panchkarma 4

In my last blog I highlighted two main points that are relevant to this blog and I am repeating those here to refresh your memories:

  1. Most patients come to me when the ailment has become chronic and after having tried various modern treatments
  2. Treatments like Vaman or Virechan have numerous benefits

To highlight these two points today I am putting forth a patient case:

Mr. Kulkarni (Name changed for confidentiality)  is  28 year old. He has been suffering from scalp and skin Psoriasis for over 5 years. He had Itchy scaly patches all over his body but more on the back, legs and hands. The same legions were seen on his forehead as well as on the head region. Mr. Kulkarni naturally was under tremendous stress which in turn was also affecting his career. He had taken modern medicine treatment locally and internally that included steroids. This treatment was successful in as much as it gave him a  temporary relief.

 After he approached me seeking my professional advice and help, I started with internal medicine and followed it up with ‘Virechan’ and ‘Takradhara’ treatments.  With local takradhara, the legions on his forehead and head reduced drastically. The itching and redness had almost gone. The takradhara treatment addressed his stress levels and anxiety and also improved his sleep pattern. After virechan, the legions on his body also reduced significantly with reduction in redness and itching. Virechan also further improved his skin texture and tone as well as his appetite.

Now Mr. Kulkarni is taking medicines internally, having already achieved 90% overall improvement. I have advised him to repeat the panchkarma treatment of virechana and takradhara in the sharad ritu besides rasaayan treatment to retain health.

Now dear readers, I am sure that you have understood the efficacy of this ancient Indian wisdom of Ayurved which is Panchkarm. I am also sure that you would not harbour any misgivings about certain panchkarm treatments. I am also sure that at least some of you will not allow your ailment to become chronic (Old) and then come to me and say that Ayurvedic treatment shows delayed effects.

I leave you with an assurance that I shall be discussing more such cases especially some of my educated and more urbane patients to drive the advantages of Ayurved home.

Dr. Manjiri Joshi, Pune, India

http://panchkarma 4 @ayurconcept


panchkarma 3

panchkarma 3

It has been quite a long time since I came to you with a new blog. But sometimes even we doctors get so entangled in certain cases that such involvement affects our entire routine…our entire life…even our wellness… Surprised that doctors also fall ill at times..? yes, they do! And at such points in time what becomes important is the patient’s well being.

I have usually noticed that before visiting the Ayurved practitioner patients try most of the modern medicines for their ailment. In this whole process so much time has elapsed that the ailment has already become chronic in most of the patients.

So, while continuing to write in line of my earlier blogs on Panchkarma, let me continue that in case of such chronic ailments in which toxins need to be dislodged Ayurved recommends ‘Vaman’.

 Vaman implies inducing vomiting. This is a bio-cleansing measure meant for the elimination of mainly the kapha dosha accumulated in the upper gastro intestinal tract (GI tract).

Vaman is highly recommended in cases of:

  • Gastric problems – Acid peptic disorders, indigestion
  •  Respiratory diseases – Cough, & bronchial Asthma
  • Other diseases such as Diabetes, Schizophrenia, Sinusitis, Skin diseases, Tumour, & Filariasis

While most of you are apprehensive about this treatment because someone has told you something, mostly wrong information, Vaman is one very effective treatment has numerous benefits.

My patients often experience lightness in the chest after undergoing the vaman therapy.
I have noticed that patients who undergo vaman therapy manifest  analytical sharpness, improvement in voice quality and experience a healthy appetite. In ancient days vaman was considered the ‘go-to’ treatment to flush out consumed poison or food poisoning which the modern science follows as ‘stomach wash’. Post the vaman treatment the sinuses are cleared thereby providing relief from  congestion, wheezing and breathlessness. Vaman also addresses effectively  weight and cholesterol & triglycerides.

Virechan is yet another treatment that is slapped with myths and misinformation to the extent that most educated people also feel apprehensive and consider panchakarma to be only this and vaman. In fact, like vaman therapy virechan is also yet another gem of a treatment.

Virechan is medicated as well as Ayurvedic purgation healing. it is the purification of the Pitta and the distillation of the blood toxins from the body that are accumulated in the liver as well as gallbladder. It comprehensively washes the gastro-intestinal region. It is a safe process without any side effects. Virechan cleanses the fret glands, small intestine, colon, kidneys, tummy,  liver and spleen. This procedure eradicates doshas that cannot be effectively treated by Vaman. Virechan eliminates the vitiated Doshas through the anal route.

Virechan is highly recommended in cases of:

Gastrointestinal disorders – Constipation, Worm infestation, Jaundice

 Dermatological disorders – Eczema, Allergic dermatitis

 Other major conditions – Hemiplegia, Chronic fever, Diabetes, Tumour, Bronchial Asthma, Goitre

Conclusively, let me assure you all that these two amazing treatments that I have discussed today are as safe as they are effective. But let me also leave you with a word of caution,” Do not & I repeat do not be a self doctor. It is always best to take the advice of your Ayurved practitioner for any particular treatment.

Dr. Manjiri

Pune, India


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female Infertility

Coming home from work only after 9.30 or even later…then having the food that had to be reheated for
consumption or sometimes skipping hot fresh food and compromising on a pizza or something…waking
up late next day to catch the late morning shift and finally once the week is over, the weekend parties,
late night movies and malls call! Sounds familiar..?
Most of my patients (even male) who come from these kind of professional backgrounds and such
above mentioned lifestyles have one more thing in common… INFERTILITY!
Infertility is a prevalent problem affecting about 12 to 15 % of the couples worldwide. Infertility basically
is the inability to conceive or to carry a pregnancy to full term, after 1 or more years of regular
unprotected sexual intercourse.
So what are the causes of infertility among women particularly
We can broadly classify the causes of female infertility between the common causes and the
reproductive system causes or specific causes. The most common cause is over consumption of OC pills,
about which I have written in my last blog.
Common causes can be:
 Obesity
 Wrong diet
 Smoking
 Alcohol
 Medical conditions like TB, diabetes, infections
 Environmental pollutants
 Medications (many anti psychotic drugs have an adverse effects on the reproductive system,
continuous use of OCP)
 Family history
 Stress
 Woman’s advanced age
Specific causes (may be anatomical or physiological)are:
 Hormonal abnormalities (FSH, LH, Prolactin, TSH, testosterone)
 Ovarian function disturbance
 Endocrinal (irregular menses, etc.)
 Endometriosis
 Fallopian tubal block
 Damaged tubes
 Cervical stenosis, tight hymen, chocolate cyst
 Infection to cervix
 Septate uterus
 Uterine TB
 Sexual abnormalities(low libido, vaginismus, etc.)
Many times the cause of infertility is unknown or unexplained. Almost 20 % couples suffer from this
unexplained infertility where all the reports are normal and the couple is compatible.
I always advice such patients the following steps:
 Evaluation of the patient’s prakriti (plays a very significant role in treatment of infertility)
 Dietary management (for overall body care and specific diet according to the cause of the
infertility, detox diet, prakriti specific diet)
 Panchkarma(it includes a verity of treatments based on cause, person’ prakriti, age, etc.
 Internal medicines
 Lifestyle changes (to reduce the stress levels, regular diet, exercise.)
 Yoga, pranayama for mental health
But remember that in such a case when you want to treat this condition, the first and the most vital step
is to ensure that there is a healthy communication between you and your partner. This not only helps
you both to reach your aspirations of parenthood effectively, but helps you avoid uncalled for stress in
your married life!
So now while you are thinking what may have been going wrong, let me leave you with yet another hint
of my next blog…’Obesity and how to address it’!
Wishing you a happy parenthood!

Dr. Manjiri Josshi



when to eat


A have interacted with you extensively with you, through many of my blogs earlier about diet, lifestyle and Ayurved. As you must have realised that to stay healthy a correct lifestyle is what is needed that includes the right food at the right time and in the right season too!

Taking it a little further to prove my point, let me share some of my experiences, where without any medicine, only dietary changes have successfully cured the ailment.

A female patient (age 40) who is a working woman complained of constant bloating and burning in the epigastric region, a condition that had persisted over almost 6 months. She is very conscious about her diet, exercise, yoga, pranayam…….all in all, a very good follower of the teachings of Ayurved!
But despite this she started having these complaints. Typically like any other normal person, her first reaction was to neglect the symptoms blaming it on probable hormonal changes, stress in working life, social and family concerns and so forth…
But the symptoms persisted over almost 6 months when she decided to visit my clinic to discuss the issue.
While taking a detailed history I noticed that she has shifted her lunch timing from 1 pm to almost 3 to 3.30 giving priority to other important assignment at the office. At 5 pm, she was taking a tea break and again at night 8.30 pm dinner. She has a habit of having breakfast at 8 am, before she leaves for work.
Looking at her schedule, I observed that the only change that was really necessary was to advice her to shift her lunch time back to 1 p.m. and a bit of stress nothing else.
So instead of prescribing any medicine, I only advised her to change the lunch time back again from  3/3.30 to  strictly between 1 to 1.30 .
With that simple change, the miracle happened. She started feeling light. Bloating disappeared slowly and the heartburn stopped completely!

Now let me explain, how and what was exactly happening to her body.
According to Ayurveda, 10 am to 2 pm is the ‘pitta’ period. So Ayurved recommends to take lunch between this period of day for proper digestion. Now my patient had shifted her lunch timing from 1 to 3/3.30,which what everyone thinks is not a big deal, and so did she too.
But then she was not taking the food during the ‘pitta’ time of day, instead she was taking her lunch during the ‘vata’ time, which according to Ayurveda, is between 2 to 6 pm. that is why the bloated feeling, and the heartburn.
When the body is demanding food in the pitta period, no food was there for digestion. And when the body is in vata phase of day, she was feeding her body, which created bloating.
Another thing in this case was there was a gap of more than 6 to 7 hours between breakfast and lunch that also was causing vata and pitta aggravation.

Ayurved says that when diet is correct, medicine is not required and when diet is wrong, medicine is of no use… quite enlightening, isn’t it..?

Readers, please take a note of not only what you have in your diet but also ‘when’ ! When Ayurved talks about the right diet, it is related to the quantity, quality, & time, all that I have earlier discussed as the 8 golden rules of dietetic.