Let him start on Ashwagandhadi lehyam 0-0-1 tsp with warm milk Yograj guggulu 1-0-1 Yavanamrita vati 1-0-1 Saraswathi aristha 4-0-4 tsp with warm water Mahanarayana taila - gentle massage over back Let him eat Makhana roasted Chana high protein diet Cow ghee one tsp daily
THIS CONDITION IS NOT ONLY ABOUT ERECTILE DYSFUNCTION IT IS A DEEP TISSUE DEPLETION STATE DEVELOPING SLOWLY DUE TO LONG STANDING MADHUMEHA EVEN IF BLOOD SUGAR IS MOSTLY UNDER CONTROL FOURTEEN YEARS OF DIABETES GRADUALLY WEAKENS RASA RAKTA MAMSA AND FINALLY SHUKRA DHATU WHEN SHUKRA AND OJAS START REDUCING THE FIRST SIGNS APPEAR AS FATIGUE LOSS OF MUSCLE MASS IRRITABILITY MOOD SWINGS LOW LIBIDO AND ERECTILE DIFFICULTY HIS THIN BODY FREQUENT LEG CRAMPS BACKACHE AND FLUCTUATING BLOOD PRESSURE SHOW CLEAR VATA VRIDDHI WITH DHATU KSHAYA CHRONIC DIABETES IN LATER STAGE BECOMES VATA DOMINANT THE BODY MAY RECEIVE FOOD BUT DUE TO IMPAIRED DHATU AGNI NOURISHMENT DOES NOT REACH DEEPER TISSUES PROPERLY THAT IS WHY DESPITE HIGH PROTEIN DIET HE IS BECOMING THIN AND WEAK LOW CARB HIGH PROTEIN DIET FOR LONG TIME CAN DRY THE BODY IF HEALTHY FATS LIKE GHEE AND GOOD OILS ARE NOT ADEQUATE THIS DRYNESS FURTHER AGGRAVATES VATA LEADING TO IRRITATION MOOD INSTABILITY CRAMPS AND SEXUAL WEAKNESS AT THIS STAGE THE APPROACH SHOULD BE BRIMHANA AND RASAYANA NOT ONLY SUGAR CONTROL HE NEEDS GENTLE NOURISHING THERAPY DAILY ABHYANGA WITH WARM SESAME OIL OR KSHIRABALA TAILA WILL HELP CALM VATA AND IMPROVE CIRCULATION TO LOWER LIMBS AND PELVIC REGION INTERNAL USE OF ASHWAGANDHA WITH WARM MILK AT NIGHT CAN SUPPORT MAMSA AND SHUKRA DHATU SHATAVARI CAN ALSO BE ADDED IF THERE IS EXCESS HEAT OR IRRITABILITY SAFED MUSLI AND GOKSHURA ARE VERY BENEFICIAL FOR LIBIDO AND ERECTILE STRENGTH WHEN GIVEN IN PROPER DOSE UNDER GUIDANCE FOR LEG CRAMPS AND BACKACHE DASHAMOOLA PREPARATIONS OR MAHARASNADI KWATH CAN BE CONSIDERED DEPENDING ON HIS DIGESTION IF BP IS FLUCTUATING ENSURE HE IS WELL HYDRATED AND NOT SKIPPING MEALS SUDDEN LOW BP CAN ALSO CAUSE LETHARGY DIET SHOULD NOT BE EXTREMELY RESTRICTIVE INCLUDE SMALL QUANTITY OF GHEE SOAKED ALMONDS WHOLE MOONG DAL RICE IN MODERATION AND WARM MILK WITH A PINCH OF TURMERIC AT NIGHT IF SUGAR LEVELS PERMIT AVOID EXCESS DRY FOODS PACKAGED PROTEIN AND VERY SPICY ITEMS MOST IMPORTANT IS ADEQUATE SLEEP AND MENTAL CALMNESS BECAUSE CHRONIC STRESS DIRECTLY REDUCES TESTOSTERONE AND OJAS PRANAYAMA LIKE ANULOM VILOM AND BHRAMARI DAILY WILL HELP STABILIZE MOOD AND ENERGY THIS CONDITION IS REVERSIBLE WITH PROPER NOURISHMENT AND VATA PACIFYING THERAPY BUT IT REQUIRES CONSISTENCY AND PATIENCE SHUKRA DHATU TAKES TIME TO REBUILD SO TREATMENT SHOULD CONTINUE MINIMUM THREE TO FOUR MONTHS UNDER PROPER SUPERVISION
—Your recent symptoms — low libido, erectile difficulty, muscle loss, fatigue, mood changes, and cramps — are most likely related to hormonal imbalance, especially possible low testosterone, along with long-term effects of diabetes. This is common in men your age and is treatable. We need to check your hormone levels, thyroid, vitamin levels, and diabetes control with some blood tests. Once we identify the cause, we can manage it properly. Don’t worry — this condition is common and manageable. – go with these tests HbA1C Thyroid profile Testosterone Vt. B12 Vt.D — u can continue with shivapravang as u told but monitor blood sugar is must as it can also low blood sugar. – proper treatment will be decided after reports
Ok I will do the blood test and report it to you asap Thank you
We need recent blood tests reports and depending on those parameters we can decide the treatment So please do his complete body checkup once For now start with Brahmi vati tab 1-0-1 after food For mood stabilize Gokshuradhi Guggulu Tab 2 bd after food And continue the ongoing medicine
Take Manomithravatakam 1tab bd AF Shankapushi syrup 20ml bd Chandraprabha Vati 1tab bd AF u ll get relief
do hba1c and b12 abd lipid profile blood reports take also chandraprabhavati 2-0-2 tab bramhi 2-0-2 tab livtone 1-0-1 tab asheagandha ksm 66 1-0-1 after food do nasya with bramhi ghurth 2 drop each nostril 2 times day avoid spicy food and sugar and milk and milk produts
📌 Summary of Case 👨 52-year-old male 🩸 Diabetes since 14 years (mostly controlled) 📉 BP sometimes low 💪 Previously strong → now muscle loss & thinning 😤 Irritability + mood swings 🦵 Leg cramps + backache 🔥 Erectile dysfunction (1–3 months) ⬇ Libido reduced This combination strongly suggests hormonal + metabolic imbalance. 🚨 Most Likely Causes (Ranked) 1️⃣ Low Testosterone (Very Common After 50) Symptoms match perfectly: Muscle loss Low libido Erectile dysfunction Irritability Mood swings Fatigue Diabetes accelerates testosterone decline. 2️⃣ Vitamin B12 Deficiency (Very Common in Long-Term Diabetics) Especially if taking Metformin Causes: Weakness Leg cramps Nerve irritation Mood changes Back pain 3️⃣ Vitamin D Deficiency Causes: Muscle pain Back pain Cramps Low mood Fatigue 4️⃣ Diabetic Neuropathy + Vascular Changes Long-term diabetes affects: Nerves Blood vessels Penile circulation Even with “controlled” sugar, damage accumulates over years. 5️⃣ Thyroid Dysfunction Can cause: Mood swings Weight changes ED Fatigue 📋 VERY IMPORTANT – Do These Tests First Before giving any tonic or Shilapravang etc., do: ✔ HbA1c ✔ Fasting sugar ✔ Serum Testosterone (Total + Free) ✔ Vitamin B12 ✔ Vitamin D3 ✔ TSH ✔ Lipid profile ✔ Kidney function Without reports, treatment will be guessing. ⚠ Why This Should NOT Be Ignored Sudden ED + muscle loss in 3 months = ⚠ Possible early cardiovascular warning sign Erectile dysfunction in diabetics is often an early marker of: Vascular disease Future heart risk This must be taken seriously. 💊 About Ayurvedic Options Shilajit / Shilapravang can help only if: Testosterone borderline low No major vascular damage Sugar well controlled No kidney issue But if root cause is B12 or testosterone deficiency — tonic alone won’t fix. 🥗 Diet Observation You mentioned: Low carb, high protein diet Good for sugar control ✔ But check: Is protein adequate or excessive? Is he eating enough healthy fats? (very important for testosterone) Low fat diets reduce testosterone. Include: Nuts Seeds Desi ghee (small amount) Coconut Olive oil 🏋 Very Important: Resistance Training Muscle mass loss at 52 is often: ❌ Decreased strength training ❌ Sedentary shift Testosterone improves naturally with: Weight training 3x weekly Morning sunlight Deep sleep 🧠 Irritability & Mood Swings Could be: Hormonal decline Blood sugar fluctuations Chronic stress Low B12 Poor sleep 🎯 Step-by-Step Plan Step 1 – Investigations (most important) Do within 1 week. Step 2 – Correct deficiencies first If: B12 low → injections D low → supplement Testosterone low → evaluate TRT Step 3 – Lifestyle reset Strength training 7 hours sleep Stress reduction Controlled carbs but adequate fats ❗ When to See Doctor Urgently If: Severe ED suddenly Chest pain Severe fatigue Very low BP
✓Medicines Ashwagandha Lehyam – 10 gm night with warm milk + ½ tsp ghee Shilajit Capsule (pure) – 250–500 mg morning with warm water Gokshura Capsule – 500 mg twice daily after food Yogaraja Guggulu – 1 tablet twice daily after food Brahmi Vati (plain) – 1 tablet night with warm water ✓Oil (Nightly) Warm Mahanarayana Taila or Dhanwantaram Taila – gentle massage on lower back, legs & soles 10–15 min followed by hot water bag 10 min ✓Daily Must-Do Kegel exercises – 50 reps × 3 sets daily (hold 5–10 sec) – improves erectile strength Continue 30–45 min brisk walk + add light resistance training 3×/week (builds muscle mass) Sleep 10 pm – 6 am strictly Vajrasana 10 min after meals ✓Diet Continue low-carb high-protein = add daily: 4 soaked almonds + 2 dates + banana morning Ghee 1–2 tsp in meals Avoid: caffeine after 4 pm, late dinner ✓Repeat: HbA1c, testosterone (total & free), vitamin D, B12 Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO, This is primarily -madhumeha= diabetes- long standing -Vata aggrvation= weight loss, muscle wasting, cramps, backache, irritability -Dhatu kshaya (tissue depletion- especially mamsa and shukra dhatu -Early shukra Kshaya-Erectile dysfunction Low carb + high protein for long duration can further aggravate vata, worsening weakness and libido TREATMENT PLAN 1) VATA AND DHATU NOURISHMENT INTERNAL MEDICATION -ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime -SHILAJIT (purified) CASPULES= 1 cap 500mg twice daily after meals -CHADRAPRABHA VATI= 2 tabs twice daily after meals for rinary ad metabolic balance -GOKSHURA + SAFED MUSLI CHURNA= 1 tsp with warm milk after meals combination for libido and strength -YASHTIMADHU CHURNA= 1/2 tsp with warm milk in moning =for fatigue -GUDUCHI GHAN VATI= 2 tabs twice daily after meals =for immunity IF BLOOD SUGAR FLUCTUATES -NISHAMALAKI CHURNA = 1 tsp with warm water twice daily -GUDMAR CAPSULE = 1 cap twice daily before meals DIET Avoid extreme low carb if causing weakness -warm, cooked meals -moong dal -old rice or small millet -ghee 1-2 tsp daily -soaked almonds -black sesame -cow’s milk with nutmeg at night AVOID -dry foods -excess raw salads -excess fasting -over exercising LIFESTYLE -sleep before 10:30pm -gentle stretching training not overtraining -pranayam anulom vilom + bhramari -avoid excessive sexual suppression or Overindulgence IMPORTANT MODERN Since ED started in last 13 months, also rule out -Testosterone deficiency -B12 deficiency -Diabetic neuropathy -Thyroid imbalance CHECK -HbA1c -serum testosterone -vitamin D and B12 -lipid profile EXPECTED TIMELINE -Energy imprves= 3-4 weeks -Muslce and libido= 6-8 weeks -ED improvement= 2-3 months DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YYOU
Brahmi ghanvati 1-0-1 after food with water will help reduce mood swings. Light massage on head with Brahmi oil. Do Nasya with Brahmi grith 2 drops in both nostril once daily. Cap. Ashwashila 1-0-1 after food with water Youvan gold 1-0-1 before food with warm milk Both will help reduce erectile dysfunction. Apply ashwagandha bala oil on penis externally twice daily. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.
