This looks like high Vata (nerve pain, light sleep, low weight, fatigue, irregular pain) For nerve pain (cervico-brachial neuralgia) Mahayoga Guggulu gold 1tab twice daily Calms nerves, reduces pain, improves sleep. Rheumayog gold 1tab twice in a day Mahanarayana tail external Warm oil on neck, shoulders, arms. Gentle massage 10–15 minutes before shower Daily if possible. Rest the arm Stop Surya Namaskar for now. For fatigue + dark circles Sleep before 10:30 pm Eat warm soups at night 1 teaspoon ghee daily Avoid raw food and fasting For loose stools Abhayarista 20ml bd After food Kutajaganavati 1tab bd After food Kitchari 2–3 times per week Only cooked vegetables

----Diagnosis : Chronic Vata muscle injury (left arm, shoulder, elbow) Vata-Pitta type nerve disorder (cervico-brachial neuralgia, right arm) Vata-Pitta imbalance with mild digestive weakness (loose stools, fatigue) ----Rx Internal Medicines: 1) Ashwagandha cap: 500 m g, twice daily with warm milk or ghee 2) Yograj Guggulu: 500 mg, twice daily after meals 3) Shatavari tab 2 tab once daily with Luke warm milk 4) Turmeric with ghee: 1–2 g, once daily after meals 5) Triphala: 3 g at bedtime —External Therapy: Daily Luke warm oil massage on arms, shoulders, and neck with mahanarayan taila Warm compress on sore areas as needed —Diet & Lifestyle: Favor warm, cooked foods: soups, kitchari, root vegetables Phulka with ghee; avoid raw vegetables Avoid overexertion; take short rest breaks during physical work Gentle Vata-pacifying stretches; avoid Surya Namaskar until pain-free Maintain good sleep hygiene — follow up after 15 days

avoid spicy food and milk and milk produts do nasya with cow ghee 2 drop each nostril 2 times day Ashwagandha ksm 66 2 times day yograj gugulu 2-0-2 Shatavari tab 2-0-2 Triphala: 2-0-2 after food do mahanarayan oil massage