MsArogyam Ayurveda Kshar Sutra & PanchKarma Center

Dr. Dheeraj Yadav (BAMS, PGCKS, PGCPK (Senior Kshar Sutra Surgeon)) • AYUSH Reg: AYUSH-IN-UP-56100

Pure Ayurveda Pure Life

🩺 Consultation Desk 💊 Patent Yogas (Top 10) 🌿 Dravyaguna Herbs 🔥 Prakriti Calculator

Ayurvedic Rogi Consultation

Clinical Assistant

Select Patient Case (or enter below) Dr. Rajesh Verma (Patient Record) (AYUR-2026-9210 - Pitta-Vata) Vikramaditya Singhania (AYUR-2026-9041 - Vata-Kapha) Ananya Deshmukh (AYUR-2026-8812 - Vata-Pitta)

Chief Complaints / Lakshana Bleeding per rectum with burning pain after bowel movements; painful swelling near anal verge for 5 months. Sedentary computer work 10 hours <a href="https://msarogyam.com/the-daily-routine/">daily</a>.

Dominant Prakriti Vata-Pitta Pitta-Kapha Vata-Kapha Tridoshaja Vata Pradhana Pitta Pradhana Kapha Pradhana

Agni State Vishama Agni (Irregular/Vata) Tikshna Agni (Sharp/Pitta) Manda Agni (Sluggish/Kapha) Samagni (Balanced)

⚡ Consult Shastra Matrix & Differential Match

Classical Differential Matrix Results

Charaka & Harrison

🌿

Click "Consult Shastra Matrix" above to run clinical diagnosis ranking.

Top 10 Ayurvedic Companies Formulations

Baidyanath Chyawanprash Special Shree Baidyanath Ayurved Bhawan

Indications: Immunodeficiency, recurrent respiratory infections, fatigue, debility across all age groups, anti-aging

Ingredients: Fresh Amalaki (Emblica officinalis), Dashamoola, Ashtavarga, Pippali, Gokshura, Guduchi, Shatavari, Ashwagandha, Ghrita, Madhu

Dosage & Vehicle: 1-2 teaspoonfuls (10-15g) twice daily with Warm cow milk (Ksheera)

BGR-34 Tablets (CSIR Developed) Aimil Pharmaceuticals

Indications: Type 2 Diabetes Mellitus, pre-diabetes, metabolic syndrome, diabetic dyslipidemia

Ingredients: Daruharidra (Berberis aristata), Vijaysar (Pterocarpus marsupium), Gudmar (Gymnema sylvestre), Manjishtha, Methi, Giloy

Dosage & Vehicle: 2 tablets twice daily 30 minutes before meals with Warm water

Cystone Tablets Himalaya Wellness

Indications: Urolithiasis, renal calculi < 8mm, recurrent urinary tract infections (UTI), dysuria, crystalluria

Ingredients: Shilapushpa (Didymocarpus pedicellata), Pashanabheda (Bergenia ligulata), Manjishtha, Nagarmotha, Apamarga, Gokshura, Hajrul Yahood Bhasma, Shilajit

Dosage & Vehicle: 2 tablets twice daily for 8-12 weeks with Abundant water (Paniyaka jala)

Dabur Honitus Herbal Cough Syrup Dabur India Ltd

Indications: Acute and chronic bronchitis, allergic non-productive cough, smoker's cough, throat irritation

Ingredients: Tulsi (Ocimum sanctum), Mulethi (Glycyrrhiza glabra), Banapsha, Kantakari, Talispatra, Sunthi, Pippali, Shuddha Madhu

Dosage & Vehicle: 2 teaspoonfuls (10ml) 3-4 times a day with Warm water sip after swallowing

Divya Mukta Vati Extra Power Patanjali Ayurved Ltd

Indications: Essential hypertension, anxiety neurosis, insomnia, tachycardia, stress-induced headaches

Ingredients: Brahmi (Bacopa monnieri), Shankhpushpi, Ustukhuddus, Ashwagandha, Jatamansi, Pushkarmool, Sarpagandha (Rauwolfia serpentina), Mukta Pishti

Dosage & Vehicle: 1-2 tablets twice daily on empty stomach with Fresh water

Kerala Ayurveda Mahanarayana Thailam Kerala Ayurveda Ltd

Indications: Hemiplegia (Pakshaghata), facial palsy (Ardita), sciatica (Gridhrasi), neck spondylosis, muscular wasting

Ingredients: Bilva, Agnimantha, Shyonaka, Patala, Bala, Ashwagandha, Rasna, Shatavari, Devadaru, Kushta, Shalaparni, Prishniparni, Til Taila, Godugdha

Dosage & Vehicle: External abhyanga followed by steam (Swedana); orally 5-10 drops in milk with External application / Warm milk

Kottakkal Varanadi Kashayam Arya Vaidya Sala Kottakkal

Indications: Obesity (Medoroga), benign prostatic hyperplasia (BPH), atheromatous vascular plaque, internal cysts, lipomas (Granthi/Arbuda)

Ingredients: Varuna (Crataeva nurvala), Sairyaka, Shatavari, Dahana (Chitraka), Morata, Bilva, Vishanika, Brihati, Kantakari, Karanja, Rujakara

Dosage & Vehicle: 15ml with 45ml boiled and cooled warm water BD on empty stomach with Warm water

Liv.52 DS Tablets / Syrup Himalaya Wellness

Indications: Hepatomegaly, early cirrhosis, sluggish liver, loss of appetite, alcohol-induced hepatic injury, chemotherapy adjuvant

Ingredients: Himsra (Capparis spinosa), Kasani (Cichorium intybus), Mandur Bhasma, Kakamachi (Solanum nigrum), Arjuna, Kasamarda, Biranjasipha, Jhavuka

Dosage & Vehicle: 1-2 tablets twice daily after food with Ushnodaka (Warm water)

Livomyn Tablets Charak Pharma

Indications: Viral hepatitis, drug-induced hepatotoxicity, fatty liver (NAFLD), infantile liver disorders

Ingredients: Kalmegh (Andrographis paniculata), Bhumyamalaki, Katuki, Punarnava, Amalaki, Kasani

Dosage & Vehicle: 1-2 tablets twice daily with Warm water

M2-Tone Tablets / Syrup Charak Pharma

Indications: Dysfunctional uterine bleeding (DUB), irregular menstrual cycles, female infertility, anovulation, PCOS

Ingredients: Ashoka (Saraca asoca), Lodhra, Shatavari, Dashamoola, Jatamansi, Kasis Bhasma, Vang Bhasma

Dosage & Vehicle: 2 tablets twice daily for 3 consecutive cycles with Warm water or Cow Milk

Neeri KFT Syrup Aimil Pharmaceuticals

Indications: Impaired kidney function, elevated serum creatinine, elevated blood urea, diabetic nephropathy, chronic kidney disease (CKD stage 1-3)

Ingredients: Punarnava (Boerhavia diffusa), Gokshura, Varuna, Kasani, Makoi, Palash, Shirish, Sigru, Haridra

Dosage & Vehicle: 10-15 ml three times daily in equal water with Lukewarm water

Suvarnakalpa Suvarna Vasant Kusumakar Ras Shree Dhootapapeshwar Ltd

Indications: Diabetic neuropathy, chronic debility, polyuria, diabetic retinopathy, loss of vitality, ojakshaya

Ingredients: Suvarna Bhasma (Gold), Rajata Bhasma, Vanga Bhasma, Naga Bhasma, Kanta Lauha Bhasma, Abhraka Bhasma, Pravala Bhasma, Mukta Bhasma, Rasasindura

Dosage & Vehicle: 65mg - 125mg once or twice daily with Honey, Cow Milk, or Malai

Zandu Vigorex Max Gold Capsules Zandu Healthcare (Emami)

Indications: Male sexual dysfunction, psychogenic erectile weakness, oligospermia, physical and mental exhaustion

Ingredients: Shuddha Shilajit, Ashwagandha, Kauncha beej (Mucuna pruriens), Gokshura, Safed Musli, Swarna Bhasma, Yashad Bhasma

Dosage & Vehicle: 1 capsule twice daily with milk with Warm cow milk

Classical Dravyaguna Single Herbs

Amalaki / Dhatri (आमलकी / धात्री) Tridosha Shamaka (Chief Pitta Shamaka)

Phyllanthus emblica L. / Emblica officinalis

Rasa / Virya / Vipaka: Pancha-rasa (Amla pradhana, devoid of Lavana), Sheeta, Madhura

Indications: Amlapitta, Raktapitta, Prameha, Netra roga, Kesha patana (Hair fall), Daurbalya

Ashwagandha (अश्वगन्धा) Vata-Kapha Shamaka

Withania somnifera (L.) Dunal

Rasa / Virya / Vipaka: Tikta, Kashaya, Madhura, Ushna, Madhura

Indications: Karshya (Emaciation), Klaibya (Erectile debility), Manodwega (Stress/Anxiety), Ojakshaya, Insomnia, Joint degeneration

Gokshura (गोक्षुर) Vata-Pitta Shamaka

Tribulus terrestris L.

Rasa / Virya / Vipaka: Madhura, Sheeta, Madhura

Indications: Mutrakricchra (Dysuria), Ashmari (Renal calculi), BPH, Erectile dysfunction, Oligospermia, Albuminuria

Guduchi / Amrita (गुडूची / अमृता) Tridosha Shamaka (especially Pitta-Vata)

Tinospora cordifolia (Willd.) Miers

Rasa / Virya / Vipaka: Tikta, Kashaya, Ushna, Madhura

Indications: Jeerna Jwara (Chronic fever), Prameha (Diabetes), Kushtha (Skin disorders), Vatarakta (Gout), Amlapitta, Immunodeficiency

Guggulu (गुग्गुलु) Vata-Kapha Shamaka

Commiphora mukul (Hook. ex Stocks) Engl.

Rasa / Virya / Vipaka: Tikta, Katu, Kashaya, Ushna, Katu

Indications: Amavata, Sandhigata Vata, Medoroga (Obesity), Atherosclerosis, Granthi/Arbuda, Bhagandara

Haritaki / Abhaya (हरीतकी / अभया) Tridosha Shamaka (primarily Vata Anulomaka)

Terminalia chebula Retz.

Rasa / Virya / Vipaka: Pancha-rasa (Kashaya pradhana, devoid of Lavana), Ushna, Madhura

Indications: Vibandha (Constipation), Arshas (Piles), Grahani, Gulma, Udara Roga, Shwasa, Kasa

Punarnava (पुनर्नवा) Kapha-Vata Shamaka, Pitta Aviruddha

Boerhavia diffusa L.

Rasa / Virya / Vipaka: Madhura, Tikta, Kashaya, Ushna, Madhura

Indications: Shotha (Generalized & dependent edema), Vrikka Roga (Kidney disease), Yakrit Roga, Hridroga, Anemia

Shatavari (शतावरी) Vata-Pitta Shamaka

Asparagus racemosus Willd.

Rasa / Virya / Vipaka: Madhura, Tikta, Sheeta, Madhura

Indications: Stanya Kshaya (Deficient lactation), Yonivyapad, Female infertility, Amlapitta, Peptic ulcer, Kshaya

🌿 Discover Your Ayurvedic Prakriti (Body-Mind Constitution)

Answer these 5 essential physical and mental questions to estimate your Dosha balance.

AYUSH Prakriti Pariksha

1. Body Build & Frame Thin, slender, prominent bones & joints (Vata) Medium, athletic, proportionate musculature (Pitta) Broad, solid, heavy bones, tends to gain weight (Kapha)

2. Skin & Complexion Dry, rough, cool to touch (Vata) Warm, reddish, sensitive, prone to moles (Pitta) Thick, soft, lustrous, smooth and cool (Kapha)

3. Digestion & Appetite (Agni) Irregular, unpredictable hunger, prone to gas (Vata) Strong, intense, irritable if meals missed (Pitta) Slow, steady, can easily skip meals (Kapha)

4. Mind & Temperament Enthusiastic, quick thinker, prone to anxiety (Vata) Sharp, ambitious, logical, quick temper (Pitta) Calm, steady, affectionate, peace-loving (Kapha)

5. Sleep Characteristics Light, easily awakened, restless dreams (Vata) Moderate, sound sleep, vivid colorful dreams (Pitta) Deep, heavy, 8+ hours, loves sleeping in (Kapha)

Your Assessed Constitution

Vata-Pitta

Vata (Air & Ether)60%

Pitta (Fire & Water)40%

Kapha (Earth & Water)0%

🌿 Ayurvedic Lifestyle & Dinacharya Guidance

• Favor warm, unctuous, freshly cooked nourishing foods with mild spices (Cumin, Ginger, Fennel).

• Practice Abhyanga (warm sesame oil body massage) twice weekly before bathing to calm nervous Vata.

• Maintain regular meal hours and sleep by 10:30 PM to conserve vital Ojas energy.

Consultation by Dr. Dheeraj Yadav • MsArogyam Ayurveda Kshar Sutra & PanchKarma Center

🩺 Consultation Desk 💊 Patent Yogas (Top 10) 🌿 Dravyaguna Herbs 🔥 Prakriti Calculator

Ayurvedic Rogi Consultation

Clinical Assistant

Select Patient Case (or enter below) Dr. Rajesh Verma (Patient Record) (AYUR-2026-9210 - Pitta-Vata) Vikramaditya Singhania (AYUR-2026-9041 - Vata-Kapha) Ananya Deshmukh (AYUR-2026-8812 - Vata-Pitta)

Chief Complaints / Lakshana Bleeding per rectum with burning pain after bowel movements; painful swelling near anal verge for 5 months. Sedentary computer work 10 hours daily.

Dominant Prakriti Vata-Pitta Pitta-Kapha Vata-Kapha Tridoshaja Vata Pradhana Pitta Pradhana Kapha Pradhana

Agni State Vishama Agni (Irregular/Vata) Tikshna Agni (Sharp/Pitta) Manda Agni (Sluggish/Kapha) Samagni (Balanced)

⚡ Consult Shastra Matrix & Differential Match

Classical Differential Matrix Results

Charaka & Harrison

🌿

Click "Consult Shastra Matrix" above to run clinical diagnosis ranking.

Top 10 Ayurvedic Companies Formulations

Baidyanath Chyawanprash Special Shree Baidyanath Ayurved Bhawan

Indications: Immunodeficiency, recurrent respiratory infections, fatigue, debility across all age groups, anti-aging

Ingredients: Fresh Amalaki (Emblica officinalis), Dashamoola, Ashtavarga, Pippali, Gokshura, Guduchi, Shatavari, Ashwagandha, Ghrita, Madhu

Dosage & Vehicle: 1-2 teaspoonfuls (10-15g) twice daily with Warm cow milk (Ksheera)

BGR-34 Tablets (CSIR Developed) Aimil Pharmaceuticals

Indications: Type 2 Diabetes Mellitus, pre-diabetes, metabolic syndrome, diabetic dyslipidemia

Ingredients: Daruharidra (Berberis aristata), Vijaysar (Pterocarpus marsupium), Gudmar (Gymnema sylvestre), Manjishtha, Methi, Giloy

Dosage & Vehicle: 2 tablets twice daily 30 minutes before meals with Warm water

Cystone Tablets Himalaya Wellness

Indications: Urolithiasis, renal calculi < 8mm, recurrent urinary tract infections (UTI), dysuria, crystalluria

Ingredients: Shilapushpa (Didymocarpus pedicellata), Pashanabheda (Bergenia ligulata), Manjishtha, Nagarmotha, Apamarga, Gokshura, Hajrul Yahood Bhasma, Shilajit

Dosage & Vehicle: 2 tablets twice daily for 8-12 weeks with Abundant water (Paniyaka jala)

Dabur Honitus Herbal Cough Syrup Dabur India Ltd

Indications: Acute and chronic bronchitis, allergic non-productive cough, smoker's cough, throat irritation

Ingredients: Tulsi (Ocimum sanctum), Mulethi (Glycyrrhiza glabra), Banapsha, Kantakari, Talispatra, Sunthi, Pippali, Shuddha Madhu

Dosage & Vehicle: 2 teaspoonfuls (10ml) 3-4 times a day with Warm water sip after swallowing

Divya Mukta Vati Extra Power Patanjali Ayurved Ltd

Indications: Essential hypertension, anxiety neurosis, insomnia, tachycardia, stress-induced headaches

Ingredients: Brahmi (Bacopa monnieri), Shankhpushpi, Ustukhuddus, Ashwagandha, Jatamansi, Pushkarmool, Sarpagandha (Rauwolfia serpentina), Mukta Pishti

Dosage & Vehicle: 1-2 tablets twice daily on empty stomach with Fresh water

Kerala Ayurveda Mahanarayana Thailam Kerala Ayurveda Ltd

Indications: Hemiplegia (Pakshaghata), facial palsy (Ardita), sciatica (Gridhrasi), neck spondylosis, muscular wasting

Ingredients: Bilva, Agnimantha, Shyonaka, Patala, Bala, Ashwagandha, Rasna, Shatavari, Devadaru, Kushta, Shalaparni, Prishniparni, Til Taila, Godugdha

Dosage & Vehicle: External abhyanga followed by steam (Swedana); orally 5-10 drops in milk with External application / Warm milk

Kottakkal Varanadi Kashayam Arya Vaidya Sala Kottakkal

Indications: Obesity (Medoroga), benign prostatic hyperplasia (BPH), atheromatous vascular plaque, internal cysts, lipomas (Granthi/Arbuda)

Ingredients: Varuna (Crataeva nurvala), Sairyaka, Shatavari, Dahana (Chitraka), Morata, Bilva, Vishanika, Brihati, Kantakari, Karanja, Rujakara

Dosage & Vehicle: 15ml with 45ml boiled and cooled warm water BD on empty stomach with Warm water

Liv.52 DS Tablets / Syrup Himalaya Wellness

Indications: Hepatomegaly, early cirrhosis, sluggish liver, loss of appetite, alcohol-induced hepatic injury, chemotherapy adjuvant

Ingredients: Himsra (Capparis spinosa), Kasani (Cichorium intybus), Mandur Bhasma, Kakamachi (Solanum nigrum), Arjuna, Kasamarda, Biranjasipha, Jhavuka

Dosage & Vehicle: 1-2 tablets twice daily after food with Ushnodaka (Warm water)

Livomyn Tablets Charak Pharma

Indications: Viral hepatitis, drug-induced hepatotoxicity, fatty liver (NAFLD), infantile liver disorders

Ingredients: Kalmegh (Andrographis paniculata), Bhumyamalaki, Katuki, Punarnava, Amalaki, Kasani

Dosage & Vehicle: 1-2 tablets twice daily with Warm water

M2-Tone Tablets / Syrup Charak Pharma

Indications: Dysfunctional uterine bleeding (DUB), irregular menstrual cycles, female infertility, anovulation, PCOS

Ingredients: Ashoka (Saraca asoca), Lodhra, Shatavari, Dashamoola, Jatamansi, Kasis Bhasma, Vang Bhasma

Dosage & Vehicle: 2 tablets twice daily for 3 consecutive cycles with Warm water or Cow Milk

Neeri KFT Syrup Aimil Pharmaceuticals

Indications: Impaired kidney function, elevated serum creatinine, elevated blood urea, diabetic nephropathy, chronic kidney disease (CKD stage 1-3)

Ingredients: Punarnava (Boerhavia diffusa), Gokshura, Varuna, Kasani, Makoi, Palash, Shirish, Sigru, Haridra

Dosage & Vehicle: 10-15 ml three times daily in equal water with Lukewarm water

Suvarnakalpa Suvarna Vasant Kusumakar Ras Shree Dhootapapeshwar Ltd

Indications: Diabetic neuropathy, chronic debility, polyuria, diabetic retinopathy, loss of vitality, ojakshaya

Ingredients: Suvarna Bhasma (Gold), Rajata Bhasma, Vanga Bhasma, Naga Bhasma, Kanta Lauha Bhasma, Abhraka Bhasma, Pravala Bhasma, Mukta Bhasma, Rasasindura

Dosage & Vehicle: 65mg - 125mg once or twice daily with Honey, Cow Milk, or Malai

Zandu Vigorex Max Gold Capsules Zandu Healthcare (Emami)

Indications: Male sexual dysfunction, psychogenic erectile weakness, oligospermia, physical and mental exhaustion

Ingredients: Shuddha Shilajit, Ashwagandha, Kauncha beej (Mucuna pruriens), Gokshura, Safed Musli, Swarna Bhasma, Yashad Bhasma

Dosage & Vehicle: 1 capsule twice daily with milk with Warm cow milk

Classical Dravyaguna Single Herbs

Amalaki / Dhatri (आमलकी / धात्री) Tridosha Shamaka (Chief Pitta Shamaka)

Phyllanthus emblica L. / Emblica officinalis

Rasa / Virya / Vipaka: Pancha-rasa (Amla pradhana, devoid of Lavana), Sheeta, Madhura

Indications: Amlapitta, Raktapitta, Prameha, Netra roga, Kesha patana (Hair fall), Daurbalya

Ashwagandha (अश्वगन्धा) Vata-Kapha Shamaka

Withania somnifera (L.) Dunal

Rasa / Virya / Vipaka: Tikta, Kashaya, Madhura, Ushna, Madhura

Indications: Karshya (Emaciation), Klaibya (Erectile debility), Manodwega (Stress/Anxiety), Ojakshaya, Insomnia, Joint degeneration

Gokshura (गोक्षुर) Vata-Pitta Shamaka

Tribulus terrestris L.

Rasa / Virya / Vipaka: Madhura, Sheeta, Madhura

Indications: Mutrakricchra (Dysuria), Ashmari (Renal calculi), BPH, Erectile dysfunction, Oligospermia, Albuminuria

Guduchi / Amrita (गुडूची / अमृता) Tridosha Shamaka (especially Pitta-Vata)

Tinospora cordifolia (Willd.) Miers

Rasa / Virya / Vipaka: Tikta, Kashaya, Ushna, Madhura

Indications: Jeerna Jwara (Chronic fever), Prameha (Diabetes), Kushtha (Skin disorders), Vatarakta (Gout), Amlapitta, Immunodeficiency

Guggulu (गुग्गुलु) Vata-Kapha Shamaka

Commiphora mukul (Hook. ex Stocks) Engl.

Rasa / Virya / Vipaka: Tikta, Katu, Kashaya, Ushna, Katu

Indications: Amavata, Sandhigata Vata, Medoroga (Obesity), Atherosclerosis, Granthi/Arbuda, Bhagandara

Haritaki / Abhaya (हरीतकी / अभया) Tridosha Shamaka (primarily Vata Anulomaka)

Terminalia chebula Retz.

Rasa / Virya / Vipaka: Pancha-rasa (Kashaya pradhana, devoid of Lavana), Ushna, Madhura

Indications: Vibandha (Constipation), Arshas (Piles), Grahani, Gulma, Udara Roga, Shwasa, Kasa

Punarnava (पुनर्नवा) Kapha-Vata Shamaka, Pitta Aviruddha

Boerhavia diffusa L.

Rasa / Virya / Vipaka: Madhura, Tikta, Kashaya, Ushna, Madhura

Indications: Shotha (Generalized & dependent edema), Vrikka Roga (Kidney disease), Yakrit Roga, Hridroga, Anemia

Shatavari (शतावरी) Vata-Pitta Shamaka

Asparagus racemosus Willd.

Rasa / Virya / Vipaka: Madhura, Tikta, Sheeta, Madhura

Indications: Stanya Kshaya (Deficient lactation), Yonivyapad, Female infertility, Amlapitta, Peptic ulcer, Kshaya

🌿 Discover Your Ayurvedic Prakriti (Body-Mind Constitution)

Answer these 5 essential physical and mental questions to estimate your Dosha balance.

AYUSH Prakriti Pariksha

1. Body Build & Frame Thin, slender, prominent bones & joints (Vata) Medium, athletic, proportionate musculature (Pitta) Broad, solid, heavy bones, tends to gain weight (Kapha)

2. Skin & Complexion Dry, rough, cool to touch (Vata) Warm, reddish, sensitive, prone to moles (Pitta) Thick, soft, lustrous, smooth and cool (Kapha)

3. Digestion & Appetite (Agni) Irregular, unpredictable hunger, prone to gas (Vata) Strong, intense, irritable if meals missed (Pitta) Slow, steady, can easily skip meals (Kapha)

4. Mind & Temperament Enthusiastic, quick thinker, prone to anxiety (Vata) Sharp, ambitious, logical, quick temper (Pitta) Calm, steady, affectionate, peace-loving (Kapha)

5. Sleep Characteristics Light, easily awakened, restless dreams (Vata) Moderate, sound sleep, vivid colorful dreams (Pitta) Deep, heavy, 8+ hours, loves sleeping in (Kapha)

Your Assessed Constitution

Vata-Pitta

Vata (Air & Ether)60%

Pitta (Fire & Water)40%

Kapha (Earth & Water)0%

🌿 Ayurvedic Lifestyle & Dinacharya Guidance

• Favor warm, unctuous, freshly cooked nourishing foods with mild spices (Cumin, Ginger, Fennel).

• Practice Abhyanga (warm sesame oil body massage) twice weekly before bathing to calm nervous Vata.

• Maintain regular meal hours and sleep by 10:30 PM to conserve vital Ojas energy.

Consultation by Dr. Dheeraj Yadav • MsArogyam Ayurveda Kshar Sutra & PanchKarma Center

Kindly fill in the Consultation Form and help us understand the specifics of your physical, mental and spiritual aspects.

This will help our doctors in providing you with a personalized healthcare solution best suited to your needs.

Reimbursement and Cashless  TPA  Health Insurance  for the Process Of Kshar Sutra is available now.  In NCR,  Ghaziabad and Noida

Call us @ +91-9219434343,   9412637645

Whatsapp ::  +91-9412637645

   Consult Form

Download this form and Send us by Email us:  We would love to hear from you! Please fill out this form and and email us ::to  info@msarogyam.com  we will get in touch with you shortly.

Call us @ +91-9219434343,   9412637645, 

• Name*

your Full Name

• Email*

Your current active Email Address

• Phone Number*

Your current active no for contact.

• Profession

your profession

• Consultation for*
• Ano-Rectal
• Skin Disease
• Hair Disease
• Sexual Disease
• General Disease

Select the option any one, for more accuracy

• Address

Street AddressAddress Line 2City

State / Province / RegionZip / Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d’IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountry

Your complete address for Medicines etc

• Age*

your age

• Sex*
• Male
• Female

Your gender

• Weight*

your body weight eg: 58kg

• Blood Pressure*

your bp eg: 140/88

• Height*

your height in feet and inches eg: 5’9”

• Dependence on
• Alcohol
• Drugs
• Smoking
• Tobaco

select if any applicable .

• Are you a
• Vegetarian
• Non-vegetarian
• Chief Complaint*

What is your Main problem right now

• PAST MEDICAL HISTORY

If you have any past medical (disease) problem, describe, it and the medication for it, how long dose u took the medicine , any relief from medicine etc. if any

• Current Medication List

Current Medication List you are usingthe medicines you are using right now if any

• Allergies

Medication Allergies: _______________Food-Allergies:________________________Environmental Allergies: ____________________if any

• Social History

SOCIAL HISTORY:Single or MarriedOccupation: ________________________________Alcohol: _________ oz/day/weekAthletic Activities: _____________________________Tobacco: ____pks/d for ____ yrs____ if any

• Family History

FAMILY HISTORY: _____________________________________if any

• Female History*

Please Describe : First day of your last period.Length of cycles, length of period.Periods regularity, shortest and longest times.Severity increasing as time goes on.Spells of no periods in absence of pregnancy.Periods heavy, clots, flooding.Pads or tampons used, number required.Periods painful.Bleeding between periods, after intercourse. Time of menarche, menopause.If menopause: hot flushes, night sweats [assesses severity of decreasing estrogen].Bleeding before puberty, after menopause.

• Obstetric history

Obstetric historyPossibility of currently pregnant.Number of children, weights at birth.Number of times been pregnant [do math for miscarriages, terminations]: what month, why, how.Problems during gestation, delivery.Bleeding during pregnancy, ….if any

• Female Sexual history*

Sexual historySexually active.Number of partners.Contraception: on OCP? which one?Contraception: others currently using, used previously.Physical, other difficulties during intercourse.Pain during, after intercourse: deep/ superficial, always/ sometimes.Difficulty in conceiving.Pap smear: last smear’s date, result.

• Male Sexual History*

Male Sexual History ,About our Sexual Problem Describe with Deails

• Ano-Rectal History*
• Bleeding
• Burning During Defication
• Protrusion Of Mass

Select THE SYMPTOMS from the list

• Other Ano-Rectal Info

Please tell us about your current and past complications, or any other infor related to the Disease….if any…

• Urinary history*

Urinary historyColour change.Blood in urine.Frequency, amount changes.Pain, burning sensation.Feeling of incomplete emptying.Hesitancy, nocturia, dribbling.Incontinence, overflow incontinence, stress incontinence.

• Investigation Reports

Laboratory Investigation Reports (if any) :

• Brief hair loss history ?

Brief hair loss history ? How is the condition of your hair?

• Describe your hair problem & change your hair?

Describe your hair problem & change your hair?

• Have you had your hair coloured before?

Have you had your hair coloured before? describe if yes or any additional info

• Hair Type

StraightWavyCurly

• Hair Texture

FinNormalCoarse

• Hair Growth Patterns

CowslickWhirlDouble CrownWidows PeakIrregular NapeHair Growth Patterns

• Scalp Condition

NormalTightSensitiveDryFlaking

• How often do you shampoo your hair?

DailyEvery Other DayWeekly

• Which shampoo are you currently using?

• Do you use styling products?

GelMousseLotionCream

• How do you finish styling your hair?

Flat IronsTongsHeated RollersHot Brush

• Which product do you use to finish?

SprayWax / PommadeSerum / Gloss

• more concerns that you want your skin care

Fine lines & wrinklesEnlarged poresHyperpigmentationDry/flaky skinRedness/blotchinessOccasional acneRosaceaLoss of firmness/elasticityAge spotsPersistent acneDull skinSensitive skinother

• more concerns Describe other

• Shortly after you wash your face, how does your skin feel?

Tight or dryOily or shinyA combination of oily and dryNormal

• Choose one or more concerns you have about the skin around your eyes:

PuffinessDark circlesFine lines & wrinklesCreasesNone

• Last one! When you shop for skin and Hair care, do you prefer products that have natural and organic ingredients?

YesNo

• Other extra information

Other extra information which you think might be helpful….if any Please add any additional report etc.(i.e. jpg, gif, png, pdf) ….if anyAnd Your High Resolution Photo If you are Consulting for Skin ,Hair Allergy ,etc. you can email us the data @ info@msarogyam.com

• How did you hear about us?*

GoogleBingYahooFriend SuggestReturning CustomerOtherDetail about How did you hear about

That’s all……………………………………………

We would love to hear from you! Please fill out this form and and email us ::to  info@msarogyam.com  we will get in touch with you shortly.