Hello, Your history of prostate gland problems for 1–6 months, with night-time urination 2–3 times, mild pain during urination (1–3/10), and occasional anal itching, with no recent lifestyle changes, indicates Vata–Kapha predominance in Mutravaha Srotas, along with Apana Vata dysfunction.
Your treatment will focus on reducing prostate congestion, improving urine flow, pacifying Apana Vata, reducing inflammation, and strengthening urinary function, while preventing progression.
🔎 Recommended Investigations (If not done in the last 3–6 months) 1. Ultrasound KUB + Prostate size & Post-void residual urine 2. PSA (Prostate-Specific Antigen) 3. Urine routine & microscopy – rule out infection 4. Blood sugar (Fasting / HbA1c) – diabetes worsens urinary symptoms 5. Renal Function Test – baseline kidney safety
💊 Internal Medicines Phase 1 – 15 days (Urine flow improvement + Pain & frequency control) 1. Varunadi Kashayam – 15 ml + equal warm water twice daily before meals 2. Chandraprabha Vati – 1 tablet twice daily after meals 3. Gokshura (Tribulus) tablets / Churna – 500 mg tablet twice daily after meals 4. Yashtimadhu Churna – ½ tsp with warm water at bedtime
Phase 2 – 45 days (Prostate support + Apana Vata balance) 1. Punarnava Mandur – 1 tablet twice daily after meals 2. Shilajit (Purified, low dose) – 250 mg once daily in the morning with warm water 3. Continue Chandraprabha Vati – Same dose
🌿 External & Supportive Therapies 1. Abhyanga with warm sesame oil (lower abdomen & lower back) – 3× weekly Helps regulate Apana Vata and reduces night-time urination. 2. Sitz bath (warm water) – once daily in the evening Relieves pelvic discomfort and anal itching. 3. Warm water sipping throughout the day Avoid excessive water intake at night
🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Very spicy food, chilies, excess masala 2. Tea, coffee, alcohol (especially evening) 3. Late-night heavy meals 4. Prolonged sitting and suppression of urine ✅ Include 1. Warm, light, cooked food 2. Bottle gourd, ash gourd, pumpkin 3. Barley water (daytime only) 4. 1 tsp cow ghee daily (supports Apana Vata) 5. Pumpkin seeds (1 small handful daily) 6. Dinner before 7:30 pm
🧘🏻♂️ Yoga & Pranayama Gentle Asanas Vajrasana (after meals) Pawanmuktasana Malasana (only if comfortable) Setu Bandhasana
Pranayama Anulom Vilom – 10 minutes Bhramari – 5 minutes
Kegel-type pelvic floor relaxation (not forceful)
🕉️ Follow-up & Duration * Reduction in night-time urination usually seen in 10–14 days * Pain and urinary comfort improve within 2–3 weeks * Continue medicines for 2–3 months to prevent progression * Reassess prostate size and residual urine after 8–10 weeks
✨ With timely Apana Vata correction, decongestion of the prostate, and disciplined routine, your symptoms are very manageable and progression can be slowed significantly.
With kind regards, Dr. Sumi MS (Ayu)
Gokshuradi guggulu Chandraprabha vati 1 tab twice daily after food with warm water Vidangasava 10-0-10 ml Dashamoola aristha 10-0-10 ml with water Limit liquids atleast 2 hours before bedtime Avoid sweet junk and bakery items
Take prosto 2 bd Take tab chandraprabhavati 2 bd Take goghru tab 2 bd
Chandraprabha vati 1 BD Gokshura tab 1 BD Varunadi kwath 15 ml BD Triphala churna 1 tsp Hs
1.Gokshuradi guggulu 2 tab twice daily with water after meals 2.Chandraprabha vati 2 tab twice daily with water after meals 3.Punaranava mandur 2 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after
🍲 Diet & Lifestyle - Foods to prefer: Light, easily digestible meals; moong dal, khichdi, warm milk, ghee. - Avoid: Spicy, oily, heavy foods; pickles, alcohol, junk food. - Water: Drink warm water throughout the day, avoid cold water. - Activity: Avoid sitting for long periods; take regular light walks. - Bowel habits: Do not suppress urges; prevent constipation.
🌸 Home Remedies - Apply sesame oil or coconut oil around the anus to reduce itching and swelling. - Sitz bath: Sit in warm water for 10–15 minutes, once or twice daily. - Pumpkin seeds or pomegranate are considered beneficial for prostate health.
Internal Medicines- Gokshuradi Guggulu – 2 tablets morning + 2 tablets night after food Chandraprabha Vati – 2 tablets morning + 2 tablets night after food Varunadi Kashayam – 20 ml + 60 ml warm water morning empty stomach Bangshil OR Fortex – 2 tablets morning + 2 tablets night after food (clears mild infection & itching) Punarnavasava – 15 ml + 30 ml warm water after lunch & dinner
Local Relief Warm sitz bath with Triphala water (1 tsp Triphala in warm water) for 10–15 min nightly
Apply Jatyadi Ghrita thinly around anus if itching severe
Diet Give only: Moong khichdi + ghee Pomegranate, coconut water, pumpkin seeds 1 tbsp daily Avoid completely: spicy, sour, tea/coffee after 4 PM, non-veg, curd
Lifestyle Last water intake before 7 PM (only small sips after) Kegel exercises 50×3 daily Legs elevated 20 min twice daily Sleep 10 PM – 6 AM strictly
Regards Dr Gursimran Jeet Singh MD Panchakarma
