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
Dear Rashmi Go for complete detoxification. Please consult your nearest Panchkarma center for better management of your health issues.
Okay thank you sir complete detoxification means which procedure sir
Full Panchkarma includes Vaman Virechan Basti Raktamokshan Nasya
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
If possible do panchakarma therapy in nearby ayurvedic centre.
1. Draksharishtam 15ml just after food. 2. Mandooravatakam 1 at lunch with buttermilk. 3. Avipathy choornam 1/2 tsp with ghee at night.
Took these medicines for 2 weeks and follow up. If the symptoms subside continue 1 month and follow up.
Take care, Dr. Shaniba
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
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
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
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
You should go for panchkarma. 1.Vamana 2.Virechna 3.Basti.
And Raktamokshana.
Please visit panchkarma centre for the same.
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
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.
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.
