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General Medicine
Question #36253
20 days ago
155

I am suffering from azoospermia Nil spem can reco - #36253

Bhanu Sharma

I am suffering from azoospermia Nil spem can recover from azoospermia now what I will done I cannot understand so please help to recover from azoospermia

Age: 41
Chronic illnesses: Azoospermia Nil spem
300 INR (~3.51 USD)
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Doctors' responses

Hirak Bhasma - 300 mg Basantkusumakar Ras - 2-3 grams Sidhmakardhwaja - 2-3 grams Mix all the medicines. Prepare 30 doses from the mixture and take each dose half an hour before meals in the morning and evening with water/ honey.

Yavanamrita vati 1-0-1 Shwetha musli pak 1 tsp at morning with warm milk Do pelvic floor exercises

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Hello Bhanu,

I can understand your concern regarding Azoospermia — that is, absence of sperm in the semen but dont worry we are here to help you out😊

✅ The treatment aims to-

👉Rejuvenate Shukra Dhatu (Spermatogenic tissue) 👉 Balance hormonal function 👉 Remove obstructions in Shukra Vaha Srotas (reproductive channels) 👉 Nourish and strengthen the entire reproductive axis (hypothalamus–pituitary–testis axis)

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

Rejuvenation & sperm production 1 Musli Pak 1 tsp twice daily with milk (Improves semen quality & count)

2 Ashwagandhadi Lehyam 1 tsp once daily with warm milk (Hormone regulation & testicular strength)

3 Shilajit capsule 1 tab twice daily (Shukra dhatu nourishment)

4 Kapikacchu choorna 1 tsp with warm milk once a day

✅PANCHAKARMA( VERY IMPORTANT❗)

👉 Shodhana (Virechana or Basti) Clears toxins from the body, improves hormone regulation

👉Matra Basti (with Bala Taila or Shukra Vardhak Taila) Improves testicular function & semen formation

👉Nasya with Shukra-Vardhak oils (e.g. Anu Taila) Stimulates pituitary and hormonal control centers

✅DIET AND LIFESTYLE MODIFICATION

✅ Include

Cow milk (preferably warm, with ghee or saffron) Ghee (1–2 tsp daily) Nuts & dry fruits – almonds, dates, walnuts (soaked) Fresh fruits – banana, pomegranate, grapes, mango Vegetables – bottle gourd, ash gourd, beetroot, drumstick Spices – Shatavari, Gokshura, Safed Musli, Cardamom

❌ Avoid

Alcohol, smoking, excessive tea/coffee Junk, processed, very spicy or fermented foods Late nights, stress, overexertion, excess heat exposure (sauna, tight clothes)

☑️YOGA AND LIFESTYLE

Asanas- Vajrasana, Sarvangasana, Matsyasana, Dhanurasana Pranayama- Anulom-Vilom, Bhramari, Sheetali (cooling breath) Meditation- Reduces cortisol (stress hormone) which suppresses testosterone. Maintain regular sleep (10 PM–6 AM).

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

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Shilajit cap 1-0-1 Ashwagandhadi lehyam 0-0-1 tsp Musli pak 1-0-0 tsp Kapikacchu churna 1/4 th tsp with warm water Do light exercise or brisk walking Do vajrasana baddhakonasana sarvangasana

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Dr. Ravi Chandra Rushi
I am currently serving as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital, Nalgonda, where I specialize in the diagnosis, treatment, and long-term management of various ano-rectal disorders. My clinical focus lies in treating conditions such as piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), rectal polyps, and pilonidal sinus using time-tested Ayurvedic approaches like Ksharasutra, Agnikarma, and other para-surgical procedures outlined in classical texts. With a deep commitment to patient care, I emphasize a holistic treatment protocol that combines precise surgical techniques with Ayurvedic formulations, dietary guidance, and lifestyle modifications to reduce recurrence and promote natural healing. I strongly believe in integrating traditional Ayurvedic wisdom with patient-centric care, which allows for better outcomes and long-lasting relief. Working at Bhrigu Maharishi Ayurvedic Hospital has provided me with the opportunity to handle a wide range of surgical and post-operative cases. My approach is rooted in classical Shalya Tantra, enhanced by modern diagnostic insights. I stay updated with advancements in Ayurvedic surgery while adhering to evidence-based practices to ensure safety and efficacy. Beyond clinical practice, I am also committed to raising awareness about Ayurvedic proctology and promoting non-invasive treatments for conditions often mismanaged or overtreated by modern surgical approaches. I strive to make Ayurvedic surgical care accessible, effective, and aligned with the needs of today’s patients, while preserving the essence of our traditional healing system. Through continuous learning and compassionate practice, I aim to offer every patient a respectful, informed, and outcome-driven experience rooted in Ayurveda.
20 days ago
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Take purnachandradayaras 1tab bd, makardwaja 1tab bd, shilapravang 1tab bd,tab 24hrs and musali pak lehhyam with milk enough

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Hello Bhanu Visit nearby ayurvedic centre and consult ayurvedic physician for viddha karma treatment Then start with Cap. Ashwashila 1-0-1 after food with water Divya youvanamrit gold 1-0-1 after food with water Follow up with sperm analysis report after 2 months

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1.Ashwagandha churna 1 tsp twice daily with warm milk after meals 2.Shukra Vallabh Ras 125 mg with honey empty stomach in the morning 3.Vrihat Vatchintamani Ras 125 mg once daily warm milk 4.Kaunch Beej Churna 1/2 tsp twice daily with warm milk after meals 5.Shilajeet tablets 2 tab at bedtime with warm milk

Lifestyle & Diet Tips - Avoid: alcohol, smoking, excessive heat exposure (sauna, tight clothing), stress, and processed foods. - Include: soaked almonds, dates, sesame seeds, cow’s ghee, milk, pomegranate, and seasonal fruits. - Practice Yoga: Sarvangasana, Bhujangasana, Shavasana, and Bhramari Pranayama. - Sleep well and maintain a regular routine.

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Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
19 days ago
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First take virechana therapy to eliminate toxins from body and prepare it to take rasayan snd vajikaran medicine. Then start with 1. Makardhwaj gulika 2BD A F 2. Phala ghrita 30ml at breakfast time 3. Cap shilajit gold 1 OD after food

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Azoospermia, or the absence of sperm in semen, can have multiple underlying causes. It’s crucial to identify the root cause before establishing a treatment plan, in Ayurveda this involves understanding your specific dosha balance, checking the condition of dhatus (body tissues) particularly the shukra dhatu, and evaluating the influence of agni (digestive fire). Begin by consulting with both an Ayurvedic physician and an allopathic doctor to pinpoint the exact cause, as azoospermia can sometimes be linked to obstruction, hormonal imbalances, or genetic factors.

From an Ayurvedic perspective, if the issue is related to shukra dhatu kshaya (weakness), specific interventions can be useful. Ashwagandha (Withania somnifera) and Shatavari (Asparagus racemosus) are known to nourish and strengthen shukra dhatu. Consider taking churna (powder) or tablets of these herbs after clearing them with your healthcare provider, preferably in regulated doses. Incorporate these herbs into your routine by mixing with warm milk, taking in the early morning or before bed, depending on tolerance.

Addressing agni (digestive fire) is also essential. Improve digestion through diet: opt for warm, easily digestible foods while avoiding excessive cold, processed, or oily options. Ginger tea and Triphala can help improve digestion—consume tea before meals and triphala at night to aid digestion and cleanse the system.

Apart from diet and herbs, lifestyle modifications support the healing process. Ensure regular exercise; not too strenuous but adequate to maintain healthy body functions. Yoga, focusing on postures like Paschimottanasana and Bhujangasana, are known for their benefits on the reproductive system; incorporate them into your daily routine.

Meditation and stress-reducing practices, like pranayama, can enhance overall well-being, as stress interacts negatively with the reproductive system. Aim for adequate rest each night, as improper sleep can imbalanced hormones, further complicating recovery from azoospermia.

It’s necessary to follow up regularly with a healthcare provider to monitor your condition and adjust treatments as necessary. Certain types of azoospermia may require surgical or medical interventions beyond lifestyle changes, so maintaining a collaborative approach to treatment is wise. Act promptly to consult professionals for personalized correspondence and to avoid unnecessary delays in care.

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Azoospermia, being the absence of sperm in the ejaculate, can often involve various underlying factors, and Ayurveda, including the Siddha tradition, can offer supportive measures though individual results may vary. Firstly, it’s important to identify whether the azoospermia is obstructive or non-obstructive, usually determined through medical assessments and might require collaboration with an allopathic practitioner for accurate diagnosis.

In the Siddha-Ayurvedic context, addressing the balance of the tridoshas (vata, pitta, kapha) is crucial. A tailored approach based on your prakriti can be beneficial. Typically, azoospermia may be linked with imbalances in the vata and pitta doshas affecting the reproductive tissue or shukra dhatu. Focus on pacifying these doshas through dietary and lifestyle changes. Incorporate sweet, cooling foods like milk, almonds, beans, and ghee which nourish the shukra dhatu.

Herbs like Ashwagandha (Withania somnifera) and Shatavari (Asparagus racemosus) are known in Ayurveda for supporting reproductive health. Take ashwagandha powder around 1 teaspoon mixed with warm milk twice daily. Shatavari can be consumed similarly, which can have a nourishing effect on the shukra dhatu. A vital addition is Gokshura (Tribulus terrestris), traditionally used to boost the reproductive system—consider taking it as a standardized extract after consulting with an ayurvedic practitioner.

Practice yoga and pranayama regularly, emphasizing poses like Bhujangasana (cobra pose) and Supta Baddha Konasana (reclining bound angle pose) to enhance circulation in the pelvic area.

Always ensure that these suggestions complement conventional treatment and do not replace necessary medical interventions. It’s advisable to consult with an experienced ayurvedic physician who can align the treatment according to your specific needs.

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HELLO BHANU,

Azoospermia means your semen has zero sperm in it.

Even though semen comes out during sex or ejaculation, it doesn’t carry sperm, which is needed to make a baby

TWO MAIN REASONS WHY THIS HAPPENS

1) BLOCKAGE ( OBSTUCTIVE AZZOSPERMIA) your body is making sperm, but there’s a blockage somewhere, so the sperm can’t come out in the semen

like a pipe is blocked- the water (sperm) is there, but can’t come out * can often be treated with surgery or sperm extraction

2) SPERM NOT BEING MADE( NON- OBSTRUCTIVE AZZOSPERMIA) this is more serious. your testicles are not making sperm properly- or not at all like a dry field- nothing is growing

* This is where Ayurvedic treatment is useful- to restart sperm production

WHY DOES THIS HAPPEN? -hormonal imbalance= low testosterone, high FSH/LH - stress, poor diet, smoking, alcohol - varicocele=veins problems is testicles - past infections or injuries - genetic issues=rare - heat on testicles= tight clothes, hot water baths, laptops on lap -long term illness or medications

GOAL OF TREATMENT the goal is to make your body start making sperm again by -making the testicles healthy - balancing hormones - improves digestion and metabolism - reducing stress and heat -giving powerful medications and rejuvination medicines that rebuild sperm

EVEN if natural pregnancy isn’t possible later, if sperm returns to even a small level, doctors can extract it and use for IVF

MINIMUM 6-12 MONTHS of continues, guided treatment- with diet, lifestyle and ayurvedic medicines will show results

IF NOT TAKEN THEN GO FOR PANCHAKARMA TREATMENT -Snehana= use medicated ghee/oils to loosen toxins - Swedana= fomentation to mobilise toxins - Virechana= removes pitta-related toxins, improves metabolism -Basti= specifically yapana basti is helpful for semen quality - Nasya= medicated nasal therapy

INTERNALLY START WITH

1) SUVARNA MALINI VASANT RAS= 125 mg once daily with honey+ghee in morning empty stomach =rejuvination, spermatogenic

2) MAKARDHWAJ VATI( PLAIN)= 1 tab once daily with milk after breakfast = boosts libido, sperm vitality

3) SHUKRA VALLAB RAS= 125 mg once daily with milk+ghee at night = supports shukra dhatu

4) VASANT KUSUMAKAR RAS= 125 mg once every 2 days with milk+ honey in evening = endocrine support, immunity

5) VRIHANI GUTIKA= 1 tab twice daily warm milk after meals =rejuvinates testicular strength

6) CHANDRAPRABHA VATI= 2 tabs twice daily warm water after meals =uroggenital detoxifier

7) AROGYAVARDHINI VATI= 2 tabs once daily with warm water after dinner =liver support, deepan pachan

8) ASHWAGANDHA AVALEHA= 1 tsp twice daily with warm milk after meals =classic vajikaran, rasayana

DIET focus= increase shukra dhatu, remove toxins, and builds Ojas

INCLUDE

MILK BASED= cow milk warm, organic, ghee 2 tsp/day

DRY FRUITS= soaked almonds, walnuts, dates, raisins

FRUITS= banana, figs, pomegranate, grapes, mango

VEGETABLES= bottle gourd, beetroot, spinach, drumstick

GRAINS= rice, wheat, barley

OTHERS= A2 cow ghee, honey in moderation, black sesame, jaggery

AVOID COMPLETELY -junk, fast food, soda -sour fermented foods= pickles, curd at night -excess tea,coffee -spicy, oily, fried food - alcohol, tobacco - late night eating

YOGA AND LIFESTYLE

MORNING ROUTINE -wake up by 6 am - drink warm water+lemon+ honey -oil massage- sesame oil on testicles, thighs, abdomen= 2-3 times/week -light walk for sun exposure 20 min

DAILY YOGA(30-40 Mins) -Sarvangasana= stimulates endocrine glands -Halasana= improves testicular circulation -Bhujangasana= stimulates pelvic organs -Vajrasana= increases pelvic blood flow - Padmasana+ bhastrika pranayam= improves energy and Ojas - Shitali and sheetakari pranayam= cools body, balances pitta -Yoga Nidra/ deep relaxation= reduces cortisol/stress hormones

AVOID= heavy gym, overheating, tight underwear

LIFESTYLE TIPS -sleep by 10pm, wake by 6 am -avoid mobile/laptop at night - wear loose cotton undergarments -avoid hot water bath on groins -limit plastic, especially in food containers

TREATMENT TIMELINES

1-2 MONTH= Shobhana (detox, panchakarma) 3-6 MONTH= rasayana therapy + yoga + diet 6-12 MONTH= continue rasayana+ monitor semen analysis 1218 MONTH= assess improvement-> prepare for conception or IVF-ICSI if needed

MONTIOR EVERY 3 MONTHS -semen analysis -FSH, LH, testosterone, prolactin - LFT, KFT

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.
5
208 reviews
Dr. Manjusha Vikrant Pate
I am practicing Ayurveda since 18+ years now, and honestly... it still surprises me how much I keep learning especially when it comes to skin and hair. My focus—if I had to sum it up—is deeply rooted in Panchakarma, but more specifically in *Upakarma* therapies. These smaller, supportive steps within the Panchakarma frame can be powerful if you adjust them exactly right to a person’s *prakriti*. That’s actually where my attention goes first—understanding their natural constitution. Because once that’s clear, everything else sort of falls in place. I work a lot with chronic and tricky skin issues like pigmentation, hair fall, premature ageing, even stubborn acne that just doesn’t respond to regular creams and pills. And no—I don’t use shortcuts. I rely on traditional protocols, yes, but also create my own Ayurvedic blends—like facemasks, oils, even hair packs. These aren’t random—they're planned, adjusted, dosha-specific, and meant to *actually* support the skin's natural cycle. I’ve spent years refining these formulations, keeping them close to classical wisdom but tweaking them slightly when needed for a person’s lifestyle or condition. Ayurvedic facials in my clinic aren't just glow-up routines. They’re built to go deep—cleanse the layers, calm pitta excess or vata dryness, stimulate sluggish kapha skin... whatever’s needed. And I find that when these treatments are given at the right time, in the right sequence—results show up clearly, not just externally but also in the way ppl feel about themselves. There's a calmness, a reset almost. I don’t push chemical-based stuff, even when patients ask for it. Instead, I educate—like how proper *abhyanga* or a dosha-correct oil can do far more than a synthetic serum. My aim is to blend the core of Ayurveda with practical, everyday guidance. I don't just want patients to come for sessions—I want them to *understand* what's going on in their skin or hair and how to maintain it naturally. Things don’t always go perfect, sometimes I still need to rethink protocols mid-way, but I guess that’s what makes the process human... and real.
5
16 reviews
Dr. Haresh Vavadiya
I am an Ayurvedic doctor currently practicing at Ayushakti Ayurveda—which honestly feels more like a learning ecosystem than just a clinic. Being here has changed the way I look at chronic conditions. You don’t just treat the label—you go after the cause, layer by layer, and that takes patience, structure, and real connection with the person sitting in front of you. Ayushakti has been around 33+ years, with global reach and seriously refined clinical systems. That means I get to work with protocols that are both deeply rooted in traditional Ayurveda and also super practical for today’s world. Whether I’m managing arthritis, asthma, skin issues like eczema or psoriasis, hormone trouble, gut problems, or stress overload—my first step is always a deep analysis. Prakriti, doshas, ahar-vihar, past treatments—everything gets mapped out. Once I’ve got that picture clear, I create a plan using herbal medicines, detox programs (especially Panchakarma), Marma therapy if needed, and definitely food and routine corrections. But nothing’s random. Each piece is chosen for *that* person. And I don’t just prescribe—I explain. Because when someone knows *why* they’re doing a certain thing, they stick with it longer, and the results hold. One thing I’ve learned while working here is how powerful Ayurved can be when it's structured right. At Ayushakti, that structure exists. It helps me treat confidently and track results properly. Whether I’m working with a first-time visitor or a patient who’s been dealing with the same thing for 10 years, my goal stays the same—help their system return to a natural, sustainable state of balance. What I really enjoy is seeing how people’s mindset changes once they start to feel better. When they stop depending on just temporary relief and start building their health from within—that’s when the real shift happens. And being part of that shift? That’s why I do this.
5
14 reviews
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
23 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
1007 reviews

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Really appreciated the detailed and clear advice on managing my fatty liver through Ayurveda! Feeling hopeful and more informed now. Thanks!
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7 hours ago
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