Hello Thanks for sharing what you’re going through. Let’s get right to it your main trouble seems to be that nagging cough, along with acidity and stomach issues. But dont worry we are here to help you out 😊
AYURVEDIC PERSPECTIVE
You’ve got a Pitta–Kapha imbalance going on, along with amlapitta (chronic acidity) and urdhwaga amlapitta (that’s acid reflux that creeps up into your chest and throat). Stress and anxiety are stirring up your Vata too.
So, what does that mean for you? - The acid keeps bothering your throat, so the cough keeps coming back. - The burning in your chest? That’s Pitta acting up. - Stomach troubles point to weak Agni (your digestive fire). - Anxiety throws your Vata off balance. - Dry ears, anal itching, dandruff—those are signs your Rasa and Pitta are off.
AYURVEDIC PLAN OF TREATMENT
INTERNAL MEDICATION
For acidity and digestion (this is the main thing):
- Avipattikar Churna, 1 teaspoon after meals, twice a day with warm water - Kamdudha Ras (plain), 1 tablet twice a day - Sutshekhar Ras, 1 tablet twice a day after food - Draksharishta, 20 ml with equal water, twice a day
For that stubborn cough:
- Sitopaladi Churna, half a teaspoon with honey, twice a day - Yashtimadhu (Mulethi) churna, half a teaspoon at night with warm milk
For anxiety and stress:
- Brahmi Vati, 1 tablet at night
DIET PLAN
AVOID - Spicy food - Tea and coffee - Fried stuff - Sour fruits - Eating late at night - Alcohol
Eat more of these: - Rice, moong dal - Warm milk - Coconut water - Pomegranate - A little ghee - Banana, apple
LIFESTYLE TIPS - Try to sleep before 11 pm - No screens after dinner - Walk for 10–15 minutes after eating - Don’t lie down right after meals - Try not to overthink or let stress pile up
Why things weren’t working before
You were taking medicines for cough, but the real problem—acidity—wasn’t getting fixed. So, the cough just kept coming back.
Your problem is functional and can be reversed. It’s not dangerous, but it does need a proper Pitta correction—not just random meds. Once the acidity calms down, that cough should disappear too.
Warm Regards Dr. Snehal Vidhate
THANK YOU FOR REACHING OUT AND TRUSTING WITH YOUR HEALTH JOURNEY I CAN UNDERSTAND HOW DISTRESSING AND EXHAUSTING IT IS TO SUFFER FROM REPEATED COUGH ACIDITY CHEST BURN AND GASTRIC ISSUES FOR MORE THAN FOUR MONTHS EVEN AFTER TAKING ALLIED AND AYURVEDIC MEDICINES THE ADDITIONAL SYMPTOMS LIKE EAR DRYNESS ITCHING BACK AND ANAL REGION IRRITATION DANDRUFF HAIRFALL AND ANXIETY SUGGEST THAT THERE IS A DEEPER PITTA AND VATA IMBALANCE AFFECTING YOUR DIGESTION NERVES AND SKIN
YOUR SYMPTOMS LIKE SEVERE PERSISTENT COUGH BURNING IN CHEST AND ACIDITY ARE CLASSIC SIGNS OF PITTA VATA AGGRAVATION IN PRANAVAH AND ANNAVAH STROTAS WHILE THE DRYNESS AND ITCHING IN EAR AND SKIN INDICATE VATA PRAGOPA AND WEAK SHUKLA RASA DHATU WHICH IS NOT NOURISHING TISSUES PROPERLY THIS LEADS TO CHRONIC RECURRENCE OF COUGH AND GASTRIC ISSUES AND ALSO TRIGGERS ANXIETY
FIRST THING IS TO PACIFY PITTA AND VATA AND RESTORE DIGESTIVE FIRE WITHOUT FURTHER IRRITATING STOMACH AND LUNGS
INTERNAL MEDICINES VASAKASAVA 15 ML TWICE DAILY AFTER FOOD WITH EQUAL WARM WATER THIS HELPS CLEAR LUNGS AND REDUCE PERSISTENT COUGH TALISADI CHURNA HALF TEASPOON TWICE DAILY WITH HONEY IF MUCUS IS PRESENT FOR LUNG CLEANSING AVIPATTIKAR CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER TO CONTROL ACIDITY AND REGULARIZE BOWELS KAMDUDHA RAS ONE TABLET TWICE DAILY AFTER FOOD TO SOOTHE PITTA AND CHEST BURN ASHWAGANDHA CHURNA HALF TEASPOON TWICE DAILY WITH WARM MILK FOR ANXIETY AND NERVE STRENGTH TRIPHALA CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER TO IMPROVE BOWEL REGULARITY AND GUT CLEANSING
EXTERNAL CARE DAILY ABHYANGA WITH MAHANARAYAN TAILA OR KSHIRABALA TAILA ON BACK LEGS AND CHEST FOLLOWED BY WARM FERMENTATION SWEDANA EAR DRYNESS AND ITCHING CAN BE SOOTHED WITH FEW DROPS OF SESAME OIL OR KSHIRABALA TAILA ONCE DAILY FOR ANAL REGION IRRITATION APPLY YASHTIMADHU GHRITA LOCALLY AFTER CLEANSING AND SITZ BATH WITH LUKEWARM WATER DAILY
DIET AND LIFESTYLE AVOID SPICY HOT OILY FRIED AND FERMENTED FOOD COFFEE TEA ALCOHOL AND LATE NIGHT DINNER TAKE SMALL FREQUENT LIGHT WARM MEALS INCLUDING PUMPKIN BOTTLE GOURD RIDGE GOURD SOFT RICE MOONG DAL AND GREEN LEAFY VEGETABLES WELL COOKED DRINK WARM WATER THROUGHOUT THE DAY IN SMALL QUANTITIES PRIORITIZE SLEEP BEFORE ELEVEN PM AND KEEP LOWER CHEST AND BACK WARM MINIMIZE STRESS PRACTICE SLOW DEEP BREATHING OR MEDITATION TO CONTROL ANXIETY
HAIRFALL AND DANDRUFF ARE DUE TO PITTA VATA IMBALANCE AND LACK OF NOURISHMENT THIS WILL IMPROVE WITH ABHYANGA AND DIGESTIVE BALANCE
CONSISTENCY IS KEY FOLLOW THIS REGIMEN DAILY DO NOT SKIP MEDICINES OR MASSAGE EVEN IF TEMPORARY RELIEF IS FELT WITH PROPER PITTA VATA BALANCING INTERNAL MEDICINES LOCAL CARE AND DIET MOST PATIENTS EXPERIENCE NOTICEABLE IMPROVEMENT IN COUGH ACIDITY GASTRIC SYMPTOMS AND ANXIETY IN FOUR TO SIX WEEKS AND SKIN HAIR CONDITIONS ALSO START TO STABILIZE
IF YOU EXPERIENCE FEVER BLOOD IN SPUTUM SEVERE BREATHLESSNESS OR SUDDEN BP RISE THEN SEEK IMMEDIATE MEDICAL ATTENTION
Hello
AYURVEDIC DIAGNOSIS (Probable)
1. Urdhwaga Amlapitta (GERD/Hyperacidity)
2. Vata-Pitta prakopa (burning chest, dryness, anxiety)
3. Kaphaja Kasa triggered by reflux (recurrent cough)
4. Kandu / Twak vikara tendency (itching, dandruff, anal itching)
🌿 AYURVEDIC PRESCRIPTION (4 Weeks)
1) MAIN MEDICINES (Internal)
A) For acidity + burning chest (Pitta pacification)
✅ Avipattikar Churna
Dose: 1 tsp (3–5 g)
Twice daily after meals
With lukewarm water
Duration: 30 days
B) For chronic reflux + healing of stomach lining
✅ Yashtimadhu (Licorice) powder
Dose: ½ tsp
Twice daily
With warm water or milk (if milk suits)
Duration: 30 days
(If capsule available: 500 mg twice daily)
C) For recurrent cough due to reflux + throat irritation
✅ Sitopaladi Churna
Dose: ½ tsp
Twice daily
With honey (only if no diabetes)
Duration: 21 days
D) If cough has mucus / heaviness / congestion
✅ Talisadi Churna
Dose: ½ tsp
Twice daily
With honey
Duration: 21 days
(Use Sitopaladi OR Talisadi depending on symptom; if unsure choose Sitopaladi.)
E) For digestive correction + gas + recurrent symptoms
✅ Hingvashtak Churna
Dose: ½ tsp
Once daily with lunch
Duration: 15 days only
⚠️ Avoid if burning is very high. If burning increases, stop.
2) OPTIONAL (Very helpful)
If burning + acidity are high
✅ Kamdudha Ras (Plain)
Dose: 1 tablet twice daily
After meals
Duration: 10–14 days
(Very effective for burning sensation.)
For anxiety + disturbed sleep + reflux worsening due to stress
✅ Brahmi Vati
Dose: 1 tab at night
After dinner
Duration: 30 days
OR
✅ Ashwagandha capsule 500 mg
1 cap at night (only if BP controlled & no palpitations)
3) LOCAL REMEDIES (External)
A) For cough/irritation
✅ Steam inhalation
Plain water steam 5–7 min
Once daily at night
B) For itching/dryness in ear
✅ Anu Taila / Ksheerabala Taila
1–2 drops in each nostril (Nasya)
Morning, empty stomach
5 days, then stop 2 days, repeat
Helps ENT dryness + post nasal drip
⚠️ Don’t use if cold/fever.
C) For anal itching (Kandu)
✅ Sitz bath in warm water + Triphala
Triphala powder 1 tsp in warm water
Sit 5–10 min daily
✅ Apply Jatyadi Taila locally at night.
🍲 DIET PLAN (Most important for GERD cough)
✅ Must follow
Early dinner before 7:30–8 PM
Small meals
Warm water only
Moong dal khichdi, rice + dal
Bottle gourd, pumpkin, ridge gourd, cooked vegetables
Pomegranate, banana, apple (sweet)
Coconut water (if suits)
Buttermilk only afternoon with roasted jeera (not at night)
❌ Strictly avoid (Triggers)
Spicy, fried, oily
Tea/coffee (especially empty stomach)
Tomato, onion, garlic (if burning high)
Pickles, vinegar, sauces
Bakery items, chips
Cold drinks, ice
Curd at night
✅ HOME REMEDIES
Remedy 1 (best for reflux cough)
Ajwain + Saunf water
½ tsp ajwain + ½ tsp saunf boil in water
Sip after meals (once/day)
Remedy 2
Gulkand
1 tsp at night (3–4 days/week)
Excellent for burning and acidity
🧘 LIFESTYLE RULES (GERD Cough Control)
✅ Sleep with head elevated
Use 2 pillows or wedge pillow
✅ Do NOT lie down for 2 hours after eating
✅ Walk 10–15 minutes after dinner
✅ Avoid:
late night mobile use
overeating
smoking/alcohol (if any)
🏃 EXERCISE / YOGA (Hypertension-friendly)
Daily walking
✅ 30 min walking
15 min morning + 15 min evening
Yoga (safe)
✅ Vajrasana (after meals)
Sit 5–10 minutes after lunch/dinner
✅ Anulom Vilom
5–7 minutes
✅ Bhramari pranayama
5 rounds
✅ Shavasana
5 minutes
⚠️ Avoid very strong Kapalbhati if BP is high.
🔥 FOLLOW-UP PLAN (Very important)
Continue medicines minimum 3–4 weeks
If stopped early → symptoms return in 2–3 days (as patient says)
For cough Take swaskutararas 1tab bd Laxmi vilas ras 1tab bd Somyog syrup 20ml bd Chitrakiharitaki lehyam 1tsp
For gastritis
Kamaduda ras muktayukta 1tab bd Udaramritham 20ml bd enough
Hlo,
🪔 AYURVEDIC TREATMENT PLAN 1️⃣ For Acidity + Gastric Burning (Main Cause) Avipattikar Churna Dose: ½ teaspoon (≈3 g) How: With lukewarm water Time: Twice daily after meals Duration: 4–6 weeks ➡️ Reduces Pitta, controls acid reflux (Amlapitta)
2️⃣ For Chronic Recurrent Cough Vasavaleha Dose: 1 teaspoon (5 g) How: Slowly lick, then sip warm water Time: Twice daily after meals Duration: 3–4 weeks ➡️ Excellent for reflux-related cough and throat irritation
3️⃣ For Gastric Motility + Gas Hingwashtak Churna Dose: ¼ teaspoon How: With ghee or warm water Time: Before lunch & dinner Duration: 2–3 weeks ➡️ Reduces bloating, improves digestion, prevents reflux trigger
4️⃣ For Anxiety + Stress-Aggravated Symptoms Brahmi Vati (plain, not gold) Dose: 1 tablet (250 mg) Time: Once daily after dinner Duration: 30 days ➡️ Calms mind without raising BP
5️⃣ For Itching, Anal Irritation, Skin & Dandruff
Gandhak Rasayan Dose: 1 tablet (250 mg) Time: Twice daily after meals Duration: 3–4 weeks ➡️ Purifies blood, reduces itching & fungal tendency
6️⃣ External (Anal itching) Jatyadi Taila Apply locally once daily at night after washing Do NOT apply internally 🍽️ PATHYA (VERY IMPORTANT) ✅ Eat Rice gruel (peya) Oats, dal, bottle gourd, pumpkin Buttermilk (diluted, daytime only) Warm water ❌ Strictly avoid Spicy, sour, fried food Tea, coffee Late dinner Tomatoes, pickles Smoking / alcohol
🕗 Dinner before 7:30–8 pm 🛌 Sleep with head elevated
⚠️ IMPORTANT CAUTIONS Do not take Sitopaladi churna (can worsen acidity) Avoid Ashwagandha for now due to BP If BP stays above 140/90, please reassess treatment
⏳ Expected Improvement Burning & acidity → 7–10 days Cough → 2–3 weeks Itching & gastric stability → 3–4 weeks
Tq
Your symptoms are not separate problems but are connected to one internal imbalance in the body Recurrent cough that keeps returning along with acidity and burning in the chest indicates chronic pitta aggravation in the stomach with upward movement of vata Acid repeatedly irritates the food pipe and throat and this triggers cough again and again Medicines give temporary relief but once stopped the irritation returns because digestion and stomach lining have not healed completely Anxiety further aggravates vata and increases cough sensitivity Dryness and itching in ears back and anal region along with dandruff and hair fall show internal heat dryness and toxin accumulation due to weak agni
The main focus should be to cool pitta heal the stomach lining strengthen digestion and calm vata For this avipattikar churna half teaspoon twice daily after meals with lukewarm water should be taken to control acidity and burning Yashtimadhu churna half teaspoon twice daily after food with warm water will soothe the stomach throat and reduce cough tendency Sitopaladi churna half teaspoon twice daily mixed with honey after meals will help chronic cough and chest irritation Kamdudha ras with mukta one tablet twice daily after meals is useful when burning sensation is prominent Ashwagandha capsule one capsule at night after food will help anxiety sleep and nervous system balance Triphala churna half teaspoon at bedtime with warm water will improve gut cleansing itching and dryness
Along with medicines strict food discipline is necessary Avoid spicy fried sour and very oily food Avoid tea coffee late night eating and lying down immediately after meals Eat warm simple freshly cooked food and have dinner at least two to three hours before sleep Keep head slightly elevated while sleeping Daily slow deep breathing will help anxiety and cough sensitivity
Since this problem is chronic investigations like complete blood count serum ige thyroid profile and h pylori testing should be considered Blood pressure should be monitored regularly
This condition needs continuous treatment for at least six to eight weeks without stopping in between even if relief occurs When digestion stabilizes cough acidity itching hair fall and anxiety will gradually settle and recurrence will stop
Medicines 1 Kamadhudha Ras (Moti Yukta) – 250 mg morning + night with cold water 2 Avipattikar Churna – 3 gm + cold water 30 min before dinner 3 Sitopaladi Churna – 3 gm + honey 3–4 times daily 4 Brahmi Vati (Gold) – 1 tablet night 5 Haridrakhand – 5–10 gm night with warm water
Diet Eat only: moong khichdi + 1–2 tsp ghee, thin buttermilk + roasted jeera, pomegranate, boiled pumpkin/lauki, coconut water Avoid completely: spicy/sour, fried, garlic/onion, tomato, dairy (except ghee), cold drinks, junk, late dinner
Daily Routine Vajrasana 10 min after every meal Warm salt + turmeric gargle 3× daily 10 min Anulom-Vilom pranayama Dinner before 7 PM, sleep 10 PM – 6 AM
Local for Itching/Dandruff Warm Neem oil or coconut oil + few drops camphor – apply on itchy areas & scalp nightly (soothes dryness & dandruff)
If no improvement in 2 weeks or cough worsens then consult to rule out GERD, LPR, allergy or infection.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO,
The core problem is: - Weak digestion (Mandagni) - Acid imbalance (Pitta aggravation) - Sticky toxins (Aama) -Disturbed Vata and Kapha
When digestion is weak: -Food is not digested properly -Acid becomes excessive and irritative -Toxins (Ama) circulate in the body -Chest, throat, skin, intestines and mind get affected
How Each Symptom Is Connected
A) Recurrent Cough -Acid vapors rise from stomach to chest and throat -This irritates airways → dry or persistent cough -Medicines suppress cough temporarily but acid remains, so cough returns This is called Urdhwaga Amlapitta janya Kasa.
B) Acidity & Burning Chest Excess Pitta (acid + heat) in stomach -Caused by spicy food, stress, irregular meals -Burning, sour belching, chest discomfort appear This is Amlapitta, not just “gas”.
C) Gastric Issues (Gas, Indigestion) -Weak digestive fire -Improper movement of food (Vata disturbance) -Leads to bloating, heaviness, irregular digestion This is Grahani Dushti -functional digestive disorder.
D) Anxiety -Digestion and mind are closely linked in Ayurveda -Acid + Vata disturb the nervous system -Leads to restlessness, fear, overthinking This is Manovaha Srotas Dushti.
E) Itching (Ear, Anal Region), Dandruff, Hair Fall -Toxins and Pitta circulate in blood -Skin becomes dry, itchy, inflamed -Scalp heat causes dandruff and hair fall This shows Rakta & Twak Dushti.
F) Hypertension -Long-standing stress + Vata-Pitta imbalance -Anxiety and digestion issues worsen BP
Treatment Goals -Correct digestion -Remove toxins -Balance acid -Stabilize Vata -Strengthen respiratory tract -Purify blood & skin -Prevent recurrence
Internal Medicines
1)Avipattikar Churna= ½ tsp twice daily with lukewarm water for 6–8 weeks =Neutralizes excess acid, Improves digestion without increasing heat, Prevents acid vapors causing cough, Gentle laxative → removes toxins
2)Sitopaladi Churna + Yashtimadhu= ½ tsp Sitopaladi + ½ tsp Yashtimadhu With honey, twice daily after food for 4–6 weeks =Heals throat lining, Reduces cough recurrence, Balances Kapha without drying, Yashtimadhu soothes acidity also
3) Bilva Avaleha= 1 tsp twice daily after meals for 1–2 months =Strengthens intestines, Improves digestion, Reduces gas, bloating, Stabilizes Grahani
4) Brahmi Vati= 1 tablet at night after food for 1–2 months =Calms nervous system, Reduces anxiety, Improves sleep, Helps BP stability
5) Gandhak Rasayan= 1 tablet once daily after food for 4–6 weeks =Purifies blood, Reduces itching, Improves skin & scalp health, Helps anal itching
6) Triphala Churna= ½ tsp with warm water at bedtime =Mild detox, Improves bowel regularity, Reduces Pitta, Supports hair & skin
External Treatments 1)For Anal Itching -Sitz bath with Triphala decoction once daily -Apply Jatyadi Taila locally at night = Heals irritation, Prevents recurrence
2) For Dandruff & Hair Fall -Oil scalp with Neelibhringadi Taila twice weekly -Gentle herbal shampoo = Reduces scalp heat, Strengthens hair roots
Diet -Warm, freshly cooked food -Rice, moong dal, bottle gourd, pumpkin -Cow ghee (1 tsp daily) -Pomegranate, ripe banana -Diluted buttermilk at lunch
Avoid Completely -Chillies, pickles -Fried food -Bakery items -Coffee, tea -Cold water -Late night meals
Lifestyle Changes (Very Important) -Eat calmly, no phone while eating -Fixed meal timings -Sleep before 10:30 pm -Avoid day sleep -Walk 20–30 minutes daily
Pranayama -Anulom Vilom – 10 minutes -Bhramari – 5–7 rounds -Sheetali (if burning more)
Yoga -Vajrasana after meals -Pawanmuktasana -Bhujangasana (gentle) = Improves digestion, Reduces anxiety, Helps BP control
Home Remedies -Warm water with 1 tsp ghee in morning -Fennel seeds chewing after meals -Soaked raisins (5–6) in morning -Coconut water occasionally
Expected Outcome -Acidity & burning: 2 weeks -Cough recurrence: gradually stops in 4–6 weeks -Digestion: stable in 1–2 months -Hair and skin: improvement in 6–8 weeks -Anxiety & BP: gradual stabilization
This condition is fully manageable but -Do not jump medicines -Do not stop early -Follow diet strictly Ayurveda works by correcting root cause, not suppression. If followed sincerely, recurrence will stop.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
For cough: Mix yastimadhu churan 1/2tsp. + Sitopaladi churan 1/2tsp. + Talisadi churan 1/2tsp with cow’s ghee (2tsp) + honey ( 1tsp) = take this twice daily Do warm water Gargle with pinch of turmeric powder. Have warm haldi doodh at bedtime. Do steam inhalation once daily with few drops of eucalyptus oil. Avoid citrus fruits, cold drink icecream, sugary foods fried foods, For acidity and gastric related: Kamdudharas moti yukta 1-0-1 after food with water Tablet Liv-52 1-0-1 after food with water. Avoid spicy fried foods, processed foods. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.
