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How to reverse early cataracts and presbyopia
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Eye Disorders
Question #32993
122 days ago
606

How to reverse early cataracts and presbyopia - #32993

Gita

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.

Age: 62
Chronic illnesses: arthritic stiffness related pain
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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

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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

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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.

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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

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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

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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.
122 days ago
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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

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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…

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
122 days ago
5

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

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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

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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.

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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.

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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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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
734 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
1627 reviews
Dr. Gursimran Jeet Singh
I am Dr. Gursimran Jeet Singh, born and raised in Punjab where culture and traditions almost naturally guided me toward Ayurveda. From very early days I felt more drawn to natural ways of healing, and this curiosity finally led me to pursue Bachelor of Ayurvedic Medicine and Surgery (BAMS) at Shri Dhanwantry Ayurvedic College, Chandigarh—an institution known for shaping strong Ayurvedic physicians. During those years I learned not only the classical texts and treatment methods, but also how to look at health through a very practical, human lense. For the past five years I worked in clinical practice, where patients come with wide range of concerns—from chronic digestion troubles to autoimmune illness—and I try to integrate both Ayurveda and modern medical knowledge to give them the most complete care I can. Sometimes western diagnostics help me to understand the stage of disease, while Ayurveda helps me design treatment that address root cause. This bridging approach is not always easy, but I believe it’s necessary for today’s health challanges. Currently I am also pursuing higher studies in Panchakarma therapy. Panchakarma is an area I feel very strongly about—it is not just detox, it is a whole system of cleansing, rejuvenation, rebalancing, and I want to deepen my expertise here. In practice, I combine Panchakarma with lifestyle guidance, diet planning, herbal remedies, yoga and mindfulness practices depending on what a patient actually needs at that moment. No two cases are same, and Ayurveda reminds me daily that healing must be personal. My approach is always focused on root-cause management rather than temporary relief. Diet, herbs, therapeutic oils, meditation routines, and simple daily habits—they all work together when chosen rightly. Sometimes results come slow, sometimes faster, but I try to keep care sustainable and compassionate. Helping someone regain energy, sleep better, or reduce pain, that is the real achievement in my journey. And I continue learning, because Ayurveda is deep, it doesn’t finish with one degree or one training, it grow with every patient and every experiance.My specialties lie in treating a range of chronic and lifestyle-related conditions using Ayurveda’s time-tested principles, tailored to each individual’s unique constitution (Prakriti). I have significant expertise in managing digestive disorders, such as irritable bowel syndrome (IBS), acid reflux, constipation, diabetes, obesity and inflammatory bowel diseases. I also specialize in addressing stress-related and mental health conditions, including anxiety, depression, insomnia, and burnout, which are increasingly common in today’s fast-paced world. By integrating therapies like Shirodhara (oil pouring on the forehead) to calm the nervous system, Abhyanga (herbal oil massages) to balance Vata dosha, and adaptogenic herbs like Ashwagandha and Brahmi, I help patients achieve mental clarity and emotional resilience. In the field of musculoskeletal and joint health, I excel in treating conditions like arthritis (rheumatoid and osteoarthritis), back pain, sciatica, and sports injuries. Using therapies such as Kati Basti (localized oil retention on the lower back) and potent anti-inflammatory herbs like Guggulu and Shallaki, I focus on reducing inflammation, improving joint mobility, and strengthening tissues. My treatments have helped many patients, particularly those seeking non-invasive alternatives, regain mobility and reduce pain through a blend of internal medications and external therapies. Skin disorders are another key area of my practice, where I address conditions like eczema, psoriasis, acne, and pigmentation issues holistically. By focusing on blood purification and balancing Pitta dosha and detoxifying Panchakarma techniques like Raktamokshana (bloodletting). My approach targets dietary and lifestyle triggers, offering sustainable results for clients who previously relied on temporary solutions like topical steroids. My dual expertise in Ayurveda and modern medicine allows me to create integrative treatment plans that are both effective and safe. I am deeply committed to patient education, empowering individuals to embrace Ayurvedic principles for sustainable health. Through this online platform, I am excited to offer virtual consultations, making the profound benefits of Ayurveda accessible to all. Whether you seek relief from a specific condition or aim to enhance overall vitality, I look forward to guiding you on your journey to balance and well-being with compassion and expertise.
5
278 reviews
Dr. Rajan soni
I am working in Ayurveda field from some time now, started out as a general physician at Chauhan Ayurveda Hospital in Noida. That place taught me a lot—how to handle different types of patients in OPD, those daily cases like fever, digestion issues, body pain... but also chronic stuff which keeps coming back. After that I moved to Instant Aushadhalya—an online Ayurveda hospital setup. Whole different space. Consultations online ain’t easy at first—no pulse reading, no direct Nadi check—but you learn to ask the right things, look at patient’s tone, habit patterns, timing of symptoms... and yeah it actually works, sometimes even better than in person. Right now I’m working as an Ayurveda consultant at Digvijayam Clinic where I’m focusing more on individualised care. Most ppl come here with stress-related problems, digestion issues, joint pain, that kind of mix. I go by classic diagnosis principles like prakriti analysis, dosha imbalance and all, but also mix in what I learned from modern side—like understanding their lifestyle triggers, screen time, sleep cycles, food gaps n stress patterns. I don’t rush into panchakarma or heavy medicines unless it’s needed... prefer starting with simple herbs, diet change, basic daily routine correction. If things demand, then I go stepwise into Shodhan therapies. My goal is to not just “treat” but to help ppl know what’s happening in their body and why its reacting like that. That awareness kinda becomes half the cure already. Not everything is perfect. Sometimes ppl don’t follow what you say, sometimes results are slow, and yeah that gets to you. But this path feels honest. It’s slow, grounded, and meaningful.
5
30 reviews

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