Do not give her rice ,curd,maize roti . :- boil some curry leaves in water and give her two or three times in a day.

Nirgundi tail and mahanarayan tail is the best result for arthritis you can use  and it is safe medicine for joint pain and continue exercises if possible

Hlo sir, First of all your mother’s weight is on higher side . Secondly wht is the value of rheumatic factor if tested Plz share x ray report of both knees

Take all tab after food with Luke worm water Any syp or quatha before the meals

Your problem needs proper treatment and management so you may consult with  me through this channel  and solve your problems.

Consult personally for Prescription

Firstly I would really like to thank you for taking such good care of your mother and make it a point to see to it that she is healthy. It is not very common these days. With that said, what you need to understand is that the treatment you are giving her is not addressing the root cause and therefore the dependence on medications.  How can you find the root cause? By doing HAIP Root Cause Analysis.  Secondly, medications will just act as an aid to hasten the recovery,  they will not cure the root cause unless you change the main source of disease. It is definitely not age, not hormone imbalance either. They maybe subordinate causes, but the main cause is faulty diet. So the first step would be to switch to HAIP DIET,  which is based on the anti-inflammatory principles of Ayurveda. Don't  let doubt creep into your mind that she wouldn't do it. Your love and care will make her follow it. Make her follow it just for 30 days. And you will see her improve. The medications you have mentioned may not be the right treatment strategy in her case and there are far better formulations that can give better results. But for that you need consultation.  If you find it worth to get her enrolled in the journey of creating health, you can go for consultation.  However,  if you choose not to, don't be disheartened,  I know the diet will help. All the best to you. May the divine blessing be always be with you.

Om Dhanwantaraye Namah.... Thank you for trusting ayurveda. Dosage is as mentioned below Vatgajankush Ras - (1 - 1)after meal Gandha Tailam Cap - (1 -1) before meal with warm milk or lukewarm water. RG plus cap - (1-1) after meal.

Massage from mahanarayan oil, hot fermentation,yograj guggal twiceadayhasgoodresult.

Thanks for trusting Ayurved and seeking help on Authentic platform. It's good u r under supervised medical management. Follow him and it's very hard to share with out going through her reports and clinical status

Your mother’s knee arthritis has become chronic, and since COVID many patients have reported increased joint pain due to inflammation and weakness. Rheuma-T giving temporary relief means the pain is controlled only as long as the medicine reduces inflammation, but the root cause—joint degeneration—still needs long-term management. Regarding the medicines prescribed by the Ayurveda doctor: • Vatagajankusha Rasa • Gandha Thailam capsules • RG Plus capsules These medicines are generally safe to take after food, especially when taken twice a day. Taking them after food prevents acidity, nausea, and improves absorption.

Namaste 🙏 Thank you for providing clear details. I’ll address both your concerns—**medicine timing clarification** and **effective treatment advice**—in a structured manner. --- ## 📌 **1. When to take the prescribed capsules** | Medicine | Suggested Timing | How to Take | | ------------------------------------------ | ---------------- | ---------------------------- | | **Kottakal Vatagajankusha rasa tablet** | **After food** | With warm water or warm milk | | **Kerala Ayurveda Gandha Thailam capsule** | **After food** | With lukewarm water or milk | | **Kerala Ayurveda RG Plus capsule** | **After food** | With lukewarm water | > **Since all three contain ingredients that may trigger gastric irritation if taken empty stomach, it is safer to take them *after meals*, ideally 30 minutes after breakfast and dinner.** ⚠️ *If the doctor intended otherwise, he would usually mention “before food (B.F.)”. Ayurvedic Vata medicines are generally taken after food unless specifically directed.* --- ## 🦵 Knee Arthritis Management (Long-term Ayurvedic Approach) ### 🔥 **Best External Oil for Her Condition** 👉 ******Tailam** (for Vata-related joint degeneration) – Warm slightly (don’t overheat) – Apply twice daily gently – Cover with warm cloth or do mild fomentation (Nadi sweda/steam towel) **Alternative if pain is very high:** 📍 *****oil + *****mixed (1:1)* 📍 Or *Kottakal ****Tailam* if there is swelling/heat along with pain --- ## 💊 Internal Medicines (Supportive) Along with what the doctor has prescribed, the following may be added (after consulting your local Vaidya): * **Guggulu-based**: ****Guggulu – 2 tabs after lunch & dinner * *******extract** – 500 mg twice daily (natural pain reliever) * **Asthi ***() capsule** – for strengthening bones --- ## 🥛 Diet & Lifestyle Recommendations ✔️ Avoid **curd at night, cold foods, long sitting or AC exposure** ✔️ Prefer **warm cooked food** (oily & spicy food in moderation helps Vata) ✔️ Include **Moringa leaves, sesame seeds, ghee, turmeric milk** ✔️ *Mild yoga & physiotherapy daily* * Vajrasana (only if no pain) * Simple leg raise exercise * Water-based knee exercises if available 🚫 Avoid: * Excess raw salads * Cold drinks, freezer items * Sitting with legs folded for long time * Weight gain (target around 64–66 kg) --- ## ♨️ Home Remedy *****+ Dry ****+ *****seeds paste** → Mix equal parts in ghee, make small balls → Take 1 ball after dinner daily for 1 month (anti-inflammatory) --- ## 🧘 Long-Term Plan * Continue prescribed medicine for **min 3–4 months** * Start **Matra Basti (oil enema)** from a skilled Panchakarma centre * Consider **Janu Basti (oil knee therapy)** – very effective --- ## 📍 Final Prescription Summary | Treatment | Dosage | | ---------------------------- | ------------------------------------------------------ | | Kottakal ****rasa | After meals – 2×/day | | ****Thailam capsule | After meals – 2×/day | | ****Plus capsule | After meals – 2×/day | | Oil | **Warm **** Tailam** twice daily + fomentation | | Optional | ***Guggulu + ***+ ****capsule | --- ## 🌿 Conclusion ➡️ *Give the medicines **after meals** (7 AM ≈ 30 min after breakfast, 7 PM ≈ 30 min after dinner).* ➡️ Start **external oil therapy immediately**. ➡️ Long-term benefit depends on **diet, light exercises, weight reduction, and Panchakarma**. If you’d like, I can help you with: 🔹 The best exercises for her knees 🔹 A 7-day diet chart 🔹 Panchakarma guidance Would you like me to prepare that for you? 🙏 Advice- self medication is hazardous, always consult ayurvedic doctor before taking ayurvedic medicine. Consult me personally for details.

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine

Namaste. For clarity and continuity of care, the  prescribed doctor himself is the ideal person to clear the  prescription. Usually kwatham tabs,gandhatailam cap are taken  before food for easy absorption.Others may be taken after food. If the patient is having acidity,ulcer or any other problems related, better to take medicines after having very light food.

Give vatagajankusha rasa tablet before food,gandha tailam capsules after food and RG plus capsule kwath syp. before food.You can also give her Mahayograj guggulu tab-2-0-2(A/F) and Shallaki tab-1-0-1(B/F) for 20 days.

For knee arthritis, long-term relief needs correct medicines, dosage & lifestyle. The capsules you mentioned (Vatagajankusha rasa, Gandha thailam caps, RG Plus) are generally taken after food, but exact timing should be individualized. Regular oil application with medicated oils like Mahanarayana or Dhanwantaram helps. I suggest you consult me for proper guidance and a personalized plan.