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Gastrointestinal Disorders
Question #47551
22 days ago
332

Seeking Remedies for Gas and Untimely Motion in a 61-Year-Old Male - #47551

Client_e4b310

My question: My friend is 61 yrs, Male. He has 2 issues. 1) Gas 2) Untimely motion pl suggest remedy.

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At this age gas and untimely motion usually happen due to weak digestion irregular bowel reflex and sensitivity of the intestine it is not a serious disease but a functional imbalance which can be corrected with gentle and regular care

First the digestion needs to be stabilised

He can take Hingvashtak churna half teaspoon twice daily after meals with warm water

Avipattikar churna half teaspoon at night after dinner with warm water if acidity or burning is present

Triphala churna half teaspoon at bedtime with warm water daily this helps regulate timing of motion without causing weakness

If gas is severe especially bloating and heaviness then he can take Ajwain boiled water twice daily after meals

He should eat meals at fixed times daily avoid late dinners after eight pm avoid curd at night fried food bakery items excess tea coffee and very cold food

Warm water on waking gentle walk for twenty minutes and sitting calmly at the same time daily for bowel movement even if urge is mild

With this approach gas reduces within one to two weeks and bowel timing improves gradually over three to four weeks consistency is the key not changing medicines frequently

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HELLO,

Your friends main problem is weak and irregular digestion. because of this -food is not digested properly -gas is formed -the intestine does not know when to empty, so motion ma come –too early in morning –immediately after food –at irregular times –sometimes loose, sometimes normal

In Ayurveda, this happens mainly due to imbalance of vata dosha, which naturally increases after the age of 60.

AYURVEDIC VIEW

1) DOSHA INVOLVED

VATA (main cause) -> causes gas, bloating, movement problems , urgency

PITTA (secondary) -> causes improper digestion, irritation, frequent motion

2) DIGESTIVE FIRE -Either Mandagni (weak digestion) -or Vishamagni (sometimes strong, sometimes weak)

3) CONDITION NAMES IN AYURVEDA -Adhmana = gas, bloaitng -Vishama ajerna= irregular digestion -Grahani dosha (functional stage)= intestine fails to hold food properly

This is not a structural disease, but a functional digestive disorder common in elderly people

TREATMENT GOALS -correct digestion -move gas downward properly -strengthen intestines so stool comes at the right time -prevent recurrence -avoid harsh medicines due to age

INTERNAL MEDICATIONS

1) HINGWASTAKA CHURNA= 1/2 tsp with warm water before meals for 6 weeks =reduces gas, improves digestion, controls vata in intestine

2) AJAMODADI CHURNA= 1/2 tsp after meals with warm water for 4 weks =excellent for painful gas, improves intestinal movement, reduces bloaitn

3) BUTTERMILK –fresh curd-> churn-> remove butter ADD -roasted cumin powder -dry ginger powder -rock salt after lunch daily =best medicine for grahani, improves gut bacteria, strengthens digestio

4) ABHARISHTA= 20 ml + equal water at bedtime for 6 weeks =regulates bowel movement, corrects apana vata, safe for elderly

IF STTOOLS ARE LOOSE -Bilvadi churna= 1/2 tsp twice daily after meals for 3 weeks

EXTERNAL TREATMENT

ABDOMINAL OIL MASSAGE OIL= warm castor oil METHOD= gentle clockwise massage on abdomen TIME= at night before sleep FREQUENCY= 3-4 times/weeks =pacifies vata, relieves gas, improves bowel rhythm

YOGA ASANAS -pawanmuktasaa= best for gas -vajrasana= sit after meals -malasana -ardha matsyendrasana 15-20min daily

PRANAYAM -Anulom Vilom= 10 rounds -Bhramari= 5 rounds -Deep abdominal breathing

Avoid kapalbhati if motion is requent

DIET -warm, freshly cooked food -rice gruel, moong dal -ghee small amount -bottle gourd, ridge gourd, pumpkin -buttermilk daytime only

AVOID -cold food -curd at night -raw salad -excess tea, coffee -bakery items -eating late night

HOME REMEDIES -Jeera-saunf water= sip after meals -Hing water= pinch of hing in warm water, during severe gas -Dry ginger powder= pinch with warm water after meals

EXPECTED IMPROVEMENT TIMELINE -GAS= improves in 7-10 das -BOWEL TIMING= improves in 2-4 weeks -COMPLETE STABILIZING= 6-8 weeks

This problem is due to age-related weakening of digestion and excess air movement in the intestine. It is completely manageable, not dangerous, and does not require strong mediicnes. Regular food habits, simple mediicnes, and lifestyle correction will bring long-term relief

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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14 days ago
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Medicines 1 Hingwashtak Churna – 1 tsp + warm water after lunch & dinner (best for gas & bloating). 2 Avipattikar Churna – 3 gm + warm water 30 min before dinner (controls untimely motion & acidity). 3 Triphala Churna – 3 gm night with warm water (gentle regulation of bowel timing). 4 Kamadhudha Ras (plain) – 250 mg morning + night with water (cools stomach & reduces gas).

Daily Must-Do Vajrasana 10 min after every meal (reduces gas & regulates motion). Chew ½ tsp saunf after meals.

Diet Give daily: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate. Avoid completely: spicy/sour, fried food, cold drinks, late dinner.

Regards Dr Gursimran Jeet Singh MD Panchakarma

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22 days ago
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Don’t worry take udaramritham 20ml bd, bilwadilehyam 1tsp, Pancharista 20ml bd enough

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Hello It’s super common for people over 60 to deal with gas and weird bathroom schedules. It can mess with your whole day, your sleep, and just make you feel generally uncomfortable. But good news! Ayurveda is really good at fixing this by sorting out your digestion.

YOUR CONCERN AND AYURVEDIC UNDERSTANDING

It sounds like: * Your Vata Dosha is a bit high (that happens as we get older). * Your digestion (Agni) is a bit weak. * The ‘Apana Vata’ (which handles gas, poop, and pee) isn’t working right.

Basically, it’s called Aadhmana (lots of gas/bloating) and Vibandha/Atipravritti (pooping at odd times or not regularly). As we age, digestion naturally slows down, Vata increases, and that leads to gas, feeling like you have to go right away, not feeling empty, or having to go at strange times.

AYURVEDIC PLAN OF TREATMENT

INTERNAL MEDICATION

1 Hingwashtak Churna:*Half a teaspoon with warm water after meals. This helps with gas, bloating, and that heavy feeling.

2.Triphala ChurnaHalf a teaspoon with warm water before bed. This helps get your bowel movements regular without being harsh.

3.Avipattikar Churna:(If you have heartburn or acidity) Half a teaspoon after lunch.

Important: At this age, avoid strong laxatives!

DIET PLAN

✅INCLUDE

* Warm, freshly cooked meals * Soft rice, lentil soups, veggie soups * Buttermilk (the kind without cream) with a little roasted cumin * A teaspoon of ghee daily (it helps lubricate your insides)

❌AVOID

* Too much tea or coffee * Fried foods, bakery items, cold foods * Curd at night * Raw salads at night * Skipping meals

DAILY ROUTINE

* Try to go to the bathroom at the same time each day (first thing in the morning is best). * Don’t hold it in if you feel the urge to go. * Take a light walk for 15-20 minutes daily. * Don’t go to sleep right after eating.

SIMPLE YOGA AND HOME REMEDIES

Yoga (daily if you can): Try Pawanmuktasana, Vajrasana (for 10 mins after meals), and gentle belly breathing.

Home Remedy:Warm water with a tiny pinch of hing and carom seeds (ajwain) at night (2-3 times a week).

This is mostly a digestive issue, not something super serious. With good Ayurvedic care, your friend can feel much better without needing laxatives all the time.

Warm Regards Dr. Snehal Vidhate

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22 days ago
5

Hlo,

For a 61-year-old male with gas (bloating/flatulence) and untimely bowel movements (irregular or urgent stools), this is usually due to weak digestion (Mandagni), Vata imbalance, and sometimes age-related gut sensitivity. Below is a safe, simple Ayurvedic approach 🌿

🌿 Ayurvedic Understanding Gas → Vata + Kapha imbalance, slow digestion Untimely motion → Apana Vata disturbance, weak colon tone At this age, digestion becomes lighter and more sensitive

✅ Daily Ayurvedic Remedies 1️⃣ For Gas & Bloating After meals (twice daily): Hingvastak Churna – ½ teaspoon Mix with lukewarm water or buttermilk 👉 If not available: Roast ½ tsp ajwain + a pinch of hing Chew after meals

2️⃣ For Untimely / Irregular Motion At bedtime: Isabgol (Psyllium husk) – 1 teaspoon With lukewarm milk or water ✔️ This regulates stool timing (not a laxative)

3️⃣ To Strengthen Digestion Before lunch & dinner: Trikatu Churna – ¼ teaspoon With honey or warm water (Improves digestion and reduces gas formation)

🥗 Diet Guidelines (Very Important) ✔️ Eat: Warm, freshly cooked food Rice, dal, khichdi Buttermilk (midday) with roasted jeera Steamed vegetables (lauki, pumpkin)

❌ Avoid: Cold food & drinks Raw salads at night Tea/coffee on empty stomach Fried, bakery, excess sweets

🧘 Lifestyle Tips Walk 20–30 minutes after dinner Do not suppress urge for stool Fixed meal & toilet time daily Avoid lying down immediately after eating

⚠️ When to See a Doctor If there is: Weight loss Blood in stool Severe pain Night-time diarrhea

🌿 Summary (Simple Routine) Morning: Warm water Before meals: Trikatu After meals: Hingvastak Night: Isabgol

Tq

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Avipattikar churana morning and night with Luke warm water 1 spoon Shivakshar pachan choorna 1 tab morning and night

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FOR A 61 YEAR OLD MALE HAVING GAS AND UNTIMELY MOTION THIS USUALLY INDICATES A DIGESTIVE IMBALANCE WHERE FOOD IS NOT BEING PROPERLY DIGESTED AND GAS IS FORMING LEADING TO IRREGULAR BOWEL URGE SOMETIMES LOOSE SOMETIMES URGENT

FOR GAS AND DIGESTIVE STABILITY HE CAN START WITH HINGVASHTAK CHURNA HALF TEASPOON MIXED WITH A LITTLE GHEE OR LUKEWARM WATER BEFORE LUNCH AND DINNER DAILY

FOR REGULATING BOWEL TIMING AND STRENGTHENING THE GUT HE CAN TAKE BILVA CHURNA HALF TEASPOON TWICE DAILY AFTER MEALS OR KUTAJ GHANA VATI TWO TABLETS TWICE DAILY AFTER FOOD IF MOTIONS ARE LOOSE OR URGENT

IF CONSTIPATION IS ALSO PRESENT ON SOME DAYS THEN TRIPHALA CHURNA HALF TEASPOON AT BEDTIME WITH WARM WATER CAN BE USED

FOOD SHOULD BE SIMPLE WARM AND COOKED AVOID OVER EATING RAW FOODS VERY SPICY ITEMS AND IRREGULAR MEAL TIMINGS EATING AT THE SAME TIME DAILY HELPS RESET THE BOWEL REFLEX

IMPROVEMENT IN GAS IS OFTEN SEEN WITHIN 7 TO 10 DAYS AND BOWEL REGULARITY USUALLY STABILIZES IN 2 TO 3 WEEKS IF MEDICINES ARE TAKEN CONSISTENTLY

IF THERE IS WEIGHT LOSS BLOOD IN STOOL OR SEVERE PAIN THEN FURTHER EVALUATION IS ADVISED BEFORE CONTINUING ANY MEDICATION

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1.Hingwashatak churna 1 tsp twice daily with warm water before meals 2.Bilvadi churna 1/2 tsp twice daily with water after meals 3.Jeerkarishta 20 ml with 20 ml water twice daily after meals

Adv: Add Buttermilk / Lassi to your diet in a rich amount

Diet: - Favor warm, cooked foods (khichdi, soups, lightly spiced vegetables). - Avoid excess raw salads, cold drinks, fried foods, and heavy pulses at night. - Use digestive spices: cumin, ajwain, ginger, black pepper.

Lifestyle: - Eat at regular times; avoid late-night meals. - Gentle evening walk aids digestion. - Practice Vajrasana for 5–10 minutes after meals. - Manage stress with Nadi Shodhana pranayama.

Warm Regards Dr.Anjali Sehrawat

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Follow some simple lifestyle changes and dietary changes and you will see results for your problem.

✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.

🧘‍♀️ Yogasan : 🧘‍♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana

🧘‍♀️ Pranayam: 🧘‍♀️ 1. Bhramari 2.Bhasrika 3.Kapalbhati 4.Jyoti Tratak 5. Anulom Vilom

❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake.

💊Medication 💊

Tab. Ampachak Vati 2 tabs twice a day before food. Tab. Praval Panchamrit Vati 2 tabs twice a day before food. Tab. Liv 52 DS 1 tab twice a day before food. Syp. Drakshasav 2 tsp with half a cup of warm water before food.

Tab. Shankhavati 2 tabs twice a day after food suck and eat

Tab. Gandharva Haritaki Vati 2 tabs at bed time with a cup of hot water.

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Start with Bilwadi avalehyam 1st twice a day after food Avipattikara churna half teaspoon with warm water twice a day before food Take freshly prepared food articles and fibre rich food

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This shows has weak digestion So to improve the digestion start with Tablet Liv-52 1-0-1 as food with water Bilva churan 1/2tsp twice daily after food with water will help in strengthening your intestine. Have buttermilk with 1tsp. Of Hingvastak churan after lunch daily.

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I am working in medical field for total 7 years, out of which around 4 years was in hospital setup and 3 years in clinic practice. Hospital work gave me strong base, long duty hours, different type of cases, emergencies sometimes, and learning under pressure. Clinic work is different, slower but deeper, where I sit with patients, listen more, explain things again n again, and follow them over time. In hospital I handled day to day OPD cases, routine management, and also assisted seniors when things got complicated. That phase shaped my clinical thinking a lot, even now I sometimes catch myself thinking like hospital mode when a case looks serious. Clinic practice on the other hand taught me patience. Patients come with chronic issues, expectations, doubts, sometimes fear, and I had to adjust my approach accordingly. I focus on practical treatment planning, not just diagnosis on paper. Some days I feel I should have more time with each patient, but I try to balance it. My experience across hospital and clinic helps me understand both acute care and long term disease management. I still keep learning everyday, reading, observing patterns, correcting myself when needed, because medicine never stays same for long, and neither should the doctor.
0 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
950 reviews
Dr. Ravi Chandra Rushi
I am working right now as a Consultant Ayurvedic Ano-Rectal Surgeon at Bhrigu Maharishi Ayurvedic Hospital in Nalgonda—and yeah, that name’s quite something, but what really keeps me here is the kind of cases we get. My main focus is managing ano-rectal disorders like piles (Arsha), fistula-in-ano (Bhagandara), fissure-in-ano (Parikartika), pilonidal sinus, and rectal polyps. These are often more complex than they look at first, and they get misdiagnosed or overtreated in a lotta places. That’s where our classical tools come in—Ksharasutra therapy, Agnikarma, and a few other para-surgical techniques we follow from the Samhitas...they’ve been lifesavers honestly. My work here pushes me to keep refining surgical precision while also sticking to the Ayurvedic core. I do rely on modern diagnostics when needed, but I won’t replace the value of a well-done Nadi Pariksha or assessing dosha-vikruti in depth. Most of my patients come with pain, fear, and usually after a couple of rounds of either incomplete surgeries or just being fed painkillers n antibiotics. And I totally get that frustration. That’s why I combine surgery with a whole support plan—Ayurvedic meds, diet changes, lifestyle tweaks that actually match their prakriti. Not generic stuff off a handout. Over time, I’ve seen that when people follow the whole protocol, not just the procedure part, the recurrence drops a lot. I’m quite particular about follow-up and wound care too, ‘cause we’re dealing with delicate areas here and ignoring post-op can ruin outcomes. Oh and yeah—I care a lot about educating folks too. I talk to patients in OPD, sometimes give community talks, just to tell people they do have safer options than cutting everything out under GA! I still study Shalya Tantra like it’s a living document. I try to stay updated with whatever credible advancements are happening in Ayurvedic surgery, but I filter what’s fluff and what’s actually useful. At the end of the day, my aim is to offer respectful, outcome-based care that lets patients walk out without shame or fear. That’s really what keeps me grounded in this field.
5
1362 reviews
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
108 reviews
Dr. Shilpa Shijil
I am still learning how to describe myself without sounding too stiff, but I do feel that my personal and inter-personal skills shape a big part of how I work. I try to stay approachable and not make pts feel rushed, even on days when time is slipping fast. I listen first, maybe longer than needed sometimes, just to catch the small hints in their words or their silence. I end up absorbing a bit of their pain or worry too, and then I remind myself to stay focused so I can actually help them, not just feel it. I am seeing people as whole beings, not just their symptoms or test values, and that keeps my treatment more grounded. I explain things in simple ways, though I get tangled in my phrasing here and there, but I make sure they and their family know what we’re doing and why. I try to stay honest even when the truth is slow progess or a rough patch in the condition. I am pretty dedicated to ethical practice, sometimes to the point where I double-check a simple step, and I don’t mind spending extra time if it means the plan is right. I push myself to keep learning, reading, attending discussions, all without getting scared of criticism, though a harsh comment stings me for a bit. I enjoy public interaction too—talking to groups, answering doubts, explaining Ayurveda without overcomplicating it. I am still shaping these skills every day, but they guide me in giving care that feels human, steady and trustworthy, even on the messy days when I am juggling too many things at once.
5
2 reviews
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
157 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
681 reviews

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Super clear answer! Really breaks down what’s happening with allergies in ayurvedic terms. Thanks for pointing out remedies and especially for suggesting alternatives to mustard oil—huge help!
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This response was super insightful and gave me a sense of direction. Appreciate the detailed advice and the recommended lifestyle changes!