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How to treat diabetes and nerve weakness in my 61-year-old mother with a history of shingles?
General Medicine
Consultation #55609
47 days ago
220

How to treat diabetes and nerve weakness in my 61-year-old mother with a history of shingles? - #55609

Client_a39f3d
$3

Hello docor My mother is having diabetic since 5 years, currently she is taking metformin 500mg pills daily after foodand her sugar is 250 in morning. She also faced Shingles three months back in february. currentlyhave weakness in nerves sympotms of post herpetic neuraliga. could you advise low dosage medicine and she also have gastric issue and weak digestion. Add in diet so that she can fight with diabetics. age:61

How long has your mother been experiencing nerve weakness?:

- More than 3 months

What specific gastric issues does she have?:

- Bloating

How would you describe her digestion?:

- Frequent issues

What is her current diet like?:

- High in carbohydrates

Has she made any lifestyle changes since her diabetes diagnosis?:

- No changes

How often does she monitor her blood sugar levels?:

- Weekly

What medications is she currently taking aside from metformin?:

- None

Doctors' responses

Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
47 days ago
5

For 61 years age with diabetes, weak digestion, gastric irritation and post-herpetic neuralgia symptoms, keep treatment mild and digestion-friendly. Take Nishamalaki Tablet 2 tablets twice daily after food with lukewarm water. Chandraprabha Vati 1 tablet twice daily after food. Ashwagandha Churna 3 grams at bedtime with warm milk or warm water for nerve weakness and fatigue. Gandharvahastadi Kashayam 15 ml + 45 ml warm water before breakfast and dinner for digestion, bloating and metabolism. For burning nerve pain after shingles: Ksheerabala 101 Avarti Capsule 1 capsule at bedtime after food. Diet: Avoid sugar, bakery items, cool drinks, white rice excess, curd at night. Use millets, green gram, bottle gourd, ridge gourd, methi leaves, bitter gourd. Small frequent meals only. 1 tsp methi seeds soaked overnight in morning. Warm water throughout day. Daily 30 minutes walking after meals.


0 replies
Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
46 days ago
5

Dx: Madhumeha with Vata dushti + Post-herpetic neuralgia + Agnimandya/Adhmana ----Rx 1) Chandraprabha Vati — 1 tab BD after food with lukewarm water 2) Gudmar/Meshashringi Vati — 1 tab BD before food 3) Mahayograj Guggulu — 1 tab BD after food (if BP/kidney status normal) 4) Hingwashtak Churna — 2 gm with first bite of lunch/dinner 5) Ksheerbala Taila — gentle local abhyanga on painful nerve area, followed by mild fomentation ----Panchkarma / Procedure Jalaukavacharana / Leech therapy — only by trained Ayurvedic doctor, not at home. Can be considered for localized burning pain/inflammation after shingles, but avoid if sugar uncontrolled, anemia, blood thinner use, skin infection, poor wound healing, low Hb, or bleeding tendency. -First control sugar and check CBC/RBS. ----Diet & Pathya Avoid: sugar, rice, maida, potato, fried food, cold drinks, heavy dinner Take: moong dal, lauki/tori/karela, salad, multigrain roti in limited quantity Add: methi dana soaked water, cinnamon small quantity, protein in each meal Walk 10–15 min after meals; monitor fasting + PP sugar regularly —Advice Continue Metformin; do not stop allopathic medicine. Get HbA1c, kidney function, Vitamin B12 checked and consult physician for sugar 250 fasting.


0 replies
Dr. Harsh Khandelwal
Bachelor of Ayurvedic Medicine and Surgery
38 days ago
5

​1. Suggested Low-Dosage Ayurvedic Formulation ​Since she has a weak digestive system, heavy herbo-mineral formulations (Rasa Aushadhis) should be avoided initially. We want deep penetrative (Sukshma) but mild herbs that kindle Agni and pacify Vata. ••​Vasant Kusumakar Ras (With Gold): •​Why: This is the premium drug of choice for chronic diabetes with nerve weakness (neuralgia). It rejuvenates the nerves (Nervine Tonic) and safely helps manage blood sugar levels. ••​Dosage: 1 tablet (approx. 125mg) once a day, empty stomach in the morning, crushed and mixed with 1 teaspoon of pure honey or warm water. (The dosage is minimal and highly effective). ••​Nisha Amalaki Churna: •​Why: A classic combination of Haridra (Turmeric) and Amalaki (Amla). Turmeric manages blood sugar and inflammation, while Amla is a rich source of Vitamin C, excellent for post-shingles nerve recovery and Agni (digestion) without causing acidity. ••​Dosage: 1/2 teaspoon (approx. 2 grams) twice a day before meals with warm water. ••​Ksheerabala 101 Avarti (Soft Gel Capsules): •​Why: For Post-Herpetic Neuralgia, Vata must be pacified. Ksheerabala processed 101 times is highly potent in low doses. It heals myelin sheath decay and nerve pain. ••​Dosage: 1 capsule twice a day after meals with warm water. ​2. Managing Gastric Issues & Weak Digestion ​If her digestion is weak, she cannot assimilate any diabetic medication properly. ••​Mustakarishta: •​Why: It is the best digestive stimulant (Dipana-Pachana) that doesn’t aggravate blood sugar levels and cures bloating/gas. ••​Dosage: 2 teaspoons (10ml) with equal warm water twice a day, 15 minutes after meals. ​3. Dietary Plan to Fight Diabetes & Build Immunity ​In Ayurveda, Ahar (diet) is the first line of treatment for Madhumeha. We need a Tikta-Kashaya (bitter-astringent) predominant diet that is Laghu (light to digest). ​What to Include: ••​The Right Grains: Replace normal wheat with Barley (Yava) or Sorghum (Jowar). Barley is highly praised in Ayurvedic classics for wiping out excess Kleda (moisture/sugar) from the body. ••​Vegetables: Bitter gourd (Karela), pointed gourd (Parwal), bottle gourd (Lauki), and drumsticks (Shigru). Drumstick/Moringa is excellent for both diabetes and nerve pain. ​Spices for Agni: Use Cumin (Jeera), Fennel (Saunf), Fenugreek (Methi), and Dry Ginger (Sunthi) in cooking. ••​Morning Detox Water: Soak 1/2 teaspoon of Fenugreek seeds and 1 coriander seed tsp in water overnight. Boil, strain, and give it to her lukewarm in the morning. ••​Strictly Avoid: ​Curd (strictly avoid as it blocks body channels or Srotas). Fresh, thin buttermilk (Takra) spiced with roasted cumin and mint can be given instead during the day. ​Refined flour (Maida), potatoes, white rice, and heavy, oily food. ​Sleeping immediately after meals (Bhuktwa Upaveshana).


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