How to reverse early cataracts and presbyopia - #32993
I am a 62/F, pitta-vata prakruti, 58kg, 170cm, vegetarian - no eggs, minimal dairy, with a history of optic neuritis twice in my early 40s, longstanding mild anaemia, a high cholesterol tendency, stiffness in knees getting worse post menopause, with gouty tendency in fingers. Arthritic issues exacerbate with sour/salty foods. I am not on any allopathic medication.
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Doctors’ responses
Hello Gita I can understand your concern regarding Eye problems associated with arthritis, gouty tendency. But dont worry we are here to help you out😊
✅ AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1 Triphala Ghrita – 1 tsp at night with warm water/milk, nourishes eyes and gut.
2 Saptamrita Lauh 2-0-2 after food – for cataract & presbyopia, improves eye tissue health.
3 Punarnavadi Mandura 1-0-1 after food – for anaemia and high cholesterol tendency.
4Kaishore Guggulu 1-0-1 after food – helps joint stiffness + uric acid/gout tendency.
✅EXTERNAL EYE THERPIES
1 Netra Tarpana (therapeutic ghee pooling over eyes) with Triphala Ghrita – highly effective for cataracts and presbyopia (to be done in nearby panchakarma center )
2 Nasya Therapy – 2 drops of warm Anu Taila in each nostril in the morning to improve eye, nose, and head circulation.
✅HOME REMEDIES AND LIFESTYLE
Wash eyes twice daily with Triphala decoction water (strain well, use lukewarm).
Amla (Indian gooseberry) – fresh juice or powder daily, rich in Vitamin C, slows cataract.
Include carrots, beets, spinach, drumstick leaves, pumpkin, and almonds in diet – natural eye strengtheners.
Use pure cow’s ghee in food – nourishes eyes and joints.
Practice palming, blinking, near-far focus exercises for presbyopia.
Regular oil massage (Abhyanga) with sesame oil – balances Vata, helps stiffness.
Early bedtime, reduce screen glare, use protective glasses in sunlight.
✅ DIET MODIFICATION
Avoid excessive sour, salty, and fermented foods (they worsen arthritis + Pitta aggravation).
Prefer warm, light, easily digestible meals – moong dal, rice, leafy greens.
Reduce red chili, fried, and junk foods (oxidative stress increases cataract).
With consistent care, you can slow cataract growth, improve near vision strength, and also support joint and metabolic health naturally.
Wishing you a Good health😊
Warm Regards Dr Snehal Vidhate
Hi gita this is Dr Vinayak as considering your problem… As you have too many problems since many days it can’t be cured immediately…and you have lot of patience to get results…
Rx-for cataract best is Anjana procedure So do consult your shalakya specialist near by ayurvedic hospital
Start with Triphala grith 2tsp twice daily before food with warm milk Rub triphala grith on both soles at night Saptamritlauh 1-0-1 after food with water Visit nearby ayurvedic centre and consult ayurvedic physician for netra Tarpan.
Avoid sour and salty foods.
1. Triphala ghrita 1/2 tsp mixed with 1/2 tsp Triphala choornam + honey - twice daily after food. 2. Sapthamritha lauha 2-0-2 after food. 3. Ophthacare drops 1 drop thrice daily. 4. Triphala kashaya seka - Put 1 spoon choornam in 200 ml water and boil till it becomes half, let it cools down and you can pour it over closed eyes.
For knee stiffness and other complaints, 1. Punarnavadi kashayam 15 ml + 45 ml lukewarm water twice daily before food. 2. Kottamchukkadi choornam mixed with dhanyamla lepa for 20 minutes and wash off with warm water. ( For 1 week). 3. Then start tailam application with kottamchukkadi and observe if the pain is increasing or decreasing. If the pain increases by tailam application, continue lepana with choornam for 1 week and then tailam.
Is there any confusion in treatments you can contact me.
Take care, Dr. Shaniba
Your knee stiffness and Goreti tendency after menopause point towards aggravated VATA and mild ama accumulation worsened by sour/ salty foods Focus will be on reducing inflammation, specifying vata and improving joint strength naturally Mahayogaraja guggulu 1-0-1 Giloyghan vati 1-0-1 Kaishore guggulu 1-0-1 Punarnavadi mandoora 1-0-1 Dashamoola aristha-20-0-20 ml with water Mahanarayana taila - gentle massage over knees
For eyes
1) Tab. Makaradhwaja-1 - after food with triphala ghee 3 times
2.Ashwagnadha Churna-2gm + Saptamrita Loha-250mg Pippali Churna-500mg + Laghumalini Vasanta-500-mg- after food with milk 3 times
For arthritis
1.) Tab. Kaishora Guggulu-2 After food 3 times with kokilaksha kashaya 20 ml
2) Pinda Taila-massage
For immature cataract and vision related issues:-
Divya eyegrit gold tab=1-1 tab before meal twice daily
Nutrela sprullina tab=1-0-1 Nutrela zinc + vit c tab=1-0-1 twice daily after meal
Safed mirch powder=50gm Desi dhaga mishri =50gm… Mix and take 1/1 tsp empty stomach twice daily with water…
For arthritis:-
Maha yograj gugulu Chandrabha vati Asthiposhka tab=1-0-1 tab after meal twice daily…
AVOID sour/salry/spicy/fermented or packed food…
Do regular mild exercise and yoga=kapalbhati/BHRMARI/ANULOMAVILOM=10 min each…
Amlaki rasayana 1 tsp with warm water at morning Mahatriphaladi gritha -1 teaspoon with warm water at morning Divya dristhi -one drop in each once daily
HELLO GITA,
-PRESBYOPIA= (age-related decline in near vision) corresponds to Timira in Ayurveda, caused mainly by Vata aggravation with age
-CATARACT (early lens opacity) is correlated with kacha/Linganasa stages, usually from vata-pitta vitiation leading to dhatu kshaya (tissue depletion) and accumulation of Ama at the Netra mandala
-PREDISPOSING FACTORS IN YOU : -Vata increase post menopause-> dryness, stiffness, presbyopia -Pitta involvement-> early degeneration, optic nerve history, cholesterol/lipid derangements -Ama + rakta involvement-> gout tendency, joint stiffness, cataract progression.
MANAGEMENT GOALS -pacify vata pitta and clear ama -strengthen Netra dhatus (eye tissues, optic nerve, lens) -Support digestion and metabolism to prevent ama deposition -Nourish joints and prevent uric acid aggravation
1) DIET -warm, freshly cooked, light to digest food -Ghee- small amounts, esp.medicated ghee like Mahatriphala ghrita -Moong dal, barley, red rice, seasonal vegetables well cooked -Amla, pomegranate, coriander, fennel, turmeric -Soaked raisins, dates in moderation (for anemia)
AVOID -sour, fermented food -pickles, curd at night, vinegar-> aggravates joints and eye problems -Excess salt, fried, oily food, refined suagr-> worsens pitta/vata + cholestrol -Heavy pulses like chana, rajma, urad (gas forming) -Cold and stale food
2) LIFESTYLE -Regular gentle yoga= Trakata Kriya (with candle or black dot= 1-2 min only) -Netra vyayama (palming, eye rotations), -Pranayam (Anulom vilom, Bhramari, Shetali for pitta -Oil massage= warm sesame oil with a pinch of turmeric for knees/fingers -Sleep= ensure 7 hours, avoid late nights (vata-pitta gets deranged) -Protect eyes from strong sunlight, wind, and excessive screen use
3) INTERNAL MEDICINES
-MAHATRIPHALA GHRITA= 1 tsp with warm milk at night =excellent for eyes + constipation + vata pitta balance
-SAPTAMRITA LOHA= 2 tabs in morning with ghee =for eyes, anemia, vata pita pacification
-PUNARNAVA MANDUR= 1 tab twice daily after meals =for anemia + mild water retention + cholestrol balance
-YOGARAJ GUGGULU= 2 tabs twice daily after meals =for arthritic stiffness + uric acid tendency
-AMALAKI RASAYANA= 1 tsp in morning =daily for eyes, pitta balance and anti ageing
LOCAL EYE THERAPIES (usually done at Ayurvedic clinic) -Netra Tarpana with Jivantyadi ghrita= deeply nourishing for early cataract and presbyopia -Anjana (collyrium)- mild triphala collyrium or Sauviranjana application weekly -Nasya= Anu taila 2 drops each nostril daily morning= clears channels, benefits eyes and joints
HOME REMEDIES -Triphala churna tea= soaked overnight wash eyes with filtrate In morning -Fresh amla juice 20 ml with honey In morning drink empty stomach -1 Tsp turmeric + ghee in warm water daily to pacify inflammation
PROGNOSIS -Presbyopia cannot be reversed fully but progression can be slowed, and accommodative powder improved with regular eye therapy and rejuvination -Early cataract= Ayurveda has documented success in slowing/reversing initial stages with ghee based therapies, Netra Tarpana, and internal support. consistency is key (3-6 months minimum)
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
1.Triphala ghrita 1 tsp twice daily with warm milk or water before meals 2.Punaranava mandoor 2 tab twice daily after meals with water’ 3.Kaishore guggulu 2 tab twice daily after meals with water 4.Arjunarishta 20 ml with 20 ml water twice daily after meals
✅ Supportive Practices - Warm oil massage with Mahanarayan Taila or Dhanwantharam Taila—especially knees and fingers. - Gentle yoga: Focus on joint mobility, spine elongation, and breath-led movement. - Pranayama: Anulom Vilom and Bhramari to calm Vata and Pitta. ❌ Avoid - Sour fruits (especially citrus), fermented foods, and excess salt. - Cold, raw, or dry foods—favor warm, spiced, and cooked meals. - Overexertion or fasting, which aggravates Vata and weakens tissues.
1)Elaneer kuzhampu application over everlid margin both eyes 2)Saptamrutha logam 2-0-2 B/F 3)Punarnavadi kashayam 15 ml morning B/F Netra Tarpana procedure advised with traiphala bhrta if possible from nearby ayurvedic hospital
For your early cataracts and presbyopia, or age-related vision changes, Ayurveda suggests a holistic approach that targets the root imbalances. Being Pitta-Vata dominant, your eye conditions may be linked to imbalances in these doshas. Time to focus on cooling, nourishing, and grounding practices.
Start with your diet, important for maintaining balance. Ensure you consume ghee regularly, known in Ayurveda for eye health and calming vata. Preferably take a teaspoon in warm water every morning. Also, your meals should include plenty of leafy greens, like spinach or kale, as these are high in lutein, beneficial for vision. Avoid excessive sour and salty items, aligning with your observation, as these can aggravate Pitta and Vata imbalances.
An excellent herbal remedy involves Triphala. Take Triphala powder nightly, mixed in warm water, to regulate your digestive fire, maintain bowel regularity — essential for eye health, and reduce inflammation. You could further enhance this by using Triphala eye wash: steep a teaspoon of Triphala powder in water overnight, strain it, and use the liquid to rinse your eyes in morning. This may help with the early stages of cataract and eye strain.
For the anaemia, amla (Indian gooseberry) can be beneficial due to its high Vitamin C content, it enhances iron absorption. You might consider consuming amla juice first thing in the morning. This not only supports your vision but works on your long-standing anaemia.
Seeking out physical therapies like Netra Tarpana (eye ghee bath) under a qualified Ayurvedic practitioner might prove potentially helpful for strengthening the eyes and addressing dryness and strain.
Finally, practice daily gentle yoga, focusing on asanas that include headstands, shoulder stands, or simply legs-up-the-wall pose if more doable. This enhances circulation to the head region and potentially supports eye health. For stress and better sleep which often have critical impact on eye health, consider meditation or pranayama techniques like Nadi Shodhana.
Keep close track of your body’s response to these strategies, and adjust as needed. Of course, it’s pivotal to have regular follow-ups with your eye doctor to monitor your eye health, since cataracts may require surgical intervention if they progress.
Based on your detailed history, let’s explore the situation. Your early cataracts and presbyopia relate to both vata and pitta imbalances, considering your prakriti. These eye issues often stem from vata drying tissues and pitta causing inflammation and heat, affecting ocular functions. We’ll aim to balance both doshas while enhancing ojas, which is vital energy crucial for eye health.
Start with dietary adjustments. Avoid overly sour, salty, or pungent foods as they aggravate vata and pitta. Favor sweet, mild, and cooling foods, which soothe these doshas. Include foods like ghee, freshly cooked greens, mung beans, and whole grains such as quinoa and boiled rice. Almonds and soaked dates can enrich your diet with essential nutrients. Use turmeric and coriander, both help alleviate pitta inflammation and balance vata.
Incorporate Triphala in your routine, known for its rejuvenating effects on the eyes. Take half a teaspoon of Triphala powder with warm water before bedtime. Also, try plain Triphala eye washes – dissolve some Triphala in cooled, boiled water and use once it’s well settled and strained. It helps cleanse and nourish ocular tissues.
Conduct daily Abhyanga with warm sesame oil, focusing on stiff joints and fingers, enhancing blood circulation and reducing stiffness. Yoga and pranayama are beneficial too, particularly asanas like Trikonasana and Surya Namaskar, and nonspecific kapalbhati breathwork for overall balance. These aid in stabilizing vata-induced stiffness and pitta-driven inflammation.
Regarding traditional preparations, Nilavembu Kudineer, which soothes pitta and supports eye and joint health, can be tried in moderation but consult a practitioner for specific doses. Consider a comprehensive blood workup to track anemia and cholesterol – try to harmonize your culinary approach by integrating beetroot juice and amla for improving hemoglobin levels effectively and gradually.
While these guidelines provide some direction, personal follow-up with an Ayurvedic practitioner is vital for precise modulation tailored to your body’s specific needs and responses.

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