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General Medicine
Question #39599
7 days ago
113

Seeking Ayurvedic Treatment for Essential Thrombocythemia - #39599

Client_006868

Does Ayurveda have treatment for essential Thrombocythemia. If yes, how can I get more information if not , do you recommend anything to reduce blood platelet counts for patients with essential thrombocythemia

How long have you been diagnosed with essential thrombocythemia?:

- 6 months - 1 year

What symptoms are you currently experiencing?:

- None

Have you made any dietary changes since your diagnosis?:

- Yes, significant changes
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Doctors' responses

Thank you for asking these very important and sensitive question offered support treatment for essential thrombocythemia but we can clear understanding. This is a chronic bone marrow disorder where producing cells become over diagnostic framework has modern haematology, but it recognises similar conditions under the imbalance of rakta dhatu pitta and vata often referred to rakta dusthi or raktavaha srotas vyadhi In ET overproduction, platelets, respond to vitiation of Pitt and Rakta which secondary vata aggravation in the marrow The marrow being the site of Majja dhatu starts producing sense, and writing because of underlying focuses on Purify the blood Controlling pitta and vata aggravation Norris bone marrow and stabilising self production naturally Supporting liver and spleen function Start on Patolakaturohinyadi kashayam 15-0-15 ml Sarivadyasava 15-0-15 ml Guduchi satva- pinch with honey twice daily Arogyavardini vati 1-0-1 Punarnavadi mandura 1-0-1 Kaishore guggulu 1-0-1 Triphala churna 0-0-1 tsp Avoid spicy oily sour fermented foods Eat cooling light foods Papaya pomegranate barley water Avoid red meat alcohol sugar deep fried items Avoid heat exposure Over exertion fasting Practice pranayama meditation

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Hello I completely understand your concern. Being diagnosed with Essential Thrombocythemia (ET) — a condition involving persistently high platelet counts — can be worrying, even when you don’t have symptoms. But dont worry we are here to help you out😊

Ayurveda can manage Essential Thrombocythemia but it will be a long term treatment First Aim is to keep the platelet count constant and then gradually decrease it

Can i know what is your platelet count?

✅ AYURVEDIC PLAN OF MANAGEMENT

👉Objectives

1. To purify and stabilize Rakta Dhatu 2. To pacify Pitta and Vata doshas 3. To prevent blood thickening and clotting tendency 4. To strengthen liver and spleen functions (main Rakta-moola)

This is a long term treatment you have to be consistent and follow up regularly with your CBC report

✅INTERNAL MEDICATIONS

1. Punarnavadi Guggulu – 1 tablet twice daily after food (Improves microcirculation, supports spleen and liver, and reduces blood viscosity.)

2. Kaishora Guggulu – 1 tablet twice daily after food ( Excellent rakta shodhak (blood purifier), balances Pitta and Vata, and reduces inflammatory processes in Rakta Dhatu.)

3. Arogyavardhini Vati – 1 tablet twice daily after food ( Regulates liver metabolism, purifies blood, and helps normalize Dhatvagni)

4. Guduchi Satva – 1 tsp with warm water in morning empty stomach
( Rasayana, immunomodulator, and natural platelet stabilizer balances both Pitta and Vata.)

5. Triphala Churna – 1 teaspoon at bedtime with warm water (Mild detoxifier, maintains proper digestion and regular elimination, preventing Ama buildup.)

✅ DIET AND LIFESTYLE MODIFICATION

✅ Include

Eat freshly cooked, warm, light, and easily digestible meals. Include foods like bottle gourd (lauki), pumpkin, ridge gourd, beetroot, amla, pomegranate, and coriander. Use small quantities of cow ghee daily — it pacifies Pitta and nourishes Rakta dhatu. Drink lukewarm water with a pinch of turmeric and cumin seeds throughout the day. Include fresh fruits like papaya, apple, grapes, and pomegranate.

❌ Avoid

Fried, spicy, sour, and fermented foods (increase Pitta). Excess tea, coffee, alcohol, or tobacco. Red meat, refined sugar, and processed food. Overexertion, late nights, and excessive stress.

✅ LIFESTYLE & YOGIC RECOMMENDATIONS

Maintain a calm routine — regular sleep, meals, and rest cycles. Practice Sheetali and Bhramari Pranayama daily — cooling and calming for Pitta. Gentle Yoga asanas like Tadasana, Shashankasana, Viparita Karani, and Anulom Vilom breathing improve circulation. Avoid long exposure to heat or anger — both aggravate Pitta dosha. Regular Abhyanga (oil massage) with coconut or sandalwood oil helps balance doshas and relax nerves.

👉With consistent Ayurvedic management Gradual normalization of platelet levels Improved liver–spleen function Reduced oxidative stress and risk of thrombosis Enhanced energy, digestion, and immune stability

Remember, Ayurveda works by correcting the internal imbalance, not by abruptly reducing platelets — hence, it offers sustainable improvement without side effects.

Wishing you a good health😊

Warm regards, Dr Snehal Vidhate

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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.
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Take Arogya vardini vati 1tab bd, lohavasava 20ml bd, punnarvadi mandoor 1tab bd, kumariasva 20ml bd, makardwaja 1tab bd enough

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good afternoon ,

I truly appreciate your detailed question. Let me explain this clearly and in a way that helps you understand your condition well.

Essential Thrombocythemia (ET) is a condition in which the bone marrow produces too many platelets. This can make the blood thicker and slightly increase the tendency for clotting. In Ayurveda, this condition can be broadly correlated to Raktavaha Srotodushti (vitiation of blood channels) with Pitta–Vata predominance, where excess heat and dryness in the blood tissue cause abnormal cell production.

Even though Ayurveda does not use the term “Essential Thrombocythemia” directly, we do have supportive therapies that help in:

Balancing Rakta dhatu (blood tissue) and its metabolism.

Controlling Pitta aggravation and improving cellular balance in the bone marrow.

Preventing complications by keeping blood fluid and circulation healthy.

Since you currently have no symptoms, the goal is not to suppress platelet production aggressively, but to stabilize the process naturally and protect other tissues through gentle detox and rejuvenation.

Treatment plan (general supportive approach):

1. Deepana–Pachana (to balance metabolism): Start with Amapachaka Vati – 1 tablet twice daily after food for 7 days. This helps clear subtle toxins and supports better absorption of nutrients.

2. Internal medicines (after 7 days): Arogya Vardhini Vati – 1 tablet twice daily after food (helps correct liver and blood metabolism). Khadirarishta – 15 ml twice daily with equal water after food (purifies blood and cools Pitta). Gandhaka Rasayana – 1 tablet at bedtime (mild immunomodulatory and blood-balancing effect).

If platelet counts are very high and your physician advises control, Ayurvedic Rasayana like Guduchi Satva (Amrita) and Sariva (Hemidesmus) decoction can be supportive under supervision. These herbs help by normalizing bone marrow activity rather than suppressing it.

3. Dietary and lifestyle advice:

Avoid spicy, oily, and fermented foods. Take easily digestible foods like moong dal, red rice gruel, and boiled vegetables. Include Amla, pomegranate, bottle gourd, and fresh coriander juice. Avoid prolonged fasting or skipping meals. Ensure proper hydration but avoid very cold water.

4. Investigations to monitor:

Complete Blood Count every 3 months Liver Function Test ESR (Erythrocyte Sedimentation Rate)

Please note: Ayurveda offers supportive care for blood purification, metabolic balance, and immune stability in ET. It does not replace your haematologist’s treatment but works as a parallel system to stabilize health naturally.

We have treated similar patients through this integrative approach with encouraging stability in platelet counts and overall wellness.

With careful monitoring and guidance, this condition can be well managed.

Warm regards, Dr. Karthika

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1. Giloy Satva 250 mg twice daily with lukewarm water 2.Punarnava Mandur 2 tab twice daily with water after meals 3.Ashwagandha churna 1 tsp twice daily with warm milk after meals 4.Kanchnaar Guggulu 2 tab twice daily with water after meals

🥗 Dietary & Lifestyle Support - Avoid: Excessively spicy, sour, fermented, or processed foods - Favor: Warm, cooked meals with bitter and astringent tastes (e.g., neem, karela, pomegranate, amla) - Include: Beetroot, turmeric, wheatgrass juice, and coconut water - Practice: Gentle yoga, pranayama (especially Anulom Vilom), and daily oil massage (Abhyanga) with cooling oils like Brahmi or Kshirabala

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In addressing essential thrombocythemia, Ayurveda can offer supportive approaches. Although it is crucial to follow medical guidance for this condition, Ayurvedic principles can complementarily support blood health balance and potentially aid in the management of blood platelet counts. Essential Thrombocythemia is not directly mentioned in classical texts, but the concepts of rakta dhatu (blood tissue), and dosha imbalances like Pitta and Vata can be considered in understanding this disorder.

One of the strategies involves dietary adjustments. Incorporating foods that are cooling and pacifying for Pitta such as bitter gourd, cucumbers, and leafy greens may help. Foods with an astringent, bitter, and sweet taste can soothe Pitta which is believed to be involved in excessive aggregation of Blood in Ayurveda.

Herbs such as Guduchi (Tinospora cordifolia) and Amla (Indian gooseberry) can be considered as they are known for their immunomodulatory and anti-inflammatory properties. These herbs may support blood health and can potentially have a regulatory effect on platelet production. It is important to consult with an Ayurvedic practitioner for dosage and suitability based on individual constitution.

Practices that improve digestion and detoxification, like regular timing of meals and consuming warm water, can help in regulating agni (digestive fire). Meditation and light yoga might aid in stress reduction, which can be a factor in managing chronic health conditions.

For herbal formulations and personalized advice, visiting a certified Ayurveda practitioner is recommended who would consider your prakriti and vikriti (current state of imbalance). Remember, any Ayurvedic regimen should be discussed with your healthcare provider, especially when dealing with conditions such as essential thrombocythemia to align it with your ongoing medical care.

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Hello Essential Thrombocythemias, is over excess formation of platelets in the blood, so firt to get to normal values Start with Aarogyavardhini 1-0-1 after food with water Giloy ghanvati 1-0-1 after food with water Mahamanjistadi kadha 15 ml twice daily after food with water Do pranayam lom -vilom kapalbhatti bhastrika daily for 5-10mins twice Abhyangam full body with sesame oil.

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Ayurveda can control over production of platelets Start on Kanchanar guggulu Punarnava mandura Giloy tab One tablet after food with warm water twice daily Mahatikta kashayam 10ML with equal amount of water twice daily after food Amla juice, 10 ML daily

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HELLO,

Essential Thrombocythemia (ET) is a disorder of the bone marrow, the soft spongy tissue inside your bones that makes blood cells- red cells, white cells, and platelets

WHAT HAPPENS IN ET -Your bone marrow makes too many platelets -platelets normally help stop bleeding when you get a cut -but when there are too many, your blood can become thicker ad form clots inside blood vessels clots can block blood flow and cause problems like -headache, dizziness -pain or redness in hands/feet -chest pain or shortness of breath (if clot in heart/lungs) -stroke or transient schema attack (if cloth in brain) -sometimes, paradoxically bleeding can also occur if platelet don’t function properly

WHAT CAUSES ET -It’s usually due to change (mutation) in certain bone marrow cell genes -It’s not caused by infection, diet, or lifestyle- but lifestyle strongly affects how well the onditio stays controlled

In Ayurveda, blood is one of the seven vital tissues -When digestion and metabolism are disturbed, and when pitta (heat) and kapha (growth) doshas become excessive, they can stimulate over production of rakta dhatu This can be understood as rakta dhatu vriddhi - an increase in the quantity of blood elements, in your case platelets

CONTRIBUTING FACTORS -intake of very hot, spicy, sour, salty food-> pitta aggravation -over nourishing, heavy oily food-> kapha increase -stress, disturbed sleep-> vata imbalance -toxic accumulation due to weak digestion -lack of regular cleansing of the body channels

TREATMENT GOALS -control platelet over production naturally -prevent complicatins -improve overall health, immunity, and metabolism -support the mind -work in harmony with your haematologists care

INTERNAL MEDICATIONS

1) SARIVADYASAVA= 20 ml + equal water twice daily after meals for 3 months = blood purification and pitta pacification

2) AROGYAVARDHINI VATI= 1 tab twice daily after meals for 3 months = digestive fire regulation

3) LIVE 52 DS= 2 tabs twice daily after meals for 3 months =liver support and detox

4) CHYAWANPRASHA= 1 tsp daily in morning =rejuvenation

5) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =calming , stress reliever

6) KAMDUDHA RAS WITH MUKTA= 125 mg twice daily after meals for 2 months =if inflammation or heat present

DIET -light, easy to digest meals -khichdi , steamed vegetables, soups -bitter and astringent tastes= methi ,neem leaves in moderation, turmeric, bottle gourd, ridge gourd -fresh fruits= pomegranate, papaya, apple, guava -whole grains= brown rice, barley, millets -ghee in small quantity- nourishes without overheating -herbal teas= coriander-fennel-cumin seed water, tulsi water, or giloy tea

AVOID -Excessively spicy, sour, salty or fried food -red meat, seafood- especially oily/fired -pickles,feremnted foods, alcohol -white sugar and bakery items -very hot food or eating late at night

GENERAL DIET PRINCIPLE -eat at regular times -avoid overeating, finish meals before feeling full -drink warm water throughout the day to prevent blood thickening -include moderate fasting (light meal days) if digestion feels heavy -maintain ideal weight obesity increases clot risk

YOGA ASANAS -tadasana trikonasana -setu bandhasana -bhujangasana -pawanmuktasana -shavasana

PRANAYAM - anulom vilom= balances doshas -sheetali/sheetkari=cooling, pacifies pitta -bhramari= calms mind and reduces stress

AVOID -very strenuous or heated yoga -breath retention for long duration -any posture that causes dizziness or strain

HOME REMEDIES AND DAILY PRACTICES

1) GILOY DECOCTION= boil 1 stick in 2 cup water reduce to 1 cup take daily morning empty stomach for 6 weeks- immune and blood regulator

2) AMLA JUICE= 20 ml daily morning- rich in antioxidants, supports liver and Blood

3) TURMERIC MILK= at night reduces inflamamtion

4) CORIANDER- FENNEL-CUMIN SEED WATER= boil 1 tsp each in 1 L water sip through the day for gentle detox

5) NEEM LEAF WATER BATH= 2-3 leaves boiled in water for bathing, helps purify skin and heat

6) MEDITATION= 10 min daily to reduce stress hormones that aggrvarate pitta/vata

LIFESTYLE AND ROUTINE -Sleep early before 10 pm and wake early around 6 am -keep stress under control- use meditation, hobbies, genclemusic - avoid long sitting take small walks every 1-2 hours -avoid exposure to heat and dehydration -keep a consistent daily rhythm - meals, sleep, exercise at similar times -stay cheerful and optimistic- emotional balance is vital for dosha balance

-ET can be well managed- many patients liver normal and have long lives

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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5
234 reviews
Dr. Snehal Tasgaonkar
I am an Ayurvedic physician with around 7 yrs clinical experience, though honestly—feels like I’ve lived double that in patient hours. I studied from a govt. medical college (reputed one) where I got deep into classical Ayurvedic texts n clinical logic. I treat everything from chronic stuff like arthritis, IBS, eczema... to more sudden conditions that just pop up outta nowhere. I try to approach each case by digging into the *why*, not just the *what*. I mean—anyone can treat pain, but if you don’t catch the doshic imbalance or metabolic root, it just comes bak right? I use Nadi Pariksha a lot, but also other classical signs to map prakriti-vikruti, dhatu status n agni condition... you know the drill. I like making people *understand* their own health too. Doesn’t make sense to hand meds without giving them tools to prevent a relapse. My Panchakarma training’s been a core part of my work. I do Abhyanga, Swedana, Basti etc regularly—not just detox but also as restorative therapy. Actually seen cases where patients came in exhausted, foggy... and post-Shodhana, they're just lit up. That part never gets old. Also I always tie diet & lifestyle changes into treatment. It’s non-negotiable for me, bcs long-term balance needs daily changes, not just clinic visits. I like using classical formulations but I stay practical too—if someone's not ready for full-scale protocol, I try building smaller habits. I believe healing’s not just abt treating symptoms—it’s abt helping the body reset, then stay there. I’m constantly refining what I do, trying to blend timeless Ayurvedic theory with real-time practical needs of today’s patients. Doesn’t always go perfect lol, but most times we see real shifts. That’s what keeps me going.
5
121 reviews
Dr. Shazia Amreen
I am Dr. Shazia Amreen, an Ayurvedic physcian with a little over 7 years of hands-on experience in clinical practice. I did my MD in Ayurveda from Government Ayurveda Medical College, Bangalore—and honestly, those years helped me go much deeper into the classical texts and the clinical ground. Not just theory... actual healing. Since 2017, I’ve worked closely with a diverse set of patients—from chronic gut problems to skin & hair concerns, musculoskeletal issues, hormonal imbalances, kidney stones, you name it. My core strength really lies in Panchakarma and gastrointestinal healing, where I don’t just jump into detox, but take time to see where the agni is, how deep the ama has gone, and whether the body’s ready to reset. I’m very rooted in classical assessment—looking at dosha imbalance, dhatu state, and prakriti before planning anything. But also, I keep it grounded in modern daily life. What’s the point of a great herbal blend if the person can’t sleep on time or digest their food properly, right? That’s why I focus big on Ahara-Vihara guidance. I don’t just hand over a diet list—I walk people through why those changes matter, and how to make them sustainable. In my practice, I often blend Rasayana chikitsa with basic lifestyle coaching, especially for cases like IBS, PCOS, eczema, migraines, or stress-triggered flareups. Each case is unique, and I don’t believe in repeating the same formula just because it worked for someone else. I also emphasize emotional reset, especially in long-standing chronic cases—sometimes people carry fear, shame, or frustration about their illness. I try to hold space for that too. Whether it’s someone coming in for general detox, a fertility consult, or just confused by their symptoms—I aim to build a plan that makes sense to them. It should feel doable. Balanced. And over time, it should make them feel like they’re coming back home to their own body. That’s the kind of Ayurvedic care I believe in—and try to deliver every single day.
5
3 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
516 reviews
Dr. Kirankumari Rathod
I am someone who kinda grew into Panchakarma without planning it much at first... just knew I wanted to understand the deeper layers of Ayurveda, not just the surface stuff. I did both my graduation and post-grad from Govt. Ayurveda Medical College & Hospital in Bangalore — honestly that place shaped a lot of how I think about healing, especially long-term healing. After my PG, I started working right away as an Assistant Professor & consultant in the Panchakarma dept at a private Ayurveda college. Teaching kinda made me realise how much we ourselves learn by explaining things to others... and watching patients go through their detox journeys—real raw healing—was where I got hooked. Now, with around 6 years of clinical exp in Panchakarma practice, I'm working as an Associate Professor, still in the same dept., still learning, still teaching. I focus a lot on individualised protocols—Ayurveda isn't one-size-fits-all and honestly, that’s what makes it tricky but also beautiful. Right now I’m also doing my PhD, it’s on female infertility—a topic I feel not just academically drawn to but personally invested in, cause I see how complex and layered it gets for many women. Managing that along with academics and patient care isn’t super easy, I won’t lie, but it kinda fuels each other. The classroom work helps my clinical thinking, and my clinical work makes me question things in research more sharply. There's a lot I still wanna explore—especially in how we explain Panchakarma better to newer patients. Many people still think it's just oil massage or some spa thing but the depth is wayyy beyond that. I guess I keep hoping to make that clarity come through—whether it’s in class or during a consult or even during a quick OPD chat.
5
10 reviews
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
284 reviews

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