Hello Thank you for explaining so clearly I can understand your frustration with recurrent ankle swelling, high uric acid, reaction to medicines and no nearby Ayurvedic docter But dont worry we are here to help you out 😊 BASED ON YOUR HISTORY Uric acid= 8.3 Crp= 6.99 Recurrent swollen left ankle Fever after febuxostat DOES GOKSHURA GUGGULU CAUSE INITIAL GOUT FIRE? it does not directly increase your uric acid However Sometimes when metabolism improves and channels starts to open up, movement of accumulated toxins may temporarily increase pain But this usually happens after long time So your current condition is due to ongoing inflammation Not due to gokshura IMPORTANT You stopped febuxostat due to fever But sudden stoppage may increase the pain ** WHAT YOU SHOULD DO UNTIL 8 MARCH** CONTINUE BUT MODIFY you may take 1.Gokshuradi guggulu 1 tablet twice daily after food 2.Chandraprabha vati 1 tablet twice daily after food 3.Giloy once daily ADD THIS 1.Kaishora guggulu ( if available) 1 tablet twice daily after food STRICTLY ANTI GOUT DIET ❌AVOID Redmeat Sea. Food Alcohol Sugary drinks Bakery items Rajma, chole Tomato, spinach ✅Include Lauki moong dal Old rice Warm. Water whole day Wishing you a good health Warm Regards Dr Snehal Vidhate
No instead gokshuradi guggulu will help in reducing your uric acid levels along with that take Kaishore guggulu which helps in supporting joint health But meanwhile avoid high protein diet including red meat soya rajma and nuts Drink plenty of fluids
avoid pulses take punanava cap 2-0-2 tab neeri kft 5 ml 2 times day tab rasanadi gugulu 2-2-2 tab livtone 1-0-1
Hello, I am hoping that you are following the food restrictions as directed by joint-ortho specialists. Please continue that along with the following medications: 1. Gokshuradi guggulu DS(AVN) 1----0----1 after breakfast and afetr dinner for 90 days with medicine no.2 and medicine no.3 2. Varanadi kashayam 10ml----0----10ml + 3. Rasnapanchakam kahsyam 10ml—0----10ml By adding 80ml of boiled cooled water 45 minutes befroe breakfast and 45 minutes before dinner For 90 days. 4. Jadamayadi churnam mixed with hot water and applied as paste over affected joint;leave for 30 minutes and then wash with plain hot water. For 10 days. Take care, Kind regards.
Take Purnrvardiarista 20ml bd AF Chandra Prabha vati 1tab bd AF Goksuradi Guggulu 1tab bd AF Chandasava 20ml bd enough
YOU HAVE BEEN UNDER STRESS FOR THE LAST TWO YEARS AND HAVE NOTICED SWELLING AND PAIN IN LEFT ANKLE AND KNEES SINCE DECEMBER BLOOD TEST SHOWS HIGH URIC ACID AND INFLAMMATION OTHER KIDNEY PARAMETERS ARE NORMAL YOU TRIED ALLOPATHIC MEDICINES BUT HAD FEVER AND COULD NOT CONTINUE TAKING GOKHSHURA GUGGUL AND CHANDRAPRABHA VATI DURING ACUTE PAIN CAN SOMETIMES TRIGGER MORE DISCOMFORT INITIALLY THIS HAPPENS BECAUSE HERBS THAT HELP REMOVE URIC ACID OR REDUCE INFLAMMATION CAN BRING OUT THE FLARE IN EARLY STAGES RIGHT NOW IT IS BEST TO STOP SELF-MEDICATING WITH HIGH DOSES UNTIL THE PAIN REDUCES FOCUS ON REDUCING INFLAMMATION AND SWELLING DRINK PLENTY OF WARM WATER AVOID HEAVY FOODS ESPECIALLY RED MEAT SEAFOOD ALCOHOL AND SUGAR KEEP MOVEMENT LIGHT BUT DO NOT STRAIN THE ANKLE OR KNEES APPLY WARM OIL OR MEDICATED OIL GENTLY ON THE AFFECTED JOINTS TO RELIEVE PAIN GILOY CAN BE TAKEN IN SMALL AMOUNT WITH WARM WATER TO SUPPORT IMMUNITY AND REDUCE INFLAMMATION BUT HOLD GOKHSHURA GUGGUL AND CHANDRAPRABHA VATI UNTIL THE ACUTE FLARE CALMS DOWN AFTER 3-4 DAYS YOU CAN START SMALL DOSE AND GRADUALLY INCREASE UNDER ONLINE AYURVEDIC CONSULTATION SUPERVISION OPT FOR ONLINE CONSULTATION TO GET A PERSONALIZED PLAN INCLUDING BLOOD MONITORING DIET ADJUSTMENTS AND HERBAL COMBINATION TO PREVENT FUTURE FLARES AVOID SELF-MEDICATION DURING ACUTE GOUT ATTACKS FOCUS ON LIGHT DIET HYDRATION WARM OIL MASSAGE AND REST
HELLO, Your case is very classical vata-rakta from an Ayurvedic view-stress, weight gain, uric acid 8.3 + recurrent ankle flare FIRST- IMPORTANT CLARITY -Gokshuradi guggulu does NOT typically increase you flares -But during an acute flare (severe pain+swelling), strong deepan-pachan or scraping medicines can sometimes aggravate vata temporarily -fewer after Febuxostat suggest drug intolerance, not infection (since kidney profile is normal) Right now you are in an acute inflamamtory phase again During flare treatment, is different from long term uric acid control WHAT TO DO NOW (Acute flare management 5-7 days) stop for now -gokshuradi gugulu -chandraprabha vati they are better in chronic phase, not peak inflammation TAKE INSTEAD -KAISHOR GUGGULU= 2 tabs twice daily after meals =best classical medicine for gout inflammation -GUDUCHI GHAN VATI= 500mg twice daily after meals -MAHARASNAADI KASHAYA= 15ml + equal warm water twice daily after meals LOCAL CARE -warm water + rock salt soak 10 min twice daily -after drying, apply -Mahanarayan oil gentle massage no deep pressure Avoid ice worsen vata long term DIET- VERY IMPORTANT EAT MORE -lauki -tori -parwal -old rice -moong dal -warm water whole day -1 tsp cow ghee daily reduces vata AVOID- For 3-4 weeks -tomato -spinach -mushroom -cauliflower -rajma/chole -red meat -beer -excess tea -sour curd at night ROOT CAUSE IN YOU -stress 2 years -sudden weight gain -likely poor sleep -vata + rakta dushti AFTER PAIN SETTLES (maintenance phase- after 7-10 days Then restart -gokshuradi guggulu -chandraprabha vati -add punarnava mandir if swelling tendency)= 2 tabs twice daily for 3 months minimum Do no keep switching medicines frequntly GOUT NEEDS -acute control -long term metabolic correction -weight reduction target 70-2 kg for. you DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Yes. Both are heating (ushna virya) & contain guggulu which can mobilize uric acid crystals in early days and can cause temporary flare-up (worsening pain/swelling) in sensitive gout patients. This is common & usually settles in 7–14 days if continued carefully. ✓Stop Gokshuradi Guggulu immediately (main culprit for heat & flare) ✓Continue Chandraprabha Vati – reduce to 1 tablet twice daily after food (safe, cooling for urinary & joint support) ✓Add urgently (safe & anti-gout) Giloy Satva or Giloy powder – 500 mg twice daily with water Punarnava powder – 1–2 g twice daily with water Kaishor Guggulu 2-0-2 after food with warm water ✓Pain & flare control (today onwards) Warm water + ½ tsp turmeric + pinch black pepper sip 2–3 times/day Warm castor oil pack on left ankle/knee 20 min nightly (reduces inflammation fast) Ice pack wrapped in cloth 10 min 3–4 times/day (if swelling hot/red) ✓Diet (strict next 2 weeks) Avoid completely: tomato, brinjal, spinach, mushroom, cauliflower, red meat, alcohol, pulses (dal), urad, rajma Eat only: rice, moong dal water, bottle gourd/lauki, pumpkin, pomegranate, cucumber, thin buttermilk + roasted jeera Drink 3–3.5 L warm water daily Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello Suvrojt Start with Kishore guggul 1-0-1 after food with water Giloy ghanvati 1-0-1 after food with water Triphala tablet 0-0-2 at bedtime with water Gokshuradi guggul 2 -0-0 after food with water Drink fresh lime water, Apple cider vinegar - 5 ml in a glass of water. Avoid protein diet.
