedure sir

Rashmi Ranjan
Client
20 days ago

Okay thank you sir

Hi Rashmi this is Dr Vinayak as considering your problem…by seeing all information shared by you feels pitta and rasa dusti…no need to worry we will balance it maa…

Any how you took virechana once…

Better go with both vamana and virechana…and completly have patience to get good results…

Rx- Punarnavadi kashaya 10ml+Drakshadi kashaya 10ml mix both take with warm water after food

Amlaparimala SYP 2tsp -0-2tsp before food T sumanas 1-0-1 after food

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Hello rashmi Ranjan , I understand your situation feels very frustrating. You have many Pitta-related problems like hair fall, acidity, psoriasis, liver issues, and headaches, but at the same time, your digestion is very weak. In Ayurveda, this is a tricky combination because your Pitta is high, but your Agni (digestive fire) is low.

This means if we give strong medicines to boost digestion, it can actually make Pitta worse which is why your stomach hurts and psoriasis flares up.

Virechana (purgation) is usually used for Pitta problems, but in your case, because your digestion is weak, it didn’t work as expected. Right now, your body needs gentle, gradual care: first we support digestion slowly, calm Pitta, and strengthen Vata. Once your digestion improves, therapies like Basti (medicated enema) can be done safely, which can help your liver, skin, hair, and overall energy.

The key is slow and steady treatment strong medicines or detox too early can aggravate your stomach and skin. With proper step-by-step care, we can gradually reduce all these symptoms safely.

You are not alone, and this does not mean Ayurveda cannot help it just needs to be done in the right order and gently, keeping your weak digestion in mind.

The key here is gradual, gentle treatment: Strengthen digestion first without aggravating Pitta. Support Vata to help regulate Pitta. Then, consider Basti or mild detox to clear toxins safely.

Ama Pachana / Digestive Support (gentle, non-aggravating)

Hingvashtaka churna – ½ tsp with warm water before meals, once daily. Pippali Churna – ¼ tsp with honey at night (gentle on Pitta, stimulates digestion slowly). Triphala Churna – ½ tsp with warm water before bed (mild bowel regulation).

Internal Medicines (to balance Pitta and support Vata, 4–6 weeks)

Guduchi (Tinospora cordifolia) churna – ½ tsp twice daily with water (supports liver, reduces Pitta). Shatavari Churna – 1 tsp with warm milk at night (calms Pitta, supports digestion and immunity). Manjishtha Churna – ½ tsp with water after meals (blood purifier, helps skin/psoriasis). Brahmi Churna – ½ tsp with milk (supports nervous system, reduces vertigo, headache).

External Support

Cool oil massage (Kumkumadi Taila or Sandalwood oil) on scalp and body for Pitta calming. Lukewarm water baths; avoid hot water or sun exposure. Gentle abdominal massage with sesame oil once daily.

Lifestyle & Diet

Eat small, frequent, warm, easy-to-digest meals. Avoid spicy, oily, fried, and processed foods; reduce sour, salty items. Include cooling, bitter, astringent foods: cucumber, coriander, mint, bottle gourd, green leafy vegetables. Drink 2–2.5 L water, but avoid very cold drinks. Sleep 7–8 hours; avoid stress.

Investigations to Monitor

Liver function test (SGOT/SGPT, bilirubin, enzymes) Serum iron, ferritin, B12, folate Kidney function tests (BUN, serum urea) Vitamin D, calcium Thyroid profile Ultrasound abdomen if liver/gallbladder issues persist

Your case is unique, and strong Pitta symptoms with weak Agni need gentle, gradual treatment.

Virechana alone may aggravate your weak digestion. Basti therapy can be considered after digestion is mildly improved. Focus first on digestion support, mild detox, and Pitta-calming measures.

Avoid harsh medications or stimulants until your stomach is ready.

Warm regards, Dr. Karthika

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From the symptoms you are mentioning seems that you have very weak digestive power , until unless it is corrected whatever medicine you take , it will not give good result

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Your case is indeed complex involving a severe Pitaah imbalance, along with critically weak digestion and low digestive fire when agn is very low, strong therapy, such asvirechana or digestive stimulants, often worse symptoms rather than improve them at the body cannot handle intense pitta clearing measures The aggravation of psoriasis abdominal pain and discomfort after medication is assigned that your system is in a fragile state and vata imbalance is due to depleted energy In such situations, the focus must first be on gradual, strengthening of digestion, restoring metabolic balance and calming pitta and vata simultaneously Aggressive Pitta pacifying or detoxification procedures at this stage or likely to be counter productive, Include light or easily, digestible meals, small doses of Triphala churna-half teaspoon is enough at night Alovera juice 5 ml with water

Advanced therapy like Basti can be considered only once direction is stable, and the body is resilient enough to tolerate them If abdominal pain is persisting, it’s advisable to go for ultrasound whole abdomen

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Dr. Arshad Mohammad
I am working in the ayurvedic field since like 3 years now and honestly still feel like there's always more to learn, even after handling so many different kind of cases in both OPD and IPD settings. That mix of outdoor and indoor care changed the way I understand patients—like, not just quick consults but full-on long term treatments where u really gotta observe body patterns, reactions, progress... or even no progress, which is tricky. Sometimes even when the textbook says one thing, patients show something else entirely n you gotta adapt. I deal with a mix of things—digestive issues, skin problems, mild joint pain stuff, lifestyle triggers—and each case kinda adds a new layer to my approach. Working closely with both acute and chronic patients taught me how much small details matter, like even diet timing or mental state can flip how someone respond to a herb. It’s not about formulas—u gotta watch, tweak, rewatch. I do spend time explaining what the treatment plan actually means. Like not just “take this churnam 2 times daily” but *why* it fits their prakruti or condition. That makes ppl stick to it better, I feel. Also yeah, I’ve worked in setups where it was just me managing the flow—making clinical calls, followups, keeping records, sometimes even basic panchakarma guidance when support was limited. That kinda multitasking helped build real confidence, not the paper type but actual “you’re responsible here” type. And it shows me that patient trust comes not from using big words but from clear answers n slow steady improvements they can *feel.* Not everything works fast. But if u observe closely, listen well, and don’t rush—ayurveda does work.
19 days ago
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If complete shodana is not possible then you can take saddhyo virechan (kosthshodan) also I this you have to take 60 ml of Ghandarav hastayi taila + 100 ml of milk / shunti jal In empty stomach

After this 6,7 times motions are there , and It will detoxify your body instantly. After this start medication

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Hello Rashmi, You start with Kamdudharas moti yukta 1-0-1 after food with water. Syrup Liv-52 -DS 10ml twice daily after food with water Locally apply psorolin oil on psoriasis affected area. Punarnava mandur 1-0-1 after food with water Avoid processed fatty fast sugary street foods Do pranayam lom -vilom bhastrika bhamri kapalbhati 10 mins daily

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Your symptoms appear to be strongly linked to an imbalance in Pitta but the presence of Mand agni (weak digestive fire) and sluggishness after meals points toward Kapha involvement as well. This condition might be more complex than a straightforward Pitta or Vata imbalance, especially as you’ve not found relief after Virechana, which usually helps in pacifying excess Pitta.

A gentle approach might involve first stabilizing Mand agni before addressing the deep-seated Pitta issues fully. A supportive regimen could start with including warm, cooked, and easily digestible foods in your diet. Foods such as rice porridge (kanji), boiled vegetables, and soft cooked grains could ease digestion. Avoid cold, heavy or very oily foods that may dampen the digestive fire further.

Until your digestive fire is kindled, it’s best to avoid very pungent, sour or salty foods which can aggravate Pitta, as you’ve experienced. Opt for bitter and astringent foods - these can balance both Pitta and Kapha. Fresh turmeric in small amounts and a pinch of cumin seeds with meals could provide support. Ditch spicy and fermented foods for now.

Basti (medicated enema) could indeed be beneficial as it addresses Vata disorders and might help in establishing balance when other doshas appear resistant to treatment. Nonetheless, it should be considered under the guidance of a skilled practitioner, particularly given your unique combination of symptoms.

Consider practicing pranayama and gentle yoga postures, chosen specifically to balance Pitta and Kapha, to harmonize overall energy and digestion. Keeping stress under control is vital as stress can both dampen digestive fire and exacerbate Pitta.

Finally, monitor how your body reacts to any prescribed herbs or dietary changes, particularly if you notice immediate aggravations. Dialog with your Ayurvedic practitioner regularly to adjust your plan as your body’s needs evolve. If symptoms persist or worsen, collaboration with a medical professional specializing in Ayurveda could bring fresh insights and tailored strategies.

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It seems you’re dealing with quite a complex imbalance where both pitta and vata are aggravating, compounded by manda agni (weak digestion). While virechana (therapeutic purgation) is usually effective for pitta-related issues, your symptoms suggest a deeper disruption.

Your digestive fire, or agni, being sluggish (manda), but treatments aimed at enhancing it are causing distress. This occurs when agni imbalance irritates sensitive tissues. Your indication of low ferritin non-anemic iron deficiency along with low serum urea point toward dhatu-agni (tissue metabolism) imbalance, especially targeting the blood and muscle tissues.

Before considering basti (medicated enemas), let’s explore practical steps to soothe pitta without aggravating vata. A gentle correction might include:

1. Dietary Adjustments: Focus on a pitta-pacifying diet, avoiding heating, spicy, or oily foods. Embrace cooling, light, and easy-to-digest meals like moong dal, broken wheat porridge, and steamed vegetables.

2. Herbal Support: You might find relief with shatavari and guduchi, known for their pitta-pacifying and immunity-boosting properties. Consult your practitioner for proper doses.

3. Hydration and Teas: Keep hydrated with coconut water and try coriander seed tea, which can cool pitta while aiding mild digestive fire.

4. Gentle Routine: Aim for a routine that includes calming practices like gentle yoga or meditation to manage stress-driving vata.

Before jumping to basti therapy, it’s vital to stabilize your agni moderately. You may want to discuss these suggestions with a qualified Ayurvedic practitioner for personalized formulations and dosage. If yet unresolved, collaborating with an interdisciplinary team—connecting Ayurveda with conventional medicine for continuous monitoring of liver enzymes and overall health—could provide additional insight. Prioritize investigating any serious causes for symptoms urgently, if not already checked.

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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
57 reviews
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
128 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
268 reviews

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