ls /home/daytona/workspace/ 2>/dev/null && ls /home/daytona/skills/docx/scripts/…

mkdir -p /home/daytona/workspace/lean-madhumeha-diet && ls /home/daytona/workspa…

~/lean-madhumeha-diet/create_diet_doc.js

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// ── Cover page ─────────────────────────────────────────────────
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      children: [new TextRun({ text: "Based on Charaka Samhita Chikitsa Sthana, Ashtanga Hridayam & Classical Ayurvedic Principles", size: 22, color: GREY_DARK, font: "Calibri", italic: true })],
    }),
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// ═══════════════════════════════════════════════════════════════
//  DOCUMENT SECTIONS
// ═══════════════════════════════════════════════════════════════

const sections_content = [

  // ── COVER ────────────────────────────────────────────────────
  ...coverPage(),

  // ── SECTION 1: Introduction ──────────────────────────────────
  h1("1. Understanding Lean Madhumeha - Why Diet is Different"),
  spacer(),
  highlight("\"Krisha Pramehinam Brimhana\" - Charaka Chikitsa 6: For lean Prameha patients, nourishment (Brimhana) is the primary treatment."),
  spacer(),
  body("This dietary plan is specifically designed for a LEAN (Krisha) Madhumeha patient. Most conventional diabetic diets focus on calorie restriction, which is WRONG for this patient type. The Ayurvedic approach here prioritizes:"),
  spacer(),
  threeColTable([
    ["Lean Diabetic (This Patient)", "Needs Brimhana (nourishment)", "NOT calorie restriction"],
    ["Dhatukshaya present", "Needs Dhatu-building foods", "NOT fat-free diet"],
    ["Ojokshaya", "Needs Ojasya foods", "NOT raw/cold diet"],
    ["Vata-Pitta Vikriti", "Needs Snigdha + Tikta balance", "NOT dry/heavy foods"],
    ["Kapha Anubandha", "Mild Kaphahara in diet", "NOT aggressive Langhana"],
    ["Jatharagni Mandya", "Needs Deepana foods", "NOT heavy late meals"],
  ], ["Patient Status", "Dietary Need", "Avoid"]),
  spacer(),
  note("This plan differs from standard diabetic diet charts. Do NOT follow generic 'diabetes diet' advice that recommends aggressive calorie cutting for this patient."),
  divider(),

  // ── SECTION 2: Rasa (Tastes) ─────────────────────────────────
  h1("2. Pathya Rasa (Recommended Tastes) & Apathya Rasa"),
  spacer(),
  h2("2.1 Pathya (Beneficial) Tastes"),
  spacer(),
  twoColTable([
    ["Tikta (Bitter)", "MOST IMPORTANT - pacifies Pitta, Kapha Anubandha, Medohara, Pramehaghna. Karela, Methi, Nimba, Guduchi."],
    ["Kashaya (Astringent)", "Reduces Meda, tones Mamsa Dhatu, Mutrala. Jambu, Vijayasar, Haritaki."],
    ["Madhura (Sweet - limited)", "Only in Snigdha form for Brimhana - milk, ghee, old rice. Avoids Dhatukshaya. NOT sugar/sweets."],
    ["Katu (Pungent - mild)", "Deepana, Pachana, Kledaka Kapha reduction. Ginger, black pepper, cumin. Use moderately."],
  ], ["Rasa", "Benefit & Examples"]),
  spacer(),
  h2("2.2 Apathya (Harmful) Tastes"),
  spacer(),
  twoColTable([
    ["Ati Madhura (Excess Sweet)", "Direct Prameha Nidana - sugar, jaggery, honey in excess, sweet fruits"],
    ["Ati Amla (Excess Sour)", "Rakta Dushti, Pitta aggravation - excess tamarind, fermented foods"],
    ["Ati Lavana (Excess Salt)", "Kapha-Pitta aggravation, Medovaha Sroto Dushti"],
  ], ["Taste", "Reason to Avoid"]),
  divider(),

  // ── SECTION 3: Food Groups ───────────────────────────────────
  h1("3. Pathya Dravya (Recommended Foods)"),
  spacer(),

  h2("3.1 Dhanya (Grains) - Foundation of Diet"),
  spacer(),
  note("Yava (Barley) is the single most important grain for Madhumeha. Charaka specifically names it as Pramehaghna Sreshtha."),
  spacer(),
  threeColTable([
    ["Yava (Barley)", "Pramehaghna, Laghu, Deepana, Medohara", "DAILY - make it staple"],
    ["Purana Shali (Old Rice - 1yr+)", "Laghu, Tridoshahara, easy digestion", "Daily in small quantity"],
    ["Mudga (Green Gram)", "Laghu, Deepana, Vata-Pitta shamana", "3-4 times per week"],
    ["Jowar (Sorghum)", "Low GI, Laghu, Pramehaghna", "Can replace rice"],
    ["Bajra (Pearl Millet)", "Brimhana, Vatahara, good for lean patient", "2-3 times per week"],
    ["Ragi (Finger Millet)", "Calcium-rich, low GI, Brimhana", "Good for Dhatukshaya"],
    ["Kulatha (Horse Gram)", "Medohara, Pramehaghna", "2 times per week"],
  ], ["Grain", "Ayurvedic Property", "Frequency"]),
  spacer(),

  h2("3.2 Shaaka (Vegetables) - Daily Essentials"),
  spacer(),
  threeColTable([
    ["Karela (Bitter Gourd)", "Best Pramehaghna vegetable, Tikta, Deepana", "Daily if possible"],
    ["Methi (Fenugreek)", "Seed + leaves both Pramehaghna, Deepana, lowers postprandial glucose", "Daily - seeds as spice"],
    ["Nimba (Neem leaves)", "Tikta Rasa, Pitta-Kapha shamana, Pramehaghna", "3x week - in cooking"],
    ["Patola (Pointed Gourd)", "Tridoshashamaka, Deepana, Yakrituttejaka", "Daily"],
    ["Karvellaka", "Bitter gourd varieties - all Pramehaghna", "Daily"],
    ["Vaastuka (Bathua)", "Deepana, Medohara, high iron", "2-3x week"],
    ["Tanduliyaka (Amaranth)", "Brimhana, Raktavardhaka, good for lean patient", "2-3x week"],
    ["Drumstick (Shigru)", "Medohara, Deepana, anti-diabetic", "2-3x week"],
    ["Brinjal (Vrintaka)", "Deepana, Vatahara - good for Vata component", "2x week"],
    ["Ash Gourd (Kushmanda)", "Mutravaha Sroto Shodhana, cooling", "2x week"],
  ], ["Vegetable", "Property", "Frequency"]),
  spacer(),

  h2("3.3 Phala (Fruits) - Use Carefully"),
  spacer(),
  note("Most sweet fruits are Apathya. Only the following are permitted for lean Madhumeha."),
  spacer(),
  threeColTable([
    ["Jambu (Indian Blackberry)", "BEST fruit - Pramehaghna, Kashaya-Madhura, seed powder specific for Madhumeha", "Daily in season"],
    ["Amalaki (Indian Gooseberry)", "Rasayana, Vayasthapana, low GI, Tridoshahara", "1-2 daily or juice"],
    ["Kapittha (Wood Apple)", "Pramehaghna, Deepana, Kashaya Rasa", "In season"],
    ["Bilva (Bael)", "Deepana, Pachana, Mutravaha Shodhana", "Bael sharbat - cooling"],
    ["Lemon/Lime (Jambhira)", "Deepana, Agni stimulant, Vitamin C", "Daily with meals"],
    ["Pomegranate (Dadima)", "Rakta Vardhaka - good for Rakta Dushti in lean patient", "Small quantity"],
    ["Guava (Amrud)", "Low GI, Kashaya Rasa, Deepana", "1 per day"],
  ], ["Fruit", "Property", "Usage"]),
  spacer(),

  h2("3.4 Dugdha-Vikara (Milk Products)"),
  spacer(),
  highlight("Takra (Buttermilk) is specifically listed as Pathya for Madhumeha in Charaka Samhita."),
  spacer(),
  threeColTable([
    ["Takra (Buttermilk)", "BEST - Deepana, Pramehaghna, Laghu, Pachana. Specific Madhumeha Pathya.", "Daily with lunch"],
    ["Cow's Milk (Godugdha)", "Brimhana, Ojas vardhaka, Vata-Pitta shamana. Good for lean patient.", "1 glass warm at night"],
    ["Ghee (Cow ghee)", "Agni deepana, Vata-Pitta shamana, Ojasya. Small quantity essential.", "1 tsp with meals"],
    ["Dadhi (Curd)", "AVOID at night - Kapha increase. Daytime in small quantity only.", "Small qty at lunch only"],
  ], ["Item", "Property", "Usage"]),
  spacer(),
  note("Avoid full-fat cheese, cream, paneer in large quantities. Cow ghee in small amounts is BENEFICIAL, not harmful."),
  spacer(),

  h2("3.5 Mamsa (Non-vegetarian - if applicable)"),
  spacer(),
  twoColTable([
    ["Jangala Mamsa (lean wild animal/poultry)", "Brimhana, Vata shamana - beneficial for Dhatukshaya in lean patient"],
    ["Fish (Rohita - Rohu)", "Pathya, Brimhana, Snigdha - good for lean Madhumeha"],
    ["Avoid", "Heavy red meat, processed meats, fried preparations"],
  ], ["Item", "Recommendation"]),
  spacer(),

  h2("3.6 Pathya Spices & Herbs in Kitchen"),
  spacer(),
  threeColTable([
    ["Haridra (Turmeric)", "Deepana, Pramehaghna, anti-inflammatory, Pachaka Pitta support", "Daily in cooking"],
    ["Jeeraka (Cumin)", "Deepana, Pachana, Samana Vayu", "Daily in tadka"],
    ["Dhanyaka (Coriander)", "Pitta shamana, Deepana, Mutravaha", "Daily"],
    ["Methi seeds", "Soaked overnight - Pramehaghna, lowers PPBS", "1 tsp soaked - morning"],
    ["Tejpata (Bay leaf)", "Deepana, Medohara", "In dal/curry"],
    ["Lavanga (Clove)", "Bodhaka Kapha, Deepana, aromatic", "After meals"],
    ["Ela (Cardamom)", "Bodhaka Kapha, Deepana, bitter taste remedy", "After meals + in milk"],
    ["Dalchini (Cinnamon)", "Insulin sensitizer, Deepana, Medohara", "1/4 tsp daily"],
    ["Kali Mirch (Black Pepper)", "Deepana, Agni, Kledaka Kapha", "Daily"],
    ["Saunf (Fennel)", "Samana Vayu, digestive, cooling", "After meals"],
  ], ["Spice/Herb", "Benefit", "Usage"]),
  divider(),

  // ── SECTION 4: Daily Meal Plan ───────────────────────────────
  h1("4. Daily Meal Plan - Full Day Schedule"),
  spacer(),
  highlight("FIXED MEAL TIMES are mandatory. Vishama Ahara Kala (irregular meal times) is itself a Nidana for Madhumeha."),
  spacer(),

  h2("4.1 Morning Routine (6:00 - 7:00 AM)"),
  spacer(),
  twoColTable([
    ["6:00 AM - Wake up", "Ushnodaka (warm water) 2 glasses - Sroto Shodhana, Agni deepana"],
    ["6:15 AM - Medicines", "Ayurvedic medicines as prescribed (empty stomach)"],
    ["6:30 AM - Methi water", "1 tsp methi seeds soaked overnight in water - drink water + chew seeds"],
    ["6:45 AM - Kavala Gandusha", "Tila Taila oil pulling 10 min - Bodhaka Kapha, bitter taste"],
    ["7:00 AM - Light yoga", "Mandukasana + Vakrasana + Pranayama (before eating)"],
  ], ["Time", "Action & Benefit"]),
  spacer(),

  h2("4.2 Breakfast (8:00 - 8:30 AM)"),
  spacer(),
  note("Never skip breakfast. Lean patient needs morning nourishment to prevent Dhatukshaya through the day."),
  spacer(),
  twoColTable([
    ["Option A (Mon/Wed/Fri)", "Yava Upma (Barley upma) + Warm cow milk with pinch of turmeric and cardamom"],
    ["Option B (Tue/Thu)", "Ragi Dosa (2 small) + Sambar with drumstick + Takra 1 glass"],
    ["Option C (Sat/Sun)", "Mudga Khichdi (moong dal + old rice, light) + Warm ghee 1 tsp on top"],
    ["Drink with breakfast", "Methi-Dalchini tea OR Karela juice 30ml OR Warm water with lemon"],
    ["After breakfast", "Chew: 2 Ela pods + 1 Lavanga (Bodhaka Kapha, bitter taste)"],
  ], ["Day/Item", "Recommendation"]),
  spacer(),

  h2("4.3 Mid-Morning (10:30 - 11:00 AM)"),
  spacer(),
  twoColTable([
    ["If hungry", "1 Guava OR 1 small Amalaki OR handful soaked almonds (5-6)"],
    ["Drink", "Warm water or Coriander-Cumin-Fennel (CCF) tea"],
    ["If not hungry", "Only warm water - do not force eat"],
  ], ["Situation", "Recommendation"]),
  spacer(),

  h2("4.4 Lunch (1:00 - 1:30 PM) - Main Meal"),
  spacer(),
  highlight("Lunch = LARGEST meal of the day. Agni is strongest at midday (Pitta Kala). This is when Brimhana foods are best absorbed."),
  spacer(),
  twoColTable([
    ["Grain", "1 cup Yava (barley) chapati (2 rotis) OR 1/2 cup old Shali rice"],
    ["Dal", "Mudga dal (moong) OR Masoor dal - well cooked, not watery"],
    ["Vegetable 1", "Karela sabzi OR Patola sabzi OR Methi sabzi (Tikta Rasa)"],
    ["Vegetable 2", "Any seasonal vegetable cooked with Haridra + Jeeraka"],
    ["Salad", "Cucumber + raw coriander + lemon + rock salt (small portion)"],
    ["Takra (Buttermilk)", "1 glass with Jeeraka + Saindhava + coriander - MANDATORY"],
    ["Ghee", "1 tsp cow ghee on roti/rice - do NOT skip (Brimhana for lean)"],
    ["Pickle", "Amalaki pickle (small qty) - NOT mango/lime in excess"],
  ], ["Component", "Recommendation"]),
  spacer(),

  h2("4.5 Afternoon (3:30 - 4:00 PM)"),
  spacer(),
  twoColTable([
    ["Drink", "Jambu juice / Bael sharbat / Amalaki juice / CCF tea - NOT tea/coffee"],
    ["Snack if needed", "Roasted chana (horse gram/chickpea) small handful OR Murmura (puffed rice)"],
    ["Avoid", "Biscuits, namkeen, chips, tea with sugar, cold beverages"],
    ["Strict rule", "NO DAY SLEEP (Divaswapna) - absolute Apathya for Madhumeha"],
  ], ["Time/Item", "Recommendation"]),
  spacer(),

  h2("4.6 Evening (5:30 - 6:30 PM)"),
  spacer(),
  twoColTable([
    ["Evening walk", "30 min slow walk (build to 45 min gradually) - Vyayama is Aushadha"],
    ["Post-walk drink", "Warm water with 1/4 tsp Dalchini + pinch Ela"],
    ["Evening medicines", "Ayurvedic medicines as prescribed"],
  ], ["Activity", "Detail"]),
  spacer(),

  h2("4.7 Dinner (7:30 - 8:00 PM)"),
  spacer(),
  highlight("Dinner = LIGHTER than lunch. Agni is weaker at night. Lean patient still needs nourishment but not heavy foods."),
  spacer(),
  twoColTable([
    ["Option A (Most nights)", "Yava Roti (1-2) + Mudga Dal + Sauteed vegetable with ghee"],
    ["Option B (Light nights)", "Yava Khichdi (barley + moong) - easy digest, nourishing"],
    ["Option C (Alternate)", "Ragi Mudde (1 small) + Sambar + Ghee"],
    ["Soup option", "Mudga Yusha (moong soup) with Haridra + Jeeraka + Ghee tadka"],
    ["Drink", "Warm water only - NO cold water, NO fruit juice at night"],
    ["After dinner", "Short 10-15 min slow walk - Vagbhata's Shatapadi (100 steps after meal)"],
  ], ["Option", "Detail"]),
  spacer(),

  h2("4.8 Bedtime (9:30 - 10:00 PM)"),
  spacer(),
  twoColTable([
    ["Bedtime drink", "Warm cow milk (1/2 glass) + pinch Turmeric + Ela + Ashwagandha 3g (with medicines)"],
    ["Purpose", "Vata shamana, Brimhana, prevents nocturnal Dhatukshaya, supports Rasayana"],
    ["Medicine", "Triphala Churna 5g with warm water (Sroto Shodhana)"],
    ["Sleep time", "By 10:00-10:30 PM - Ratricharya for Madhumeha"],
  ], ["Item", "Detail"]),
  divider(),

  // ── SECTION 5: Weekly Meal Plan ──────────────────────────────
  h1("5. Seven-Day Weekly Meal Plan"),
  spacer(),
  threeColTable([
    ["Monday", "B: Yava Upma + Turmeric milk | L: Barley roti + Karela sabzi + Moong dal + Takra | D: Yava Khichdi + Ghee"],
    ["Tuesday", "B: Ragi Dosa + Sambar | L: Old rice + Patola sabzi + Masoor dal + Takra | D: Mudga Yusha + Yava Roti"],
    ["Wednesday", "B: Methi Thepla (1) + Curd (small) | L: Yava Roti + Methi sabzi + Moong dal + Takra | D: Ragi Mudde + Sambar"],
    ["Thursday", "B: Moong Chilla (2) + Amalaki chutney | L: Jowar Roti + Drumstick sabzi + Dal + Takra | D: Yava Khichdi + Ghee"],
    ["Friday", "B: Bajra Roti (1) + Ghee + Warm milk | L: Barley roti + Karela + Mudga + Takra | D: Mudga Soup + Yava Roti"],
    ["Saturday", "B: Mudga Khichdi (light) | L: Old rice + Palak-Methi sabzi + Dal + Takra | D: Ragi Dosa + Sambar"],
    ["Sunday", "B: Yava Porridge + Amalaki juice | L: Barley Khichdi (festival meal) + Ghee + Papad | D: Moong dal + Yava Roti"],
  ], ["Day", "Meals (Breakfast | Lunch | Dinner)"]),
  divider(),

  // ── SECTION 6: RECIPES ───────────────────────────────────────
  h1("6. Classical Pathya Recipes"),
  spacer(),
  body("All recipes are designed to be: Pramehaghna, suitable for Krisha (lean) Madhumeha, easy to prepare daily, and aligned with Ayurvedic Ahara principles.", { italic: true }),
  spacer(),

  // Recipe 1
  recipeTitle("Recipe 1: Yava Upma (Barley Semolina Breakfast)"),
  ...recipeSection("Ingredients:", [
    "Roasted barley semolina (Yava rava) - 1/2 cup",
    "Ghee - 1 tsp",
    "Mustard seeds - 1/2 tsp",
    "Cumin (Jeeraka) - 1/2 tsp",
    "Curry leaves - 8-10",
    "Green chili - 1 (optional)",
    "Grated ginger - 1/2 tsp",
    "Onion - small, finely chopped (Pathya in moderation)",
    "Vegetables: carrot, beans, peas - 1/4 cup mixed",
    "Turmeric (Haridra) - 1/4 tsp",
    "Rock salt (Saindhava) - to taste",
    "Fresh coriander (Dhanyaka) - for garnish",
    "Warm water - 1.5 cups",
    "Lemon juice - 1 tsp",
  ]),
  ...recipeSection("Method:", [
    "Heat ghee in pan. Add mustard, cumin - let splutter.",
    "Add curry leaves, ginger, green chili. Saute 30 sec.",
    "Add onion and vegetables. Cook 3-4 min.",
    "Add Haridra, Saindhava. Mix well.",
    "Add roasted Yava rava. Mix and roast 2 min.",
    "Add warm water slowly, stirring continuously.",
    "Cover and cook on low flame 5-7 min until done.",
    "Add lemon juice and fresh coriander. Serve warm.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Yava = Pramehaghna Sreshtha (Charaka)",
    "Ghee = Brimhana, Agni deepana - essential for lean patient",
    "Haridra = Deepana, anti-inflammatory, Pramehaghna",
    "Jeeraka = Samana Vayu, Pachana",
    "Warm serving = preserves Agni, prevents Kledaka Kapha increase",
  ]),
  spacer(),

  // Recipe 2
  recipeTitle("Recipe 2: Takra (Therapeutic Buttermilk) - Daily Mandatory"),
  ...recipeSection("Ingredients:", [
    "Fresh curd (from cow's milk) - 1/2 cup",
    "Warm water - 1 cup",
    "Cumin powder (roasted) - 1/2 tsp",
    "Rock salt (Saindhava) - pinch",
    "Fresh coriander leaves - 1 tsp chopped",
    "Curry leaves - 4-5 (optional)",
    "Dry ginger powder (Shunti) - tiny pinch",
  ]),
  ...recipeSection("Method:", [
    "Take fresh curd in a vessel.",
    "Add warm (not hot) water.",
    "Churn well using churner or blender until frothy.",
    "Remove excess fat/cream layer if visible.",
    "Add Jeeraka powder, Saindhava, coriander.",
    "Add Shunti (very small pinch - Deepana).",
    "Serve immediately at room temperature (not cold).",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Charaka: 'Takrasya na hi kim chit syat doshaya' - Takra has no fault",
    "Pramehaghna, Deepana, Agni vardhaka",
    "Kledaka Kapha reducing - important for this patient",
    "Jeeraka in Takra = Samana Vayu regulation",
    "Must be freshly made - NOT stored/packed buttermilk",
    "Consume at lunch - NOT at night (increases Kapha)",
  ]),
  spacer(),

  // Recipe 3
  recipeTitle("Recipe 3: Karela Sabzi (Bitter Gourd - Primary Pramehaghna Vegetable)"),
  ...recipeSection("Ingredients:", [
    "Karela (bitter gourd) - 250g, thinly sliced",
    "Onion - 1 medium, sliced",
    "Ghee/sesame oil - 2 tsp",
    "Cumin (Jeeraka) - 1 tsp",
    "Turmeric (Haridra) - 1/4 tsp",
    "Coriander powder - 1 tsp",
    "Amchur (dry mango powder) - 1/2 tsp (reduces bitterness)",
    "Rock salt - to taste",
    "Methi seeds - 1/4 tsp",
    "Fresh coriander - garnish",
  ]),
  ...recipeSection("Method:", [
    "Slice Karela, rub with salt, rest 20 min, squeeze and wash (reduces excess bitterness while retaining medicine).",
    "Heat ghee. Add Methi seeds - let darken slightly (removes Vata-aggravating property).",
    "Add Jeeraka, then onion. Saute until golden.",
    "Add Karela slices. Cook on medium flame.",
    "Add Haridra, coriander powder. Mix well.",
    "Cook uncovered 10-12 min until slightly crisp.",
    "Add Amchur and Saindhava. Toss and serve.",
    "Garnish with fresh coriander.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Karela = Tikta Rasa = directly pacifies Pitta + Kledaka Kapha",
    "Pramehaghna - mentioned in all classical texts for Madhumeha",
    "Ghee base = Brimhana + carries Tikta Rasa deeper (Anupana effect)",
    "Methi seeds add additional Pramehaghna action",
    "Eat this sabzi DAILY - even small portion is therapeutic",
  ]),
  spacer(),

  // Recipe 4
  recipeTitle("Recipe 4: Mudga Yusha (Moong Dal Therapeutic Soup)"),
  ...recipeSection("Ingredients:", [
    "Split moong dal (Mudga) - 1/2 cup",
    "Warm water - 3 cups",
    "Ghee - 1.5 tsp",
    "Cumin (Jeeraka) - 1 tsp",
    "Dry ginger (Shunti) - 1/4 tsp powder",
    "Turmeric (Haridra) - 1/4 tsp",
    "Asafoetida (Hingu) - tiny pinch (Samana Vayu)",
    "Rock salt - to taste",
    "Fresh coriander + lemon - to finish",
    "Curry leaves - 6-8",
  ]),
  ...recipeSection("Method:", [
    "Wash moong dal, soak 30 min.",
    "Cook in water with Haridra until very soft (pressure cooker - 3 whistles).",
    "Blend lightly or mash - consistency between dal and soup.",
    "Heat ghee separately. Add Hingu, Jeeraka, Shunti, curry leaves.",
    "Pour tadka into dal. Mix well.",
    "Add Saindhava. Simmer 5 min.",
    "Finish with lemon juice and coriander. Serve warm.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Mudga = Pathya for all Rogis (best therapeutic dal in Ayurveda)",
    "Laghu (light) + Deepana - perfect for Jatharagni Mandya / Aruchi",
    "Hingu = direct Samana Vayu drug - addresses this patient's Vayu Dushti",
    "Shunti = Deepana, Agni vardhaka, Kledaka Kapha reduction",
    "Ideal for Aruchi days when patient cannot eat solid food",
    "Also use as Samsarjana Krama food post-Panchakarma",
  ]),
  spacer(),

  // Recipe 5
  recipeTitle("Recipe 5: Yava Roti (Barley Flatbread - Daily Bread)"),
  ...recipeSection("Ingredients:", [
    "Yava (barley) flour - 1 cup",
    "Whole wheat flour - 1/4 cup (for binding, can omit)",
    "Methi leaves (fresh or dried) - 2 tbsp",
    "Ajwain (carom seeds) - 1/4 tsp",
    "Haridra - 1/4 tsp",
    "Rock salt - pinch",
    "Warm water - as needed to knead",
    "Ghee - to apply on roti",
  ]),
  ...recipeSection("Method:", [
    "Mix Yava flour, Haridra, Ajwain, Saindhava.",
    "Add Methi leaves. Mix dry ingredients well.",
    "Add warm water slowly, knead to soft dough.",
    "Rest dough 10 min covered.",
    "Roll into medium thick rotis (thicker than wheat roti - Yava is heavier).",
    "Cook on hot tawa - both sides until golden spots appear.",
    "Apply 1/2 tsp ghee immediately when hot.",
    "Serve immediately - do not store.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Yava flour = Pramehaghna Sreshtha - most important food grain",
    "Methi in roti = adds Pramehaghna action to every meal",
    "Ajwain = Deepana, Samana Vayu, prevents flatulence from Yava",
    "Ghee on hot roti = Snigdha quality for lean patient, carries nutrients",
    "Eating warm roti = preserves Agni (cold roti = Agni dampening)",
  ]),
  spacer(),

  // Recipe 6
  recipeTitle("Recipe 6: Haridra Ksheera (Turmeric Milk - Nighttime Rasayana)"),
  ...recipeSection("Ingredients:", [
    "Cow's milk - 200ml (A2/desi cow preferred)",
    "Haridra (turmeric) - 1/4 tsp",
    "Ela (cardamom) - 1/4 tsp powder",
    "Dry ginger (Shunti) - tiny pinch (optional)",
    "Black pepper - tiny pinch (increases Haridra bioavailability)",
    "Ashwagandha powder - 3g (with evening medicines)",
    "NO sugar/honey - avoid sweeteners",
  ]),
  ...recipeSection("Method:", [
    "Heat milk gently until warm (not boiling).",
    "Add Haridra, Ela, black pepper. Stir well.",
    "Add Shunti if digestion is weak.",
    "Mix Ashwagandha powder separately in small warm water first, then add to milk.",
    "Drink warm, slowly, at bedtime.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Cow milk = Brimhana, Ojasya, Vata-Pitta shamana - essential for lean patient",
    "Haridra = Deepana, Pramehaghna, anti-inflammatory at night",
    "Ashwagandha = Brimhana, Vata shamana - addresses Dhatukshaya",
    "Ela = Bodhaka Kapha - addresses bitter taste complaint",
    "Black pepper = Yogavahi - carries Haridra deeper into Dhatu",
    "Bedtime = Vata Kala - Snigdha milk directly counteracts Vata",
  ]),
  spacer(),

  // Recipe 7
  recipeTitle("Recipe 7: Methi-Karela Juice (Morning Anti-Diabetic Drink)"),
  ...recipeSection("Ingredients:", [
    "Fresh Karela (bitter gourd) - 1 small",
    "Methi seeds soaked overnight - 1 tsp",
    "Amalaki (fresh/dried) - 1 small OR 1 tsp powder",
    "Fresh ginger - small piece",
    "Warm water - 100ml",
    "Rock salt - tiny pinch",
    "Lemon juice - few drops",
  ]),
  ...recipeSection("Method:", [
    "Wash Karela, remove seeds, chop roughly.",
    "Blend Karela + soaked Methi + Amalaki + ginger + warm water.",
    "Strain through muslin cloth.",
    "Add Saindhava and lemon drops.",
    "Drink 30-60ml on empty stomach (start with 30ml if Aruchi is present).",
    "Do NOT make in advance - prepare fresh each morning.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Karela + Methi + Amalaki = three most potent Pramehaghna dravyas combined",
    "Addresses PPBS specifically - take before breakfast",
    "Amalaki = Rasayana component - not just diabetic, builds Dhatu",
    "Ginger = Samana Vayu, Deepana - prevents nausea from bitter taste",
    "This single drink addresses: Prameha, Aruchi, Tikta Rasa, Dhatvagni Mandya",
    "Do not take if Aruchi is severe - wait for Agni to improve first",
  ]),
  spacer(),

  // Recipe 8
  recipeTitle("Recipe 8: Mudga-Yava Khichdi (Therapeutic One-Pot Meal)"),
  ...recipeSection("Ingredients:", [
    "Yava (barley) - 1/3 cup",
    "Mudga (split moong) - 1/3 cup",
    "Old Shali rice - 1/4 cup (optional, only if lean patient needs more Brimhana)",
    "Ghee - 2 tsp",
    "Cumin (Jeeraka) - 1 tsp",
    "Hingu (asafoetida) - pinch",
    "Haridra - 1/4 tsp",
    "Shunti - 1/4 tsp",
    "Curry leaves - 8-10",
    "Rock salt - to taste",
    "Water - 4 cups warm",
  ]),
  ...recipeSection("Method:", [
    "Wash and soak Yava + Mudga separately for 1 hour.",
    "Heat ghee in heavy bottom vessel.",
    "Add Hingu, Jeeraka, curry leaves - splutter.",
    "Add drained Yava and Mudga. Roast lightly 2 min.",
    "Add Haridra, Shunti. Stir.",
    "Add warm water. Bring to boil.",
    "Reduce flame, cover, cook until Yava and Mudga are very soft (20-25 min).",
    "Add Saindhava. Stir well - consistency should be between khichdi and porridge.",
    "Add extra ghee 1 tsp on top before serving.",
    "Serve warm. Never eat cold.",
  ]),
  ...recipeSection("Ayurvedic Significance:", [
    "Charaka recommends Mudga-Yusha and Khichdi variants for Samsarjana Krama",
    "Best meal for Aruchi days - easy to eat, highly nourishing",
    "Yava + Mudga combination = Pramehaghna + Deepana + Brimhana simultaneously",
    "Ghee on top = Brimhana for lean patient - mandatory addition",
    "Hingu = Samana + Apana Vayu - addresses both Vata components",
    "This dish alone addresses: Aruchi, Jatharagni Mandya, Dhatukshaya, Prameha",
  ]),
  divider(),

  // ── SECTION 7: Apathya (What to Avoid) ──────────────────────
  h1("7. Apathya - What to Strictly Avoid"),
  spacer(),

  h2("7.1 Apathya Ahara (Foods to Avoid)"),
  spacer(),
  threeColTable([
    ["Sugar & Jaggery", "Direct Prameha Nidana - Madhura Rasa excess", "Complete avoidance"],
    ["Nava Dhanya (new grains)", "Heavy, Kapha-increasing, Ama-forming", "Use only old grains (1yr+)"],
    ["Ikshu Vikara", "Sugarcane products - juice, jaggery, raw cane", "Complete avoidance"],
    ["Maida products", "White flour - Guru, Vishtimdhi, raises glucose sharply", "Complete avoidance"],
    ["Cold food/drink", "Samana Vayu Dushti, Agni dampening", "Nothing cold ever"],
    ["Refrigerated food", "Stale Veerya, Ama-forming, Agni damage", "Always freshly cooked"],
    ["Dadhi at night", "Kapha increase, Ama formation, Sroto Avrodha", "Never at night"],
    ["Excess sweet fruits", "Mango, banana, grapes, litchi, chikoo", "Avoid entirely"],
    ["Fried foods", "Guru, Abhishyandi, Medohara Sroto Dushti", "Complete avoidance"],
    ["Processed foods", "Preservatives, hidden sugars, trans fats", "Complete avoidance"],
    ["Cold drinks/soda", "Sheeta + Madhura = double Prameha aggravation", "Complete avoidance"],
    ["Excess salt", "Pitta-Kapha aggravation, Medovaha Dushti", "Use only Saindhava, sparingly"],
    ["Red meat (heavy)", "Guru, Abhishyandi, increases Meda", "Avoid"],
    ["Alcohol", "Directly aggravates Pitta + Vata, Yakrit Dushti", "Strictly contraindicated"],
  ], ["Food/Item", "Ayurvedic Reason", "Instruction"]),
  spacer(),

  h2("7.2 Apathya Vihara (Lifestyle to Avoid)"),
  spacer(),
  twoColTable([
    ["Divaswapna (Day sleep)", "Single most important Apathya - Kapha + Meda increase, Agni Dushti"],
    ["Avyayama (No exercise)", "Primary Prameha Nidana - Vyayama is Aushadha for Madhumeha"],
    ["Atishodhana (over-purification)", "Lean patient - aggressive fasting/purging causes Dhatukshaya"],
    ["Vishama Ahara Kala", "Irregular meals - Samana Vayu Dushti, Agni irregularity"],
    ["Ratri Jagarana (late nights)", "Vata Kopa, Dhatukshaya, Ojas Kshaya"],
    ["Vegadharana (suppressing urges)", "Especially Mutra - Apana Vayu Dushti worsens"],
    ["Manas Hetu (mental stress)", "Vata-Pitta aggravation, Agni Dushti, Cortisol → glucose rise"],
    ["Cold water bathing", "Agni dampening, Kapha increase"],
  ], ["Apathya Vihara", "Reason"]),
  divider(),

  // ── SECTION 8: Special Situations ───────────────────────────
  h1("8. Special Situation Dietary Guidelines"),
  spacer(),

  h2("8.1 When Aruchi (Loss of Appetite) is Present"),
  spacer(),
  twoColTable([
    ["Morning", "Only warm water + methi water. No solid food until Aruchi resolves."],
    ["When some hunger", "Start with Mudga Yusha (soup only) - small portion"],
    ["First solid meal", "Mudga-Yava Khichdi - semi-liquid consistency with extra ghee"],
    ["Chew after meals", "Ela + Lavanga + Saunf - restores Bodhaka Kapha, improves appetite"],
    ["Absolute avoid", "Heavy foods, milk products, fried items until Aruchi resolves"],
    ["Kavala Gandusha", "Tila Taila oil pulling daily - directly treats Aruchi at Bodhaka Kapha level"],
  ], ["Situation", "Recommendation"]),
  spacer(),

  h2("8.2 When Bitter Taste (Tiktasya) is Present"),
  spacer(),
  twoColTable([
    ["Immediate relief", "Chew 2 Ela pods + drink warm water with honey (small)"],
    ["Breakfast", "Avoid Tikta foods on that day - have Mudga Khichdi with ghee"],
    ["Drink", "Dhaniya-Jeeraka water - boil 1 tsp each in 2 cups water, sip warm"],
    ["After meals", "Gulkand (rose petal jam) 1 tsp - Pitta shamana in oral cavity"],
    ["Avoid", "All sour, spicy, fried foods - aggravate Pitta and worsen Tiktasya"],
    ["Long-term", "Arogyavardhini Vati + regular Kavala Gandusha eliminate root cause"],
  ], ["Situation", "Recommendation"]),
  spacer(),

  h2("8.3 On Days of Exercise Intolerance (Cold + Sweat)"),
  spacer(),
  twoColTable([
    ["Pre-walk snack", "Small banana (half) OR soaked dates (2) - 30 min before walk"],
    ["Avoid empty stomach walk", "Vata Kala + empty stomach = Ojas Kshaya"],
    ["Post-walk", "Warm water immediately. Rest 15 min before eating."],
    ["Recovery drink", "Warm milk with Ela + Ashwagandha - within 30 min of exercise"],
    ["If episode occurs", "Stop immediately, sit, drink warm water + small jaggery piece"],
    ["Long-term", "Vasanta Kusumakar + Ashwagandha at night builds exercise tolerance in 4-6 weeks"],
  ], ["Situation", "Recommendation"]),
  spacer(),

  h2("8.4 Fasting Guidelines (Upavasa)"),
  spacer(),
  note("Aggressive fasting is CONTRAINDICATED for lean Madhumeha (Dhatukshaya risk). Partial fasting only."),
  spacer(),
  twoColTable([
    ["Permitted fast", "Eat only 2 meals (no snacks) - NOT complete fasting"],
    ["If social pressure to fast", "Mudga Yusha + warm milk + fruits (Jambu, Amalaki) - not complete Nirahara"],
    ["Ekadashi/religious fasts", "Patient should NOT do complete Nirjala or Nirahara fasting"],
    ["Reason", "Lean patient - Dhatukshaya worsens rapidly with fasting, glucose becomes erratic"],
    ["If glucose drops", "Always carry: small piece jaggery OR dates OR banana"],
  ], ["Situation", "Recommendation"]),
  divider(),

  // ── SECTION 9: Seasonal Guidelines ──────────────────────────
  h1("9. Ritucharya - Seasonal Dietary Adjustments"),
  spacer(),
  threeColTable([
    ["Greeshma (Summer)", "More Sheeta-Madhura (cooling). Coconut water, Bael sharbat, Amalaki juice. Reduce Trikatu. Increase coriander, fennel.", "Increase Pitta-shamana foods"],
    ["Varsha (Monsoon)", "Agni very weak. Only warm freshly cooked food. Honey, Saindhava. Add Panchakola. Avoid raw vegetables. Takra mandatory.", "Deepana priority"],
    ["Sharad (Autumn)", "Pitta Prakopa season. Increase Tikta-Madhura. Amalaki, Patola, old rice, ghee. Virechana best in this season.", "Best for Panchakarma"],
    ["Hemanta/Shishira (Winter)", "Agni strong. Best for Brimhana foods. Increase Yava, ghee, warm milk, Ashwagandha, sesame. Best for Rasayana.", "Brimhana maximum"],
    ["Vasanta (Spring)", "Kapha Anubandha season. Reduce heavy foods. Increase Tikta-Katu. Methi, Karela, ginger, light meals.", "Kapha-Meda careful"],
  ], ["Season", "Dietary Adjustment", "Priority"]),
  divider(),

  // ── SECTION 10: Sample Shopping List ────────────────────────
  h1("10. Monthly Pathya Shopping List"),
  spacer(),
  h2("Grains & Dals"),
  spacer(),
  twoColTable([
    ["Yava (Barley) flour + whole barley", "2 kg each - primary staple"],
    ["Split Moong dal (Mudga)", "1 kg"],
    ["Old Shali/Sona Masoori rice (1yr+)", "2 kg"],
    ["Ragi flour", "1 kg"],
    ["Bajra flour", "500g"],
    ["Jowar flour", "500g"],
    ["Kulatha (horse gram)", "500g"],
  ], ["Item", "Quantity & Note"]),
  spacer(),
  h2("Vegetables (Weekly Fresh)"),
  spacer(),
  twoColTable([
    ["Karela (bitter gourd)", "500g weekly - MANDATORY"],
    ["Methi (fenugreek) - leaves + seeds", "Leaves 250g + seeds 100g"],
    ["Patola (pointed gourd)", "250g"],
    ["Drumstick (Shigru)", "2-3 sticks"],
    ["Seasonal bitter/astringent vegetables", "As available"],
  ], ["Item", "Quantity"]),
  spacer(),
  h2("Spices & Kitchen Medicines"),
  spacer(),
  twoColTable([
    ["Haridra (turmeric)", "100g - fresh + powder"],
    ["Jeeraka (cumin)", "100g"],
    ["Methi seeds", "100g"],
    ["Dalchini (cinnamon)", "50g"],
    ["Ela (cardamom)", "50g"],
    ["Lavanga (clove)", "25g"],
    ["Shunti (dry ginger)", "50g"],
    ["Hingu (asafoetida)", "25g"],
    ["Saunf (fennel)", "100g"],
    ["Kali Mirch (black pepper)", "50g"],
  ], ["Item", "Quantity"]),
  spacer(),
  h2("Fruits (Weekly Fresh)"),
  spacer(),
  twoColTable([
    ["Amalaki (Indian gooseberry)", "6-8 weekly or juice"],
    ["Jambu (blackberry, seasonal)", "As available"],
    ["Guava", "3-4 weekly"],
    ["Lemon/lime", "6-8 weekly"],
  ], ["Item", "Quantity"]),
  spacer(),
  h2("Dairy"),
  spacer(),
  twoColTable([
    ["A2/Desi cow milk", "500ml daily"],
    ["Cow Ghee", "250ml monthly minimum"],
    ["Tila Taila (sesame oil)", "For oil pulling + cooking"],
  ], ["Item", "Quantity"]),
  divider(),

  // ── SECTION 11: Important Rules ─────────────────────────────
  h1("11. Ten Golden Rules of Pathya for Lean Madhumeha"),
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  ...["1. EAT AT THE SAME TIME EVERY DAY - Fixed Ahara Kala is medicine itself.",
    "2. NEVER SKIP MEALS - You are lean. Skipping meals causes Dhatukshaya and worsens diabetes.",
    "3. YAVA (BARLEY) DAILY - Make it your primary grain. This is not optional.",
    "4. TAKRA (BUTTERMILK) WITH LUNCH - Every day without exception.",
    "5. WALK 30-45 MINUTES DAILY - Vyayama is the most powerful medicine for Madhumeha.",
    "6. NO DAY SLEEP - Not even 10 minutes. Divaswapna reverses all treatment.",
    "7. NOTHING COLD - All food and drink must be warm. Cold water is poison for your Agni.",
    "8. SMALL AMOUNT OF GHEE DAILY - You are lean. Ghee in small amounts is therapeutic, not harmful.",
    "9. KARELA OR METHI EVERY DAY - At least one bitter vegetable or bitter herb daily.",
    "10. MEDICINE + DIET + EXERCISE = ONE UNIT - Stopping any one undoes the other two."
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  divider(),

  // ── FOOTER NOTE ──────────────────────────────────────────────
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              new TextRun({ children: [PageNumber.CURRENT], size: 18, color: GREY_DARK, font: "Calibri" }),
              new TextRun({ text: " | Charaka Chikitsa 6 - Prameha Chikitsa | Prepared July 2026", size: 18, color: GREY_DARK, font: "Calibri", italic: true }),
            ],
          }),
        ],
      }),
    },
    children: sections_content,
  }],
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync("/home/daytona/workspace/lean-madhumeha-diet/Lean_Madhumeha_Pathya_Guide.docx", buf);
  console.log("SUCCESS: Document created.");
});

cd /home/daytona/workspace/lean-madhumeha-diet && node create_diet_doc.js 2>&1

python /home/daytona/skills/docx/scripts/office/validate.py /home/daytona/worksp…

cd /home/daytona/workspace/lean-madhumeha-diet && python3 -c " import zipfile, o…

~/lean-madhumeha-diet/create_prescription.js

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  HeadingLevel, AlignmentType, BorderStyle, WidthType, ShadingType,
  VerticalAlign, PageNumber, Header, Footer, PageBreak, UnderlineType
} = require('docx');
const fs = require('fs');

// ── Palette ────────────────────────────────────────────────────
const DARK_GREEN  = "1B5E20";
const MED_GREEN   = "2E7D32";
const LIGHT_GREEN = "C8E6C9";
const PALE_GREEN  = "E8F5E9";
const AMBER       = "E65100";
const AMBER_LIGHT = "FFF3E0";
const TEAL        = "006064";
const TEAL_LIGHT  = "E0F7FA";
const GREY_DARK   = "37474F";
const GREY_LIGHT  = "ECEFF1";
const WHITE       = "FFFFFF";
const MAROON      = "B71C1C";
const MAROON_LIGHT= "FFEBEE";
const BLUE_DARK   = "0D47A1";
const BLUE_LIGHT  = "E3F2FD";

// ── Helpers ────────────────────────────────────────────────────
const sp = (n=1) => new Paragraph({ spacing:{ before:80*n, after:0 }, children:[] });

function para(text, { bold=false, italic=false, color=GREY_DARK, size=22, align=AlignmentType.LEFT, bg=null }={}) {
  const p = new Paragraph({
    alignment: align,
    spacing: { before:40, after:40 },
    children: [new TextRun({ text, bold, italic, color, size, font:"Calibri" })],
  });
  if (bg) p.properties = { shading:{ type:ShadingType.SOLID, color:bg } };
  return p;
}

function shadedPara(text, bg, textColor=WHITE, bold=true, size=22) {
  return new Paragraph({
    spacing: { before:60, after:60 },
    shading: { type:ShadingType.SOLID, color:bg },
    indent: { left:100, right:100 },
    children: [new TextRun({ text, bold, color:textColor, size, font:"Calibri" })],
  });
}

function bullet(text, color=GREY_DARK, bold=false) {
  return new Paragraph({
    bullet: { level:0 },
    spacing: { before:40, after:40 },
    children: [new TextRun({ text, bold, color, size:22, font:"Calibri" })],
  });
}

function divider(color=LIGHT_GREEN) {
  return new Paragraph({
    spacing: { before:100, after:100 },
    border: { bottom:{ style:BorderStyle.SINGLE, size:8, color } },
    children:[],
  });
}

function noteBox(text) {
  return new Paragraph({
    spacing:{ before:80, after:80 },
    shading:{ type:ShadingType.SOLID, color:AMBER_LIGHT },
    indent:{ left:160, right:160 },
    children:[
      new TextRun({ text:"⚠  ", bold:true, size:20, color:AMBER, font:"Calibri" }),
      new TextRun({ text, size:20, color:GREY_DARK, font:"Calibri" }),
    ],
  });
}

// Prescription row table (medicine table)
function rxTable(rows) {
  // header
  const hdr = ["#", "Medicine", "Dose", "Timing", "Anupana", "Action / Target"];
  const colW = [4, 22, 8, 18, 14, 34]; // percentages

  const headerRow = new TableRow({
    tableHeader: true,
    children: hdr.map((h, i) => new TableCell({
      width: { size: colW[i], type: WidthType.PERCENTAGE },
      shading: { type:ShadingType.SOLID, color:DARK_GREEN },
      verticalAlign: VerticalAlign.CENTER,
      margins: { top:80, bottom:80, left:100, right:100 },
      children: [new Paragraph({
        alignment: AlignmentType.CENTER,
        children: [new TextRun({ text:h, bold:true, color:WHITE, size:19, font:"Calibri" })],
      })],
    })),
  });

  const dataRows = rows.map((row, i) =>
    new TableRow({
      children: row.map((cell, ci) => new TableCell({
        width: { size: colW[ci], type: WidthType.PERCENTAGE },
        shading: { type:ShadingType.SOLID, color: i%2===0 ? WHITE : PALE_GREEN },
        verticalAlign: VerticalAlign.CENTER,
        margins: { top:60, bottom:60, left:100, right:100 },
        children: [new Paragraph({
          children: [new TextRun({
            text: cell,
            size: 19,
            color: ci===0 ? TEAL : GREY_DARK,
            bold: ci===0 || ci===1,
            font:"Calibri",
          })],
        })],
      })),
    })
  );

  return new Table({
    width: { size:100, type:WidthType.PERCENTAGE },
    rows: [headerRow, ...dataRows],
  });
}

// Simple 2-col table
function twoCol(rows, h1, h2, hBg=MED_GREEN) {
  const headerRow = new TableRow({
    tableHeader:true,
    children: [h1,h2].map(h => new TableCell({
      shading:{type:ShadingType.SOLID, color:hBg},
      verticalAlign:VerticalAlign.CENTER,
      margins:{top:80,bottom:80,left:120,right:120},
      children:[new Paragraph({ alignment:AlignmentType.CENTER, children:[new TextRun({text:h,bold:true,color:WHITE,size:20,font:"Calibri"})] })],
    })),
  });
  const dataRows = rows.map((row,i)=>new TableRow({
    children: row.map((cell,ci)=>new TableCell({
      shading:{type:ShadingType.SOLID, color:i%2===0?WHITE:PALE_GREEN},
      margins:{top:60,bottom:60,left:120,right:120},
      children:[new Paragraph({children:[new TextRun({text:cell,size:20,color:GREY_DARK,bold:ci===0,font:"Calibri"})]})],
    })),
  }));
  return new Table({ width:{size:100,type:WidthType.PERCENTAGE}, rows:[headerRow,...dataRows] });
}

// Timing section header (colored band)
function timeBand(time, bg=TEAL) {
  return new Paragraph({
    spacing:{ before:180, after:60 },
    shading:{ type:ShadingType.SOLID, color:bg },
    indent:{ left:0, right:0 },
    children:[
      new TextRun({ text:`  ${time}`, bold:true, size:26, color:WHITE, font:"Calibri" }),
    ],
  });
}

// ══════════════════════════════════════════════════════════════
//  PATIENT INFO BLOCK
// ══════════════════════════════════════════════════════════════
function patientBlock() {
  const labelStyle = { bold:true, size:20, color:TEAL, font:"Calibri" };
  const valueStyle = { size:20, color:GREY_DARK, font:"Calibri" };

  const makeRow = (label, value) => new TableRow({
    children: [
      new TableCell({
        width:{size:30,type:WidthType.PERCENTAGE},
        shading:{type:ShadingType.SOLID,color:TEAL_LIGHT},
        margins:{top:60,bottom:60,left:120,right:60},
        children:[new Paragraph({children:[new TextRun({text:label,...labelStyle})]})],
      }),
      new TableCell({
        width:{size:70,type:WidthType.PERCENTAGE},
        shading:{type:ShadingType.SOLID,color:WHITE},
        margins:{top:60,bottom:60,left:120,right:120},
        children:[new Paragraph({children:[new TextRun({text:value,...valueStyle})]})],
      }),
    ],
  });

  return new Table({
    width:{size:100,type:WidthType.PERCENTAGE},
    rows:[
      makeRow("Prakriti","Kapha-Pitta"),
      makeRow("Vikriti","Vata-Pitta Kopa | Kapha Anubandha"),
      makeRow("Roga","Madhumeha (Type 2 Diabetes Mellitus)"),
      makeRow("Age / Weight / Height","Adult | 60 kg | 165 cm (BMI ~22 - Krisha)"),
      makeRow("Dosha Involvement","Vata (primary) + Pitta | Kapha Anubandha"),
      makeRow("Vayu Dushti","Vyana + Samana + Apana"),
      makeRow("Pitta Dushti","Pachaka + Bhrajaka"),
      makeRow("Kapha Dushti","Kledaka + Bodhaka"),
      makeRow("Dushya","Rasa, Lasika, Rudhira, Sweda, Ojas"),
      makeRow("Agni","Jatharagni Mandya + Dhatvagni Mandya | Mild Ama"),
      makeRow("Key Investigations","HbA1c 7.9 | FBS 146 | PPBS 236 | S.Chol 281"),
      makeRow("Active Complaints","Aruchi | Tiktasya | Skin Vaivarnya (Lt elbow)"),
      makeRow("Allopathic Rx","Metformin 250mg BD + Glimepride 0.25mg BD (reduced)"),
      makeRow("Date","July 2026"),
    ],
  });
}

// ══════════════════════════════════════════════════════════════
//  MAIN CONTENT
// ══════════════════════════════════════════════════════════════
const content = [

  // ── LETTERHEAD ───────────────────────────────────────────────
  new Paragraph({
    alignment: AlignmentType.CENTER,
    spacing:{ before:0, after:20 },
    children:[new TextRun({ text:"AYURVEDIC PRESCRIPTION", bold:true, size:52, color:DARK_GREEN, font:"Calibri" })],
  }),
  new Paragraph({
    alignment: AlignmentType.CENTER,
    shading:{ type:ShadingType.SOLID, color:DARK_GREEN },
    spacing:{ before:0, after:0 },
    children:[new TextRun({ text:"Lean Madhumeha (Krisha Pramehi)  |  Vata-Pitta Vikriti with Kapha Anubandha", bold:true, size:22, color:LIGHT_GREEN, font:"Calibri" })],
  }),
  sp(),

  // ── PATIENT INFO ─────────────────────────────────────────────
  shadedPara("PATIENT PROFILE", MED_GREEN, WHITE, true, 24),
  sp(0.5),
  patientBlock(),
  sp(),
  divider(),

  // ── CHIKITSA SUTRA ───────────────────────────────────────────
  shadedPara("CHIKITSA SUTRA (Treatment Principles)", TEAL, WHITE, true, 24),
  sp(0.5),
  twoCol([
    ["Vata-Pitta Shamana (primary)","Snigdha + Tikta Rasa Aushadha"],
    ["Kapha Anubandha Shamana","Mild Kaphahara - NOT aggressive Langhana"],
    ["Deepana-Pachana (immediate)","Agni restoration first - Aruchi must resolve before Rasayana"],
    ["Rakta Shodhana","For Rudhira Dushti + Bhrajaka Pitta (skin vaivarnya)"],
    ["Medohara","For Cholesterol 281 - Medovaha Sroto Dushti"],
    ["Brimhana Rasayana","Lean patient - Dhatukshaya + Ojokshaya must be addressed"],
    ["Basti (Phase 2)","Apana + Vyana Vayu Chikitsa - after Ama clears"],
  ], "Chikitsa Principle", "Drug Strategy"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  PRESCRIPTION TABLE
  // ══════════════════════════════════════════════════════════════
  shadedPara("AUSHADHA YOJANA (Medicines)", DARK_GREEN, WHITE, true, 26),
  sp(0.5),

  // ── TIMING BAND 1: EMPTY STOMACH ─────────────────────────────
  timeBand("6:00 AM  —  Empty Stomach (Before Medicines)", DARK_GREEN),
  sp(0.3),
  rxTable([
    ["1","Kavala Gandusha","Tila Taila 10ml","Hold 10 min, spit","None","Bodhaka Kapha Dushti - Tiktasya (bitter taste) + Aruchi"],
    ["2","Ushnodaka Pana","2 glasses warm water","Sip slowly","None","Sroto Shodhana, Agni deepana, Samana Vayu"],
    ["3","Methi Seed Water","1 tsp soaked seeds","Drink water + chew seeds","None","Pramehaghna - PPBS 236 control, Jatharagni deepana"],
  ]),
  sp(),

  // ── TIMING BAND 2: BEFORE BREAKFAST ──────────────────────────
  timeBand("7:30 AM  —  Before Breakfast (30 min prior)", MED_GREEN),
  sp(0.3),
  rxTable([
    ["4","Chitrakadi Vati","2 tab","30 min before food","Warm water","Jatharagni Mandya + Samana Vayu + Kledaka Kapha - primary Aruchi drug"],
    ["5","Trikatu Churna","1g","With medicine","Honey + warm water","Kledaka + Bodhaka Kapha, Ama Pachana, Agni deepana"],
    ["6","Balaguluchyadi Kashayam ✓","15 ml","Before food","As is, warm","Vata-Pitta shamana, Brimhana (Bala), Rasayana (Guduchi) - CONTINUE"],
    ["7","Madhumeha Nashini Gulika ✓","1 tab","Before food","Warm water","Pramehaghna - glucose control, addresses PPBS"],
    ["8","Amrita Mehari Churna ✓","3g","Before food (SHIFTED)","Warm water","Rasa-Lasika Dushti, Pramehaghna - TIMING CHANGED from after to before food"],
  ]),
  sp(),

  // ── TIMING BAND 3: AFTER BREAKFAST ───────────────────────────
  timeBand("8:30 AM  —  After Breakfast", TEAL),
  sp(0.3),
  rxTable([
    ["9","Vasanta Kusumakar Rasa","125 mg","After food","Honey","OJASYA - lean Madhumeha Rasayana, all Dhatvagni, HbA1c. KEY ADDITION."],
    ["10","Trivang Bhasma","125 mg","After food","Honey","Naga+Vanga+Yashada - specific Madhumeha Bhasma, Dhatukshaya"],
    ["11","Arogyavardhini Vati ✓","1 tab","After food","Warm water","Kledaka Kapha, Medohara, Yakrit - Tiktasya (Katuki). CONTINUE"],
    ["12","Navaka Guggulu","2 tab","After food","Warm water","Medovaha Sroto Dushti - Cholesterol 281. Stronger than Kanchanara for lipids."],
    ["13","Manjistha Churna","3g","After food","Warm water","Rudhira Dushti + Bhrajaka Pitta - skin Vaivarnya, Rakta Shodhana"],
  ]),
  sp(),
  noteBox("After breakfast: chew 2 Ela (cardamom) pods + 1 Lavanga (clove) - direct Bodhaka Kapha treatment for bitter taste."),
  sp(),

  // ── TIMING BAND 4: LUNCH ──────────────────────────────────────
  timeBand("1:00 PM  —  Lunch", BLUE_DARK),
  sp(0.3),
  rxTable([
    ["14","Hingvashtaka Churna","2g","With 1st bite of food","Cow ghee (1/2 tsp)","Samana Vayu - specific for this Vayu Dushti component"],
    ["15","Takra (Buttermilk)","1 glass","With/after lunch","Jeeraka + Saindhava","MANDATORY - Pramehaghna, Deepana, Kledaka Kapha shamana"],
  ]),
  sp(),

  // ── TIMING BAND 5: EVENING ───────────────────────────────────
  timeBand("6:00 PM  —  Evening (Before Dinner)", MED_GREEN),
  sp(0.3),
  rxTable([
    ["16","Kanchanara Guggulu ✓","500 mg","6 PM","Warm water","Kapha Anubandha + Tvak Doshahara (skin). CONTINUE"],
    ["17","Balaguluchyadi Kashayam ✓","15 ml","Before food","As is, warm","Evening dose - CONTINUE"],
    ["18","Madhumeha Nashini Gulika ✓","1 tab","Before food","Warm water","Evening dose - CONTINUE"],
  ]),
  sp(),

  // ── TIMING BAND 6: AFTER DINNER ──────────────────────────────
  timeBand("8:00 PM  —  After Dinner", TEAL),
  sp(0.3),
  rxTable([
    ["19","Arogyavardhini Vati","1 tab","After dinner","Warm water","BD dose - add evening dose for better Medohara + Tiktasya control"],
    ["20","Trivang Bhasma","125 mg","After dinner","Honey","Evening dose for continuous Madhumeha action"],
    ["21","Shilajatu","500 mg","After dinner","Warm milk","Ojas + Dhatu Poshana + Pramehaghna - Dhatukshaya in lean patient"],
    ["22","Ashwagandha Churna","3g","After dinner","Warm milk","Brimhana, Vatahara, Mamsa Dhatu Poshana, exercise tolerance"],
  ]),
  sp(),

  // ── TIMING BAND 7: BEDTIME ────────────────────────────────────
  timeBand("9:30 PM  —  Bedtime", DARK_GREEN),
  sp(0.3),
  rxTable([
    ["23","Triphala Churna","5g","Bedtime","Warm water","Sroto Shodhana, Medohara (cholesterol), Anulomana - nightly cleanse"],
    ["24","Sariva Churna","3g","Bedtime","Warm water","Pitta-Rakta shamana, Rudhira Dushti, skin Vaivarnya"],
  ]),
  sp(),

  // ── EXTERNAL ──────────────────────────────────────────────────
  shadedPara("BAHYA CHIKITSA (External Applications)", MAROON, WHITE, true, 22),
  sp(0.5),
  rxTable([
    ["E1","Nalpamaradi Taila","Adequate qty","Morning daily","None","Local application on skin Vaivarnya (Lt elbow) - Bhrajaka Pitta"],
    ["E2","Ksheerabala Taila","Full body","Before bath daily","None","Abhyanga - Vyana Vayu, Tvak Poshana, peripheral circulation"],
    ["E3","Chandana + Manjistha Lepa","Paste form","3x per week","Rose water","On skin lesion - Pitta-Rakta Shodhana externally, Varnya"],
  ]),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  EXISTING Rx STATUS
  // ══════════════════════════════════════════════════════════════
  shadedPara("STATUS OF EXISTING PRESCRIPTION", BLUE_DARK, WHITE, true, 22),
  sp(0.5),
  twoCol([
    ["Kanchanara Guggulu 500mg BD ✓","CONTINUE - Kapha Anubandha, Tvak Doshahara, skin finding"],
    ["Balaguluchyadi Kashayam 15ml BD ✓","CONTINUE - best drug for this patient (Bala+Guduchi), Vata-Pitta"],
    ["Madhumeha Nashini Gulika BD ✓","CONTINUE - direct Pramehaghna, glucose control"],
    ["Arogyavardhini Vati 1 tab OD → BD","INCREASE to BD - cholesterol 281 needs stronger Medohara"],
    ["Amrita Mehari Churna 3g BD","CHANGE TIMING - shift from after food to BEFORE food for PPBS"],
  ], "Medicine", "Status & Reason"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  PANCHAKARMA PLAN
  // ══════════════════════════════════════════════════════════════
  shadedPara("PANCHAKARMA PLAN (Phase 2 - after 3-4 weeks)", TEAL, WHITE, true, 22),
  sp(0.5),
  noteBox("Panchakarma to be initiated ONLY after Aruchi resolves and Agni improves (Nirama state confirmed). Do not start while Ama is present."),
  sp(0.5),
  twoCol([
    ["Poorvakarma","Abhyanga (Ksheerabala Taila) + mild Swedana - 3-5 days"],
    ["Primary: Madhutailika Basti","15 days Kala Basti - Apana Vayu + Vyana Vayu Chikitsa"],
    ["Anuvasana Basti (8 days)","Ksheerabala Taila 60ml - Vata-Pitta, Brimhana (lean patient)"],
    ["Niruha Basti (7 days)","Honey + Saindhava + Dashamula Kashayam + Guduchi Kashayam + Milk"],
    ["Secondary: Snigdha Virechana","Trivrit Leha 15-20g with Eranda Taila - Pitta + Medovaha Sroto Shodhana"],
    ["NOT recommended","Vamana - Kapha is Anubandha only; lean patient - will cause Dhatukshaya"],
    ["Samsarjana Krama","3-5 days Peya → Vilepi → Yusha after Shodhana - mandatory"],
  ], "Procedure", "Detail"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  PATHYA-APATHYA SUMMARY
  // ══════════════════════════════════════════════════════════════
  shadedPara("PATHYA - APATHYA (Diet & Lifestyle)", MED_GREEN, WHITE, true, 22),
  sp(0.5),

  new Paragraph({ spacing:{before:60,after:20}, children:[new TextRun({text:"KEY PATHYA (Non-negotiable):", bold:true, size:22, color:DARK_GREEN, font:"Calibri"})] }),
  bullet("Yava (barley) as primary daily grain - Pramehaghna Sreshtha", DARK_GREEN, true),
  bullet("Takra (buttermilk with Jeeraka) - mandatory with lunch daily"),
  bullet("Karela / Methi / Nimba - at least one bitter vegetable every day"),
  bullet("Small quantity cow ghee daily - Brimhana for lean patient, do not skip"),
  bullet("Fixed meal times - same time every day (Samana Vayu)"),
  bullet("Warm freshly cooked food only - no cold or refrigerated food"),
  bullet("Amalaki daily - Rasayana, low GI, Tridoshahara"),
  sp(0.5),

  new Paragraph({ spacing:{before:60,after:20}, children:[new TextRun({text:"KEY APATHYA (Strict avoidance):", bold:true, size:22, color:MAROON, font:"Calibri"})] }),
  bullet("Divaswapna (day sleep) - absolute contraindication in Madhumeha", MAROON, true),
  bullet("Avyayama (no exercise) - Vyayama is Aushadha, not optional", MAROON),
  bullet("Sugar, jaggery, sweet drinks - direct Prameha Nidana", MAROON),
  bullet("Cold food and drinks - Agni dampening, Samana Vayu Dushti", MAROON),
  bullet("Refrigerated/reheated food - Ama formation", MAROON),
  bullet("Irregular meal times - Vishama Ahara = Madhumeha Nidana", MAROON),
  bullet("Excess Amla-Lavana Rasa - Pitta + Rakta Dushti aggravation", MAROON),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  VYAYAMA
  // ══════════════════════════════════════════════════════════════
  shadedPara("VYAYAMA PRESCRIPTION (Exercise as Medicine)", AMBER, WHITE, true, 22),
  sp(0.5),
  noteBox("Patient currently experiencing cold + sweating during exercise due to Ojokshaya. Start SLOW. Build gradually. Vasanta Kusumakar + Ashwagandha will improve exercise tolerance within 4-6 weeks."),
  sp(0.5),
  twoCol([
    ["Week 1-2","Slow walk 10-15 min only. Stop at first sign of sweating/cold feeling."],
    ["Week 3-4","Moderate walk 20-25 min. Mandukasana + Vakrasana (5 min each)."],
    ["Month 2","Brisk walk 30-35 min + Yoga 15 min (Surya Namaskar 6 rounds)."],
    ["Month 3+","Brisk walk 45 min + Surya Namaskar 12 rounds + Pranayama 10 min."],
    ["Pre-walk rule","Small snack 30 min before (half banana or 2 soaked dates). Never empty stomach."],
    ["Post-walk","Warm water immediately. Warm milk + Ashwagandha within 30 min."],
    ["Yoga: Mandukasana","Daily - stimulates Pachaka Pitta (pancreas), Apana Vayu regulation"],
    ["Yoga: Vakrasana","Daily - Medovaha Srotas, Yakrit stimulation, lipid balance"],
    ["Yoga: Anuloma-Viloma","10 min daily - Vata-Pitta balance, Samana Vayu"],
  ], "Phase / Activity", "Detail"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  MONITORING TARGETS
  // ══════════════════════════════════════════════════════════════
  shadedPara("MONITORING TARGETS", DARK_GREEN, WHITE, true, 22),
  sp(0.5),
  twoCol([
    ["Aruchi (appetite)","Should resolve within 2-3 weeks of Chitrakadi Vati + Trikatu"],
    ["Tiktasya (bitter taste)","Should reduce in 1-2 weeks with Kavala Gandusha + Arogyavardhini BD"],
    ["Skin Vaivarnya","Monitor monthly - should fade within 6-8 weeks of Manjistha + Nalpamaradi Taila"],
    ["FBS (currently 146)","Target: < 120 mg/dL by Month 2"],
    ["PPBS (currently 236)","Target: < 160 mg/dL by Month 2"],
    ["HbA1c (currently 7.9)","Target: < 7.0 by Month 3"],
    ["S. Cholesterol (currently 281)","Target: < 220 mg/dL by Month 3"],
    ["Exercise tolerance","Should improve significantly by Week 4-6 with Rasayana"],
    ["Allopathic medicines","Monitor for further dose reduction as glycemia improves - liaise with physician"],
  ], "Parameter", "Target / Timeline"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  SPECIAL INSTRUCTIONS
  // ══════════════════════════════════════════════════════════════
  shadedPara("SPECIAL INSTRUCTIONS FOR PATIENT", MAROON, WHITE, true, 22),
  sp(0.5),
  new Paragraph({
    spacing:{before:80,after:80},
    shading:{type:ShadingType.SOLID, color:MAROON_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"1.  Do NOT stop medicines again without consulting your doctor. Stopping medicines is the primary reason for relapse.", bold:true, size:21, color:MAROON, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:60,after:80},
    shading:{type:ShadingType.SOLID, color:MAROON_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"2.  Check blood glucose DURING sweating/cold episodes. Report readings immediately.", size:21, color:GREY_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:60,after:80},
    shading:{type:ShadingType.SOLID, color:BLUE_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"3.  Continue Metformin and Glimepride as prescribed by allopathic physician. Do NOT stop without medical advice. Ayurvedic medicines are additive.", size:21, color:BLUE_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:60,after:80},
    shading:{type:ShadingType.SOLID, color:BLUE_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"4.  Vasanta Kusumakar Rasa contains gold (Swarna Bhasma). Take only as prescribed. Do not increase dose.", size:21, color:BLUE_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:60,after:80},
    shading:{type:ShadingType.SOLID, color:PALE_GREEN},
    indent:{left:160,right:160},
    children:[new TextRun({text:"5.  Arogyavardhini Vati contains Parada-Gandhaka (Kajjali). Use only in 3-month courses with 1-month break. Do not use continuously beyond 3 months.", size:21, color:DARK_GREEN, font:"Calibri"})],
  }),
  sp(),

  // ── FOLLOW UP ─────────────────────────────────────────────────
  shadedPara("FOLLOW-UP SCHEDULE", TEAL, WHITE, true, 20),
  sp(0.5),
  twoCol([
    ["2 weeks","Review Aruchi + Tiktasya resolution. Assess Agni. Adjust Deepana drugs."],
    ["1 month","FBS + PPBS check. Assess skin lesion. Decide Panchakarma readiness."],
    ["3 months","Full labs: HbA1c + Lipid profile + Renal function + LFT. Review all medicines."],
    ["6 months","Reassess Samprapti. Consider Arogyavardhini break (if 3-month course complete)."],
  ], "Follow-up Time", "Assessment Required"),
  sp(2),

  // ── SIGNATURE BLOCK ───────────────────────────────────────────
  divider(),
  new Paragraph({
    alignment:AlignmentType.RIGHT,
    spacing:{before:60,after:40},
    children:[new TextRun({text:"Ayurvedic Physician's Signature: _______________________", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    alignment:AlignmentType.RIGHT,
    spacing:{before:20,after:40},
    children:[new TextRun({text:"Registration No.: ___________________", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    alignment:AlignmentType.RIGHT,
    spacing:{before:20,after:40},
    children:[new TextRun({text:"Date: July 2026", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    alignment:AlignmentType.RIGHT,
    spacing:{before:20,after:40},
    children:[new TextRun({text:"Stamp:", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  sp(2),

  // ── DISCLAIMER ────────────────────────────────────────────────
  new Paragraph({
    alignment:AlignmentType.CENTER,
    shading:{type:ShadingType.SOLID, color:DARK_GREEN},
    spacing:{before:80,after:80},
    indent:{left:160,right:160},
    children:[
      new TextRun({text:"This prescription is issued under classical Ayurvedic guidelines. To be dispensed and administered under Ayurvedic physician supervision only. ", size:17, color:LIGHT_GREEN, font:"Calibri"}),
      new TextRun({text:"Nidana Parivarjanam eva Chikitsa - Charaka Samhita", size:17, color:WHITE, bold:true, font:"Calibri", italic:true}),
    ],
  }),
];

// ── DOCUMENT ───────────────────────────────────────────────────
const doc = new Document({
  sections: [{
    properties:{
      page:{
        margin:{ top:800, bottom:800, left:900, right:900 },
      },
    },
    headers:{
      default: new Header({
        children:[
          new Paragraph({
            alignment:AlignmentType.CENTER,
            shading:{type:ShadingType.SOLID, color:PALE_GREEN},
            children:[
              new TextRun({text:"AYURVEDIC PRESCRIPTION  |  Lean Madhumeha (Krisha Pramehi)  |  Vata-Pitta + Kapha Anubandha", size:17, color:MED_GREEN, bold:true, font:"Calibri"}),
            ],
          }),
        ],
      }),
    },
    footers:{
      default: new Footer({
        children:[
          new Paragraph({
            alignment:AlignmentType.CENTER,
            children:[
              new TextRun({text:"Confidential Medical Document  |  Page ", size:17, color:GREY_DARK, font:"Calibri"}),
              new TextRun({children:[PageNumber.CURRENT], size:17, color:GREY_DARK, font:"Calibri"}),
              new TextRun({text:"  |  Prepared July 2026", size:17, color:GREY_DARK, font:"Calibri"}),
            ],
          }),
        ],
      }),
    },
    children: content,
  }],
});

Packer.toBuffer(doc).then(buf => {
  fs.writeFileSync("/home/daytona/workspace/lean-madhumeha-diet/Lean_Madhumeha_Prescription.docx", buf);
  console.log("SUCCESS");
});

cd /home/daytona/workspace/lean-madhumeha-diet && node create_prescription.js 2>…

python3 -c " import zipfile, os f = '/home/daytona/workspace/lean-madhumeha-diet…

~/lean-madhumeha-diet/create_combined_rx.js

const {
  Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
  HeadingLevel, AlignmentType, BorderStyle, WidthType, ShadingType,
  VerticalAlign, PageNumber, Header, Footer, PageBreak, UnderlineType
} = require('docx');
const fs = require('fs');

// ── Palette ────────────────────────────────────────────────────
const DARK_GREEN  = "1B5E20";
const MED_GREEN   = "2E7D32";
const LIGHT_GREEN = "C8E6C9";
const PALE_GREEN  = "E8F5E9";
const AMBER       = "E65100";
const AMBER_LIGHT = "FFF3E0";
const TEAL        = "006064";
const TEAL_LIGHT  = "E0F7FA";
const GREY_DARK   = "37474F";
const WHITE       = "FFFFFF";
const MAROON      = "B71C1C";
const MAROON_LIGHT= "FFEBEE";
const BLUE_DARK   = "0D47A1";
const BLUE_LIGHT  = "E3F2FD";
const PURPLE      = "4A148C";
const PURPLE_LIGHT= "F3E5F5";

// ── Helpers ────────────────────────────────────────────────────
const sp = (n=1) => new Paragraph({ spacing:{before:80*n,after:0}, children:[] });

function shadedPara(text, bg, textColor=WHITE, size=24) {
  return new Paragraph({
    spacing:{ before:120, after:60 },
    shading:{ type:ShadingType.SOLID, color:bg },
    indent:{ left:80, right:80 },
    children:[new TextRun({ text, bold:true, color:textColor, size, font:"Calibri" })],
  });
}

function divider(color=LIGHT_GREEN) {
  return new Paragraph({
    spacing:{ before:100, after:100 },
    border:{ bottom:{ style:BorderStyle.SINGLE, size:8, color } },
    children:[],
  });
}

function noteBox(text, bg=AMBER_LIGHT, iconColor=AMBER) {
  return new Paragraph({
    spacing:{ before:80, after:80 },
    shading:{ type:ShadingType.SOLID, color:bg },
    indent:{ left:160, right:160 },
    children:[
      new TextRun({ text:"⚠  Note: ", bold:true, size:20, color:iconColor, font:"Calibri" }),
      new TextRun({ text, size:20, color:GREY_DARK, font:"Calibri" }),
    ],
  });
}

function infoBox(text, bg=BLUE_LIGHT, textColor=BLUE_DARK) {
  return new Paragraph({
    spacing:{ before:80, after:80 },
    shading:{ type:ShadingType.SOLID, color:bg },
    indent:{ left:160, right:160 },
    children:[new TextRun({ text, size:20, color:textColor, font:"Calibri", bold:true })],
  });
}

function bullet(text, color=GREY_DARK, bold=false) {
  return new Paragraph({
    bullet:{ level:0 },
    spacing:{ before:40, after:40 },
    children:[new TextRun({ text, bold, color, size:21, font:"Calibri" })],
  });
}

// ── Timing band ────────────────────────────────────────────────
function timeBand(label, bg) {
  return new Paragraph({
    spacing:{ before:200, after:60 },
    shading:{ type:ShadingType.SOLID, color:bg },
    children:[new TextRun({ text:`  ${label}`, bold:true, size:26, color:WHITE, font:"Calibri" })],
  });
}

// ── Prescription row builder ───────────────────────────────────
// cols: #, Medicine, Type, Dose, Timing, Anupana, Notes
function rxTable(rows, colWidths=[4,24,10,8,16,14,24]) {
  const headers = ["#","Medicine","Type","Dose","Timing","Anupana","Notes / Interaction"];
  const hdrRow = new TableRow({
    tableHeader:true,
    children: headers.map((h,i) => new TableCell({
      width:{ size:colWidths[i], type:WidthType.PERCENTAGE },
      shading:{ type:ShadingType.SOLID, color:DARK_GREEN },
      verticalAlign:VerticalAlign.CENTER,
      margins:{ top:70, bottom:70, left:80, right:80 },
      children:[new Paragraph({
        alignment:AlignmentType.CENTER,
        children:[new TextRun({ text:h, bold:true, color:WHITE, size:18, font:"Calibri" })],
      })],
    })),
  });

  const dataRows = rows.map((row,i) => new TableRow({
    children: row.map((cell,ci) => {
      // Color the "Type" column by category
      let cellBg = i%2===0 ? WHITE : PALE_GREEN;
      let cellColor = GREY_DARK;
      let cellBold = ci===1;
      if (ci===2) {
        if (cell==="Ayurvedic") { cellBg = PALE_GREEN; cellColor = DARK_GREEN; cellBold=true; }
        if (cell==="Modern") { cellBg = BLUE_LIGHT; cellColor = BLUE_DARK; cellBold=true; }
        if (cell==="Both") { cellBg = PURPLE_LIGHT; cellColor = PURPLE; cellBold=true; }
      }
      return new TableCell({
        width:{ size:colWidths[ci], type:WidthType.PERCENTAGE },
        shading:{ type:ShadingType.SOLID, color:ci===2?cellBg:(i%2===0?WHITE:PALE_GREEN) },
        verticalAlign:VerticalAlign.CENTER,
        margins:{ top:55, bottom:55, left:80, right:80 },
        children:[new Paragraph({
          children:[new TextRun({
            text:cell,
            size:18,
            color:ci===2?cellColor:GREY_DARK,
            bold:cellBold,
            font:"Calibri",
          })],
        })],
      });
    }),
  }));

  return new Table({
    width:{ size:100, type:WidthType.PERCENTAGE },
    rows:[hdrRow,...dataRows],
  });
}

// ── 2-col table ────────────────────────────────────────────────
function twoCol(rows, h1, h2, hBg=MED_GREEN) {
  const hRow = new TableRow({
    tableHeader:true,
    children:[h1,h2].map(h=>new TableCell({
      shading:{type:ShadingType.SOLID,color:hBg},
      verticalAlign:VerticalAlign.CENTER,
      margins:{top:70,bottom:70,left:100,right:100},
      children:[new Paragraph({alignment:AlignmentType.CENTER,children:[new TextRun({text:h,bold:true,color:WHITE,size:20,font:"Calibri"})]})]
    })),
  });
  const dRows = rows.map((row,i)=>new TableRow({
    children:row.map((cell,ci)=>new TableCell({
      shading:{type:ShadingType.SOLID,color:i%2===0?WHITE:PALE_GREEN},
      margins:{top:55,bottom:55,left:100,right:100},
      children:[new Paragraph({children:[new TextRun({text:cell,size:19,color:GREY_DARK,bold:ci===0,font:"Calibri"})]})],
    })),
  }));
  return new Table({width:{size:100,type:WidthType.PERCENTAGE},rows:[hRow,...dRows]});
}

// ── Interaction table ──────────────────────────────────────────
function interactionTable(rows) {
  const headers = ["Ayurvedic Drug","Modern Drug","Interaction","Risk Level","Clinical Action"];
  const colW = [20,18,28,12,22];
  const hRow = new TableRow({
    tableHeader:true,
    children:headers.map((h,i)=>new TableCell({
      width:{size:colW[i],type:WidthType.PERCENTAGE},
      shading:{type:ShadingType.SOLID,color:DARK_GREEN},
      verticalAlign:VerticalAlign.CENTER,
      margins:{top:70,bottom:70,left:80,right:80},
      children:[new Paragraph({alignment:AlignmentType.CENTER,children:[new TextRun({text:h,bold:true,color:WHITE,size:18,font:"Calibri"})]})],
    })),
  });
  const dRows = rows.map((row,i)=>new TableRow({
    children:row.map((cell,ci)=>{
      let bg = i%2===0?WHITE:PALE_GREEN;
      let color = GREY_DARK;
      if(ci===3){
        if(cell==="✅ Safe"){ bg=PALE_GREEN; color=DARK_GREEN; }
        if(cell==="⚠️ Monitor"){ bg=AMBER_LIGHT; color=AMBER; }
        if(cell==="🔴 Caution"){ bg=MAROON_LIGHT; color=MAROON; }
      }
      return new TableCell({
        width:{size:colW[ci],type:WidthType.PERCENTAGE},
        shading:{type:ShadingType.SOLID,color:bg},
        verticalAlign:VerticalAlign.CENTER,
        margins:{top:55,bottom:55,left:80,right:80},
        children:[new Paragraph({children:[new TextRun({text:cell,size:18,bold:ci===3,color:ci===3?color:GREY_DARK,font:"Calibri"})]})],
      });
    }),
  }));
  return new Table({width:{size:100,type:WidthType.PERCENTAGE},rows:[hRow,...dRows]});
}

// ══════════════════════════════════════════════════════════════
//  PATIENT INFO TABLE
// ══════════════════════════════════════════════════════════════
function patientTable() {
  const rows = [
    ["Patient Prakriti","Kapha-Pitta"],
    ["Vikriti","Vata-Pitta Kopa | Kapha Anubandha"],
    ["Roga","Madhumeha (Type 2 Diabetes Mellitus) - Lean (Krisha)"],
    ["Weight / Height","60 kg / 165 cm | BMI ~22"],
    ["HbA1c","7.9% (was 13 at diagnosis → improved to 7 → relapsed to 7.9)"],
    ["FBS / PPBS","146 mg/dL / 236 mg/dL (without medicine)"],
    ["S. Cholesterol","281 mg/dL"],
    ["Active Complaints","Aruchi | Tiktasya | Skin Vaivarnya (Lt elbow) | Cold+sweat on exertion"],
    ["Dosha-Dushya","Rasa, Lasika, Rudhira, Sweda, Ojas | Vyana+Samana+Apana Vayu"],
    ["Agni Status","Jatharagni Mandya + Dhatvagni Mandya | Mild Ama present"],
    ["Date","July 2026"],
  ];
  return new Table({
    width:{size:100,type:WidthType.PERCENTAGE},
    rows: rows.map((row,i)=>new TableRow({
      children:[
        new TableCell({
          width:{size:32,type:WidthType.PERCENTAGE},
          shading:{type:ShadingType.SOLID,color:TEAL_LIGHT},
          margins:{top:60,bottom:60,left:120,right:80},
          children:[new Paragraph({children:[new TextRun({text:row[0],bold:true,size:20,color:TEAL,font:"Calibri"})]})],
        }),
        new TableCell({
          width:{size:68,type:WidthType.PERCENTAGE},
          shading:{type:ShadingType.SOLID,color:i%2===0?WHITE:PALE_GREEN},
          margins:{top:60,bottom:60,left:120,right:120},
          children:[new Paragraph({children:[new TextRun({text:row[1],size:20,color:GREY_DARK,font:"Calibri"})]})],
        }),
      ],
    })),
  });
}

// ══════════════════════════════════════════════════════════════
//  CONTENT
// ══════════════════════════════════════════════════════════════
const content = [

  // ── LETTERHEAD ───────────────────────────────────────────────
  new Paragraph({
    alignment:AlignmentType.CENTER,
    spacing:{before:0,after:20},
    children:[new TextRun({text:"INTEGRATED AYURVEDIC + MODERN PRESCRIPTION",bold:true,size:44,color:DARK_GREEN,font:"Calibri"})],
  }),
  new Paragraph({
    alignment:AlignmentType.CENTER,
    shading:{type:ShadingType.SOLID,color:DARK_GREEN},
    spacing:{before:0,after:0},
    children:[new TextRun({text:"Lean Madhumeha (Krisha Pramehi)  |  Kapha-Pitta Prakriti  |  Vata-Pitta Vikriti with Kapha Anubandha",bold:true,size:20,color:LIGHT_GREEN,font:"Calibri"})],
  }),
  sp(0.5),
  new Paragraph({
    alignment:AlignmentType.CENTER,
    children:[
      new TextRun({text:"🟢 Ayurvedic Medicines  ", size:20, color:DARK_GREEN, bold:true, font:"Calibri"}),
      new TextRun({text:"  🔵 Modern Medicines  ", size:20, color:BLUE_DARK, bold:true, font:"Calibri"}),
      new TextRun({text:"  ⚠️ Interaction Notes included", size:20, color:AMBER, bold:true, font:"Calibri"}),
    ],
  }),
  sp(),

  // ── PATIENT INFO ─────────────────────────────────────────────
  shadedPara("PATIENT PROFILE", MED_GREEN),
  sp(0.5),
  patientTable(),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  MAIN PRESCRIPTION - BY TIMING
  // ══════════════════════════════════════════════════════════════
  shadedPara("COMPLETE PRESCRIPTION  —  Timing-wise", DARK_GREEN, WHITE, 26),
  sp(0.5),
  infoBox("Green rows = Ayurvedic  |  Blue rows = Modern Medicine  |  Take medicines in the order listed at each timing"),
  sp(0.5),

  // ── 6:00 AM ──────────────────────────────────────────────────
  timeBand("6:00 AM  —  Empty Stomach / Before Breakfast", DARK_GREEN),
  sp(0.3),
  rxTable([
    ["1","Kanchanara Guggulu","Ayurvedic","500 mg (1 tab)","6:00 AM empty stomach","Warm water","Kapha Anubandha, Tvak Doshahara (skin Vaivarnya). Guggulu = Medohara. Take 30 min before food."],
    ["2","Madhumeha Nashini Gulika","Ayurvedic","1 tab","Before breakfast","Warm water","Pramehaghna - Meshashringi, Jambu beeja. Take before food for best PPBS control."],
    ["3","Balaguluchyadi Kashayam","Ayurvedic","15 ml + 45 ml water","Before breakfast","As is (warm)","Vata-Pitta shamana. Bala=Brimhana. Guduchi=Rasayana. Best drug in this Rx for lean patient."],
  ]),
  sp(),

  // ── AFTER BREAKFAST ──────────────────────────────────────────
  timeBand("After Breakfast  —  With / Immediately After Food", MED_GREEN),
  sp(0.3),
  rxTable([
    ["4","Metformin 250mg + Glimepride 0.25mg","Modern","1 tab (combined)","Immediately after breakfast","Food (must not be taken on empty stomach)","Take AFTER eating - reduces Aruchi and Tiktasya. Glimepride risk: hypoglycemia if meal skipped."],
    ["5","Arogyavardhini Vati","Ayurvedic","1 tab","After breakfast","Warm water","Katuki = Kledaka Kapha, Medohara, Yakrit. Addresses Tiktasya (bitter taste) + Cholesterol 281."],
  ]),
  sp(),
  noteBox("Gap of at least 30 min between Balaguluchyadi Kashayam (before food) and Metformin (after food) is automatically ensured by meal timing. This is correct."),
  sp(),

  // ── AFTER LUNCH ──────────────────────────────────────────────
  timeBand("After Lunch  —  Midday Dose", TEAL),
  sp(0.3),
  rxTable([
    ["6","Amrtamehari Churna","Ayurvedic","3g","After lunch","Warm water","Rasa-Lasika Dushti, Pramehaghna. Guduchi + Meshashringi base. Note: consider shifting to before lunch for better PPBS action."],
    ["7","Arogyavardhini Vati","Ayurvedic","1 tab","After lunch","Warm water","BD dose - 2nd dose for Medohara (cholesterol 281) and Agni support."],
  ]),
  sp(),

  // ── 6:00 PM ──────────────────────────────────────────────────
  timeBand("6:00 PM  —  Evening / Before Dinner", MED_GREEN),
  sp(0.3),
  rxTable([
    ["8","Kanchanara Guggulu","Ayurvedic","500 mg (1 tab)","6:00 PM","Warm water","2nd dose - evening Kapha-Meda shamana. Guggulu Deepana action supports digestion."],
    ["9","Madhumeha Nashini Gulika","Ayurvedic","1 tab","Before dinner","Warm water","2nd dose - pre-dinner for postprandial glucose control (dinner PPBS)."],
    ["10","Balaguluchyadi Kashayam","Ayurvedic","15 ml + 45 ml water","Before dinner","As is (warm)","Evening dose - continuous Vata-Pitta shamana, Guduchi Rasayana action."],
  ]),
  sp(),

  // ── AFTER DINNER ─────────────────────────────────────────────
  timeBand("After Dinner  —  Night Dose", BLUE_DARK),
  sp(0.3),
  rxTable([
    ["11","Metformin 250mg + Glimepride 0.25mg","Modern","1 tab (combined)","Immediately after dinner","Food (must not be taken on empty stomach)","⚠ CRITICAL: Never skip dinner before this dose. Glimepride at night = hypoglycemia risk especially in lean patient. Ensure adequate dinner."],
    ["12","Amrtamehari Churna","Ayurvedic","3g","After dinner","Warm water","2nd dose - continuous Pramehaghna action overnight."],
  ]),
  sp(),
  new Paragraph({
    spacing:{before:80,after:80},
    shading:{type:ShadingType.SOLID,color:MAROON_LIGHT},
    indent:{left:160,right:160},
    children:[
      new TextRun({text:"🔴  NIGHT HYPOGLYCEMIA WARNING: ", bold:true, size:20, color:MAROON, font:"Calibri"}),
      new TextRun({text:"This patient is lean (60kg), exercises, and takes additive glucose-lowering Ayurvedic herbs. Glimepride 0.25mg BD after dinner in this context carries nocturnal hypoglycemia risk. Symptoms: cold feeling + sweating at night (already reported). If FBS drops below 100 mg/dL, discuss reducing Glimepride to OD (morning only) with prescribing physician.", size:20, color:GREY_DARK, font:"Calibri"}),
    ],
  }),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  QUICK REFERENCE SCHEDULE
  // ══════════════════════════════════════════════════════════════
  shadedPara("QUICK REFERENCE SCHEDULE (Patient Copy)", TEAL),
  sp(0.5),
  twoCol([
    ["6:00 AM (empty stomach)","Kanchanara Guggulu 500mg + Madhumeha Nashini 1tab + Balaguluchyadi 15ml+45ml water"],
    ["After Breakfast","Metformin 250mg + Glimepride 0.25mg (1 combined tab) + Arogyavardhini Vati 1tab"],
    ["After Lunch","Amrtamehari Churna 3g + Arogyavardhini Vati 1tab"],
    ["6:00 PM (before dinner)","Kanchanara Guggulu 500mg + Madhumeha Nashini 1tab + Balaguluchyadi 15ml+45ml water"],
    ["After Dinner","Metformin 250mg + Glimepride 0.25mg (1 combined tab) + Amrtamehari Churna 3g"],
  ], "Timing", "Medicines"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  INTERACTION ANALYSIS
  // ══════════════════════════════════════════════════════════════
  shadedPara("DRUG INTERACTION ANALYSIS", PURPLE, WHITE, 22),
  sp(0.5),
  infoBox("All interactions listed below are clinically relevant for this patient's specific prescription. Review before dispensing."),
  sp(0.5),

  shadedPara("A. Metformin 250mg Interactions", BLUE_DARK, WHITE, 20),
  sp(0.3),
  interactionTable([
    ["Meshashringi (Madhumeha Nashini)","Metformin 250mg","Both reduce intestinal glucose absorption - ADDITIVE","⚠️ Monitor","Monitor FBS monthly. Beneficial synergy but may need Metformin dose reduction if FBS < 100."],
    ["Guduchi / Karela (Amrtamehari)","Metformin 250mg","Both improve insulin sensitivity - ADDITIVE","⚠️ Monitor","Beneficial. If FBS normalizes consistently, discuss Metformin tapering with physician."],
    ["Triphala (in Arogyavardhini)","Metformin 250mg","Both affect gut absorption - may increase GI side effects","⚠️ Monitor","Take Arogyavardhini strictly after food. 30min gap from Metformin ensures separation."],
    ["Shilajatu (if added)","Metformin 250mg","Fulvic acid may alter Metformin absorption","✅ Safe","Maintain 2hr gap if Shilajatu added to prescription later."],
    ["Haridra in food/diet","Metformin 250mg","Curcumin enhances Metformin efficacy, reduces inflammation","✅ Safe","Beneficial. No dose adjustment needed."],
    ["Guggulu (Kanchanara/Navaka)","Metformin 250mg","No direct pharmacokinetic interaction","✅ Safe","Continue as prescribed."],
    ["Long-term Metformin + this Rx","Metformin 250mg","Metformin depletes Vitamin B12 over months-years","⚠️ Monitor","Check B12 at 6-month follow-up. B12 deficiency mimics Vata symptoms (neuropathy)."],
  ]),
  sp(),

  shadedPara("B. Glimepride 0.25mg Interactions", MAROON, WHITE, 20),
  sp(0.3),
  interactionTable([
    ["Meshashringi (Madhumeha Nashini)","Glimepride 0.25mg","ADDITIVE glucose lowering - different mechanisms but cumulative effect","⚠️ Monitor","Primary concern in this Rx. If FBS < 100 or patient reports sweating on exertion = suspect hypoglycemia."],
    ["Karela (in Amrtamehari Churna)","Glimepride 0.25mg","Karela has insulin-like peptides - ADDITIVE with sulphonylurea action","⚠️ Monitor","Do not take Amrtamehari on empty stomach. After food timing (current) is correct."],
    ["Guduchi (Balaguluchyadi)","Glimepride 0.25mg","Mild additive glucose lowering","✅ Safe","At current doses acceptable. Monitor if Guduchi dose is increased."],
    ["Exercise (Vyayama)","Glimepride 0.25mg","Exercise lowers glucose + Glimepride lowers glucose = HYPOGLYCEMIA risk","🔴 Caution","Mandatory pre-exercise snack. Do NOT exercise on empty stomach. Patient's cold+sweat on walking may be exercise hypoglycemia."],
    ["Meal skipping","Glimepride 0.25mg","Glimepride works regardless of food intake - skipping meal after dose = hypoglycemia","🔴 Caution","Patient must NEVER skip meal after taking Glimepride. Educate firmly."],
    ["Night dose (Dinner)","Glimepride 0.25mg","Nocturnal hypoglycemia risk - Glimepride + lean patient + additive herbs","⚠️ Monitor","If cold+sweating at night persists, check glucose at 2-3 AM. Consider switching to morning-only dose."],
    ["Vijayasar (if added later)","Glimepride 0.25mg","Both stimulate pancreatic insulin secretion - SAME mechanism","🔴 Caution","Do NOT add Vijayasar without reducing/stopping Glimepride. Double sulphonylurea-like action."],
  ]),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  TIKTASYA + ARUCHI - MODERN MEDICINE CONNECTION
  // ══════════════════════════════════════════════════════════════
  shadedPara("SYMPTOM-MEDICINE CONNECTION ANALYSIS", AMBER, WHITE, 22),
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  twoCol([
    ["Aruchi (Loss of appetite)","Partly Metformin GI side effect + Jatharagni Mandya + Kledaka Kapha. Taking Metformin AFTER food (current - correct) reduces this. Chitrakadi Vati (add) will help Agni component."],
    ["Tiktasya (Bitter taste)","Metformin causes metallic/bitter taste in 10-20% patients. Also Pachaka Pitta rebound after stopping Arogyavardhini. Kavala Gandusha + Ela + Lavanga + Arogyavardhini BD will address both causes."],
    ["Cold + Sweat on walking","Most likely exercise-induced hypoglycemia from Glimepride + additive Ayurvedic glucose lowering + exercise in lean patient. Check blood glucose DURING episode. Pre-walk snack is mandatory."],
    ["Skin Vaivarnya (Lt elbow)","Not medication-related. Pure Bhrajaka Pitta + Vyana Vayu Dushti from Madhumeha pathology. No modern medicine link."],
    ["B12 Deficiency risk (future)","Long-term Metformin depletes B12. In lean patient this can mimic Vataja Dushti (tingling, fatigue). Monitor at 6 months."],
  ], "Symptom", "Combined Ayurvedic + Modern Explanation"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  SUGGESTED ADDITIONS TO CURRENT RX
  // ══════════════════════════════════════════════════════════════
  shadedPara("SUGGESTED ADDITIONS TO CURRENT PRESCRIPTION", MED_GREEN, WHITE, 22),
  sp(0.5),
  noteBox("Current prescription is a good foundation. These additions address the gaps: Aruchi, skin vaivarnya, Ojokshaya (lean patient), and cholesterol 281."),
  sp(0.5),
  twoCol([
    ["Chitrakadi Vati 2 tab - before meals","IMMEDIATE PRIORITY - Addresses Aruchi + Jatharagni Mandya directly. Missing from current Rx."],
    ["Vasanta Kusumakar Rasa 125mg OD - morning + honey","KEY ADDITION for lean Madhumeha - Ojasya Rasayana, all Dhatvagni, addresses Dhatukshaya. Drug of choice for Krisha Pramehi."],
    ["Manjistha Churna 3g BD - after food","For skin Vaivarnya - Rudhira Dushti, Bhrajaka Pitta. Not addressed in current Rx."],
    ["Trivang Bhasma 125mg BD - after food + honey","Naga+Vanga+Yashada - specific Madhumeha Bhasma. Addresses Dhatukshaya in lean patient."],
    ["Kavala Gandusha - Tila Taila 10ml morning","Direct Bodhaka Kapha treatment for Tiktasya. Not a medicine - lifestyle practice. Teach patient."],
    ["Nalpamaradi Taila - local on skin lesion","External Bhrajaka Pitta treatment for Vaivarnya."],
    ["Amrtamehari timing - shift to before food","Current timing (after food) reduces glucose-lowering efficacy. Shift to before food for better PPBS action."],
  ], "Addition / Change", "Rationale"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  MONITORING
  // ══════════════════════════════════════════════════════════════
  shadedPara("MONITORING SCHEDULE", DARK_GREEN, WHITE, 22),
  sp(0.5),
  twoCol([
    ["Immediate (This week)","Check blood glucose DURING cold+sweat episodes. Record time, glucose value, recent meal, recent medicine."],
    ["2 weeks","Review Aruchi + Tiktasya. If persisting: shift Glimepride to morning-only (discuss with physician). Add Chitrakadi Vati."],
    ["1 month","FBS + PPBS check. Assess skin lesion improvement. Decide if Glimepride night dose can be stopped."],
    ["3 months","HbA1c + Full Lipid Profile + LFT + Renal Function. Target: HbA1c <7.0, Cholesterol <220."],
    ["6 months","Add Vitamin B12 level (Metformin long-term). Reassess all medicines. Consider Panchakarma."],
    ["Ongoing (monthly)","FBS/PPBS self-monitoring. Record glucose during any sweating episode."],
  ], "Timepoint", "What to Check"),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  KEY PATIENT INSTRUCTIONS
  // ══════════════════════════════════════════════════════════════
  shadedPara("CRITICAL PATIENT INSTRUCTIONS", MAROON, WHITE, 22),
  sp(0.5),
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    spacing:{before:60,after:60},
    shading:{type:ShadingType.SOLID,color:MAROON_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"1. NEVER take Metformin or Glimepride on an empty stomach. Always after food. Never skip a meal after taking Glimepride.", bold:true, size:21, color:MAROON, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:40,after:60},
    shading:{type:ShadingType.SOLID,color:AMBER_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"2. If you feel cold, sweaty, or shaky - check blood glucose IMMEDIATELY. If below 70 mg/dL, take 2 glucose tablets or half glass fruit juice. Report to doctor.", bold:true, size:21, color:AMBER, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:40,after:60},
    shading:{type:ShadingType.SOLID,color:BLUE_LIGHT},
    indent:{left:160,right:160},
    children:[new TextRun({text:"3. Do NOT exercise on empty stomach. Eat a small snack (banana/dates) 30 min before any physical activity. Walking empty stomach with Glimepride active = dangerous.", bold:true, size:21, color:BLUE_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:40,after:60},
    shading:{type:ShadingType.SOLID,color:PALE_GREEN},
    indent:{left:160,right:160},
    children:[new TextRun({text:"4. Do NOT stop ANY medicine (Ayurvedic or Modern) without consulting your doctor. Stopping medicines caused the relapse from HbA1c 7.0 to 7.9.", bold:true, size:21, color:DARK_GREEN, font:"Calibri"})],
  }),
  new Paragraph({
    spacing:{before:40,after:60},
    shading:{type:ShadingType.SOLID,color:PALE_GREEN},
    indent:{left:160,right:160},
    children:[new TextRun({text:"5. Take Balaguluchyadi Kashayam BEFORE food and Metformin AFTER food. This is not the same time - wait for your meal in between.", size:21, color:GREY_DARK, font:"Calibri"})],
  }),
  sp(),
  divider(),

  // ══════════════════════════════════════════════════════════════
  //  PATHYA SUMMARY
  // ══════════════════════════════════════════════════════════════
  shadedPara("PATHYA - APATHYA SUMMARY", TEAL, WHITE, 22),
  sp(0.5),
  twoCol([
    ["MUST EAT DAILY","Yava (barley), Karela/Methi, Takra with lunch, cow ghee (small qty), Amalaki"],
    ["MEAL TIMING","Fixed times: Breakfast 8AM, Lunch 1PM, Dinner 7:30PM - same time every day"],
    ["EXERCISE","Walk 15-20 min (build slowly). Mandukasana + Vakrasana daily. AFTER snack only."],
    ["AVOID STRICTLY","Sugar, cold food/drinks, day sleep, skipping meals, refrigerated food"],
    ["BITTER TASTE REMEDY","Chew Ela + Lavanga after each meal. Kavala Gandusha (oil pulling) every morning."],
    ["NEVER","Skip dinner after Glimepride dose. Stop medicines without doctor advice. Exercise on empty stomach."],
  ], "Rule", "Detail"),
  sp(2),

  // ── SIGNATURE ─────────────────────────────────────────────────
  divider(),
  new Paragraph({
    alignment:AlignmentType.LEFT,
    spacing:{before:60,after:40},
    children:[new TextRun({text:"Doctor's Signature: _______________________________    Reg. No.: __________________", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  new Paragraph({
    alignment:AlignmentType.LEFT,
    spacing:{before:20,after:40},
    children:[new TextRun({text:"Clinic / Hospital: ________________________________________________    Date: July 2026", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
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    alignment:AlignmentType.LEFT,
    spacing:{before:20,after:60},
    children:[new TextRun({text:"Stamp:", size:20, color:GREY_DARK, font:"Calibri"})],
  }),
  sp(),

  new Paragraph({
    alignment:AlignmentType.CENTER,
    shading:{type:ShadingType.SOLID,color:DARK_GREEN},
    spacing:{before:80,after:80},
    indent:{left:120,right:120},
    children:[
      new TextRun({text:"This integrated prescription combines Ayurvedic and modern medicine under physician supervision. Do not self-modify doses. ", size:17, color:LIGHT_GREEN, font:"Calibri"}),
      new TextRun({text:" \"Nidana Parivarjanam eva Chikitsa\"", size:17, color:WHITE, bold:true, italic:true, font:"Calibri"}),
    ],
  }),
];

// ── DOCUMENT ───────────────────────────────────────────────────
const doc = new Document({
  sections:[{
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          shading:{type:ShadingType.SOLID,color:PALE_GREEN},
          children:[new TextRun({text:"INTEGRATED Rx: Lean Madhumeha (Krisha Pramehi)  |  Kapha-Pitta Prakriti  |  Ayurvedic + Modern  |  July 2026", size:16, color:MED_GREEN, bold:true, font:"Calibri"})],
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          children:[
            new TextRun({text:"Confidential Prescription  |  Page ", size:16, color:GREY_DARK, font:"Calibri"}),
            new TextRun({children:[PageNumber.CURRENT], size:16, color:GREY_DARK, font:"Calibri"}),
            new TextRun({text:"  |  For authorized use only", size:16, color:GREY_DARK, font:"Calibri"}),
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Packer.toBuffer(doc).then(buf=>{
  fs.writeFileSync("/home/daytona/workspace/lean-madhumeha-diet/Integrated_Rx_Lean_Madhumeha.docx", buf);
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cd /home/daytona/workspace/lean-madhumeha-diet && node create_combined_rx.js 2>&…

python3 -c " import zipfile, os f='/home/daytona/workspace/lean-madhumeha-diet/I…