Hello, I truly get what you mean. Raising CRP level after 14 years of RA & OA management, is definitely trying to scare you, especially when you do not get side effect free drugs. Yet, do not be nervous, by using proper Ayurvedic anti-inflammatory therapy you will be able to reduce CRP naturally and your joints will stay safe. "
YOUR CONCERN
You presently have: Raised CRP = 26 (normal 0–5) → indicates active inflammation Long-standing Rheumatoid Arthritis (14 yrs) Co-existing Osteoarthritis Inflammation increased since 1–3 months Symptoms worsen without specific triggers Using a combination of treatments, but facing medication side effects
This indicates RA inflammation with Vata–Pitta aggravation (Aamavastha → Nirama stage shifting).
AYURVEDIC TREATMENT PLAN (To help reduce inflammation, CRP & pain)
INTERNAL AYURVEDIC MEDICINES (Take for 4 weeks; safe; anti-inflammatory)
1. Simhanada Guggulu – 2 tablets twice daily Most effective in bringing down CRP & inflammation.
2. Yogaraj Guggulu – 1 tablet twice daily Controls pain & stiffness in both RA + OA.
3. Shallaki – 1-0-1 twice daily Several modern studies have found it capable of lowering CRP.
4. Guduchi (Giloy) Satva – ½ tsp twice daily with warm water A highly potent immunomodulator and anti-inflammatory agent.
5. Dashmoolaristha – 20 ml twice daily Helps in reducing the swelling of joints and brings back the normal functioning of joints.
If morning stiffness is high: Mahayograj Guggulu – 1 tab at night.
DIET PLAN (anti-inflammation & anti-aama)
INCLUDE Warm water Cumin + coriander + fennel herbal tea Turmeric milk with a pinch of black pepper Garlic in the food Moong dal khichdi Ghee (1–2 tsp daily) Drumstick vegetable, bottle gourd, ash gourd Flax seeds (1 tsp daily)
AVOID (important)
Curd Sour foods (tomato, tamarind, pickle) Wheat daily (causes inflammation in RA patients) Fried foods Red meat Cold water, cold foods Packed/processed foods Eating late at night
LIFESTYLE
Sleep by 10:30 pm Gentle yoga: cat–cow, bhujangasana, pawanmuktasana Avoid cold exposure Warm oil massage with Mahanarayana Taila daily Walk 20–30 minutes regularly
HOME REMEDIES TO REDUCE CRP
1. Turmeric + Ginger Decoction Boil: 1 cup water ½ tsp turmeric ½ tsp dry ginger Drink daily once.
2. Fenugreek seeds (Methi) soaked overnight Eat morning on empty stomach → reduces swelling.
3. Castor oil (½ tsp at night once or twice weekly) Very effective in reducing aam & CRP.
INVESTIGATIONS NEEDED (After 6–8 weeks)
CRP ESR RA Factor Anti-CCP Vitamin D3
Monitoring is the way to be sure that your inflammation is really going down.
WHAT RESULTS TO EXPECT
With regular treatment: CRP starts to fall in 3–4 weeks Pain & stiffness get better within 2–3 weeks Mobility improves Medication reliance lessens slowly
Warm Regards Dr Snehal Vidhate
The disease chronicity is severe. Treatment planning we have to do and follow up should be done from time to time For 1st month start with these medicines 1. Simhanad guggul 2BD A F 2. Erandmoola kashay + dashmool kashaya 50 ml BD empty stomach 3. Tab sizzel 1TID AF 4. Amapachak tab 2BD BF 5. Tab vasulax 1HS at bedtime with warm water Take all these medicines for 1 month and no. 5 medicine for 10 days only You should avoid at any cost - eating dahi, kadhi, bengan, udad dal, tuhar daal, achar Take light food and eat healthy. Dr Akshay negi MD PANCHAKARMA
Don’t worry take amavatarirasa 1tab bd,simhanada Guggulu 1tab bd, mahayoga Guggulu gold 1tab bd, rasansapthaka kashyam 20ml bd u get relief
Dr RC BAMS MS
HELLO, I understand rheumatoid arthritis is a painful condition.Don’t worry, the following treatment plan will work. TREATMENT - 1.Ajmodadi churna - Half tsf before lunch and dinner 2. Aamvatari ras -1-0-1 after meal 3. Singhnad guggulu- 1-1-1 with lukewarm water.Crush tablet into 3-4 pieces. 4. Mahavatvindgvansan ras 1-1-1 after meals 5. Sahcharadi tail - Local application over affected joints.
Diet- . Avoid yoghurt,urad dal ,excess salt, alcohol , newly harvested rice, refined carbohydrates like maida, processed fish. .Avoid cold,oily and heavy to digest food. . Include red rice,moong dal, lukewarm water,horsegram, buttermilk, drumstick, garlic, ginger , bottle guard, bitter gourd in your food.
Yoga- Tadasana, Pavanmuktasan,Baddhakonasana, flexion-extension of joints. Follow these and you will get relief. REVIEW AFTER 1 MONTH. Take care Regards, Dr.Anupriya
No worries start on Maharasnadi guggulu 1-0-1 Peedantaka vati 1-0-1 Dashamoola aristha 20-0-20 ml with water Avoid spicy sour fermented foods MAHAMASHA taila - gentle massage to be gone over joints
The main sign of rheumatoid arthritis is inflammation of small joints mostly ankle/and hands
Ayurvedic management:-
Divya PEEDANTAK KWATH=100gm Divya MAHARASHNA KWATH=100GM DIVYA SARWAKALP KWATH=100GM…MIX ALL IN A JAR TAKE 1 TSP BOIL WITH 100ML OF WATER TILL REDUCES 100 ML STRAIN AND TAKE EMPTY STOMACH TWICE DAILY
AAM VATARI RAS =2-2 TAB BEFORE MEAL TWICE DAILY WITH ABOVE DECOCTION
SINGH NAAD GUGULU PUNARNAWADI MANDOOR CHANDRABHA VATI=1-1-1 TAB AFTER MEAL THRICE DAILY
Saindhav adi OIL= FOR LOCAL APPLICATION
ERAND PAAK = 1 TSP WITH WORM MILK AT BED TIME
AVOID SOUR/OILY/SPICY/FERMENTED FOODS
DO REGULAR EXERCISE AND YOGA= ANULOMAVILOM BHRAMRI UDGEETH YOGNINDRA (5 MIN EACH)
REGARDS
DR ATUL PAINULI PATANJALI YOGPEETH
Take rumanil gold 2 bd Take mahayograj gugulu 2 bd Take castor oil 5 ml at night
Trayodashanga guggulu 1 BD Yograj guggulu 1 BD Ashwagandha capsule 1 HS Maharasnadi kashayam 15 ml BD Dhanwantaram taila- massage
Some regime you should follow
✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible)
🧘♀️Yoga🧘♀️ Virabhadrasana Trikonasana Vrukshasan Prasavkonasan Bhujangasan Balasan Shavana
🧘♀️Pranayam🧘♀️ Anulom Vilom Bhastrika Kapalbhati
❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes. Too much application of any oil or pain killer gel or ointment.
💊Medication💊
Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Sinhanad Guggul 2 tabs twice a day before food. Tab. Punarnavadi Guggul. 2 tabs twice a day before food. Syp. Maharasnadi Kwath 3 tsp twice a day before food with warm water.
Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola
Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.
Internal Medicines 1 Kaishor Guggulu – 2 tablets morning + 2 tablets night after food 2 Arogyavardhini Vati – 1 tablet morning + 1 tablet night after food 3 Guduchi Ghan Vati – 500 mg morning + 500 mg night 4 Tab Shallaki 600mg– 1 tablet morning + 1 tablet night after food 5 Shatavari Kalpa – 10 gm night with warm milk
Oil Application Warm Maharasnadi + Ksheerabala Taila (1:1) – full-body massage daily → hot fomentation 10 min
Diet Give only: moong khichdi + 1–2 tsp ghee, thin buttermilk + roasted jeera, pomegranate, coconut water Avoid completely: curd, non-veg, fried/spicy, wheat/maida, sugar, cold drinks, excessive salt
Lifestyle 30–45 min brisk walk daily Vajrasana 5 min after meals Sleep 10 PM – 6 AM strictly No stress: Anulom-Vilom 10 min daily
Repeat CRP after 40 days Continue meds & add this – side effects will reduce as inflammation drops.
Regards Dr Gursimran Jeet Singh MD Panchakarma
For managing chronic inflammation, especially in cases of rheumatoid arthritis (RA) and osteoarthritis (OA), a multifaceted approach is often needed. Both conditions, though they’re different in nature, can benefit from certain Ayurvedic strategies designed to restore balance by addressing the root cause—often related to aggravated Vata and Pitta doshas. Firstly, diet plays a crucial role. Consider incorporating anti-inflammatory foods such as turmeric (haldi) and ginger in your daily meals. Turmeric can be taken as a golden milk at bedtime by boiling it with milk and a pinch of black pepper to improve absorption. Furthermore, maintain a Vata-Pitta pacifying diet—favor warm, light and less spicy meals, reducing the intake of red meat, and integrating more leafy greens.
Modifying lifestyle habits can greatly influence inflammation. Daily abhyanga (oil massage) using warm sesame or castor oil can reduce Vata aggravation, ease pain and improve joint function. Follow this with a warm shower to enhance circulation. Regular yoga practice, particularly poses like Cat-Cow and Child’s Pose, offer gentle stretches that help improve flexibility and relieve tension.
As part of treatment, regular detoxification or Panchakarma therapies under guidance of a qualified professional can assist in removing accumulated toxins or ‘ama,’ that exacerbate inflammation. Ayurvedic supplements like Shallaki (Boswellia Serrata) and Guggulu (Commiphora Mukul) have shown potential in managing inflammation without harsh side effects; nevertheless, these need to be taken under supervision of an Ayurvedic practitioner to avoid adverse interactions.
Finally, it’s crucial to manage stress as it can significantly worsen inflammation. Practices like meditation and deep breathing exercises could support an overall calming effect on the body. Given the complexity of your condition, it’s essential to work closely with your healthcare provider, ensuring ongoing monitoring of inflammation markers and optimizing safe integration of these methods alongside your medical regimen.
Start with Yograj guggul 1-0-1 after food with water Rasnasapthakam kashaya 15ml twice daily after food with water Apply Mahanarayan oil+ kshirbala+ashwagandha oil on affected pain areas twice daily Avoid sour fermented foods. Wear knee cap during the day
Managing inflammation in rheumatoid arthritis and osteoarthritis with the aim of reducing your raised CPR level requires a multi-faceted approach, combining dietary, lifestyle, and specific herbal suggestions based on Siddha-Ayurvedic principles.
Firstly, examining your diet can be quite helpful. It’s advisable to reduce the intake of inflammatory foods such as refined sugars and processed foods. Focus on incorporating more anti-inflammatory foods like turmeric, which can be consumed with black pepper to enhance its efficacy. Including ginger and garlic in your meals may also be beneficial, as they have natural anti-inflammatory properties.
As for lifestyle, regular gentle exercise such as yoga or tai chi can support flexibility and joint mobility without putting excessive pressure on the joints. Pay particular attention to pranayama, or breathing exercises, to improve prana flow and reduce systemic inflammation. Practices such as anulom vilom (alternate nostril breathing) harmonize the body’s energies and calm the mind, potentially reducing inflammation over time.
Herbally, formulations like Rasnadi, Guggul, and Ashwagandha can be considered, but it’s important to consult with a competent Ayurvedic practitioner before beginning any herbal regimen. They can help determine your prakriti and guide you on the right dosage and combinations.
Hydration is another crucial aspect. Drink warm water throughout the day, perhaps infused with a pinch of cumin seeds, as this can help maintain agni (digestive fire) and better flush out toxins (ama) that may contribute to inflammation.
Finally, in Ayurveda, managing stress is vital, as stress can aggravate pitta dosha, often linked to inflammation. Consider lifestyle adaptations like daily morning sunlight exposure and maintaining regular sleep to balance your body’s rhythms.
While these recommendations could reduce inflammation, given the significant elevation in your CPR, it’s advisable to consult with a healthcare provider to closely monitor the situation alongside any Siddha-Ayurvedic interventions you pursue. This combined approach could provide a sustainable path to managing inflammation effectively.
