Based on the details you have shared long standing neurological ,metabolic ,cardiac , urological and renal conditions and present concerns related to mouth breathing ,poor appetite and persistent digestive disturbance, shows chronic imbalance of Vata predominance with secondary Pitta involvement and depletion of Kapha and Ojas which is expected at this stage and with the medical history described, In Ayurveda aging itself is a Vata dominant phase and when neurological disorders diabetes cardiac disease kidney involvement and repeated surgical interventions exist the digestive fire becomes irregular ,the nervous regulation of breathing, swallowing and gut movement weakens and stress further aggravates Vata leading to dryness ,instability and loss of coordination, Mouth breathing is due to manifestation of Vata disturbance where the natural rhythm of respiration becomes shallow irregular and bypasses the nasal pathway this affects oxygen utilisation, heart nourishment ,brain stability ,sleep quality and digestive efficiency ,therefore the approach must be systemic and restorative rather than aggressive. Your poor appetite and constant digestive problems where digestion fluctuates leading to improper transformation of food into nourishment this directly impacts medication absorption muscle strength immunity and mental steadiness ,hence restoring Agni is the foundation of improvement Considering your stable chronic kidney disease and cardiac history medicines must be mild well tested and used in conservative dosages avoiding heavy metallic preparations and avoiding excess salt protein and stimulants. The first line of support is regulation of digestion
Hingvashtak churna half teaspoon with warm water take once daily before meal
Ajmodadi churna half teaspoon with warm water after dinner once daily at night
Draksharishta fifteen mL mixed with equal warm water before meals
For nervous system stability and Parkinsonian Ashwagandha churna 3 grams mixed with warm milk at night supports nerve strength muscle tone Brahmi vati one tablet once daily after breakfast
Guduchi satva 500 mg once daily in the morning with warm water supports immunity
Arjuna tablet twice daily with warm water after food,supports myocardial strength circulation and blood pressure stability
Gokshura guggulu twice daily with warm water after food supports urinary flow bladder tone and kidney function without increasing creatinine load Punarnava churna two grams once daily in the morning with warm water supports fluid balance and renal circulation
Anu taila two drops in each nostril in the morning on empty stomach lying comfortably this strengthens nasal passages supports Vata and gradually encourages nasal breathing
Warm water sipping throughout the day in small quantities helps dryness ,digestion and kidney clearance
Food should be warm soft freshly prepared and taken at fixed times Rice wheat moong dal cooked vegetables ghee in small quantity stewed fruits and soups
Avoid cold food refrigerated items raw salads excess sweets fermented food and heavy night meals Dinner should be taken early
morning sunlight exposure slow walking Sleep should be regular avoid daytime sleep longer than short rest
With consistency gentleness and patience this approach supports quality of life stability and functional comfort.
At age of 70 yrs, you need to continue all your allopathic medicines,as suggested, ayurvedic medicine will help as supplement, and supportive, to be continued parallelly keeping a gap of 30min between 2 system of medicine. After starting As your values reduces ,you can gradually reduce allopathic doses as required under doctor’s advice. Do not self medicate. Kaucha beej churan 1/2tsp. -0-1/2tsp with water after food., will help for Parkinson Renogrit 2-0-2 after food with water for CKD. Prasham tablet 0-0-2 at bedtime with water, will help for Hypertension. Take karela jamun juice 15 ml twice daily before food with water, will help for DM. Do pranamyam at slow pace bhastrika bhamri 5-10mins twice.daily.
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
