Root-cause diagnosis
Every consultation begins with Prakriti and Vikriti assessment — treating the origin of illness, not only its symptoms.
Clinical Specialties
Conditions & Therapies
Root-cause Ayurvedic diagnosis and evidence-led therapeutic protocols for chronic, metabolic, hormonal, and lifestyle disorders — tailored to your individual Prakriti.
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Why Patients Choose Her Care
Evidence-led Ayurveda
Classical protocols validated through published phytochemical and clinical research at ITRA and Tribhuvan University.
Holistic healing
Ahara, Vihara and Dinacharya combined with yoga and breathwork for durable, whole-person recovery.
Personalised regimens
Herbal formulations, diet charts and daily routines built around your constitution and life circumstances.
Women's health focus
Dedicated care for PCOS, menstrual disorders, fertility support and hormonal balance.
Teleconsultation available
Audio and video consultations for patients across Nepal and abroad, with follow-up guidance.
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Clinical Treatments & Specializations
Diabetes & Metabolic Care
PCOS & Menstrual Disorders
Hypertension & Heart Health
Digestive & Anorectal Disorders
Obesity & Weight Management
Insomnia, Stress & Anxiety
Joint Pain & Spinal Care
Skin & Hair Conditions
Liver & Hepatic Health
Respiratory & Allergic Disorders
Panchakarma & Detoxification
Yoga & Lifestyle Counselling
Evidence-Based Clinical Protocols
In-Depth Diagnostic & Treatment Approaches
Every clinical therapy at Dr. Pratibha Tripathi's practice is anchored in classical Ayurvedic diagnostic jurisprudence (Nidana Panchaka) combined with modern biochemical correlations and verified botanical phytotherapy.
Endocrinology & MetabolismPrameha & Madhumeha
Diabetes & Metabolic Care
Clinical Overview
Type 2 Diabetes Mellitus is a progressive metabolic disorder characterized by peripheral insulin receptor resistance, pancreatic beta-cell exhaustion, and chronic microvascular endothelial inflammation, frequently precipitated by physical inactivity and refined carbohydrate consumption.
Ayurvedic Diagnostic Approach
In Ayurveda, diabetes is diagnosed as Prameha, stemming from impaired digestive fire (Jatharagni Mandya) and vitiation of Kapha dosha, which congests lipid and fluid channels (Medovaha and Ambuvaha Srotas). Diagnosis incorporates classical Nadi Pariksha, assessment of urinary frequency and turbidity, and correlation with HbA1c and lipid profiles.
Therapeutic Protocol & Botanicals
Clinical protocols deploy bitter, astringent botanicals including Nisha-Amalaki, Gymnema sylvestre (Meshashringi), Pterocarpus marsupium (Vijaysar), and Chandraprabha Vati. Treatment integrates Udvartana (dry herbal powder lymphatic massage), therapeutic Virechana to reset hepatic metabolism, ancient barley-based diets (Yava Ahara), and circadian intermittent fasting.
Expected Clinical Outcomes
Patients typically observe stabilization of postprandial glucose surges within 3 to 6 weeks, gradual reductions in HbA1c over 3 to 6 months, and progressive tapering of synthetic hypoglycemic dependency under structured medical supervision.
Women's Health & GynecologyArtava Kshaya & Kaphaja Granthi
PCOS & Menstrual Disorders
Clinical Overview
Polycystic Ovary Syndrome (PCOS) and chronic menstrual irregularities (oligomenorrhea, dysmenorrhea, anovulatory cycles) are complex neuro-endocrine disorders marked by hyperandrogenism, ovarian follicular arrest, insulin resistance, acne, and unpredictable cycles.
Ayurvedic Diagnostic Approach
Ayurveda diagnoses PCOS through Artava Vaha Srotorodha (obstruction of reproductive channels) and Apana Vayu dysregulation. Stagnant Kapha and metabolic endotoxins (Ama) encase immature ovarian follicles in thickened capsules (Granthi), while vitiated Vata prevents normal ovulatory release.
Therapeutic Protocol & Botanicals
Treatment combines cyst-dissolving and insulin-sensitizing herbs including Kanchnar Guggulu, Pushpadhanwa Rasa, Shatavari, and Varunadi Kwath. For deep pelvic cleansing, clinical Basti (specialized Lekhana and Kshira Basti) and Virechana are administered, supported by low-glycemic millet nutrition and stress-reduction yoga.
Expected Clinical Outcomes
Regularization of natural ovulatory menstrual cycles occurs within 90 to 120 days, accompanied by measurable reductions in ovarian volume on pelvic ultrasound, clearance of hormonal acne, and restoration of natural reproductive fertility.
Cardiovascular MedicineRakta Vata & Hridroga
Hypertension & Heart Health
Clinical Overview
Essential hypertension involves chronically elevated systemic arterial resistance, vascular endothelial dysfunction, and increased cardiac workload, often driven by sympathetic autonomic overstimulation, psychological stress, and arterial wall stiffness.
Ayurvedic Diagnostic Approach
Ayurvedic cardiology evaluates hypertension as Rakta Vata and Vyana Vata Dushti, wherein agitated Vata circulates through the cardiovascular channels (Rasa-Raktavaha Srotas), constricting arterial walls. Evaluation considers pulse rhythm, sleep architecture, emotional stressors, and cardiac biomarkers.
Therapeutic Protocol & Botanicals
Therapies center on cardioprotective and endothelial-stabilizing herbs, primarily standardized Arjuna bark decoctions (Arjuna Ksheerapaka), Sarpagandha, Brahmi, and Shankhpushpi. External therapies include Shirodhara (medicated rhythmic oil streaming over the forehead) to downregulate sympathetic tone, Hrid Basti over the cardiac region, and slow-cadence Pranayama.
Expected Clinical Outcomes
Significant reductions in resting systolic and diastolic blood pressure are typically observed within 4 to 8 weeks, alongside resolution of stress-induced palpitations, improved sleep depth, and enhanced arterial compliance.
GastroenterologyGrahani Roga & Arshas
Digestive & Anorectal Disorders
Clinical Overview
Chronic digestive dysfunctions—encompassing Irritable Bowel Syndrome (IBS), Small Intestinal Bacterial Overgrowth (SIBO), chronic constipation, acid reflux, hemorrhoids (Arshas), and anal fissures—stem from disrupted gastrointestinal motility and mucosal inflammation.
Ayurvedic Diagnostic Approach
Diagnosis centers on evaluating Jatharagni (the central digestive fire) and Grahani (the small intestinal absorption barrier). Incomplete digestion generates Ama, which inflames mucosal linings and causes alternating bowel habits, abdominal distension, and anorectal venous congestion.
Therapeutic Protocol & Botanicals
Therapy focuses on Agni Deepana (enzymatic rekindling) and Ama Pachana using Bilva, Kutaja, Musta, Dadimashthak, and medicinal buttermilk (Takra) protocols. For anorectal conditions, sitz baths (Avagaha Sweda) with Triphala, specialized Kshara Karma, and medicated oil enemas (Matra Basti) provide soothing tissue repair.
Expected Clinical Outcomes
Relief from abdominal cramping, bloating, and irregular transit occurs within 2 to 4 weeks, with complete restoration of mucosal gut barrier integrity and regular bowel evacuation over 8 to 12 weeks.
Metabolic MedicineSthaulya & Medoroga
Obesity & Weight Management
Clinical Overview
Obesity and stubborn visceral adiposity represent a systemic metabolic disorder where excessive fat deposition impairs insulin signaling, triggers cardiovascular strain, and fosters chronic low-grade systemic inflammation.
Ayurvedic Diagnostic Approach
Ayurveda understands obesity as Medo Dhatvagni Mandya (deranged lipid tissue metabolism) leading to channel blockage (Srotorodha). Paradoxically, entrapped gastric fire creates voracious hunger (Kshudhadhikya) while deeper structural tissues (bone, muscle) remain depleted.
Therapeutic Protocol & Botanicals
Therapies utilize the principle of Guru Cha Atarpana (satisfying yet non-nourishing nutrition). Treatment includes Medohar Guggulu, Arogyavardhini Vati, and ancient barley (Yava) nutrition, paired with Udvartana (vigorous full-body dry herbal powder scrubs) and Lekhana Basti to scrape deep visceral fat stores.
Expected Clinical Outcomes
Sustainable weight loss of 2 to 4 kilograms per month without lean muscle wasting, accompanied by marked reductions in waist circumference, normalized lipid profiles, and revitalized physical stamina.
Neuropsychiatry & Mind-BodyAnidra & Chittodvega
Insomnia, Stress & Anxiety
Clinical Overview
Chronic insomnia, generalized anxiety disorders, panic attacks, and professional burnout reflect profound autonomic dysregulation, elevated nocturnal cortisol, and exhaustion of central nervous system neuro-protective buffers.
Ayurvedic Diagnostic Approach
Ayurvedic neuro-psychology identifies Anidra and Chittodvega as hyperarousal of Prana Vayu and depletion of Tarpaka Kapha (cerebral lubricating fluid) in the channels of mental perception (Mano Vaha Srotas). Diagnostic assessment examines cognitive thought loops, sleep fragmentation, and emotional strain.
Therapeutic Protocol & Botanicals
Protocols utilize adaptogenic and nootropic botanicals including Ashwagandha, Jatamansi, Brahmi, Tagara, and Saraswatarishta. External therapies are paramount: daily Shirodhara with warm Ksheerabala oil, therapeutic foot massage (Pada Abhyanga), nasal administration (Nasya), and guided Yoga Nidra.
Expected Clinical Outcomes
Patients experience restoration of natural, unmedicated sleep onset within 10 to 14 days, significant reduction in daytime anxiety and panic episodes, and long-term rejuvenation of cognitive clarity and mental resilience.
Orthopedics & RheumatologySandhigata Vata & Kati Graha
Joint Pain & Spinal Care
Clinical Overview
Degenerative osteoarthritis, cervical and lumbar spondylosis, sciatica (Gridhrasi), and herniated disc syndromes involve progressive cartilage attrition, synovial fluid dehydration, and mechanical nerve root compression.
Ayurvedic Diagnostic Approach
Ayurveda diagnoses non-inflammatory degenerative joint disease as Sandhigata Vata (loss of Shleshaka Kapha lubrication with Vata infiltration), while inflammatory arthritis is diagnosed as Amavata. Diagnosis incorporates joint palpation, range-of-motion testing, and radiographic review.
Therapeutic Protocol & Botanicals
Treatments feature localized reservoir therapies: Janu Basti for knees, Kati Basti for the lumbar spine, and Greeva Basti for the cervical spine using warm medicated Mahanarayan and Ksheerabala oils. Internally, Shallaki (Boswellia), Yograj Guggulu, and Tikta Ksheera Basti nourish subchondral bone and cartilage.
Expected Clinical Outcomes
Relief from joint stiffness and radiating nerve pain typically occurs within 7 to 14 days of intensive therapies, with substantial improvements in functional mobility and cartilage preservation sustained over long-term follow-ups.
Dermatology & TrichologyKushtha Roga & Khalitya
Skin & Hair Conditions
Clinical Overview
Chronic dermatological conditions—including plaque psoriasis, atopic eczema, adult cystic acne, urticaria, alopecia areata, and premature hair thinning—reflect systemic blood toxicity and cutaneous immune hyper-reactivity.
Ayurvedic Diagnostic Approach
Ayurvedic dermatology categorizes skin diseases under Kushtha Roga, involving simultaneous vitiation of Vata, Pitta, Kapha, and the four foundational tissues (skin, blood, muscle, lymph). Impaired liver metabolism fails to clear circulating toxins, venting them through dermal layers.
Therapeutic Protocol & Botanicals
Root-cause blood cleansing is achieved through Virechana (therapeutic purgation) and classical bitter formulas: Mahatiktaka Ghrita, Manjishtadi Kwath, Kaishore Guggulu, and Neem. External therapies include specialized herbal oils (Wrightia tinctoria 777 oil, Nalpamaradi) and medicinal leech therapy (Jalaukavacharana).
Expected Clinical Outcomes
Cessation of acute itching and inflammatory exudation occurs within 2 to 3 weeks, followed by progressive clearance of psoriatic plaques, restoration of the dermal skin barrier, and cessation of excessive hair fall over 3 to 6 months.
HepatologyYakrit Roga & Kamala
Liver & Hepatic Health
Clinical Overview
Non-alcoholic fatty liver disease (NAFLD), elevated transaminases, chronic sluggish hepatobiliary function, and toxic hepatic congestion impair the body's central metabolic, detoxification, and hormone-clearance engine.
Ayurvedic Diagnostic Approach
The liver is recognized as Yakrit, the anatomical home of Ranjaka Pitta (blood-forming fire) and Bhutagni (elemental metabolic fires). Excessive dietary sugars, saturated fats, and sedentary living congest liver parenchyma with stagnant Kapha and Medas, causing hepatic steatosis.
Therapeutic Protocol & Botanicals
Therapies deploy potent bitter cholagogues: Kutki (Picrorhiza kurroa), Bhumyamalaki, Kalmegh (Andrographis), Punarnava, and Arogyavardhini Vati. Structured Virechana flushes stagnant biliary toxins, paired with anti-inflammatory nutrition and elimination of liquid fructose and alcohol.
Expected Clinical Outcomes
Ultrasound-confirmed regression of Grade 1 and Grade 2 steatosis, normalization of elevated ALT, AST, and GGT enzymes, and significant improvements in systemic energy and lipid parameters within 60 to 90 days.
Pulmonology & ImmunologyTamaka Shwasa & Kasa
Respiratory & Allergic Disorders
Clinical Overview
Chronic allergic rhinitis, bronchial asthma, chronic bronchitis, recurrent sinusitis, and seasonal environmental allergies involve hyper-reactive airway mucosa, bronchospasm, and excessive mucus accumulation.
Ayurvedic Diagnostic Approach
Ayurveda diagnoses respiratory conditions under Pranavaha Srotas disorders, specifically Tamaka Shwasa (bronchial asthma) and Pratishyaya (allergic rhinitis). The pathology involves cold, unctuous Kapha obstructing the upward movement of Prana Vayu in the thoracic cavity.
Therapeutic Protocol & Botanicals
Treatment combines bronchial-cleansing botanicals: Vasa (Adhatoda vasica), Kantakari, Talisadi Churna, Sitopaladi Churna, and Shringyadi Kwath. Clinical Panchakarma includes Vamana (therapeutic emesis in spring) and therapeutic Nasya (intranasal herbal drops) to decongest paranasal sinuses and desensitize mucosal membranes.
Expected Clinical Outcomes
Rapid reduction in wheezing frequency, nighttime coughing, and bronchodilator dependence within 3 to 6 weeks, with long-term seasonal desensitization and immune resilience established over two consecutive seasonal cycles.
Comprehensive Bio-PurificationShodhana Chikitsa
Panchakarma & Detoxification
Clinical Overview
Panchakarma is the gold-standard classical hospital bio-purification medical science designed to dislodge, mobilize, and eliminate deep-tissue environmental and metabolic endotoxins (Ama) that resist conventional oral therapies.
Ayurvedic Diagnostic Approach
Candidate evaluation assesses the patient's biological vitality (Bala), Agni strength, age, seasonal timing (Kala), and dominant doshic morbidity (Dosha Utklesha). Therapies are never applied haphazardly but follow strict preparatory criteria.
Therapeutic Protocol & Botanicals
Therapy follows the classical three-stage paradigm: Purva Karma (metabolic kindle with Trikatu, followed by internal medicated ghee oleation and herbal steam sudation), Pradhana Karma (individualized selection of Vamana, Virechana, Basti, Nasya, or Raktamokshana), and Paschat Karma (graduated Samsarjana dietary rehabilitation).
Expected Clinical Outcomes
Complete elimination of biological toxic congestion, dramatic reductions in systemic inflammatory markers (hs-CRP, ESR), reset of basal metabolism, revitalization of digestive capacity, and enhanced cellular longevity.
Preventive & Lifestyle MedicineSwasthavritta & Dinacharya
Yoga & Lifestyle Counselling
Clinical Overview
Chronic non-communicable lifestyle conditions—including metabolic syndrome, occupational spinal strain, insomnia, and psychosomatic tension—require ongoing behavioral, circadian, and mental realignment to achieve permanent, drug-free health and prevent pathological disease recurrence.
Ayurvedic Diagnostic Approach
Clinical evaluation assesses the individual's baseline biological constitution (Prakriti), diurnal rhythm disruption, occupational musculoskeletal strain, dietary incompatibilities (Viruddha Ahara), and mental stress triggers across the gunas (Satva, Rajas, and Tamas) utilizing classical Ashtavidha Pariksha.
Therapeutic Protocol & Botanicals
Formulation of an individualized Dinacharya (daily biological rhythm), Ritucharya (seasonal dietary adaptation), and Pathya-Apathya guideline. Clinical protocols integrate condition-targeted restorative Asanas, slow-cadence Pranayama (Nadi Shodhana, Bhramari), therapeutic mindfulness, and classical Sadvritta psychological conduct.
Expected Clinical Outcomes
Empowerment with sustainable daily self-care habits, enhanced stress adaptation, long-term prevention of chronic disease recurrence, improved sleep architecture, and cultivation of lasting physical, emotional, and spiritual vitality.
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The Consultation Journey
01
Reach out
Call or email to describe your concern and share prior reports.
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Prakriti assessment
A detailed constitutional and clinical evaluation, in clinic or online.
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Personal protocol
Herbal medicines, diet, yoga and Dinacharya designed for you.
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Follow-up
Scheduled reviews to refine the regimen as your health progresses.
Need guidance on your specific condition?
Schedule an in-clinic Prakriti evaluation at Ayurveda Campus, Kathmandu or an online teleconsultation.