Chronic lower back pain (Kati Shoola) for 6 months, aggravated by prolonged sitting and cold weather. Associated with constipation and disturbed sleep.

Examination	Findings
Nadi (Pulse)	Vata pradhana — irregular, fast, thread-like (Tantu), 78 bpm
Jihva (Tongue)	Dry, brownish coating in posterior third, cracked margins
Drika (Eyes)	Sunken, slight redness, frequent blinking, poor luster
Sparsha (Touch)	Skin cold and rough to touch, reduced sweating
Akriti (Build)	Lean, stooped posture, restless movements, dry skin
Shabda (Voice)	Weak, hoarse at times, talks rapidly
Mutra (Urine)	Scanty, dark yellow, occasional burning
Purisha (Stool)	Dry, hard, irregular — every 2–3 days, painful defecation

Roga: Kati Shoola (Vataja Pradhana) with Vibandha (Constipation)

Dosha: Vata Pradhana, Anubandhi Pitta

Dushya: Asthi, Mamsa, Purisha

Srota: Purishavaha Srotas, Vatavaha Srotas

Medicine	Form	Dose	Anupana	Duration
Trayodashanga Guggulu	Tablet	1 tab BD	Warm water	30 days
Mahanarayana Tailam	Oil	10 ml BD	Warm milk	30 days
Eranda Snehana	Oil	20 ml HS	Warm water	7 days
Hingvastak Churna	Churna	3 gm BD	Ghee + Warm water	15 days
Ashwagandha Churna	Churna	3 gm BD	Warm milk	60 days

• Kati Basti with Mahanarayana Tailam — 7 days
• Pinda Sweda with Dashamoola — 7 days
• Sneha Basti with Eranda Taila — 3 days (alternate)
• Abhyanga (full body) with Dhanwantharam Tailam — Daily

• Warm, freshly cooked meals. Avoid cold/refrigerated food.
• Include ghee, sesame oil, and warm soups in diet.
• Soaked raisins (5–6) and figs in warm water daily.
• Warm milk with Ashwagandha at bedtime.
• Drink warm water throughout the day.

• Avoid dry, cold, and light foods (salads, popcorn, crackers).
• Avoid late night meals and staying awake past 10 PM.
• Avoid prolonged sitting — take breaks every 45 minutes.
• Avoid suppression of natural urges (urges of stool, urine, sleep).
• Reduce caffeine and aerated drinks.

• Practice Bhujangasana, Pavanmuktasana, and Setu Bandhasana daily.
• Pranayama: Nadi Shodhana 10 min, Bhramari 5 min — morning & evening.
• Abhyanga (self-massage) with warm sesame oil before bath.
• Regular sleep schedule: 10 PM – 6 AM.