Hello I get why you’re worried. Dealing with pain, inflammation, numbness, and that weird tingling in your fingertips—especially at 64—can be stressful, and the idea of surgery doesn’t help.
Let’s talk through this together, step by step, so you know what your options are and what actually helps.
YOUR CONCERN
–You’re 64. Your fingertips hurt, feel inflamed, and sometimes go numb or tingle. – Right now, you’re taking Balaguduchyadi Kashayam and you want to know if you’re using it right, if there are other Ayurvedic treatments that might help, and whether you can skip surgery.
👉About Balaguduchyadi Kashayam:
Yes, this medicine fits your symptoms. Here’s how to take it: in the morning, before you eat, measure out 15 to 20 ml of the kashayam, mix it with the same amount of warm water, and drink it on an empty stomach.
- It works by calming inflammation, reducing Vata-Pitta aggravation, and easing nerve pain or burning.
What’s causing all this?
–From an Ayurvedic perspective, numbness and tingling point to a Vata imbalance, while pain and inflammation suggest Pitta is involved too. — This combination can show up as Vata Vyadhi, early joint issues (Sandhigata Vata), or nerve problems (Snayugata/Nadi Dushti). –Modern doctors might call this cervical spondylosis, peripheral neuropathy, carpal tunnel syndrome, or just age-related nerve changes. –Surgery usually only comes up if nerve compression gets really bad or keeps getting worse.
Extra Ayurvedic support you can add:
1. Maharasnadi Kashayam: 15 ml with warm water in the evening before food. Great for nerve pain, stiffness, and inflammation.
2. Yogaraja Guggulu: 1 tablet, twice a day after meals. Lowers inflammation, helps your joints and nerves.
3. Ashwagandha Churna: Half a teaspoon with warm milk at night. Strengthens nerves and helps prevent more degeneration.
4. Ksheerabala 101 (capsule or oil for oral use, but only if your blood sugar and blood pressure are okay): Excellent for numbness and neuropathy—
EXTERNAL CARE
–Massage your fingertips and hands gently twice a day with Ksheerabala Taila or Dhanwantaram Taila. –Afterward, use some warm water fomentation. This boosts circulation, feeds your nerves, and can bring sensation back.
Panchakarma—if you can, it’s worth it:
Before you even think about surgery, try therapies like Matra Basti or Ksheerabala Basti. If you have neck pain, Nasya helps. Many people avoid surgery with the right Panchakarma treatment.
DIET AND LIFESTYLE
–Eat warm, fresh meals. Add a little ghee, milk, moong dal, and rice. –Turmeric with ghee is also great. –Skip cold foods and drinks, cut back on tea and coffee, avoid staying up late, and try not to do the same hand motions over and over.
When do you actually need surgery?
Think about surgery only if the numbness keeps getting worse, you notice muscle weakness or finger deformity, your grip strength drops, or you’ve tried good treatment for 8–12 weeks and nothing’s changing. There’s no rush unless things are really declining fast.
Keep taking Balaguduchyadi Kashayam in the morning. Add the other recommended remedies one at a time. Try the local oil massages and, if you can, get Panchakarma. Check in with yourself after 6 to 8 weeks and see what’s changed.
Warm Regards Dr Snehal Vidhate
🌿 About Balaguduchyadi Kashayam - Indication: Traditionally used for Vata disorders affecting nerves, muscles, and joints. - Timing: Yes, it is generally taken in the morning before food with lukewarm water, unless your physician has advised otherwise. - Action: Reduces inflammation, strengthens nerves, and helps with tingling/numbness.
Rx 1.Mahayograj guggulu 2 tab twice daily with water after meals 2.Ksheerabala 101 tailam capsules 1 cap twice daily with warm milk after meals 3.Rasna saptak kwath 15 ml with 15 ml water twice daily after meals 4.Balarishta 15 ml with 15 ml water twice daily after meals
🧘 Supportive Lifestyle & Diet - Warm diet: Soups, khichdi, lightly spiced vegetables; avoid cold, dry, and processed foods. - Oil massage (Abhyanga): With Mahanarayan Taila or Ksheerabala Taila on hands/fingers to improve circulation. - Gentle exercise: Hand stretches, mild yoga, pranayama (Anulom Vilom) for nerve oxygenation. - Hydration: You’re already taking 2–3 liters of water daily, which is excellent.
Warm Regards DR. ANJALI SEHRAWAT
Hi Before further providing prescription I wanna know more about your daily routines and any diseases you are suffering from
Continue balaguchyadi kashayam as before You can add Cap. Ashwashila 1-0-0 after food with water Trayodashang guggul 1-0-1 after food with water Apply nirgundi oil on affected area twice daily.
Along with maha yoga Raja Guggulu with Gold 1tab bd, dashamoolarista 20ml bd, mahamashatail external application u ll get results
Dr RC BAMS MS
With yograj gugulu 2 bd Take cow ghee 5 ml at empty stomach at morning
Balaguduchyadi kashayam can be taken in the morning before food diluted with equal quantity of warm water , It helps in inflammation nerve irritation and vata related pain.
Fingertip pain numbness and tingling usually indicates vata dominance along with nerve compression or degeneration , it is related to cervical spine carpal tunnel or long standing dhatu kshaya Surgery should be the last option unless there is severe nerve damage or loss of function
Along with the kashayam ,external oil application Daily massage of hands and fingers with ksheerabala taila before sleep .Keep the hands warm and avoid cold exposure.
Internally ashwagandha 1/2 tsp after food with warm milk Dashamoola aristha 3 tsp -0-3 tsp after meals
Before deciding for surgery I suggest nerve conduction study cervical spine evaluation and a trial of conservative ayurvedic management for a few weeks may improve without surgery when vata is pacified properly.
Yes, you can continue Balaguduchyadi Kashayam. It can be taken in the morning on empty stomach mixed with a little warm water (as advised). This medicine helps in inflammation and pain control.
Since you have fingertip numbness + tingling, it may be related to nerve compression / cervical issues / carpal tunnel or neuropathy, so along with kashayam supportive medicines will help.
1) Balaguduchyadi Kashayam
✅ Continue as prescribed Timing: Morning (empty stomach) With: lukewarm water
2) Dashmoolarishta
Dose: 15 ml BD How to take: with equal water Timing: after meals
3) Yograj Guggulu
Dose: 1 tablet BD Timing: after meals → reduces inflammation, stiffness, nerve/muscle pain
4) Ashwagandha Churna
Dose: 3 gm OD Timing: at night With: warm milk / lukewarm water → supports nerves, improves strength and healing
5) Mahanarayan Oil
External application: apply gently over
neck/shoulders
arms/wrist/fingers Frequency: 1–2 times daily → improves circulation, reduces pain & numbness
🧘 Lifestyle + Simple Exercises
✅ Do:
Warm water fomentation/steam to hands
Light finger stretching + grip exercise
Avoid long mobile use / repetitive wrist strain
❌ Avoid:
cold exposure
heavy lifting
sleeping with bent wrist/hand
Sure ✅ You can add this lab test advice in your reply:
✅ Suggested Lab Tests
To rule out common causes of numbness/tingling (neuropathy), please get:
1. Vitamin B12 level
2. HbA1c (3-month sugar control)
3. FBS (Fasting Blood Sugar)
4. RBS (Random Blood Sugar)
These tests help identify B12 deficiency and diabetic neuropathy, which are common reasons for fingertip numbness.
Some regime you should follow
✔️Do’s:✔️ Eat freshly cooked food. Chew an inch of fresh ginger half an before meal. Eat only fruit vegetables. Limit dairy products (stop if possible)
🧘♀️Pranayam🧘♀️ Anulom Vilom Bhastrika Kapalbhati
❌Dont’s:❌ Sitting directly under a fan or right in front of the A.C Oily, spicy, processed food. Packed food products. Sour and fermented items. Bakery items. Fried food products. Potatoes.
💊Medication💊
Tab. Ampachak Vati. 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Syp. Maharasnadi Kwath 3 tsp twice a day before food with warm water.
Tab. Shankhavati 2 tabs twice a day after food. Suck and eat like hajmola
Sunthi Siddh Castor Oil. 3 tsp at bed time with a cup of hot water.
Balaguchyadhi Kashayam (Usage): YES, take it on an Empty Stomach. Dose: Mix 15ml Medicine + 45ml Warm Water. Time: Twice daily (Morning 6:00 AM & Evening 6:00 PM).
2. Additional Medicines (To Avoid Surgery): Since you have numbness and tingling, the nerve is compressed by inflammation. You need to dissolve the swelling to free the nerve. Ekangavir Ras: 1 tablet twice daily (After food). Action: This is specific for reviving numb nerves and treating tingling (Suptata). Kaishore Guggulu: 2 tablets twice daily (After food). Action: It reduces the deep-seated inflammation in the tendons that is pressing against your nerves.
3. External Therapy (Crucial): Murivenna Oil: Apply warm oil on your wrist, palm, and fingers. Bandage it lightly at night. This oil is famous for healing trapped nerves and ligaments.
4. Wait for 6 Weeks: Surgery (Carpal Tunnel Release) cuts the ligament. At 64, healing takes time. Try this protocol strictly for 6 weeks. If the numbness reduces even by 30%, you do not need surgery.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
YOU ARE HAVING -pain and inflammation in fingrtips -numbness and tingling -possibly weakness or stiffness
In Ayurveda, this usually happens due to -Vata dosha disturbance (main cause of numbness, tingling, nerve pain) -Association of Kapha (causing heaviness, swelling, compression) -sometime ama (toxins due to weak digestion)
In modern terms, it can relate to -cervical spondylosis -carpal tunnel syndrome -peripheral neuropathy -nerve compression -diabetes related nerve issues if present
At this age, vata naturally increases, so nerve related symptoms are common
ABOUT BALAGUDUCHYADI KASHAYA
HOW TO TAKE -morning, empty stomach -15ml + 15ml warm water -taken before food, as you are already doing0 this is correct =helps in inflammation, nerve irritation, pain, tingling and numbness =usually 4-6 weeks
ADDITIONAL MEDICATIONS
1) RASARAJ RASA= 1 tab twice daily after meals with warm water =nerve strengthening, reduces numbness, tremors, tingling
2) MAHARASNADI KASHAYA= 15ml + 15 ml warm water twice daily before meals
3) ASHWAGANDHA CHURNA= 1/2 tsp at night with warm milk =strengthen nerves and muscles, reduces degeneration
4) YOGARAJ GUGGULU= 2 tab twice daily after meals =if joint involvement + nerve pain, helps remove ama and balaces vata
EXTERNAL THERAPIES
1) OILMASSAGE= DAILY MAHANARAYAN TAILA -massage hands, fingers, neck gently -follow with hot water bath
2) FOMENTATION -Hot water steam to hands -10-15 min daily -improvs circulation and reduces stiffness
3) NASYA= instil 2 drops of Anu taila in each nostril daily morning =very good for nerve disorder
LIFESTYLE CHANGES -keep hands warm -gentle finger movements daily -proper sleep -warm water for drinking
AVOID -cold exposure -excess mobile use -contiuous typing without breaks -late nights -stress
YOGA ASANAS -tadasana -neck movements -hasta mudar exercises
PRANAYAM -Anulom Vilom= 10 min -Bhramari= calming for nerves
DIET -warm,freshly cooked meals -ghee 1-2 tsp daily -milk -cooked vegetables -moong dal
AVOID -cold food -curd at night -dry fooods -excess tea/cofee -fried and packaged foods
HOME REMEDIES -warm sesame oil massage to hands daily -turmeric + milk at night -soaked almonds 2-3 in morning -dashmoola tea
ABOUT SURGERY- IMPORTANT ADVICE -Surgery is last option -Ayurvedic treatment can= reduce symptoms, improve nerve function, delay or sometimes avoid surgery -If surgery is unavoidable= Ayurveda helps in pre-surgery strength, faster post-surgery recovery
At 64 years, this condition is manageable with -proper ayurvedic medicines -regular oil therapy -diet and lifestyle correction -patience and consistency
Do not stop medicines suddenly Continue treatment for at least 6-8 weeks before deciding surgery, unless symptoms worsen rapidly
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
