Dear Dr. Shah

I am a 25 years old guy. I feel that I am suffering from impotency. As I was reading the problem of one of the guys whom you replied about the same problem. Dr. I had been masterbating since last 8 years and now I feel that my penis is not erecting. Due to this now a days I am very much tensed and it is affecting me psychologically very much. Dr. I may tell you that after five months I am getting married. I am afraid that whether my wife will be satisfied by me sexually or not. Please reply me with the name of the medicines that can rectify my problem.

Thanking You
BIRBAL

Dear Birbal,
First of all sorry for delay in reply. I just returned (only yesterday) from my tour to Germany.
I am happy that you read my previous answer to one friend. You are very clear that this kind of problems are more psychological and very rare physical. I wish you to consult good psychologist - sex therapist from your city. For any other question and problem you are always free to contact me. For medicine and other part I would recommend you to wait for some time, after your consultation with doctor you will find much improvement. Do reply and be in touch. Best wishes for your marriage. You will not have any problem in your marriage life. Just remove this fear from your mind.
Regards,
Dr. Prerak Shah

Question for Dr. Shah:

My name is Gary I have two problems 1. I am overweight  2 I have what I
think is called running legs my legs hurt and I have to keep moving them
sometimes for about 1 hour then the pain stops. How can I find out what type
of body type I have.
Thank you
Gary Marlar

Dear Gary,

First of am very sorry for delay in reply. I was on tour to Germany for 17
days, and I could not reply you. Thank you very much for your e-mail. There are number of websites containing this details, 'self evaluation of your body -type '.

But remember : To determine a person's body constitution, an Ayurvedic
doctor needs an intensive question-answer meeting for at least one hour,
taking a look at every aspect of a person, not only physical, but emotional
and spiritual also.

I am sending you one attached file by separate e-mail. Please make it hard
copy of the proforma and feel your details and send it to me by post. I will
inform you about your body-type.

Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

With reference to my yesterdays letter, I thought I have not clarified my
problem clearly so i am continuing with this mail. I have acidity problem
with stomach pain and some times vomiting. I get ulcers in the mouth from
last one year. Three months back I had blood discharge through the anus
about 6 to 8 drops in a day. After consulting with the Gastro entrologist he
told me that i have ulcers in the intestine and i am suffering from CORHNS
disease. (Auto immune syndrome). He advised me to take Rantedene tablet for 6
weeks and my body should improve my immune system or resistance. Dr. told me
that i have acidity not only in the stomach but also in the blood and urine.
Is there any medicine for my problem in Ayurvedic treatment and permanent
cure ? Please advice me about this and eagerly looking forward for your
early reply. Thanking you.
Kularashmi

Dear Kularashmi
You can understand me that, this kind of complete information will help me to guide you effectively. I do not wish you to go for antacids, antibiotics or steroids for longer period nor even for surgery, I will try my best to help you.
Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

I am suffering from a lower back pain since Dec.6th 1999 because of lifting weights in a gym. My X-ray shows scoliosis of the lumbar spine to the right of my body which the orthopedics say is congenital deformity. Regular spasms of pain continue throughout the day. Has Ayurveda got any remedial measure for it.

Please Help.
Thank U
Kunal Sahgal.

Dear Kunal,

Received your mail. Thank you very much for your interest in Ayurveda. As you know , Scoliosis is an abnormal cuvature of the spine.

• 60 to 80 % of all cases occurs in girls
• it may occur as a birth defect, other causes are polio, cerebral palsy, juvenile osteoporosis or other diseases.
• Most curves are convex to the right in the upper back and to the left in the lower back.
• Treatments consists of - a brace or plaster cast to worn to hold the spine straight, some times electrospinal stimulation and sometimes surgery are recommended.

(ref. The Merck Manual of Medical Information, Home Edition, 1997, Page - 1300)

Now dear friend, as you are quite young and adult, you can understand the situation quite well. If you can have relief with any external treatments, I would not prefer to go for any internal treatments. Can you understand me properly?

No internal medicines - like pain-killers are advisable, if you can have relief with local massage or brace support. Massage locally with lukewarm Gandh Tail ( from Arya Vaidya Shala Pharmacy, Kottakal, Kerala ) on calf muscle daily for 10 - 15 min.

Operation is last option, what is the advise from your orthopedic doctor? Try to observe your postures. In my opinion Ayurveda can not cure such congenital diseases, but certain relief can be achieved by local massage.

Will wait for your further communications.
Best wishes,
Dr. Prerak Shah

Dear Dr. Shah,

My wife conceived twice, and miscarried both times, at 11 weeks of pregnancy. The pregnancies were spaced about 3 years apart. After the first miscarriage, she had a severe skin allergy (Psoriasis), for which she took Siddha treatment, and got cured partially - she still has dry scale formation on the scalp, and has severe itching at times.

The Gynecologist advised some blood tests on her and said that the miscarriage problem is due to "Antiphospholipid antibodies", which causes clotting of blood supply to the growing fetus. As a result, the fetus suffers intrauteriune growth retardation and dies in the mother's womb. The doctor says that my wife should take aspirin tablets daily, alongwith Heparin injections everyday during the next pregnancy, for keeping the blood from clotting. I am worried about this problem, because I don't want this misfortune once again, when she conceives again. I would like to know if there is a cure for this problem through Ayurveda ? I am confident that Ayurveda can cure any disease, because it treats the root cause of problems, and not the symptoms.

I would be grateful for a solution to my problem.

Thanks,
V.Balaji

Dear V. Balaji,

Received your mail. Sorry for delay in reply. For your wife's case, I contacted one senior Ayurvedic Gynaecologist (Dr. Usha Jani, MD(Ayu) Gynec) and had her opinion.

1. Please contact your nearest panchkarma treatment center and undergo Shodhan Chikitsa or Vaman / Virechan (any one) and Basti treatments for 15 days.

2. Without Panchkarma, only conservative treatments may not be much helpful. Panchkarma will help her to remove vikrut doshas (toxins) from the body.

3. Line of treatment is like this:

• Dipan, pachan and niramikaran
• Panchkarma
• Internal medicines - Rakta shodhana, garbha-sthapan yogas

4. Diet regiman and activity guidelines.

If you feel to ask me more, you are always welcome. If you need to discuss your case with ayu. Gynec, inform me. I will provide you her phone/fax numbers.

With best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

Please Help!!! I have had serious skin outbreaks with various hair like fibers coming out of them. They have appeared on my face and one on my finger. I have been to various doctors who have been of no help. I have been accused of self mutilation and also been told that I need to see a therapist and get on strong anti-anxiety medication. I am not crazy and I am not mutilating myself. I have given one doctor samples of the hair that has come out of my outbreaks. She said she sent them off to be analyzed but when the analysis was returned the only thing she could tell me was that they were fibers. Then she commented that I had put these hair like fibers in these outbreaks myself. This is not true. Finally I sent a family friend, who is a Dr. in micro-biology, some samples of these fibers. He had a parasitologist, Dr. Turner look at them under a microscope. Along with the samples I sent a letter explaining in detail how the outbreaks began and all of the symptoms that followed!

Dr. Turner has come to the conclusion that I have a Helminth Parasite known as Dirofilaria conjunctivae. He said that from looking at the samples and also from the symptoms that this was practically a text-book case of this parasite. They feel that I could have contracted this from mosquitoes. That is a great possibility I am an avid gardener and I live in Louisiana, we have a lot of mosquitoes and I get a lot of bites. Now that I am feeling some hope in a diagnosis I am at a loss of where to turn or who to see for this. I would also like to find out as much information about this parasite as I can. Could this be fatal if left untreated? And what type of treatments are there. If you can help me in anyway I would greatly appreciate some input.

Thank you,
Sabra Vidrine

Dear Friend,

Received your detailed e-mail. I contacted one senior Ayurvedic dermatologist here. According to Ayurveda and his opinion, this may be found in text under Krumi Rogas. But for diagnosis and treatment, he would like to have - detailed history from the day of begining - latest photographs - reports / investigation reports from laboratory. I hope you will cooperate me.

Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

Hello,
I am suffering from Type II diabetes since 1996. My fasting blood sugar is between 6.5 and 7 mmol (120 -130). I am not taking any sort of medication to control the sugar level. I would like to know whether Ayurvedha can help me to keep the blood sugar levels normal.

Waiting for your early reply
Thank you,
Sajan.

Dear Sajan,

Yes, there are certain food supplemts, tropical fruits, trees and herbs that can help you. In Ayurveda certain preparations are suggested to control Diabetes. But to control it without medicines is the best way to deal with this disease. Still if you wish to have medicine, pl. inform me, so that I would suggest you some.

Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

I have been referred to 5 doctors in the past 11 months; one of which was at MAYO Clinic.

Each doctor has told me something different, ranging from cancer to focal nodular hyperplasia, to an adenoma. For the past 11 months, I have been dealing with extreme abdominal pain, and I now have to deal with the pain from the endometriosis (since I have been taken off of the pill). I am basically very frustrated and confused. If you could lead me in the right path, I would greatly appreciate anything you could do.

Dear Jenny Butikas,

I received your long e-mail. I go through your medical history, but nothing is conclusive. In this kind of situation, Ayurveda deals differently. In Ayurveda, asymptomatic treatment is not there, we deal every aspect of body and your life style in the treatment. So I would suggest you to find out an Ayurveda counsellor nearby you, and have checked your body constitution (Prakriti) and Vikruti, dosha, dhatu and other factors. He/she may recommand you accordinly. You didn't mentioned your e-mail add., otherwise I can send you such proformas too. Anyway, inform me what you experienced with Ayurveda counsellor and what is his/her diagnosis, after that I can recommand you some treatments.

With all best wishes,
Dr. Prerak Shah

Dear Doctor Shah

For 2 years ago my father( 74 years old) discovered he has Parkinson's disease. He has difficulty walking, to take things and sometimes he shows mental confusion. We are very worried about him.

Last night I could see one documentary about Ayurvedic Medicine and about " Mucuna pruriens" which can cure/ treat this disease. I would like to know if it is really true and where ( here in Brazil, if possible in São Paulo) I could meet a Ayurvedic Physician.

Thanks,
Best regards, Silvia Vellego

Dear Friend Silvia Vellego,

Reeceived you mail. Yes, Mucuna pruriens have good results in parkinson disease. According to my knowledge, one of the leading Ayurvedic pharma co. (Zandu Pharma) has introduced one patent medicine called " HP 200" in indian market with the collaboration of ICICI, USA. and having good response.

I am sorry, but I do not know any Ayurvedic physician in Brazil.

Keep me informed about your father's health.

Best wishes,
Dr. Prerak Shah

Dear Dr. Shah,

I am suffering from mild hypertension and hypothyroidism presently. Hypertension is present since 1989.

In 1989 I suffered from tachy cardia ( resting pulse 120) and was treated for hyperthyroidism for about six months and after that my thyroid function became hypo. (I was given carbimazole for hyperthyroid function from February to June 89)

For last four years I am taking Eltroxin .1 mg OD in addition to HIPRIL 2.5 MG in the morning and HIPRIL 1.25 MG evening plus DITIDE 1/4 BD. (Other drugs like CCBs, Beta Blockers etc have not been found to be suitable. Increasing dose of Hipril further causes irritation in throat/ dry cough). Blood Pressure is in the range of 90-140.

I have some obesity (height 5ft 8 in. weight 82 Kg) plus swelling in my feet which keeps on increasing/ decreasing occasionally. Thyroid tests T3, T4 & TSH are normal along with Blood Urea , Blood Sugar and Serum Createnine. Dr. advise me to increase the dose of Ditide to reduce swelling in feet but it does not suit me. There was occasional problem of bleeding from gums for which I take 10-12 Neem leaves in morining and which has helped me considerably.

Is Guggulu likely to help in this case in reducing obesity and improving thyroid function. I have tried it for last four days ( yograg guggulu 250 mg BD from Dabur) and it appears to have speeded up metabolism and increased appetite. I also reduced the dose of Eltroxin from .1 mg OD to .075 OD without any adverse effect on my sense of well being.

Kindly advise what Aurvedic Medicines I can take for my condition.

Thanks
Rakesh Srivastava

Dear Friend Rakesh Srivastava,

Received your long e-mail. Thank you for your interest in Ayurveda.

Ayurveda doesn't favour symptomatically treatment. 

Some points are there, which one Ayurveda physician would like to discuss more.

Ayurveda has its own way to look into symptoms.

In my opinion, according to what you have described you may have some "Aama Disease". This can be judged easily by nadi (pulse examination) and personal meeting . So I would suggest you to visit any Ayurveda Physician nearby you and have ayurvedic diagnosis first of all.

I think you can understand me better. Some times all symptoms like hypertension and hypothyroidism , obesity and bleeding from gums may be a representative of a single causative factor in the terms of Ayurveda. And treating any of the symptom alone or treating them separately will not give you more relief. This is like to cut a tree - if you pick leaves or cut branches it will not solve your problem. To cut a tree you have to cut the stem, near the root.

With best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

I have CFS. What is your protocol if it is candida related, and what is your protocol if it is epstien barr related?

Thanks
Stephen Bordner

Dear Stephen Bordner,

Thank you for your mail. For Chronic Fatigue Syndrome - either from any origin (candida related or epstien barr related) my thoughts are as under :

- any fungal or virus infected disease need more immuno-buster treatments.

- The Merck Manual, Home edition, 1997 indicates that " The epstien barr virus was initially suspected as a possible cause but little evidence supports this theory." page 920

- For CFS, in Ayurvedic aspect , if you select some herbs like Ashwagandha, Shatavari, Trifla, turmeric, Basil, Amlaki fruit, it may be more helpful. These herbs are having no side effects. These are available now a days in USA too.

- just visit any Ayurveda counselor near by you and have proper instruction for proper herbs and diet for you.

With best wishes,
Dr. Prerak Shah

Question for Dr. Shah:

Doctor, to have regular periods what should I do? Is there any medicine for my problem, because I am irregular in getting my cycle and I am yet to conceive even after four years of my marriage.

As I came to know that once my periods are regular then I can conceive. I have used pills of allopathy and mensofin forte.

Give me reply as early as possible.

Bindu

Dear Smt. Bindu Sagar,
Namaste.

I got your mail. Here are my thoughts. For irregular menstral cycle:
avoid late night working, spicy, oily, dry, cold food.

• start Yoga and pranayam
• Take Tab. Aloes compound - 2 tablets 3 times a day.
• Syrup Evecare - 2 tea spoon full 3 times a day.

for 1 cycle and after your next cycle, we will introduce some more medicine.

Keep in touch.
Regards,
Dr. Prerak Shah

Question for Dr. Shah:

Whenever I wake late in night I have my right eye paining in the next morning, I cannot tolerate bright light, please help.

Kuntal

Dear Kuntal,

1. Wash your every day with 7 times filtered Trifla water.
2. Put 1 drop of pure cow's milk ghee in each eye everyday morning and evening.

Let me the know the benefits after 15 days.

Best wishes,
Dr. Prerak Shah

Dear Dr Shah,

Question for Dr. Shah:

I am suffering from kidney stones. I have tried laser treatments 3 times but due to the small size of the stone and its position in the kidney, the treatment has not had any effect. I am concerned that the stone will continue to grow. Are there any ayurvedic treatments for this condition and anywhere that I can get it done in Sri Lanka?

Dear Friend,

I received your mail. For your Kidney stone problem, I would reccomand you following :

- Take 1 Chandraprabha Tab. 3 times a day.
- Take Punarnava Kwath 10 ml. 2 times a day.
- Consume more water. This will help you to flush out your stones.

Avoid food containing more salts, natural salts etc. like tomato, ladies finger etc.
Inform me after 1 month.

Please feel free to ask me further questions.
Dr. Prerak Shah

Question for Dr. Shah:

1: I wanted to know a treatment for hair fall, and in turn healthy hair.

2: A complete balanced diet.

Dear David,
Thank you for your mail.
Here are the suggestions for your problem.
 - For improvement of sleep you may practice meditation and Yoga.
 - Take Tab. Serpina 2 tablets at the bed time.
 - Have Shirodhara treatment of Panchkarma of Ayurveda, in the nearby Ayurvedic center.
 - In my opinion, Meditation is the best solution and it is not having any other harm or side effect.

Best wishes for your health,
 Dr. Prerak Shah

Question for Dr. Shah:
This is a question regarding radiation proctitis. Few years ago I had prostate radiation. About 1 yr. 8 mos. after that I started having hemorrhage and had to have colon surgery but they said other scattered sites were also damaged and still bleed from rectum or upper parts. My doctor told me except for that and the anemia it brings (I've been given several transfusions) my state of health is that of a much younger person. I feel very weak since this is happening and being an admirer of Indian and Ayurvedic culture and medicine I'd like you to suggest, if there is any, a medicine that will stop the bleeding and make my blood stronger again. Thank you and God bless you for your help.
Thanks,
George

Dear George
Thank you very much for your interest in Ayurveda. Here are the names of medicines for you.

For Bleeding : Tab. Styplon. Dose - 2 tablets two times a day.
For Prostate : Tab. Prostina Dose - 2 tablets two times a day. and
Tab. Fortege + Tab. Bangshil - Dose - 2 tablets from each two times a day.
Let me know the improvement.

Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:
I have Bil. plantar facitisis and bil sever chondromalasia patela that has
required 2 orthroscopic surgeries, but I still have sever bil. knee pain. I am
40 yrs old. really to young for knee replacements.  Will magnetic orthodics
be of assistance to me? For a year I have gone through all the conventional
treatments and nothing helps.  I am open too any suggestions.
Thanks,
Tani Sprague

Dear Tani,
I am an Ayurveda Physician, so that my knowledge for magnetic orthodics is 
very limited. But I can understand your problem very well.
If you can post me your detailed history with all investigation reports and 
findings, I may be more helpful. For the time being you may start with local 
very gentle massage with Panchguna Oil or Gandha Tail and fomentation.
Do reply me. Thanks for your interest in Ayurveda.

I wish you relief and good health.
Dr. Prerak Shah

Question for Dr. Shah:
What can be done to treat tinnitus.
Thanks,
Phil

I am sending you below details, direct from the text, called " Charak Samhita" (the main text of Ayurveda) which you will find helpful.

1. Charak Samhita : Chikitsa Sthana, chapter 26, Shlokas - 127,128.
==========================================================
Diseases of the Ear:
127-128. Tinnitus ( noises in the ear), excessive pain, drying of the ear wax, thin discharge and deafness occur in condition due to Vata. Swelling, redness, bursting, burning, yellow and putrid discharge occur in condition due to pitta. Dys-acousma, itching, rigid swelling, white and sticky discharge and slight pain occur in the condition caused by Kapha. In condition of tridiscordance, there will be all the signs and symptoms and the discharge excessively morbid and containing many colors. Thus has been described "The pathology of Ear diseases".

2. Charak Samhita : Chikitsa Sthana, chapter 26, Shlokas - 221 to 230.
=============================================================
221. In ear-ache, the Vata curative treatment, as in the case of coryza is beneficial as also applications, ear drops and nasal medications. When there are suppuration and discharge, procedures as in the case of a wound, and diet suitable to the particular morbid humor and ear-drops of oil should be applied.
222. Make a medicated oil, by preparing rape seed oil with the paste of asafetida, Indian toothache tree, and dry ginger. this, administrated as ear-drops, is an excellent remedy for ear-ache.
223. Medicated oil, made by preparing til oil with the paste of deodar, sweet flag, dry ginger, dill seeds, costus and rock salt, in goat's urine, is curative of ear-ache.
224-225. Take sea-shells and burn them in a new earthern pot and decant the ash produced, prepare a fragrant oil in this fluid and with the paste of the dry extract of Indian berberry and dry ginger, this oil is curative of ear-ache.
226-228. take alkali of dry radish, asafetida and ginger, dill seeds, sweet flag (Vacha), costus deodar, drum sticks (veg.), dry extracts of Indian berberry, sanchal salt, barley alkali, salsoda alkali, efflorescent salt, rock salt, the tubers of dirch, bid salt, nut grass and four times the quantity of honey - vinegar, the juices of pomelo and of plaintain with all these above mentioned articles prepare the alkali oils.
230. The physician, after due consideration of the relative strength of morbid humors and season, should administered the same treatment in diseases of the mouth, ear and eye as indicated in coryza. thus has been described " The treatment of the diseases of the Ear".

I think this will help you. Please feel free for your further comments and questions.
Best wishes,
Dr. Prerak Shah

Question_for_Dr_Shah:
I was a dance teacher. In 1998 starting, when I dance or when I cook etc. I was feeling too much pain in the right hand. Also colour of finger will change to bluish. There were some balls felt in my right breast. I consulted several doctors and last in Mumbai Jaslok they told that this is because I have a cervical rib in thorasic band and it is pressing blood vessels and hence to be removed. They did surgery for this and by mistake the surgeon cut one of my nerves in its root (C%-6). Another plastic surgeon joined the nerve after a week and told me that the nerve will regenerate within 6 months time. Now the 7th month is running and I don't have any improvement. I can't lift the hand and it is hanging like a pendulum.

IS THERE ANY TREATMENT IN AYURVEDIC POSSIBLE AT THIS STAGE ?

Thanks,
Mrs. Surendran

Dear Mrs. Surendran,
First of all I feel very sory to know your medical history. Generally Jaslok Hospital is considered to be one of the best hospitals in Mumbai. Anyway now we should concentrate on present and future. Can you post me all your reports and present medication, History? In Ayurveda, I would not like to claim high, but in certain conditions we can improve nerve functions. But let me fully aware of your present situation. May be I can help you.

If you are regular visitor to India, Please arrange for personal meeting / consultation. That will be more beneficial.
Till then,
Best wishes,
Dr. Prerak Shah

Question for Dr Shah:
Is there any medicine for improving memory.

Dear Friend,
There are certain Indian herbs are now founded as memory booster and also it 
has proved in modern parameters too.
Herbs like Brahmi ( Bacopa moniera linn. or centella asiatica ) are most 
common in India and as an Ayurveda Physician we use the medicines from this 
herb frequently.
I hope you can have this herb and start with it.
Best wishes,
Dr. Prerak Shah

Question for Dr Shah:
I  urinate some times frequently And I have little burning sensation almost continuously, it continues for three or four days and then  disappears by itself.  But it reappears also after few days. Please help me and tell me where can I buy this natural medicines in Houston.

Thanks for your mail. I would like to share my views for your problem.
1. If you drink less water, this may be one of the cause for burning micturition (your complain), please try to increase your water / liquid intake.
2. Instead of medicines, I would suggest you some natural diuretics and antacids like barley water or coconut water. If you can have 1 - 2 glass of coconut water / boiled and filtered barley water, you will feel comfortable. Try this natural thing for 8 - 10 days and let me know, if problem persistence.
3. Avoid spicy, hot, deep fried and oily foods.
4. Still if you wish to have medicine, here are few names. Select any one or two of them.
- Chandraprabha Tablet - 2 tablets 2 times a day after meals.
- Gokshura Powder - 5  grams 2 times a day after meals.
- Punarnava Powder - 5 grams 2 times a day after meals.
- Punarnavadi Kwath - 10 ml. 2 times a day after meals.
- Tablet Bangshil - 2 tablets 2 times a day after meals.

Do reply me.
Best wishes,
Dr. Prerak Shah

Question for Dr Shah:
I am 76 yrs old but physically still healthy. I had problem of constipation say since 30 or more years, I did take many types of ayurvedic medicines, and ultimately I am now daily addict of enima which is nothing but fresh tap water only which I take by way of a blower. It clear my stomach very well and since I have started this method I feel more energetic but doctors deny me to go addict to this method.

I live in Daressalaam (Tanzania) but am here in India since last two months. Since I came here my bowel system is improved and since last 15 days I do not take enima. But I think that this due to climatic change and I am much afraid that as soon as I will be back to Tanzania , I might suffer with the same problem. For last 6 weeks or more I do take some types of ayurvedic capsules prescribed. Can you suggest me any medicine which may help me when I go back to dar es salaam?
Thanks
Narottam Asher.

Dear Narottambhai,
Thanks for your e-mail and interest in Ayurveda. I go through your complains and found that there are certain points that I should discuss it with you.
1. You are now 76. Normally at this age digestion becomes low and constipation is normal complain here in India.
2. But you say that you are having this problem since last 30 years. Now that means you have to check your daily routine and diet habits. Something must be there. Like if you are:
  - eating more curd or yogurt
  - working late night
  - having more tense and worry in nature
  - gulping foods not chewing it properly or many others
3. What you are doing right now (I mean enema), is not a proper treatment. Ayurveda does not recommend this type of enema. Even it is clearly mentioned in the texts that such type of enema may cause you more problems, if it is used for longer period.
4. For your present problem, I would like to suggest you few things:
  - Ask your Ayurveda Physician to advise you proper eating style, proper food and life style
  - Avoid any form of enema, unless you learn proper enema (Basti) of Ayurveda. Ayurvedic Basti contains oily substances in enema, not only water, and it helps to nutritiate intestines. Oil helps to control VATA and recharge the functions of the intestines. Basti is the proper treatment and you need not to do it daily. Once you will go for 15 days course, the effects will be for longer period, and the repetition of the basti will be after long period.
  - For medicines , I would prefer you to take Triphala Powder - 1 to 2 teaspoon full at bed time with lukewarm water.
  - also 1 glass lukewarm milk with 10 gram ghee at bed time will also help you.

Please feel free to discuss any matter with me.
Best wishes,
Dr. Prerak Shah

Question for Dr. Shah:
High Blood pressure since last year. Taking Stamlo Beta betablocker+calcium Blocker). Lipid profile and other tests are normal. Doing regular exercises and weight is well within limits. Kindly advice some alternate medicines so that I can get rid of this medicine which I am taking daily. Also write me your address for personal consultation.

Thanks for your mail and interest in Ayurveda.
As we know High Blood pressure is the more Psycho-somatic disorder. I think
today's life-style and stress are the major factors who create this type of complains more. In early days, when life was not so fast and stressful, Psycho-somatic disorders were not much common. I think you will agree with me.

For stress management Yoga is the perfect solution. In my practice, I recommend The rules of Hygiene, which is prescribed by Ayurveda as "Swasth-vrutta". Which means Din-charya, Ratri-charya and Rutu -charya. I would like to suggest you to read any Ayurveda book containing the lessons Din-charya, Ratri-charya and Rutu -charya or "Swasth-vrutta".

For medications , I will suggest you to start with Tab. Sepina (Himalaya Drug Co. ) - 2 tablets two times a day.

Hope to have continue communication.
Dr. Prerak Shah

Question for Dr. Shah:
I am giving Bramhi and Shankhapushpi powders (Urjita Jain products) with milk and sugar to my family daily at night. Recently I heard that these should be given with Ghee. I am confused now. Can you please advice me on how should I give Bramhi and Shankhapushpi?

Also , I had an excellent memory but of late I feel my memory is not as good I also feel confused on simple issues. Is this the beginning of Alzheimers? Can Bramhi prevent Alzheimers and/or cure my memory loss?

1. You can give Brahmi and Shatavari both in milk as well as with ghee. Do not get confused. Both are effective ways. Actually PITTA person should be given with ghee. But in your case your children needs more palatable taste as well milk will provide more nutritional values, so I would suggest you to continue with milk. If your children are having any problems, then let me know. We will decide accordingly.

2. For your case - right now it does not seems that you are having Alzheimers. You can also take Brahmi as a brain tonic. There is one readymade formula available in the market called , 'Brahmivita Granules' , which all of you will like to have. Take it with milk everyday, it has chocolate flavour too.

Please inform me after a month, about the progress.
Keep in touch.
With best wishes,
Dr. Prerak Shah