A Case of kshudra kushta

Vinaya Ballakur:
42 year old woman complains of such rashes since 20 to 25 years.
Sometimes aggravate, sometimes reduce , severe itching , hard small thorn like to touch, no particular reason why they appear.
Has undergone krimi chikitsa, virechana karma three times and taken many medicines , but no relief.
Asked about the names of medicines but gave out two names which are from local pharmacy I believe. Not the classical kind.

Patient not diabetic , good appetite and proper mala mutra visarjan, no other complaints.

Guggulu thikta ghritha
one tsf with warm water  before breakfast and dinner.
Manjishthadi kwatham
10 ml with 40 times water at 6am and 6 pm.
Haridra Khand
1 tsf with warm milk at bedtime for 15 days.
For extn. Appln. Nalpamaradi ker thailam 1 hour before bath.
Nalpamaradi or vibha soap from kotakkal for bath.

I gave the above prescription and advised diet.
Any suggestions ?

When a Vaidya gave  Khadirarishta the severity increased a lot it seems.

Suresh Kumar:
Chopchinyadi choornam 120gms+shadguna sindooram5gms=1tsf daily twice daily after food along with

Anupana Luke worm water.

Vinaya Ballakur:
Saptamrita is really very good dhatu poshaka not just good for vision as we normally use.

Also very good for balancing pitta functions

It contains yashtimadhu but still yashtimadhu ksheer paka anupana will be very useful in such cases.

Excess pyridoxine manifestation is similar to pitta vikruta lakshanas

Dr.pradp Noori:
I think arogyavardhini with sarida choorna for long duration will help

Dr,Dilkhush (DK) Tamboli:
Add...
अविपत्तिकर चूर्ण
In your priscription

Dr.kamal:
Good evening madam...

Kaishora guggulu
Arogyavardhini vati
Manjistadhi kashayam

External..
Pinda tailam and yastimadhu taila mix application

Vinaya Ballakur:
Khadirarishta is vatakaphahara whereas my understanding of this condition is it is pitta kapha Pradhana.
So it was not the best thing to give ??

Or giving an  arishta aggravated pitta so much that severity increased.

Dr.kamal:
Yes madam...Many cases with Arista preparation..if u give khadhiraristam along with saribadyasavam or usheerasavam...no aggravation..

Only khadhiraristam...some times it shows aggravation...

It can be taken as Kshudra kusta..
Sthula ruksha(susrutha)

Actually khadhiraristam having more ushna dravyas...best kapha hara

Dr.pradp Noori:
Sugandhipala

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