Internal Medicines- Kanchanara Guggulu: 2 tablets twice daily. Vriddhivadhika Vati: 1 tablet twice daily. Chandraprabha Vati: 2 tablets twice daily.
Dietary Correction Stop Dry Fruit Dinner: Eating seeds/nuts in the evening increases Vata (gas/dryness), worsening the pain. Have a small bowl of Warm Soup or Milk with Ghee instead. You need warmth and lubrication, not dryness.
Lifestyle Advice Scrotal Support: You must wear tight support underwear (Langot or V-shape brief) during the day. Grade 3 requires mechanical support to stop blood pooling while walking. Leg Elevation: Lie down with a pillow under your hips/legs for 15 minutes daily to drain the veins.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Start with Kanchanar guggul 1-0-1 after food with water Vriddhivadhika vati 1-0-1 after food with water Shilajit satva 1 drop in a cup of milk twice daily. Apply warm castor oil on affected area twice daily. Avoid long hours of standing.
Thank you for sharing your details, so clearly the pattern you have-left-sided varicocele, swelling after lunch and pain after walking for sometimes shows that the veins in the grin or not able to maintain proper tone and the blood tends to collect easily on that side… At your age this is common because vata weakens the Venus support and pitta add warmth and swelling after meals… Your eating routine is good and actually reduces abdominal pressure, so the treatment only needs to support circulation and reduce the congestion For your situation, the medicine that generally work well together are Arshkutar Ras Kanchanar guggulu Punarnavadi mandura Gokahuradi guggulu Take each tablet twice daily after food with warm water The above tablet combination will reduce Venus pressure help the swelling, settle and controls the dragging pain throughout the day Externally, you can apply warm sesame oil lightly over the left groin and gently massage Avoid long sitting, avoid lifting, heavy weight and make sure the bowels most smoothly, so there is no strain on the veins… Your choice of eating early and keeping dinner very light is already correct. Just continue with it.
Take Arogyavardini vati 1 BD Kesore guggulu 1 BD Vriddhibhadika vati 1 BD Shilajit rasayana 1 BD
Namaste Adhin ji, Thank you for your detailed history. The case of grade 3 varicocele with pain on walking and swelling after a meal clearly indicates a disorder of the Vata-Pitta dosha along with impaired venous circulation and a mild digestive overload.
In Ayurveda, varicocele is linked with:
Siragranthi / Sira Sotha – swelling & dilatation of veins Vata aggravation – producing dragging pain, discomfort on walking Pitta aggravation – heat, swelling after meals, inflammation Mandagni – heaviness after lunch causing vascular congestion
Your complaints (pain on walking, swelling after eating, circulation weakness due to old age) are indicative of Vata-Pitta dominancy with impaired circulation.
AYURVEDIC PLAN OF TREATMENT
1.INTERNAL MEDICATION (All the medicines mentioned are classical ones and are widely available)
👉 Morning (Empty stomach – 7:00–7:30 am)
1.Punarnavadi Kashayam 15 ml + 30 ml warm water → it helps to bring down swelling, inflammation & venous congestion.
2. Kanchanar Guggulu – 1 tablet
→ helps shrinking of the veins which are dilated + good circulation is achieved.
👉 After Breakfast (9:00–9:30 am)
3. Punarnava Mandur – 1 tablet → it removes fluid retention & the pressure on the groin veins is lowered.
4. Ashwagandha Capsule – 1 capsule → helps in Vata pain, gives more strength & promotes good circulation.
👉Before Lunch (12:30–1:00 pm)
5. Arogyavardhini Vati – 1 tablet → helps digestion so that the swelling that comes after the meal is avoided.
👉 After Lunch (2:00 pm)
6. Chandraprabha Vati – 1 tab → acts as a detoxifier in the pelvic region, relieves the urinary tract from pressure & calms down inflammation.
👉 Evening (6:00 pm) As you skip your dinner, take light medicines:<br>
7. Punarnava Mandur – 1 tablet → is very effective in the prevention of evening swelling and fluid accumulation.
Heavy, hot, or spicy medicines are to be avoided as they increase Pitta.
EXTERNAL APPLICATION
Every night Nirgundi Taila Slightly warm the oil and apply gently on: Left groin Upper thigh Testicular region (only the outside)
Use light strokes, no pressure. It will bring down pain, release stagnated blood in the veins, and ease the area.
DIET PLAN (Very Important)
As you are having only two meals a day, you should adhere to following diet principles:
✔️Eat:
Simple, warm, and easily digestible meals Moong dal + rice Lauki, tinda, parval, spinach 1 tsp ghee per day Cumin, coriander, and fennel (help to cool Pitta)
❌ Avoid:
Spicy and oily foods Curd, tomato, brinjal Tea on an empty stomach Long fasting (will aggravate Vata and thus pain will increase)
Lifestyle for Varicocele
Walk slowly after meals Avoid sitting for long periods Do not lift weights While resting place a small pillow under the scrotum Wear supportive underwear (not too tight)
Simple Yoga Viparita Karani (legs up wall) – 5 mins Baddha Konasana – 3 mins Anulom Vilom – 5 mins
Improves venous return and reduces swelling.
Helpful Investigations
In case of not recently done: Scrotal Doppler Hb, ESR Lipid profile Kidney Function Test
Adhin, treatment with the right Vata-Pitta balancing medicines and improved digestion can make a significant difference in your Grade 3 varicocele. That you are leading a very disciplined life will certainly accelerate your recovery.
Warm Regards – Dr Snehal Vidhate
kanchnar gugulu 2 bd take purnnava 2 bd take kesor gugulu 2 bd do leech theraphy at panchkarma center
1.Kanchnar guggulu 2 tab twice daily with water after meals 2.Chandraprabha vati 2 tab twice daily with water after meals 3.Ashwagandha Churna 1 tsp twice daily with warm milk after meals 4.Punarnavadi Kashayam 20 ml with 20 ml water twice daily after meals
Lifestyle & Diet Tips: - Avoid prolonged standing or walking; take breaks. - Wear supportive undergarments to reduce strain. - Eat light, easily digestible meals (you already follow early dinner, which is good). - Avoid excess spicy, oily, and heavy foods that increase pelvic congestion. - Gentle yoga: Viparita Karani (legs up the wall pose) helps venous return. - Warm compress on groin area may ease discomfort.
Varicocele pain and swelling can be troubling, especially when linked to lifestyle activities like walking and post-meal routines. Ayurveda views such symptoms often connected with an imbalance in the Vata dosha, which governs movement and circulation in the body. For alleviating discomfort associated with varicocele, Ayurvedic practice may offer some practical remedies and lifestyle adjustments.
First, incorporating the herb Punarnava (Boerhavia diffusa) could be beneficial, as it helps reduce swelling and manage pain. You may consider taking Punarnava Kashayam, about 15 ml with an equal amount of water, twice a day on an empty stomach in morning and before your lunch. Another useful remedy can be Chandraprabha Vati, traditionally used for improving circulation. One tablet with lukewarm water after breakfast and lunch might support in managing the varicocele symptoms.
Abhyanga (oil massage) with Mahanarayan oil on the lower abdomen and groin area can help in managing pain and reassuring relaxation. Gently, apply the oil and massage in circular motions. Doing this daily, ideally in the morning, would be optimal.
Your meal timings can influence your condition; ensuring the diet does not aggravate Vata is key. Include warm, cooked foods with spices like cumin and fennel. Evening snacks like dry fruits are fine, but keep quantity balanced to not disrupt your digestion.
Maintaining good hydration is crucial, but be cautious about water intake close to bedtime. Small sips throughout the day may be more beneficial. Practicing Surya Namaskar (Sun Salutations) or gentle stretches for few minutes may aid in improving blood flow and reducing symptoms.
Seek immediate medical attention if pain intensifies or any new symptom arises. While these practices might support mild cases, further evaluation by an Ayurvedic physician might be essential for personalized treatment adjustments.
For managing varicocele, especially in the context of minor pain and swelling, it’s essential to view the condition through the lens of what we understand in Ayurveda. Varicocele can be often associated with a vata and pitta imbalance, characterized by discomfort and circulation issues in the affected area. Given your dietary habits and sleep schedule, I’d recommend integrating specific Ayurvedic practices that may provide relief while maintaining your lifestyle.
1. Begin with regular gentle self-massage (abhyanga) using warm Mahanarayan oil or sesame oil in the groin and thighs, followed by a warm water bath to soothe the affected area. This can help improve circulation and reduce vata imbalance. Perform this at least three times a week.
2. You might consider taking Punarnava Asava, an Ayurvedic formulation known for its benefits in improving circulation and reducing inflammation. Take 15 ml with an equal amount of water post-lunch, which can help manage the swelling felt after meals.
3. Guggulu-based formulations, such as Kaishore Guggulu, might also be beneficial. Take 1 tablet after breakfast and lunch to aid in reducing pain and swelling.
4. Having a regular intake of Triphala churna may help maintain bowel regularity and aid digestion, thus balancing your internal system. Take it with warm water before bedtime if you find it doesn’t disrupt your sleep.
It appears you’re avoiding meals after 4 pm. While eating early can be good for digestion, ensure your meals are complete and nutrient-dense. Continuing with the dry fruits and seeds is good, but consider a light dinner option if you feel it’s necessary for your energy levels.
While these recommendations suit moderate situations, if the pain intensifies or you feel persistent discomfort, it’s vital to consult a healthcare professional or an ayurvedic doctor locally. Varicocele, depending on severity, may sometimes necessitate more direct intervention, and making sure you’re receiving the right care is crucial.
