Brief Answer:
Assessment & Management

Detailed Answer:
Dear
Thanks for contacting Ayurveda with your health concern.

1. Since you are suffering from grade 3 hemmorhoids and not willing for any invasive procedure, do incorporate following guidelines:

i. take fresh fruits and vegetables,avoid milk and milk products in diet, excess of tea,coffee,tobacco,alcohol and carbonated beverages.
ii. eat slowly,avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.
iii. take less of strong spices (ginger,garlic), oily-fried-fatty food and flatus producing foods (peas,beans,dals).
iv. take old rice,bottle gourd,moong dal XXXXXXX marich, pomegranate,jaiphal,hot water, adequate rest and sleep.
v. take fried cumin seeds 500mg,
fried asafetida (hing) 125mg,
XXXXXXX parpati 500mg, mix them and take with honey three times a day.
vi. 1 glass lukewarm water every morning and night.
vii. to stop bleeding:
. coconut water from 1 coconut and add 2 table spoon full (tsf) sugar and drink. . drink 1 cup potato juice daily for 1 month.
. 4tsf sugar+ 4tsf bitter gourd juice and drink for 1 month.
. 3 pinches dried ginger+ 2 cup butter milk, drink after lunch and dinner for 1 month.
. eat 2 tsf plain white butter + 1 tsf sesame powder before lunch and dinner and drink 2 cup butter milk + 3-4 pinches of black salt after lunch and dinner
viii. take: elephant yam, papaya, butter milk, pistachio, almonds, pear, old brown rice, milk, crystallized sugar, raw radish and avoid tea,coffee,garlic, onion,fish,hot spices, sitting for long hours.
viii. Trifla because of its high nutritional-detoxification [Shodhan] and cleansing value is very helpful in treating your present complaints. [take 3 gm with XXXXXXX warm water at bed time]

PS: . if job demands sitting, make sure you get up every half an hour to relax for 5 minutes and then sit back,make a sponge cushion for your chair.
. Again piles, is due to low digestive fire and taking amla & aloe vera juice will help in cleansing the liver to speed up the metabolism.
. Do not strain while passing stool,and use warm water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion . . Avoid cold/tap/jet (western seat) water.

Dr. Munish Sood
Consultant & Physician
Naimittika

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Brief Answer:
clarifications regarding usage

Detailed Answer:
Dear
Thanks for reverting back.

1. As said earlier, by cleaning the liver one can speed up the metabolism, as such Amlycure DS is a liver tonic and there won't be any such problem if it is taken for long period.

PS. make sure to check with your health care professional there about the same, since he will be in better position to evaluate you personally.

2. by milk one should take milk/milk products which have low fat content i.e. skimmed milk, butter milk,curd,and cottage cheese made of skimmed milk.

3. butter milk [takra] is called as the Nector for humans and is widely used in piles because of the following reasons:

i. having low fat content is easy to digest.
ii. have astringent properties which helps in arresting bleeding.
iii. as it is hot in nature thus it is contraindicated in summers but beneficial in winters.

Dr. Munish
Naimittika

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Brief Answer:
clarifications

Detailed Answer:
Dear,

Thanks for reverting back.

1. butter milk is a common household preparation and can be prepared by any of the following ways:

i. take 1 bowl curd and 1/2 bowl water and mix both and then stir vigorously [manually]

ii. take milk cream and stir vigorously [manually/electrically], the butter will float up and the liquid will remain down: which is your butter milk.

2. yes, you can take butter and pure ghee.

3. Grate the potato on grater and then take the grated potato in a cloth and press, juice will come out [put a vessel underneath to collect the juice]

4. with reference to 1v: the said dose is a single dose which has to be taken three times a day, which means:

cumin seeds and XXXXXXX parpati: 1500 mg and

asafoetida: 375 mg in a single day.

Since the dose will be very low 1/2 tsf will be sufficient and ordinary oil is required for frying purpose.

PS. only cumin seeds and asafoetida is to be fried, and after they are fried then mix XXXXXXX parpati from the bottle.

Dr. Munish

Naimittika

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Brief Answer:
Further information.

Detailed Answer:
Dear,
Thanks for reverting back.

1. The preparation is for 21 days.
2. To stop bleeding, continue for 5-7 days and then stop.
3. Dried ginger: take raw fresh ginger and dry it in sun, when it gets dried, spin in mixer and make it in powder form or you can have it from local grocery shop.
4. Bitter gourd juice to be extracted after peeling the skin and if availability is not there, no issues you can try other remedies furnished.
5. The given preparation depends upon individual choice and suitability, since every person responds differently thus he/she can continue with one, which suits him/her the most.
6. Yes.
7. Can be continued on daily basis. No time period is necessary.
8. What is your assessment of weight loss:
. Is it mild to moderate or gross weight loss?
. Relation of appetite:is it increased or decreased?
. Your Dietary habits?

Dr. Munish
Naimittika

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Brief Answer:
one has to follow multiple approach

Detailed Answer:
Dear
Thanks for reverting back.

1. the mixture can be prepared one time and then can be used on daily basis, no need to prepare fresh everyday.

2. yes, both have to be taken separately, or you can go for alternate basis.

3. If you are suffering with flatulence [gas], thus one can approach in following ways:

i. Avoid oily/fry foods, aerated drinks,smoking,pan chewing,overeating,onions, peas,beans,dals.
ii. eat slowly, avoid haste,chew properly and close the mouth while belching.
iii. regular moderate meals. [eating a less than demanded by appetite is very important]
iv. regular exercise, to improve the tone of abdominal muscles:
. straight leg raising.
. Scissor kicks.
. Sit ups.
. Walking, Jogging
v. tablet Gasex [1 tablet thrice daily]

In between Investigate for:
1. stool [for amoebiasis,giardiasis,tapeworms]
2. Hemoglobin [for anemia]
3. Ultrasonography [for gall bladder]
4. sigmoidoscopy & Gastroscopy [if indicated]

4. regarding weight problem

i. You should participate in outdoor activities and exercises like running, swimming, Yogasanas, Surya-namaskar.

ii. Take protein rich diet (legumes sprouted pulses/cereals, milk with protein powder (which are required for manufacturing of antibodies)

iii. Take vitamin A,B,C,E in diet which helps in strengthening the immune system.

iv. self expressed juice of white onion 6 ml with honey in morning.

v. avoid: heavy, slimy food along with fetid odor and unpleasant sight and take old rice (1 year old but not diseased), green gram, fresh green vegetables, banana, pomegranate, garlic, ginger, raisins, black pepper, clarified butter, butter milk, regular brushing of teeth and tongue cleaning, bathing, lemon,salt, mint, morning walk.

5. Daily Regime

i. Don’t skip breakfast. Take your lunch between 12 -1 PM which is the peak period of Pitta (responsible for digestion) and have your dinner 2 hours before sleeping.

ii. Make sure you do not travel, do strenuous exercise, or indulge in sexual activities within one hour after meal

iii. Proper sleep with proper diet is the key to healthy living in Ayurveda.

v. Avoid smoking, alcohol, caffeine, eating late at night, stress, and drink water instead of colas

v. Practice Yoga, Meditation and go for an exercise regime..

vi. Walk a while after meal to help digestion

Remember good food leads to noble thoughts with sound memory helping in mental health and social well being.

Dr. Munish
Naimittika

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Brief Answer:
Guidelines for further work up

Detailed Answer:
Dear
Thanks for reverting back.

1. The preparation is to be consumed after meals and XXXXXXX parpati can be bought from reputed Pharmacy like Baidyanath or Dhanvantri.

2. Either you can start with Amla or Aloe Vera juice. [both being cold in Virya (potency) will have equal effect.

15-20 ml (4 to 5 tablespoon) with equal amount of water to be taken empty stomach

. In morning 8 A.M.
. In evening 5 P.M.

Dr. Munish
Naimittika

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