Long-term use of Tryodashang Gugglu and Brihanmanjhisthadi Kwath for Ankylosing Spondylitis - #50126

Since you’ve had Ankylosing Spondylitis (1–3 years) and currently have mild pain with no side effects, that’s a positive sign 👍 It suggests the medicines are helping. Ankylosing spondylitis (AS) is a chronic autoimmune inflammatory disease (modern medicine term), so treatment is usually long-term but monitored. 🌿 1️⃣ Tryodashang Guggulu Can you take it long term? Yes — but under supervision. 🔹 Commonly used for: Sandhivata Aamavata Spine & joint stiffness Vata disorders 🔹 Usually safe for 3–6 months continuously. After that: Reassess ESR, CRP, symptoms Consider dose reduction or gap ⚠ Long-term continuous use (1+ year without break) is not ideal because: Guggulu can mildly affect liver in rare cases It is ushna (heating) — may aggravate pitta in some people 👉 Many physicians give it in cycles (3 months on, 1 month break). 🌿 2️⃣ Brihanmanjhisthadi Kwath Mainly used for: Rakta shodhana Chronic inflammation Autoimmune tendency Skin & inflammatory disorders You are taking it for 4 months already. How long can you continue? Generally safe for 3–6 months After 6 months → review condition If inflammation is controlled → shift to milder rasayana or maintenance medicine Long continuous kwath use for years is usually not required unless symptoms persist. 📌 Important in Ankylosing Spondylitis AS is progressive. Medicines alone are not enough. You MUST focus on: Daily spinal stretching Surya Namaskar (gentle) Avoid prolonged sitting Correct posture Vitamin D monitoring 💡 My Suggestion for You Since: Pain is mild No side effects Disease duration 1–3 years 👉 Continue current medicines for up to 6 months total, then: Repeat inflammatory markers Discuss tapering Consider rasayana support If stiffness is under control, long-term strategy should focus more on: Vata pacifying diet Panchakarma (Basti is very beneficial in AS) If you want, tell me: Your age Morning stiffness duration ESR/CRP values