Persistent Knee Pain and Erectile Dysfunction Concerns - #39911

Hello I completely understand your concern. Persistent knee pain due to raised uric acid and associated erectile dysfunction can be both physically and emotionally distressing. But dont worry we are here to help you out😊

✅ AYURVEDIC TREATMENT PROTOCOL

✅INTERNAL MEDICATION (Pacification Therapy)

✅ FOR HIGH URIC ACID & KNEE PAIN

1. Kaishore Guggulu – 2 tabs twice daily after food – detoxifies blood and lowers uric acid.

2. Punarnavadi Guggulu – 1 tab twice daily after food – helps in gouty inflammation and swelling.

3 Rasnadi Kashaya – 20 ml twice daily after food – relieves knee pain and stiffness.

✅ FOR ERECTILE DYSFUNCTION AND SHUKRA KSHAYA

1. Ashwagandhadi Churna – 1 tsp with warm milk at bedtime. 2. Kapikacchu Churna – 1 tsp with milk daily morning. 3. Shilajit Rasayana Vati – 1 tab twice daily after meals to enhance stamina and libido.

✅ EXTERNAL THERAPIES

Gentle massage over knee with Mahanarayan Taila before warm water fomentation.

Hot salt compress twice weekly for stiffness.

✅DIET MODIFICATION

✅ Include

Warm, freshly cooked meals. Moong dal, barley, bottle gourd, ridge gourd, pumpkin, coriander, and ginger. Fruits: pomegranate, apple, pear, papaya. Hydration: 10–12 glasses of water daily or Jeera–Dhanyaka water. Cow’s ghee in small quantity for Vata balance.

❌ Avoid

Red meat, organ meat, shellfish. Sour curd, cheese, fried foods, and alcohol. Pulses like rajma, urad dal, and high-purine foods (beans, mushrooms, cauliflower). Late-night meals and daytime sleep.

✅LIFESTYLE ADVICE

Regular joint-friendly exercises like light stretching, swimming, or yoga (avoid strain). Sleep by 10 PM for proper hormonal balance. Avoid suppression of natural urges and prolonged sitting. Gentle morning walk under sunlight helps both joint and reproductive health. Practice Anulom Vilom & Bhramari Pranayama for stress control.

✅ HOME REMEDIES

-Lemon Water: Drink warm lemon water every morning to flush uric acid naturally. - Coriander Seed Water: Boil 1 tsp coriander seeds in 2 cups water; drink twice daily to reduce Pitta and uric acid. - Amla + Honey: 1 tsp amla juice with 1 tsp honey daily for Shukra dhatu nourishment. - Warm Milk + Ghee + Ashwagandha: Before bed to boost vitality and balance Vata. - Fenugreek Water: Soak 1 tsp methi seeds overnight, drink water next morning to detoxify joints.

With consistent Ayurvedic care and a Pitta–Vata balancing routine, you can expect Reduced uric acid and knee pain in 6–8 weeks Better stamina, erection quality, and energy within 2–3 months Improved overall vitality and joint flexibility

Wishing you a good health 😊

Warm regards, Dr Snehal Vidhate

1.Kaishore guggulu 2 tab twice daily with water after meals 2.Punarnava mandur 2 tab twice daily with water after meals 3.Ashwagandha churna 1 tsp twice daily with warm milk after meals 4.Musli pak 1 tsp twice daily with warm milk after meals 5.Bala taila- massage gently on penis once daily

🧘‍♂️ Diet & Lifestyle Tips - Avoid: Red meat, alcohol, sour foods, and high-purine items (like rajma, chana). - Include: Lauki, moong dal, barley, coriander water, and seasonal fruits. - Practice: Anulom-Vilom, Vajrasana after meals, and gentle walking.

Hello ,

YOU ARE FACING 1. LOW LIBIDO 2. WEAK OR NO ERECTION- INCOMPLETE ERECTION OR DIFFICULTY SUSTAINING IT. 3. PREMATURE EJACULATION- LEAKING SEMEN QUICKLY WITHIN MINUTES OR BEFORE PENETRATION 4. SEXUAL FATIGUE- NO ENERGY OR CONFIDENCE AFTER THE ACT OR FEAR OF FAILURE

PROBABLE CAUSES- -PSYCHOLOGICAL STRESS=PERFORMANCE ANXIETY,DEPRESSION,LOW SELF IMAGE -POOR BLOOD FLOW= LACK OF NITRIC OXIDE TO PENILE TISSUE -NERVE WEAKNESS= DELAYED STIMULATION AND REDUCED SENSATION -HORMONAL IMBALANCE= LOW TESTOSTERONE OR HIGH PROLACTINE -EARLY EJACULATION= OFTEN DUE TO SENSITIVE NERVES AND LACK OF STAMINA.

#AYURVEDIC UNDERSTANDING YOUR SYMPTOMS ARE CLASSIC OF SHUKRA KSHAYA+ VATA DUSHTI, SPECIFICALLY:- -KLAIBYA=ERECTILE DYSFUNCTION-FROM LOW VITALITY -SHUKRA VEGA= INABILITY TO HOLF EJACULATION-FROMM WEAK SEMEN -OJAKSHAYA= LOW ENERGY,FATIGUE,MENTAL STRESS

TREATMENT GOAL 1)IMPROVE ERECTION STRENGTH AND DURATION 2)INCREASE LIBIDO AND CONFIDENCE 3)CONTROL PREMATURE EJACULATION 4)NOURISH SHUKRA DHATU-SEMEN AND VITALITY 5)REDUCE MENTAL STRESS/ANXIETY

TREATMENT FOR PERSISITNET KNEE PAIN

1) KAISHOR GUGGULU=2 tabs twice daily after meals =lowers uric acid

2) MAHARASNADI KASHAYA= 20 ml with equal Peter twice daily before re meals

3) PUNARAVADI GUGGULU= 2 tabs twice daily after meals

#START TAKING THIS MEDICINES FOR 3MONTHS CONTINUES

*MORNING(EMPTY STOMACH) 1)SHILAJIT GOLD CAP- 1 CAP WITH WARM MILK=IT BOOSTS STAMINA, TESTOSTERONE, AND LIBIDO

2)ASHWAGANDHA CHURNA- 1 TSP WITH WARM MILK HALF A GLASS= ADAPTOGEN:REDUCES STRESS AND IMPROVES SEMEN QUALITY

#AFTER MEALS(TWICE DAILY AFTER LUNCH AND DINNER)

3)VRIHAT VATCHINTAMANI RAS(PLAIN)- 1 TAB WITH HONEY= STRENGTHENS NERVES AND IMPROVES ERECTION CONTROL

4)SWARNA MAKSHIKA BHASMA- 125 MG WITH KAUNCH BEEJ CHURNA-1TSP MIX WITH WARM MILK= IMPROVES SPERM RETENTION AND STIMULATES MOOD

#AT BEDTIME

5)YOHIMBINE OR ATMAGUPTA CHURNA- 1 TSP WITH MILK AT BEDTIME= NATURAL APHRODISIAC ,INCREASES DOPAMINE FOR AROUSAL

#EXTERNAL THERAPY

1)WARM OIL MASSAGE-FOCUSED PELVIC MASSAGE- WITH SHATAVARI TAILA OR ASHWAGANDHABALA TAILA AREA- LOWER BACK,ABDOMEN,INNER THIGHS, AND GROIN AREA TIME- DAILY OR 3-4TIMES/WEEK DURATION- 15-20 MIN -ALWAYS WARM THE OIL BEFORE USE -USE GENTLE CIRCULAR STROKES OVER LOWER ABDOMEN AND GROIN -FINISH WITH A WARM TOWEL WIPE OR LUKEWARM SHOWER

2)LOCALISED HERBAL STEAM THERAPY -APPLIED AFTER OIL MASSAGE -HELPS IN VASODILATION-OPENS BLOOD VESSELS AND ENHANCES ERECTION -VERY USEFUL. IN NERVE RELATED ED OR WEAK SENSITIVITY -TAKE A BIG VESEEL OF HOT WATER WITH HERBS LIKE DASHMOOL,TRIPHALA,VACHA -COVER THE LOWER BODY WITH A CLOTH, LET THE HERBAL STEAM PASS ON THIGHS, LOWER ABDOMEN,BUTTOCKS DURATION= 10-12 MIN

3)SHUKRA TAILA- TAKE 2-3 DROPS AND APPLY OVER THE SHAFT OF PENIS(NO GLANS), GENTLY MASSAGE FOR 5 MIN BEFORE BED

4)SESAME OIL WITH CAMPHOR- WARM MIX 2 DROPS OF CAMPHOR OIL, APPLY ONLY ON SHAFT,MASSAGE LIGTLY=DAILY

NOTE- USE HIGH QUALITY CERTIFIED AYURVEDIC BRANDS LIKE DOOTPAPESHWAR, BAIDYANATH, UNJHA OR DIVYA PHARMACY PRODUCTS ONLY

#SEMEN-NOURISHING DIET-VERY IMPORTANT EAT THESE DAILY - COW’S GHEE , MILK WITH DRY DATES OR CARDAMOM -WHITE ONION JUICE OR GARLIC MILK AT NIGHT -BLACK SESAME SEEDS, PUMPKIN SEEDS, SOAKED ALMONDS -BOILED EGG , BANANA, AVOCADO, FIGS, DATES -HERBAL TEA OF SAFED MUSLI+GOKSHURA+ASHWAGANDHA

#STRICTLY AVOID -FRIED, SOUR, OVER SPICY FOOD -EXCESS TEA, COFFEE, COLD DRINKS -SMOKING, ALCOHOL,PORN USE,FREQUENT MASTURBATION -LATE NIGHT FOOD OR MOBILE PHONE USE AT NIGHT

NOW COMES THE MOST IMPORTANT PART TO FOLLOW

1)KEGEL EXERCISES(MOOLA BANDHA IN YOGA) PURPOSE- STRENGTHEN PELVIC FLOOR MUSCLES THAT SUPPORT ERECTION AND SEMEN CONTROL

HOW TO DO- -SIT/LIE DOWN AND TIGTHEN THE MUSCLES YOU USE TO STOP URINE MID STREAM -HOLD FOR 5-10 SECONDS, THEN RELEASE -REPEAT 15-20 TIMES, 3 SETS DAILY-MORNING,AFTERNOON,NIGHT

ADVANCED- TRY KEGEL CONTRACTIONS SURING AROUSAL , FOREPLAY, OR URINATION CONTROL TO STRENGTHEN EJACULATION DELAY

2)PELVIC THRUST EXERCISE(BRIDGE POSE) -LIE ON BACK, BEND KNEES, FEET FLAT -RAISE HIPS UPWARDS WHILE SQUEEZING BUTTOCKS AND HOLDING CORE -HOLD FOR 10 SECONDS AND RELEASE -DO 15 REPS*3 SETS

3)YOGA ASANA FOR SEXUAL STRENGTH -BHUJANGASANA=BOOSTS PELVIC CIRCULATION -PASCHIMITTANASANA= INCREASES SEMEN QUALITY -VAJRASANA AFTER MEALS= IMPROVES DIGESTION AND SHUKRA DHATU -ASHWINI MUDRA(ANAL LOCK)=CONTROLS PREMATURE EJACULATION

#PRANAYAM-DO 10-15 MIN DAILY -ANULOM VILOM- NERVE BALANCING -BHRAMARI- CALMS MIND, REDUCES OVER EXCITEMENT -UDGEETH- CONFIDENCE+OJAS BOOSTING

#EMOTIONAL AND MENTAL BALANCE WHAT YOU MAY BE FACING- -FEAR OF DISAPPOINTING PARTNER -GUILT OVER PAST FAILED EXPERIENCES -OVERDEPENDENCE ON PORN/ARTIFICIAL TRIGGERS -TIREDNESS FROM LACK OF SLEEP/DIET

WHAT TO DO -ACCEPT IT- SEXUAL WEAKNESS IS REVERSIBLE , DONT PANIC -TALK- EMOTIONAL INTIMACY>PHYSICAL PERFORMANCE -ENJOY SLOW FOREPLAY-DON’T RUSH -PRACTICE BRAHMACHARYA-BASED DETOX- 10-15 DAYS ABSTINENCE(NO SEXUAL ACT, NO MASTURBATION,NO AROUSAL), THEN SLOW RETURN -SLEEP MINIMUM 7 HORS DAILY AT NIGHT -AVOID PORN, OVER MASTURBATION STRICTLY

FINAL ADVICE -START THIS PROTOCOL FOR 8-12 WEEKS AND SEE VISIBLE IMPROVEMENT IN 1 WEEK -AVOID PERFORMANCE STRESS -STAY NATURAL,GROUNDED, AND COMMITTED TO HEALING.

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DO FOLLOW CONSISTENTLY

DR. MAITRI ACHARYA

Addressing both persistent knee pain due to high uric acid and erectile dysfunction necessitates a comprehensive approach, integrating both dietary adjustments and lifestyle changes based on Ayurveda’s foundational principles.

For high uric acid leading to knee pain, consider focusing on detoxifying your body to manage Uric acid levels. Avoid foods that are highly purin. Red meat, shellfish, and certain legumes should be limited. Instead, opt for a diet rich in fresh fruits, vegetables, and whole grains. Cherries and berries might be particularly beneficial for you, as they have been traditionally used to lower uric acid levels. Drink plenty of water throughout the day, as hydration helps in flushing out uric acid through urine. Warm water with lemon juice, sipped on an empty stomach, can help with digestion and cleansing.

In addition to diet, maintaining a regular routine of gentle exercise, such as yoga or walking, is advisable. This enhances joint mobility and circulation without stressing your knees. Swimming, as a low-impact exercise, can also be beneficial in alleviating joint discomfort.

For erectile dysfunction, understanding your dosha state can provide further insights into suitable remedies. Ashwagandha, an adaptogenic herb, is often recommended to support sexual health and reduce stress-related dysfunction. It’s available in powder or capsule form. Additionally, ensure your diet includes elements that promote ojas (vital essence) such as almonds, sesame seeds, and dates. Practices like regular pranayama, meditation, and adequate sleep improve mental clarity and reduce anxiety, which positively impacts sexual function.

Consistency in following these guidelines over time, along with monitoring your body’s response, can help improve your condition. However, given the significant nature of these concerns, continuous communication with a healthcare provider is essential to track progress and adjust treatments as needed.

No worries start on Yavanamrita vati 1-0-1 Ashwagandha capsule 1-0-1 Kaishore guggulu 1-0-1 Yograj guggulu 1-0-1 Dashamoola aristha 20-0-20 ml with water Dhanwantaram taila - gentle massage to be done over joints

Internal Medicines 1 Kaishor Guggulu: 2 tab twice daily after meals 2 Gokshuradi Guggulu: 1 tab twice daily after meals 3 Tentex Forte: 2 tab night with warm milk 4 Ashwagandha Churna: 3 gm morning with warm water 5 Punarnavadi Mandoor: 125 mg twice daily after meals

External Applications Knee: Vishagarbha Taila → warm → massage 15 min → hot fomentation → twice daily. Lower Abdomen: Bala Taila → massage 10 min nightly.

Diet Give only: Moong khichdi + 1 tsp ghee. Barley water (boil 20 gm barley in 1 L water) → sip daily. Cherries, pomegranate.

Avoid completely: Purine-rich: Red meat, seafood, spinach, lentils. Alcohol, caffeine.

Lifestyle Kegel: 50 reps × 3 daily. Walk 20 min (no strain on knee). Sleep 10 PM – 6 AM.

Monitor Uric acid + erection quality: Monthly. After 60 days: Reduce Sildenafil gradually.

Regards Dr Gursimran Jeet Singh MD Panchakarma