Managing Multiple Health Issues at Age 70 - #46937

Hello, I hope you are on medications for the same and following good dietary and lifestyle practices as directed by your physician: From ayurveda the following will help and safe to use with and for your current issues: 1. Dhanvantharam kashayam 10ml+80ml boiled cooled water one hour after breakfast and one hour after dinner. 2. Rasnairandadi kashayam 10ml along with medicine no.1 3. Ksheerabala101 softgel capsules 2 along with medicine no.1

All the 3 medication for 45 days. Floow up after 45 days.

Take care, Kind regards.

Take zandopa 1tab bd, mahayoga Guggulu gold 1tab bd,cardimap 1tab bd, shankapushi syrup 20ml bd, chandraprabha vati 1tab bd enough

Hlo,

Thank you for sharing detailed history. Considering your age (70 years) and multiple co-morbidities (Parkinson’s disease, CAD post-CAG, T2DM, HTN, CKD 3A, post-TURP & VIO), Ayurveda must be very gentle, supportive, and non-aggressive. The goal is quality of life, digestion, nervous system support, breathing pattern correction, and slowing degeneration — not strong detox or heavy medicines.

I will give a SAFE, CKD- & cardiac-friendly Ayurvedic supportive plan. (Please do not stop any allopathic medicines.)

AYURVEDIC UNDERSTANDING (Brief) - Dominant Vata disorder (Parkinson’s, mouth breathing, degeneration) - Associated Kapha obstruction (poor digestion, heaviness) - Mandagni (weak digestion) - Ojas depletion (post surgeries, chronic illness) - Mild Pranavaha srotas dysfunction → mouth breathing

CORE PRINCIPLES FOR YOU ✔ Mild medicines ✔ Low dose ✔ Kidney-safe ✔ Heart-safe ✔ Focus on Agni + Vata pacification

1️⃣ DIGESTION & APPETITE (MOST IMPORTANT) Morning (Empty stomach) 👉 Ajwain + Saunth water Ajwain ¼ tsp Dry ginger (Saunth) ¼ tsp Boil in 1½ cup water → reduce to 1 cup Sip warm ⛔ Avoid hing, trikatu, chitrak (too strong for CKD) Before Meals

👉 Hingvastak Churna (VERY LOW DOSE) 1 pinch (literally a pinch) With first bite of lunch & dinner Only if no acidity

After Meals 👉 Takra (Buttermilk) – Lunch only Diluted, slightly warm Add roasted jeera powder

⛔ Avoid at night

2️⃣ PARKINSON’S & NERVOUS SYSTEM SUPPORT (SAFE OPTION) Night (After Dinner)

👉 Ashwagandha Avaleha ½ tsp only With warm water or milk (if sugar controlled) ⚠️ This low dose is generally safe even in CKD 3A Optional (If stiffness / tremors prominent)

👉 Ksheerabala 101 capsule 1 capsule at night Helps Vata, nerves, sleep

3️⃣ MOUTH BREATHING (VERY COMMON IN PARKINSON’S) Daily Morning 👉 Anu Taila Nasya 1 drop in each nostril After face wash Lie down 2 minutes ✔ Improves nasal airflow ✔ Reduces dryness ✔ Supports prana & brain ⛔ Do NOT use if active cold, cough, or chest congestion

4️⃣ GENERAL STRENGTH & IMMUNITY (RASAYANA – GENTLE)

👉 Draksha Rasayana 1 tsp in morning after breakfast Improves digestion, weakness, heart & kidney friendly

5️⃣ DIET GUIDELINES (CRITICAL) Prefer Warm, freshly cooked food Soft rice, moong dal, lauki, tori, pumpkin Stewed apple / pear Thin dal soups

Avoid ❌ Dry foods (biscuits, namkeen) ❌ Raw salads ❌ Excess fruits ❌ Curd at night ❌ Cold water ❌ Fried / bakery / packaged food

6️⃣ DAILY ROUTINE (VERY IMPORTANT) Wake up & sleep same time daily Gentle oil massage (til taila or bala oil) to feet only Light walking after meals Avoid afternoon sleep

7️⃣ WHAT TO AVOID STRICTLY ⛔ Panchakarma ⛔ Strong Bhasmas ⛔ Guggulu preparations ⛔ Heavy churna combinations ⛔ Excess herbs “for Parkinson’s” seen online RED FLAGS – STOP & CONSULT Increased acidity Swelling in legs Sudden BP or sugar fluctuation Breathlessness

IMPORTANT NOTE This prescription is supportive, not curative. With your history of CAD + CKD + Parkinson’s, the aim is: ✔ Slowing progression ✔ Better digestion ✔ Better breathing ✔ Energy & comfort

Tq

AS YOU ARE 70 YEARS OLD WITH RADICULOPATHIC PARKINSONS DISEASE ,TYPE 2 DIABETES,HYPERTENSION ,POST CAG WITH LMCA STENT ,TURP AND VIO PROCEDURE WITH STABLE CKD 3A ,GIVEN YOUR MEDICAL STATUS THE FOCUS MUST BE ON SUPPORTING NERVOUS SYSTEM ,MUSCLES ,JOINTS ,DIGESTION AND RESPIRATORY FUNCTION WITHOUT PUTTING EXTRA STRESS ON YOUR ORGANS DIGESTIVE SYSTEM AND CARDIOVASCULAR SYSTEM.

DIET SHOULD BE SOFT AND EASILY DIGESTIBLE INCLUDE WARM COOKED VEGETABLES SUCH AS SPINACH CARROT ,BEETROOT ,PUMPKIN AND OTHER GREEN LEAFY VEGETABLES . INCLUDE LENTILS LIKE MOONG DAL AND TOOR DAL WHICH ARE WELL COOKED AND SOFTENED TO AVOID STRESS ON DIGESTIVE SYSTEM RICE SHOULD BE WELL COOKED AND SLIGHTLY MOIST AVOID RAW SALADS UNTIL YOUR DIGESTION IS STRONG AVOID OILY FRIED AND HEAVY FOODS REDUCE SPICY FOODS AS MUCH AS POSSIBLE INCLUDE LIGHT SOUPS AND BROTHS TO MAINTAIN HYDRATION AND PROVIDE NUTRITION.

AYURVEDIC MEDICINES CAN BE USED TO SUPPORT NERVE HEALTH ,MUSCLE STRENGTH ,DIGESTION AND GENERAL WELLNESS GOKSHURA CHURNA HALF TSP TWICE DAILY WITH WARM WATER

ASHWAGANDHA CHURNA ONE TSP MORNING WITH MILK

MANASAMITRA VATAKAM ONE TABLET MORNING AND EVENING

SARASWATI ARISTHA TWO TSP AFTER FOOD DAILY

TRIPHALA CHURNA HALF TSP AT NIGHT WITH WARM WATER .

PRACTICE PRANAYAMA BREATHING EXERCISES LIKE ANULOM VILOM AND DEEP ABDOMINAL BREATHING HELP IMPROVE RESPIRATORY FUNCTION AND CALM NERVOUS SYSTEM

AVOID HEAVY LIFTING OR SUDDEN MOVEMENTS TO PREVENT STRAIN ON SPINE AND JOINTS

ENSURE ADEQUATE REST THROUGHOUT THE DAY AND AVOID OVEREXERTION ,SUPPORT BLOOD SUGAR LEVELS WITH REGULAR MONITORING AND TIMELY MEALS . AVOID SKIPPING MEALS AS THIS CAN CAUSE FLUCTUATIONS AND AFFECT ENERGY LEVELS MONITOR BLOOD PRESSURE AND KIDNEY FUNCTION REGULARLY

DRINK WARM WATER THROUGHOUT THE DAY ,AVOID ICE COLD DRINKS WHICH MAY STRESS DIGESTIVE SYSTEM AND VATA DOSHA PAY ATTENTION TO ANY SIGNS OF DIGESTIVE DISTURBANCE LIKE BLOATING CONSTIPATION OR HEARTBURN AND MANAGE WITH LIGHT DIET AND AYURVEDIC DIGESTIVE SUPPORT

COORDINATE AYURVEDIC MEDICINES WITH ALL ALLOPATHIC MEDICATIONS, DO NOT CHANGE DOSES OF MEDICAL TREATMENT WITHOUT CONSULTING YOUR PHYSICIAN . KEEP A LOG OF SYMPTOMS ENERGY LEVELS AND ANY SIDE EFFECTS TO DISCUSS WITH YOUR DOCTOR REGULARLY.

IF ANY NEW SYMPTOMS LIKE SWELLING ,SHORTNESS OF BREATH ,CHEST PAIN ,SEVERE WEAKNESS OR CONFUSION APPEAR SEEK IMMEDIATE MEDICAL ATTENTION .THIS PLAN IS TO SUPPORT RECOVERY AND WELLNESS AND DOES NOT REPLACE EMERGENCY OR URGENT MEDICAL CARE.

AVOID EXPOSURE TO DUST COLD WEATHER AND AIR POLLUTION WHICH CAN AFFECT RESPIRATORY HEALTH USE WARM CLOTHING AND KEEP HOME ENVIRONMENT CLEAN AND WELL VENTILATED ENSURE REGULAR GENTLE PHYSICAL MOVEMENT TO PREVENT MUSCLE STIFFNESS AND JOINT STIFFNESS SUPPORT HEART HEALTH BY LIMITING SALT INTAKE AND AVOIDING PROCESSED FOODS

OVERALL THE GOAL IS TO SUPPORT NERVOUS SYSTEM MUSCLES DIGESTION AND RESPIRATORY FUNCTION THROUGH GENTLE DIET MEDICINES AND LIFESTYLE PRACTICES MAINTAIN REGULAR CHECKUPS WITH YOUR MEDICAL TEAM TO ENSURE SAFETY AND EFFECTIVENESS OF AYURVEDIC SUPPORT AND MONITORING BLOOD SUGAR BLOOD PRESSURE KIDNEY FUNCTION AND HEART STATUS

THIS INTEGRATED APPROACH CAN HELP IMPROVE QUALITY OF LIFE ENERGY LEVELS MUSCLE STRENGTH AND GENERAL WELLBEING WHILE MANAGING YOUR COMPLEX MEDICAL CONDITIONS

CONTINUE AYURVEDIC MEDICINES AS ADVISED AND REASSESS EVERY TWO TO THREE WEEKS MONITOR YOUR RESPONSE AND ADJUST DOSAGES IF REQUIRED UNDER SUPERVISION AVOID SELF MEDICATION AND COMBINE WITH LIGHT EXERCISE BREATHING PRACTICES AND DIGESTIVE SUPPORTIVE DIET

FOCUS ON MAINTAINING VITALITY IMMUNITY AND STRENGTH WITHOUT OVEREXERTION PROVIDE REGULAR MONITORING OF VITAL SIGNS ENERGY LEVELS AND ANY NEW SYMPTOMS STAY HYDRATED AND TAKE REST WHEN REQUIRED MAINTAIN POSITIVE ROUTINE WITH LIGHT ACTIVITY AND PROPER DIET

THIS PLAN WILL SUPPORT MUSCLE STRENGTH JOINT MOBILITY NERVOUS SYSTEM FUNCTION DIGESTION AND RESPIRATORY HEALTH PROVIDE RELIEF FROM FATIGUE AND STRESS WHILE MAINTAINING GENERAL WELLBEING CONTINUE REGULAR MONITORING OF BLOOD SUGAR BLOOD PRESSURE HEART FUNCTION AND KIDNEY FUNCTION TO ENSURE SAFETY AND ADJUST TREATMENT AS REQUIRED

MAINTAIN CLEAN ENVIRONMENT AND MINIMAL STRESS SUPPORT EMOTIONAL WELLBEING THROUGH LIGHT ACTIVITIES FAMILY INTERACTION AND MEDITATION FOLLOW ALL INSTRUCTIONS FOR AYURVEDIC MEDICINE AND DIET STRICTLY MONITOR RESPONSE AND REPORT ANY SIDE EFFECTS OR CHANGE IN SYMPTOMS TO YOUR DOCTOR

CONTINUE GENTLE WALKING STRETCHING BREATHING EXERCISES REGULAR MONITORING OF BLOOD SUGAR BLOOD PRESSURE KIDNEY AND HEART FUNCTION TAKING AYURVEDIC MEDICINES AS ADVISED AND MAINTAINING WARM DIGESTIBLE DIET CAN HELP IMPROVE OVERALL WELLBEING ENERGY LEVELS AND QUALITY OF LIFE IN COMPLEX MEDICAL CONDITIONS

SIMPLE YOR AGE 70 So take Tab manashmitra vatikam 2 times day after food Take ashwagandha 1 tab 2 times day Take moringa poder juice at morning Take 3 ml castor oil at night Do nasya 2 drop each nostril 2 times day Do padabhyang and saclp abhyag with cow ghee at before sleep

1.Ksheer bala 101 capsules- 1 cap twice daily with warm milk after meals 2.Pippalyasava 20 ml with 20 ml water twice daily after meals 3.Punarnava Mandur 2 tab twice daily with water after meals 4.Rasna saptak kwath 20 ml with 20 ml water twice daily after meals 5.Ashwagandha capsules 2 cap twice daily with warm milk after meals

🧘 Lifestyle & Diet Tips -Small, frequent meals: Easy-to-digest foods like khichdi, dal soup, boiled vegetables. -Avoid heavy/oily foods: Reduce fried, spicy, and processed foods. -Hydration: Adequate fluids, but monitor intake due to CKD. -Stress management: Gentle pranayama (Anulom Vilom, Bhramari) and meditation. -Physical activity: Gentle walking or physiotherapy as tolerated for Parkinson’s. -Sleep hygiene: Regular sleep schedule, calming bedtime routine.

HELLO,

You are 70 years old with multiple long term health conditions

-PARKINSON’S DISEASE (radiorpathic 5 years): causes tremors, stiffness, slow movements, and sometimes swallowing difficulties. This is mainly a vata disorder affecting the nerves -TYPE 2 DIABETES AND HYPERTENSION (10 years):- Metabolic imbalance (kapha+Pitta dosha) causing high blood sugar and blood pressure -HEART DISEASE :- you had a CABG (LMCA) surgery in oct 2024, meaning your heart circulation has been surgically improved but still needs careful monitoring -PROSTATE SURGERY (TURP) and VIO PROCEDURE : post surgical recovery makes your body more delicate -CHRONIC KIDNEY DISEASE (CKD 3A) : kidneys function at 45-50 % requiring careful diet and medication monitoring -MOUTH BREATHING and STRESS worsen your symptoms, and you report poor appetite and digestion

In simple terms= Your body is weak, nervous system is sensitive, digestion is low, and multiple organs are vulnerable

AYURVEDIC VIEW -PRIMARY IMBALANCE= vata (nerves, movements, dryness) -SECONDARY IMBALANCE= kapha-pitta (blood sugar, BP, heart) -AGNI (digestive fire)= low-> poor appetite, costipatio, bloating -OJAS (vital energy)= low -> weakness, slower, healing -SROTAS (body channels)= nervous, circulatory, urinary, digestive and respiratory channels are stressed

TREATMENT GOALS INTERNAL -balance vata= improve nerve function, reduce tremors, stiffness -Regulate blood sugar and BP= support metabolic stability (kapha-pitta balance) -Improve digestion and appetite= stimulate agni without aggravating pitta -strengthen heart and kidney= gentle nourishment -Enhance Ojas= boost immunity, vitality, and overall strength

EXTERNAL -Gentle massage and oil therapy = soften muscles, calm nerves -support circulation and reduce stiffness= improve movement and relaxation -Prana regulation= improve oxygenation, reduce stress

INTERNAL MEDICATIONS

1) KAPIKACCHU CHURNA= 1 tsp with warm milk daily in morning for 3 months =supports dopamine, reduces tremors

2) BRAHMI VATI= 1 tab twice daily after meals for 3 months = improves memory, nerves, calms nerves

3)ASHWAGADHA CAPSULES= 1 cap twice daily with warm milk after meals for 3 months = strengthen nerves, improves stamina

4) HINGWASTAKA CHURNA= 1/2 tsp before meals with warm water or ghee foe 2 months = reduces bloating, improves appetite

5) ARJUNA CHURNA= 1 tsp in morning for 2 months with warm milk =strengthens heart muscles

6) BRAHMI GHRITA= 1 tsp at bedtime for 2 months = improves sleep, calms mind

EXTERNAL TREATMENT

1) OIL MASSAGE= KSHEERBALA TAILA = releievs stiffness, nourishes nerves, improves circulation

2) HEAD MASSAGE= gentle head massage improves cognition, reduces stress

3) SHIRODHARA (if Bp stable) =flow of warm oil on forehead -calms vata, reduces tremors, improves sleep

4) MILD FOMENTATION -warm compress on joints/muscles -reduces stiffness

LIFESTYLE CHANGES -Sleep= 7-8 hours, avoid daytime sleep -Routine= regular meals, light exercise -Stress reduction= meditation, gentle mental activities -Movement= short walks, physiotherapy -Breathing= practice diaphragmatic breathing, bhramari, and nadi shodhana

YOGA ASANAS -tadasana -ardha matsyendrasana -gentle forward bends

PRANAYAM -Diaphragmatic breathing -nadi sodhana -bhramari

AVOID -kapalbhati -forecefu breathing -breath retention

DIET -warm, cooked foods, soft texture -small, frequent meals -Favour= rice dal, pumpkin, gourds, carrot, cooked vegetables -Use mild spices= cumin, coriander, fennel, ginger -Limit= raw salads, fried foods, cold drinks, sugar -Include healthy fats= 1 tsp ghee per day -Ensure adequate fluid intake

HOME REMEDIES -warm water with cumin/fenel before meals -steam inhalation for mouth breathing -warm milk with pinch of turmeric before bedtime -gentle foot oil massage before sleep -avoid exposure to cold air and drafts

-Your health is complex due to multiple chronic conditions ; Ayurveda is supportive not a replacement for ongoing medicine -Focus on gentle, nourishing care : vata pacification, strengthening, improving digestion -Regular monitoring of heart, kidney, sugar, BP, is essential -Home routine, mild yoga, breathing, and diet play a big role in day-to-day well being -Stress management is key, as it triggers worsening symptoms -This plan is long term ; improvements are gradual but sustained with consistency

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Your multiple conditions need gentle, multi-system support – focus on neuroprotection, heart/kidney safety, blood sugar/BP control & breathing improvement.

Safe 90-Day Plan (all medicines heart/kidney-safe) 1 Kapikachhu Churna – 3 gm morning + night with warm milk 2 Ashwagandha Lehyam – 5–10 gm morning + night with warm water 3 Arjunarishta – 15 ml + 30 ml warm water after breakfast & dinner 4 Punarnavadi Mandoor – 250 mg morning + night after food 5 Sitopaladi Churna – 3 gm + honey 3 times daily

Daily Must-Do Nasya – 2 drops warm Anu Taila each nostril morning (opens nasal passage, reduces mouth breathing) Steam with Tulsi leaves → 10 min twice daily Gentle walk 20 min daily (slow pace)

Diet Give daily: moong khichdi + ghee, pomegranate, coconut water Avoid completely: spicy/sour, cold drinks, excessive salt/sugar, late dinner

Regards Dr Gursimran Jeet Singh MD Panchakarma