IBM (Mamsa Dhatu Kshaya + Vata aggravation) has no cure but Ayurveda manages symptoms, reduces progression, and improves strength via Rasayana + Panchakarma. In Chennai, best centers are Madras Institute of Ayurveda (MIA), T. Nagar (Vijaya Hospitals) – Top for neuromuscular issues; Dr. K.S. Manoj, Panchakarma can be ₹25,000–50,000 Apollo AyurVAID, Greams Road – Integrative with allopathy; expert in myositis. Treatments: Precision Ayurveda + therapies. 14-day package ₹40,000–60,000. Chennai Heritage Hospital, T. Nagar – Siddha-Ayurveda for muscle disorders. Cost: ₹20,000–40,000 for 10–15 days.
Recommendation: Start with MIA for authentic Panchakarma. Book consultation ASAP; combine with rheumatologist for monitoring.
Meanwhile start with these Internal Medicines 1 Yogaraja Guggulu: 2 tab twice daily after meals with warm water. 2 Ashwagandha Churna: 3 gm night with warm milk. 3 Bala Churna: 3 gm morning with warm water. 4 Guduchi Churna: 2 gm twice daily after meals.
External Applications Maharasnadi Taila: Warm → apply on weak muscles (legs, hands, back) → massage 15 min twice daily → hot fomentation 10 min. Bala Taila Abhyanga: Full body weekly → warm bath after 30 min.
Diet Give only: Moong dal khichdi + 1 tsp ghee + ginger. Warm milk with turmeric nightly. Banana, pomegranate, soaked almonds (4 daily). Avoid completely: Cold, dry, processed food. Late nights, stress.
Lifestyle Gentle yoga: Tadasana, leg raises 10 min daily. Walk 10–15 min (assisted). Sleep 10 PM – 6 AM.
Monitoring Strength/pain (0–10): Weekly note. CK levels: Monthly.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
IBM is seen as a mamsa dhatugata vikara (disorder of muscle tissue) caused by vata-kapha imbalance leading to mamsa kshaya (degeneration) and mamsa srotodushti (blocked muscle channels)
TREATMENT PRINCIPLES -vata -kapha shamana=to balace aggravated doshas -Mamsa dhatu poshana= to nourish and strengthen muscle tissue -Rasayana therapy= to rejuvenate and slow degeneration
INTERNAL MEDICATIONS
1) ASHWAGANDHA LEHYA= 1 tsp twice daily with warm milk- muscle strength, adaptogenic
2) MAHARASNADI KASHAYA= 20 ml twice daily after meals with warm water =vata samana and anti inflammatory
3) YOGARAJ GUGGULU= 2 tabs twice daily after meals =reduces stiffness and inflammation
4) GUDUCHI GHAN VATI= 2 tabs twice daily after meals immuniomodulatory and anti inflamamtory
5) SIMHANADA GUGGULU= 1 tab twice daily after meals
DIET AND LIFESTYLE -warm, easy to digest, proteins rich foods- moong soup, ghee, milk, nuts -avoid cold, heavy, and dry foods -gentle yoga and pranayam= particularly anulom vilom, bharamari, and mild asanas
RECOMMENDED CENTRES CHENNAI, INDIA
1) ARYA VAIDYA SALA (kottakal )branch Chennai 2) VAIDTARATNAM OUSHADHASALA= Chennai clinic 3) AVN AROGYA AYURVEDIC HOSPITAL, MADHURAI
INITIAL PANCHAKARMA= 21-28 days ESTIMATED COST= 40,000-90,000 depending on centre, room type, and medication MAINTENANCE= for 3-6 months
GOAL= slow progression, improve mobility, reduce stiffness, and enhance quality of life Improvement may be gradual but sustainable with consistent treatment and follow up every 3-4 months
THANK YOU
DR. HEMANSHU MEHTA
For better management visit your nearest Panchkarma center.
Hello, I completely understand your concern. Being diagnosed with Inclusion Body Myositis (IBM) and experiencing progressive weakness in daily activities such as climbing stairs or getting up from a chair can be deeply concerning. But dont worry we are here to help you out😊
✅ Ayurvedic Understanding of the Condition
In Ayurveda, the symptoms of IBM correlate with Mamsa Dhatukshaya (degeneration of muscle tissue) along with Vata-Pitta vitiation. Over time, both these cause depletion of Ojas — the subtle energy responsible for vitality, strength, and immunity.
✅ AYURVEDIC TREATMENT PLAN
✅PANCHAKARMA (Detoxification & Dosha Balance)
Only after assessing the patient’s strength (Bala) and condition stability, mild and supportive Panchakarma is advised under supervision.
a) Snehana (Oleation Therapy): Daily Abhyanga (massage) with medicated oils such as Balashwagandhadi Taila, to improve flexibility, nourish muscles, and pacify Vata.
b) Swedana (Fomentation Therapy): Mild steam therapy after Abhyanga using Dashamoola decoction or Nadi Sweda helps relieve stiffness and improve circulation to affected areas.
c) Basti Chikitsa (Medicated Enema)- This is the most effective line of management in chronic neuromuscular and degenerative diseases.
Matra Basti with Balashwagandhadi Taila or Ksheerabala Taila nourishes Vata and strengthens Mamsa dhatu.
Kala Basti (8–16 days) alternating Anuvasana (oil) and Niruha (decoction) bastis with Dashamoola + Rasna + Eranda + Bala decoction can be planned under expert supervision.
Yapana Basti is beneficial for long-term strengthening.
✅INTERNAL MEDICATION
1 Ashwagandhadi Capsule 500 mg Twice daily with warm milk (Rejuvenates muscles, strengthens nerves, reduces fatigue)
2 Balarishta 20 ml with equal water After meals twice daily (Improves muscle tone and recovery)
3 Rasna Saptaka kashaya 20 ml Twice daily before meals (Reduces pain and inflammation in muscles)
3 Brahmi Vati (Gold or Plain) 1 tablet Twice daily after meals (Calms Vata, enhances coordination, reduces tremors)
4 Suvarnamalini Vasant Rasa 1 tablet Morning on empty stomach with honey (Immunomodulatory, Rasayana for neuromuscular disorders)
5 Kalyanaka Ghrita 1 tsp Twice daily with warm milk (Deep Rasayana for Mamsa & Majja dhatu)
These medicines work synergistically to nourish tissues, pacify Vata-Pitta, and enhance neuromuscular coordination.
✅ DIETARY MODIFICATION
✅ Include-
Warm, freshly cooked, and easily digestible meals. Use of cow’s ghee, milk, moong dal, rice gruel, and vegetable stews for nourishment. Protein-rich vegetarian foods like paneer, soaked almonds, raisins, and dates. Herbs and spices like ginger, cumin, coriander, turmeric, and cardamom in moderation. Daily consumption of Ashwagandha milk or Shatavari milk for Rasayana benefits. Hydrate with warm water; avoid cold beverages.
❌Avoid (Apathya): Cold, refrigerated, and stale foods. Excessively dry, light, or raw salads (which aggravate Vata). Overconsumption of spicy, sour, or fermented foods (which increase Pitta). Smoking, alcohol, and excessive caffeine. Irregular eating patterns or skipping meals.
✅ LIFESTYLE & REHABILITATION
Gentle physiotherapy and yoga under expert guidance are essential for muscle maintenance.
Recommended Asanas: Tadasana, Shavasana, Viparita Karani, Balasana (avoid strain-based postures).
Practice Anulom Vilom Pranayama for 5–7 minutes daily — it calms Vata and improves oxygenation.
Abhyanga (self-massage) with warm sesame oil or Balashwagandhadi Taila at bedtime promotes relaxation and reduces stiffness.
Maintain a regular sleep schedule — early to bed and early to rise.
Avoid exposure to cold wind, late nights, and mental stress.
Listening to soothing music or spending time in calm natural environments helps enhance Sattva guna and emotional balance.
✅ SUGGESTED AYURVEDIC CENTRES IN CHENNAI
If you are looking for authentic and integrative Ayurvedic management in Chennai, the following centres are well-known for Panchakarma and chronic neurological care
1. Apollo AyurVAID Hospitals, Greams Road, Chennai They provide medical coordination with allopathic specialists and rehabilitation physiotherapy.
2. Kottakkal Arya Vaidya Sala, Nungambakkam, Chennai Known for traditional Panchakarma therapies and classical Ayurvedic formulations.
✅ ESTIMATED TREATMENT COST
Panchakarma / Inpatient Therapy 7-14 Days ₹25,000 – ₹1,20,000 (depending on room & therapies)
(These are approximate ranges and may vary by hospital and therapy intensity.)
Regular follow-up every 2–3 months with both Ayurvedic and allopathic physicians is essential for best outcomes.
With a comprehensive approach of internal Rasayana therapy, external Panchakarma procedures (particularly Basti), balanced diet, and disciplined physiotherapy, Ayurveda can significantly improve your muscle function, stamina, and emotional well-being.
Wishing you a good health 😊
Warm Regards, Dr. Snehal Vidhate
Yes treatment available this is a autoimmune disease take maha yoga Raja Guggulu with Gold 1tab, chaturmukh ras 1tab bd, makaradwaja 1tab bd,rasna sapthaka kashyam 20ml bd, anuloman ds 1tab bd
Dr RC BAMS, MS
Thank you for reaching out and trusting this platform with your Health journey Inclusion body myositis is a condition with the muscle tissue, slowly weakness over time, especially in the thighs and forearms and shoulders Your difficulty in climbing stairs, getting up from lower chair and reduced grip, strength all match this pattern In Ayurveda, we understand this as mamsa dhatu kshaya along with deep vata aggravation with gradually reduces strength and stability There is no sudden cure for IBM, but Ayurveda can definitely help in flowing the progression, improving day-to-day mobility, reducing stiffness and fatigue and supporting you to maintain independence for as long as possible Treatment has to be gentle nourishing and done in repeated cycles I generally advise a combination of full body snehana Abhyanga Linda seeds or kizhi for warm and muscle function Navara kizhi for muscle nourishment and supervised basti to control vata This therapy when taken together, help you feel more stable while walking, improve the ability to get up from chairs, reduce the heaviness and weakness in the leg and support grip strength
Internal medicines to strengthen muscle and nerves without overloading digestion can start like Ashwagandha churna half teaspoon with warm milk at night Kapikacchu churna half teaspoon with warm water at morning Punarnava mandura one tablet twice daily after food with warm water Brahmi gritha 1 teaspoon with warm water at morning Along with this physiotherapy, encourage to preserve the remaining muscle fibres
If you are in Chennai, there are few centres with experience in neuromuscular conditions where the treatment can be done safely…
HELLO,
IBM (inclusion body myositis) is a progressive muscle disorder that usually affects adults over 40 It mainly involves -weakness in thigh muscles> difficulty climbing stairs or getting up from a chair -weakness in forearm and hand muscles-> trouble gripping, opening bottles or lifting -Overtime, movements become slower, and muscles may waste become thinner
It’s caused by chronic inflammation and degeneration of muscle filers, but the exact reason is not fully understood- possible autoimmune and degenerative processes working together
Modern medicine doesn’t have a cure yet; treatment focuses on physiotherapy and slowing progression
In Ayurveda, IBM is understood as a vata-mamsa dushti (muscle tissue disorder) called Mamsa dhatvagata vata or avarana janya vata vyadhi
WHAT HAPPENS IN BODY -Vata dosha, responsible for movement and nerve muscle activity, become saggravated -this disturbed vata obstructs nourishment to mamsa dhatu -as a result muscle lose tone and coordination - causing weakness, stiffness and wasting -kapha and ama (toxic, sticky metabolic residue) may also block the channels worsening the condition
TREATMENT GOALS -reduce stiffness and fatigue -improve mobility and corrdination -nourish and strengthen muscles -enhances metabolism and digestion -slow or stop further muscle degeneration -improve overall quality of life
TREATMENT PLAN
Phase 1: Preparation (Purva Karma)
1. Snehapana (Internal Oleation) What: Medicated ghee (clarified butter) is taken to soften the tissues in preparation for detoxification. Formulations: Mahamasha Ghrita - strengthens nerves and muscles. Panchatikta Ghrita Guggulu-cleanses the inflammatory toxins. Dosage: 10–30 ml on empty stomach in the morning, gradually increasing for 5–7 days.
Why: It serves to loosen accumulated Ama and balance Vata. 2. Abhyanga: External Oil Massage Tailas Used: Ksheerabala Taila, Mahanarayana Taila, Dhanvantaram Taila Procedure: Massage with warm oil in upward strokes, followed by mild steam.
Duration: 30–45 min daily, for 14–21 days. Effect: Improves circulation, muscle flexibility, and reduces stiffness.
3. Swedana (Fomentation / Steam Therapy)
Types: Patra Pinda Sweda or Navarakizhi (bolus of medicated rice milk). Why: Opens channels, enhances tissue metabolism and removes stiffness. Stage 2: Principal Treatment (Panchakarma) 1. Basti (Medicated Enema) — The Most Important Therapy Types: Anuvasana Basti (oil-based) with Balataila or Ksheerabala Taila
Niruha Basti (decoction-based) with Dashamoola, Bala, Eranda etc. Course: 8–16 days, alternating types.
Why: Basti directly controls Vata dosha, strengthens the muscles of the lower body, and restores the tone of nerves and muscles. Anticipated Benefits: Ease of walking, increased stamina, improved digestion, less pain.
2. Nasya: Nasal administration of medicated oil Oil: Anu Taila or Ksheerabala Taila — 4–6 drops in each nostril daily. Why: Strengthens cranial nerves, improves neuromuscular coordination. 3. Shirodhara or Shiro Abhyanga
Why: Soothes nervous system, improves sleep, and balances Vata. Oil Used: Ksheerabala Taila or Brahmi Taila.
PHASE 3= RASAYANA AND LONG TERM REJUVENATION
1) ASHWAGANDHA CAPSULES= 500mg cap twice daily after meals =improves strength stamina, acts as rasayana
2) MAMSA RASAYANA= 1 tsp twice daily =speciifc rejuvenatory for muscle tissue
3) BALA TAILA= 15 drops with warm milk daily =strengthens muscles
4) AMALAKI RASAYANA= 1 tsp morning =antioxidants, improves recovery
5) CHYAWANPRASHA= 1 tbsp morning =overall rejuvneation
6) DASHMOOLA KASHAYA= 40 ml twice daily before meals =reduces inflamatory, balances vata
DURATION= 3-6 months
Lifestyle Changes 1. Daily Routine (Dinacharya)
Sleep before 10 pm; wake up early. Daily Abhyanga: self-massage with warm sesame or Bala oil before taking a bath. Avoid exposure to cold or wind as that may provoke Vata. 2. Activity Moderate activity: light stretching without overexertion. Physiotherapy under Ayurvedic guidance is beneficial. 3. Mental Health
Practice mindfulness and stay optimistic; stress aggravates Vata imbalance. Balance is maintained by meditation and soothing music. Yoga & Pranayama Asanas (Gentle)
Tadasana Improves posture and stability (Mountain pose) Bhujangasana or Cobra pose strengthens the back and spine. Setubandhasana- it improves strength in the lower limbs.
Pavanamuktasana– relieves stiffness in joints. Vrikshasana or Tree pose: promotes balance. Avoid strain; practice under supervision. Pranayama Anulom Vilom – balances Vata, calms nervous system
Bhramari - reduces anxiety and mental fatigue Ujjayi - increases oxygen supply Nadi Shodhana: improves neuromuscular coordination Diet & Home Remedies General Dietary Rules
Favour: Warm, oily, easily digestible, nourishing foods. Avoid: Cold, dry, processed foods, refrigerated items, aerated drinks. Recommended Foods Milk, ghee, rice gruel (kanji), moong dal soup Steamed vegetables with sesame oil Ripe fruits: bananas, papaya, pomegranate Spices: ginger, cumin, turmeric (mild anti-inflammatory) Almonds, sesame seeds, dates soaked overnight and taken in the morning.
Home Remedies Ashwagandha Milk: 1 teaspoon of Ashwagandha powder in warm milk, daily. Turmeric + Black Pepper: Anti-inflammatory and detoxifying. Abhyanga at home: Massage with warm Mahanarayana Taila daily before a bath. Warm Bath with Epsom Salt: It soothes stiffness and fatigue. Golden Milk (Haldi Doodh): A bedtime tonic that relaxes the muscles.
Investigations Recommended Before or during Ayurvedic treatment: Blood Tests: CK (Creatine Kinase), ESR, CRP, Thyroid profile, ANA, LFT, RFT. EMG/Muscle Biopsy: Confirm extent and type of muscle involvement. MRI / Physical Exam: To monitor muscle health over time. These help in planning individualized therapy and assessing progress.
Inclusion Body Myositis is slowly progressive, but Ayurveda offers hope by: Slowing progression Reduces muscle fatigue and pain Improved overall vitality Supporting mental well-being Consistency is the key, improvement comes slowly but surely when therapies, diet, and lifestyle are continued on a regular basis.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
While modern medicine offers some approaches, Ayurveda may provide complementary support for managing IBM - Myositis symptoms. This condition involves muscle inflammation and weakness, aligned with vata dosha imbalance in Ayurvedic terms. Chennai, being a hub of Ayurveda, houses several centers, but focusing on personalized treatment is crucial.
Firstly, understanding your prakriti (natural constitution) and current symptoms is vital. Considering muscle weakness, rasayana and vata-pacifying measures are essential. Ashwagandha (Withania somnifera) and Guggulu are often recommended to strengthen muscles and reduce inflammation. Consult with a local Ayurvedic practitioner who can tailor a treatment plan since doses vary based on individual requirements.
Panchakarma therapies like Abhyanga (oil massage) with Mahanarayan oil and Pizhichil (warm oil bath) can be beneficial in nourishing muscle tissues and soothing vata dosha. Yoga therapy, especially with gentle stretching and strengthening exercises, may also help enhance flexibility and strength. Practice yoga under guidance to ensure safety and effectiveness.
Diet adjustments to pacify vata include warm, moist, easily digestible foods. Prioritize cooked grains, soups, and ghee, while avoiding cold, dry, and raw foods. Ensure proper hydration and regular meals to maintain digestive fire, agni.
The cost of Ayurvedic treatment for IBM in Chennai varies, typically depending on the center, therapist, and treatment type. It’s advisable to discuss with practitioners directly to make informed decisions. Given the progressive nature of Myositis, close monitoring and collaborative care with healthcare providers are recommended. Advocate for a multidisciplinary approach where Ayurveda complements conventional treatment.
Hello There is no cure, but ayurveda can help improve muscle strength, reduce inflammation Start with Ashwagandha churan 0-0-1tsp at bedtime with warm made with Turmeric 1tsp. + Dry ginger powder 1/2tspIn milk which is boiled and warm. Rasnasapthakam kashaya 15ml. Twice daily after food with water Do abhyangam full body massage with kshirbala oil+ ashwagandha oil+ mahanarayan oil., followed by warm water bath. Take basti treatment from ayurvedic center. Avoid processed fatty fast foods sugary foods street foods Include fresh green vegetables cooked in your diet daily Healthy fat like cows ghee in your diet Do pranamyam lom -vilom bhastrika kapalbhati brahmri for 5-10mins twice daily Stress management. Yogasana under yoga expert guidance. Gentle exercise like cycling, slow walking are required for maintaining muscle strength.
For IBM I would suggest you to undergo panchakarma procedure for better results
