Follow up after 1 month
–Diagnosis Kapha-Vata imbalance Manovaha & Mutravaha srotas dushti Medovriddhi (weight gain, fatty liver) Ashmari (kidney stones) —Internal Medicines 1)Brahmi Vati 1 tab twice daily after food 2)Ashwagandha Churna ½ tsp at night with warm water 3)Arogyavardhini Vati 1 tab twice daily after meals 4)Chandraprabha Vati 1 tab twice daily after meal 5)Triphala Churna 1 tsp at bedtime ----- Advice 3 liters water daily Light, warm food Reduce salt, sugar, fried food 30 min walking daily Sleep before 10:30 PM —Do not stop psychiatric medicines. – 8mm stone needs urologist follow-up. – follow up after 1 month
Don’t worry dear Friend Avoid addiction if any. Avoid oily spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap Stresscom 1-0-1 Cap.Brahmi 2-0-2 Use boiled water for drinking. Stay busy in your routine activities. Follow up after 2 weeks.
1.Ashwagandha capsules 1 cap twice daily with milk after meals 2.Manasmithra vatkam 1 tab twice daily with milk after meals 3.Brahmi vati 1 tab twice daily with water after meals 4.Varunadi kwath 20 ml with 20 ml water twice daily after meals Lifestyle & Diet---- - Sleep apnea: Practice Anulom Vilom and Bhramari pranayama daily; avoid heavy meals at night. - Diet: Favor warm, light meals — moong dal, cooked vegetables, rice, soups. Avoid fried, oily, and processed foods. - Kidney stones: Drink plenty of warm water; include barley water or coconut water occasionally. - Fatty liver: Use turmeric, cumin, coriander in cooking; avoid alcohol and excess sugar. - Weight gain & low energy: Gentle walking, yoga (Surya Namaskar, Vajrasana), and pranayama daily.
Hello Thank you for sharing openly You are dealing with -Depression with bipolar disorder -Sleep apnea -Weight gain anti depressants -Low energy, dark circles, early wrinkles -Kidney stones ( 8mm, 6mm, 4mm) - Mild fatty liver This is a complex case so we must approach it gently and systematically FIRST IMPORTANT Do not stop psychiatric medicines suddenly In bipolar disorder, abrupt withdrawal can worsen your symptoms Ayurveda can be started along with ongoing treatment under supervision STEP BY STEP AYURVEDIC PLAN 1.Mind stabilization and low energy 1.Brahmi Vati 1 tablet twice daily after food Helps mood stabilization, anxiety and overthinking 2.Ashwagandha capsule 1 capsule twice daily after food Improves energy, sleep quality For sleep apnea support Sleep apnea mainly needs -Weight reduction -CPAP Evaluation… AYURVEDIC SUPPORT 1.triphala churna 1 tsp with warm water at bed time Improves metabolism, reduces weight tendency For kidney stone 8mm stone may not pass easily you need to consult once urologist 1.Gokshuradi guggulu 1 tablet twice daily after food 2.Varundi kashaya 15 ml twice daily after food with water Drink 2.5 - 3 litres water daily ** For fatty liver and weight gain** 1.Arogyavardini vati 1 tablet twice daily after food Supports liver and METABOLISM Lifestyle correction -30 min walking daily -Avoid day sleep -Early dinner -Reduce sugar, fried and bakery items Dark circles and wrinkles Apply Almond oil gentle massage at night Once sleep and liver improve, skin will automatically improves Depression often improves when Sleep apnea is corrected Weight REDUCTION Gut health improves Wishing you a good health 😊 Warm Regards Dr Snehal Vidhate
WHEN DEPRESSION CONTINUES FOR A LONG TIME AND MEDICINES DO NOT GIVE PROPER RELIEF THE MIND AND BODY BOTH START FEELING EXHAUSTED IN AYURVEDA THIS CONDITION IS OFTEN RELATED TO IMBALANCE OF VATA AND KAPHA IN THE MIND ALONG WITH WEAKNESS OF THE NERVOUS SYSTEM AND LOW DIGESTIVE FIRE WHEN THE MIND CHANNELS CALLED MANOVAHA SROTAS BECOME DISTURBED A PERSON CAN EXPERIENCE LOW MOOD OVERTHINKING LOW ENERGY DISTURBED SLEEP AND LACK OF MOTIVATION LONG TERM MEDICATIONS CAN SOMETIMES SLOW DOWN METABOLISM WHICH MAY LEAD TO WEIGHT GAIN DARK CIRCLES AND GENERAL FATIGUE AT THE SAME TIME CONDITIONS LIKE KIDNEY STONES AND MILD FATTY LIVER SHOW THAT THE BODY NEEDS METABOLIC BALANCE AND GENTLE DETOXIFICATION SO THE APPROACH SHOULD FOCUS ON CALMING THE NERVOUS SYSTEM IMPROVING DIGESTION AND GRADUALLY SUPPORTING THE BODY NATURAL HEALING PROCESS TRY TO MAINTAIN A REGULAR DAILY ROUTINE WITH FIXED TIMES FOR SLEEP AND MEALS EAT FRESH WARM FOOD SUCH AS MOONG DAL KHICHDI LIGHT VEGETABLE SOUPS WHOLE GRAINS AND ADD A LITTLE COW GHEE WHICH HELPS NOURISH THE NERVOUS SYSTEM AVOID PACKAGED FOOD EXCESS SUGAR FRIED ITEMS AND VERY HEAVY DINNER DAILY MORNING SUNLIGHT EXPOSURE GENTLE WALKING AND SLOW PRANAYAM SUCH AS ANULOM VILOM AND BHRAMARI CAN HELP CALM THE MIND AND SUPPORT BETTER OXYGEN FLOW BEFORE SLEEP GENTLE HEAD AND FOOT MASSAGE WITH WARM SESAME OIL OR KSHIRABALA TAILA CAN RELAX THE NERVOUS SYSTEM AND SUPPORT BETTER SLEEP YOU CAN TAKE ASHWAGANDHA CHURNA THREE GRAMS WITH WARM MILK AT NIGHT BRAHMI VATI ONE TABLET TWICE DAILY AFTER FOOD SARASWATARISHTA FIFTEEN ML WITH EQUAL WATER AFTER LUNCH AND DINNER AND MANASMITRA VATI ONE TABLET AT NIGHT THESE MEDICINES HELP NOURISH THE MIND REDUCE STRESS AND SUPPORT SLEEP FOR FATTY LIVER YOU CAN TAKE AROGYAVARDHINI VATI ONE TABLET TWICE DAILY AFTER FOOD WITH WARM WATER AND FOR KIDNEY STONES VARUNADI KWATH TWENTY ML WITH EQUAL WATER TWICE DAILY AFTER FOOD CAN SUPPORT THE URINARY SYSTEM DRINK ADEQUATE WARM WATER THROUGHOUT THE DAY AND REDUCE VERY SALTY AND PROCESSED FOOD WITH CONSISTENT ROUTINE PROPER DIET AND CALMING HERBS THE MIND AND BODY CAN SLOWLY REGAIN BALANCE AND ENERGY EVEN WHEN DEPRESSION HAS BEEN LONG STANDING THE BODY HAS A NATURAL ABILITY TO HEAL WHEN IT RECEIVES THE RIGHT SUPPORT THROUGH FOOD LIFESTYLE AND APPROPRIATE AYURVEDIC MEDICINES 🌿
HELLO, YOU ARE DEALING WITH -Chronic depression (treatment resistant, > 6 months) -sleep apnea with disturbed sleep -weight gain from antidepressants -low energy, dark circles, facial dullness/wrinkles -kidney stones 8mm, 6mm, 4mm -mild fatty liver -no lifestyle changes so far This shows kapha- vata imbalance with ama (toxins), meda dhatu aggravation (fat metabolism disorder), Mutravaha srotas blockage (urinary system), and Manovaha srotas disturbance (Mental channels) Management must be systemic. not symptoms based DEPRESSION -Vata imbalance in mind+kapha stagnation -Long term suppression->Ojas depletion -Resistance stage->indicates deep seated ama + liver involvement SLEEP APNEA -Kapha accumulation in chest/neck -Meda (fat) blocking prana flow -Poor agni-> toxin formation KIDNEY STONES -kapha crystallisation+ pitta heat -Poor hydration + improper metabolism FATTY LIVER -meda Dhatu dushti -Mandagni (digestive fire low) -Toxin overload from long term medicines MANAGEMENT PLAN PHASE 1= FIRST 4-6 WEEKS= DETOX + AGNI CORRECTION 1) IMPROVE DIGESTION (Most important) Morning empty stomach -Warm water + 5 drops lemon -1 tsp honey if no blood high sugar BEFORE MEALS TWICE DAILY -Trikaru churna= small pinch with warm water =improves metabolism, Reduces Kapha, helps fatty liver 2) FOR DEPRESSION AND LOW ENERGY After breakfast -BRAHMI GHRITA= 1/2 tsp with warm milk -ASHWAGANDHA CHURNA= 1/2 tsp at night with warm milk If obesity prominent-> use ASHWAGANDHA CAPSULE- 1 cap instead of heavy formulations IF RESISTANT DEPRESSION -SARASWATARISHTA= 15ml + equal water after lunch FOR KIDNEY STONES (8 mm is larger) Twice daily after meals -Goskshuradi Guggulu= 1 tab -Varunadi kashaya= 15ml with equal water twice daily -Coconut water 3-4 times weekly -Barley water daily AVOID -spinach -tomato seeds -excess tea -red meat FOR FATTY LIVER MORNING -Bhumi amla powder= 1/2 tsp with warm water AFTER MEALS -Punarnava mandur= 1 tab improves liver + reduces swelling FOR SLEEP AAPNEA AND WEIGHT NIGHT -Golden milk turmeric + pinch black pepper -Avoid sleeping immediately after meals gap 2-3 hours VERY IMPORTANT -Sleep on side, not back -Early dinner before 7:30 pm DAILY ROUTINE -wake up before 6:30 am -10 min sunlight exposure -15 min brisk walking daily start small PRANAYAM -Anulom vilom= 10 min -Bhramari= 7 rounds -Mild kapalbhati if no high Bp DIET -moong dal -lauki, tori, karela -red rice or millet small portion -pomegranate -amla AVOID -sugar -refined flour -fried food -cheese -curd at night -cold drinks FOR DARK CIRCLES AND WRINKLES This is due to -liver overload -poor sleep -vata dryness APPLY -Almond oil under eyes at night -Drink 2.5-3 litres warm water daily EXPECTED TIMELINE -Energy imporvement-> 3-4 weeks -Sleep improvement -> 2-3 weeks -Weight reduction->gradual 1-2 kg/month -Mood stabilization-> 6-8 weeks -Stones-> may take 2-3 months IMPORTANT -Do NOT stop antidepressants suddenly -Work with both psychiatrist and Ayurvedic doctor -8 mm stone may require medical intervention if not passing DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU
Start with Manasamitra vatikam 1-0-1 Ashmarihar Ras 1-0-1 Brahmi vati 1-0-1 Saraswathi aristha 4-0-4 tsp with equal water Do not skip allopathic medicines Practice pranayama meditation regularly
✓See psychiatrist Discuss switching/augmenting to: Lithium Lamotrigine Quetiapine or Lurasidone Stop or reduce weight-gain causing antidepressant if possible ✓See pulmonologist/sleep specialist urgently Get sleep study (polysomnography) = confirm severity of sleep apnea Start CPAP if moderate/severe ✓See urologist/nephrologist this month Repeat USG KUB + urine routine Increase water to 3–3.5 L/day + lemon water (prevents stone growth) Discuss ESWL or medical expulsive therapy if stones symptomatic ✓Ayurvedic supportive Brahmi Vati (plain) – 1 tablet (250 mg) night Jatamansi Churna – 250–500 mg night with warm water Ashwagandha capsule – 250–500 mg night (low dose) Triphala Churna – 3 gm night with warm water ✓Daily Must-Do CPAP (once diagnosed) – non-negotiable for energy & mood 10 min Anulom-Vilom + 5 min Bhramari before bed Warm sesame oil head & foot massage 5–10 min night Legs elevated 15 min evening No caffeine after 4 pm, dinner before 7 pm ✓Diet Low-fat + low-salt (for stones & fatty liver): moong khichdi + ½ tsp ghee, cooked lauki/pumpkin, pomegranate, thin buttermilk + roasted jeera Avoid: fried, processed, red meat, excess dairy, oxalate-rich (spinach, tomato, chocolate, nuts excess) Add daily: lemon water, cucumber, bottle gourd Regards Dr Gursimran Jeet Singh MD Panchakarma
For mental problems: Start with Manasmitra vatikam 1-0-1 after food with water Brahmi vati 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with warm milk. Do Nasya with Brahmi grith 2drops in both nostril once daily Light massage on head with Brahmi oil. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily Learn Rajyoga meditation and practice daily. For kidney stone: Start with Tablet cystone -DS 1-0-1 after food with water. Gokshuradi guggul 2-0-0 after food with water. Morning empty stomach drink 500to 750,ml. Of water before breakfast. Apply full body massage with sesame oil. Apply kumkumadi oil on dark circles on face at night.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Eat Barnyard millet (Bhagar/Varai) with ghee daily. It will help you crush your stone naturally. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. 🧘♀️ Yogasan : 🧘♀️ 1. Pawanmuktasana 2. Bhujangasana 3. Dhanurasana 4. Paschimottanasana 5. Ardha Matsyendrasana 6. Vajrasana 7. Supta Matsyendrasana 🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 4.Jyoti Tratak 5. Anulom Vilom (breathing in with right nostril and out with left nostril.) ❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd 💊 Medication 💊 Cap. Stonvil(S.G.Phytopharma) 2 caps twice a day before food. Cap. Memorine 2 caps twice a day before food. Tab. Sarpagandha Vati 2 tabs twice a day before food. Syp. Varunadi Kwath 3 tsp twice a day before food. Syp. Prasham 4 tsp at bed time Tab. Manasmitravatak 2 tabs at bed time.
Hello, dear, you need to go for a full systemic evaluation immediately if you haven’t gone for one till now. including common blood works like CBC, ESR, vit D, vit B12, calcium, thyroid function, LFT, RFT, HBA1C, c-peptide, ferritin, folic acid, testosterone, LH, FSH, lipid profile, cortisol, etc. If you have already done these, please reach out with the reports. If all and any systemic issues are ruled out or analysed, we need to plan for a sodhana chikitsa to make your body receptive to medicines, since you described your condition as treatment-resistant. The next step will be correcting your gut-brain axis through Ayurvedic medicines and diet therapy. At this stage, more targeted treatment practices can be advised. First, I need to review your reports. Understanding the cause is important before any further plans
