Is my kashaya enema response normal? - #47815

I am an Ayurvedic doctor trying to bring the old wisdom of chikitsa into daily life, even if sometime I feel I am still learning new things every single day.. I work mostly with the classical principles, the ones I studied again n agin during my training, and I try to see how they fit with each patient’s prakriti and the tiny details of their health story. I am often thinking how Ayurveda doesn’t rush anything, it asks for understanding of the roga and even the rogi in a deeper way, and I keep that in mind when someone walks in and tell me their concerns. Some cases are simple, some not really, but I do my best to look at the ahara, vihara, dosha pattern and even the habits they don’t notice at first. Sometimes I get a bit caught up in analysing too many factors at once, or typing notes too fas and mixing commas,, but at the core I focus on using authentic Ayurvedic approaches—herbal formulations, routine correction, panchkarma suggestions where needed—and I try to guide people gently without overwhelming them. I am also aware that many patients come with doubts or half-heard ideas about Ayurveda, and I try to clear those without sounding too “doctorly,” just explaining what makes sense for their body. I want them to feel they can trust the process, even if progress take time or feel slow on some days. I am still growing in this field, and every person who comes to me reminds me why I chose Ayurveda in the first place: clarity, balance, and healing that respects the person as a whole. There are moments where I wish I had more hours in a day to study more granthas or revise a chapter I skipped, but I stay committed to giving care that is genuine, thoughtful and rooted in traditional practice—even if the journey gets a bit messy here n there !!

I am a doctor who completed CCH and CGO from Wadia hospital, and that training gave me exposure not just in theory but also in handling patients with very diverse needs. Over time I have treated many cases of chronic skin conditions, gut related disorders and also anorectal issues like piles, fissure and similar complaints. Each case felt different, no two patients respond the same way, and I learnt how to adapt treatment according to prakriti, diet habits, stress levels. Skin problems always catch attention first — psoriasis, eczema, acne that stays for years — but I understood that they often start from inside, from digestion or blood impurities. Gut issues like acidity, constipation, IBS are also common in my practice, and here small corrections in food timing or herbs can change a lot. Anorectal cases, especially piles and fissure, are painful both physically and mentally for patients, so I try to bring a treatment plan that is safe, non-invasive when possible, and focused on long term relief not just temporary fixes. Working with such variety of disorders also taught me patience. Some patients want fast results, but Ayurveda needs time to clean the root cause. I explain them carefully, sometimes repeating many times, that slow healing is stronger healing. Building that trust is important. My approach is always to combine herbal formulations, diet advice, and lifestyle correction with procedures when required, to ensure balance is restored and maintained. For me, Ayurveda is not a set of ready remedies but a flexible science that adapts to each person. Whether it’s skin, gut or anorectal problems, my focus stays on listening, understanding and guiding patients with clarity, honesty and steady support.

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.

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.

I am a Senior Ayurveda Physician with more than 28 years in this field — and trust me, it still surprises me how much there is to learn every single day. Over these years, I’ve had the chance to treat over 1 lakh patients (probably more by now honestly), both through in-person consults and online. Some come in with a mild cough, others with conditions no one’s been able to figure out for years. Each case brings its own rhythm, and that’s where real Ayurveda begins. I still rely deeply on classical tools — *Nadi Pariksha*, *Roga-Rogi Pariksha*, proper *prakriti-vikriti* mapping — not just ticking symptoms into a list. I don’t believe in ready-made cures or generic charts. Diagnosis needs attention. I look at how the disease behaves *inside* that specific person, which doshas are triggering what, and where the imbalance actually started (hint: it’s usually not where the pain is). Over the years I’ve worked with pretty much all age groups and all kinds of health challenges — from digestive upsets & fevers to chronic, autoimmune, hormonal, metabolic and degenerative disorders. Arthritis, diabetes, PCOD, asthma, thyroid... but also things like unexplained fatigue or joint swelling that comes and goes randomly. Many of my patients had already “tried everything else” before they walked into Ayurveda, and watching their systems respond slowly—but surely—is something I don’t take lightly. My line of treatment usually combines herbal formulations (classical ones, not trendy ones), Panchakarma detox when needed, and realistic dietary and lifestyle corrections. Long-term healing needs long-term clarity — not just short bursts of symptom relief. And honestly, I tell patients that too. I also believe patient education isn’t optional. I explain things. Why we’re doing virechana, why the oil changed mid-protocol, why we pause or shift the meds after a few weeks. I want people to feel involved, not confused. Ayurveda works best when the patient is part of the process, not just receiving instructions. Even now I keep learning — through texts, talks, patient follow-ups, sometimes even mistakes that taught me what not to do. And I’m still committed, still fully into it. Because for me, this isn’t just a job. It’s a lifelong responsibility — to restore balance, protect *ojas*, and help each person live in tune with themselves. That’s the real goal.

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.

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.

I am someone who honestly grew a lot during my time at Choudhary Brahm Prakash Ayurved Charak Sansthan. Spent almost a full year working there—just one year, but felt like ten in terms of what I learned. The place is one of Asia's most respected Ayurvedic hospitals, and I got lucky getting that exposure so early. Worked under some seriously experienced doctors and expert faculty... like, they didn’t just teach, they lived Ayurveda, you know? Every day was full of clinical rounds, detailed case discussions, n watching complex therapies get carried out with this mix of tradition & precision. There’s something about learning in that kind of environment—it makes you rethink the way you observe even basic symptoms. I got to be involved in treatments for so many different conditions—digestive stuff, joint issues, skin disorders, neuro problems... and I’d say the biggest gain wasn’t just textbook learning, but knowing when not to rely on books. I picked up how to do proper Ayurvedic diagnosis using things like Nadi Pariksha, Prakriti analysis and real-time observation, which I know sounds obvious but trust me—doing it under pressure or with 5 patients waiting isn't the same as what you do during college viva. I messed up a few times, not gonna lie. But I was mentored closely and that helped a lot... Also learned how team-based care works in bigger institutions, which matters more than ppl admit. Sometimes your decision affects other therapists’ work or vice versa. All this helped shape how I now approach patient care—more aware, more grounded. Working there gave me this foundation I keep going back to, especially when I’m treating complex cases or making tough calls during Panchakarma planning. Looking back now, that year was short, but the learning curve—pretty steep and totally worth it.

I am an Ayurvedic physician with hands-on clinical experience from two well-regarded institutions. I completed six months of practical training at Patanjali Ayurved Hospital, where I was actively involved in patient consultation, Ayurvedic diagnosis, and implementation of classical Panchakarma therapies. My time there helped me strengthen my understanding of traditional formulations, personalized diet and lifestyle guidance, and integrative approaches rooted in ancient Ayurvedic principles. Following that, I served for another six months at the Government Hospital in Bahadrabad, Haridwar. During this tenure, I worked in a fast-paced environment, managing a diverse range of cases under the supervision of senior medical officers. This role sharpened my diagnostic skills, improved my ability to handle acute and chronic conditions, and gave me a broader view of how Ayurvedic treatments can be effectively integrated into public healthcare systems. These experiences have allowed me to develop a balanced and holistic approach to patient care, combining classical Ayurvedic wisdom with practical clinical acumen. I place a strong emphasis on thorough patient history-taking, root-cause analysis, and long-term wellness planning. I am especially focused on building trust and communication with patients and continuously learning from both traditional texts and real-world practice. My clinical exposure has given me confidence in managing common ailments such as digestive issues, stress-related disorders, joint pain, skin conditions, and seasonal illnesses, while tailoring treatments to each patient's unique constitution (Prakriti). With a foundation built on authentic Ayurvedic principles and reinforced through practical experience, I am committed to offering genuine, compassionate, and effective care to every patient I meet.

I am Dr. Snehal Vidhate, born n brought up in Maharashtra—and honestly, for as long as I remember I’ve felt this pull towards Ayurveda. Not the fancy version ppl throw around, but the deep, real kind that actually helps ppl. I did my BAMS from YMT Ayurvedic Medical College in Kharghar. That’s where I got my basics strong—like really studied the shastras, understood prakriti, doshas, the whole deal. Not just crammed theory but started to see how it shows up in real lives. After finishing BAMS, I got into this one-year certificate course at Rashtriya Ayurveda Vidyapeeth, Delhi—honestly a turning point. I was super lucky to learn Kerala Ayurveda from my Guru, Prof. Dr. G.G. Gangadharan. He’s got this way of seeing things... simple but deep. That time with him taught me more than any textbook ever could. It kinda reshaped how I look at health, healing n how precise Ayurveda can be when you respect its roots. Right now I’m doing my MD in Panchakarma from SDM Ayurveda College, Bangalore. This place is like a hub for serious Ayurveda work. The Panchakarma training here? Super intense. We go deep into detoxification & rasayana therapy—not just theory again, but hands-on. I’m learning to blend classical techniques with today’s clinical demands.. like how to make Vamana or Basti actually doable in modern patient setups. My current practice is really about merging tradition with logic. Whether it’s chronic skin issues, gut problems, stress burnout or hormone stuff—my goal is to get to the root, not just hush the symptoms. I use Panchakarma when needed, but also a lot of ahara-vihara tweaks, medhya herbs, sometimes just slowing ppl down a bit helps. I really believe Ayurveda’s power is in its simplicity when done right. I don’t try to fix ppl—I work *with* them. And honestly, every patient teaches me something back.

I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.