Hello I can understand your concern regarding -having black dot patches on your ankles -with recurring swelling That too for almost a year now And this is not the thing to be ignored ▪️Probable causes in your case -Poor and insufficient blood supply to your legs -Varicose vein changes -or it can be nutritional deficiency The black dot which you have on your ankles may be due to capillary leakage due to poor circulation ▪️Important investigation to be needed -As your edema is chronic better to get tests done -RFT ( Renal function test) -LFT ( liver function test) -Serum albumin -Venous and arterial doppler study of both lower limbs With this we can come to a provisonal diagnosis ▪️Ayurvedic plan of treatment ▪️Internal Medication ➖Punarnava mandoor 1 tablet twice daily after food ➖Mahamanjistahdi kwatha 15 ml twice daily after food with equal water ➖Veinflux NC 1 tablet twice daily after food ▪️External Care Apply kottamchukkadi taila and do upward direction gentle massage Do not do vigrous massage -keep your legs elevated with pillows at night -Avoid very tight clothing ▪️Diet plan Include -Barley water -Horse gram -Warm water ❌Avoid -Excessive salt intake -Packaged processed food -Heavy oily food items ▪️Lifestyle tips -Avoid long standing and sitting -If long standing any work is there use legs stockings -Do gentle walking daily The conditon is manageable but needs consistent treatment and care Wishing you a good health😊 Warm Regards Dr Snehal Vidhate
The black dots and bruise-like patches on your ankles are classic signs of Venous Stasis Dermatitis. Because you have had severe, recurring edema (swelling) for over a year, the extreme fluid pressure in your lower legs has caused the tiny, fragile blood vessels (capillaries) to burst. They leak red blood cells into the skin. When the iron from these cells breaks down, it leaves permanent, rust-colored or black/brown dots. In Ayurveda, this is a clear case of Rakta Dushti (blood impurity) and trapped Kleda (excess fluid) driven by an underlying Apana Vata dysfunction. Your chronic digestive issues are the root cause, creating Ama (toxins) that continuously block these micro-channels. ✓Ayurvedic Prescription 1. Punarnavadi Kashayam Dosage: 15 ml mixed with 15 ml of warm water. Time: Twice daily, 30 minutes before meals. Action: This directly targets the edema. It is a powerful, natural diuretic that forces the trapped, stagnant fluid out of your lower legs without stressing your kidneys. 2. Mahamanjisthadi Kwath Dosage: 15 ml mixed with 15 ml of warm water. Time: Twice daily, 15 minutes after meals. Action: The ultimate blood purifier (Rakta Shodhaka). It repairs the leaking capillaries, clears the vascular inflammation and gradually helps fade the dark pigmentation from the inside out. 3. Kaishore Guggulu Dosage: 2 tablets twice daily. Time: Take it together with the Mahamanjisthadi Kwath. Action: Specifically targets vascular blockages and heals the damaged skin tissue caused by chronic blood pooling. ✓Crucial External Care & Rules Leg Elevation: You must elevate your legs above your heart level on 2-3 pillows while sleeping. Gravity is currently your biggest enemy. Compression: Wear medical-grade compression stockings during the day. Put them on in the morning before you get out of bed, while the swelling is at its lowest. Do NOT Massage: Never vigorously massage the dotted or swollen areas, as this will instantly break more fragile capillaries and worsen the black spots. Regards Dr Gursimran Jeet Singh MD Panchakarma
Hello, Your symptoms - chronic moderate edema around ankles with dark, bruise like black dots- suggest a condition often linked in Ayurveda to Rakta dushti (impure blood) and shotha (inflammatory swelling), commonly involving vata + kapha imbalance with poor circulation and fluid retention This can also resemble condition like stasis dermatitis or early vascular changes Ayurvedic view -Edema= kapha + vata imbalance -> fluid accumulation -Black dots / discoloration= rakta dushti + poor microcirculation -Chronic digestion issues= weak digestive fire-> toxins buildup-> worsens swelling and skin Internal medications 1) Punarnavadi kashaya= 15ml + warm water twice daily before meals =best for edema, fluid retention, kidney support 2) Guggulutiktakam kashaya= 15ml + warm water twice daily after meals =skin discolouration + blood purification 3) Kaishor Guggulu = 2 tabs twice daily after meals =clears toxins improves circulation, reduces pigmentation External treatment 1) Dhanwantaram taila= gentle upward massage (feet-> calf) daily =improves lymphatic drainage and circulation follow with -warm water foot soak 10-15 mins or -mild steam Diet= keep it simple and strict -warm, light meals -khichdi, soups -barley water excellent for swelling -ginger + garlic improves circulation Avoid -salt excess, packaged food -curd at night -deep fried, cold, fermented foods Lifestyle corrections -elevate legs while resting very important -avoid long sitting/standing -daily walking 20-30 min -gentle ankle rotations improve blood flow Consult immediately if you notice -increasing swelling -pain, redness or warmth -skin becoming hard/thick -shortness of breath These may indicate venous sufficiency, clot risk or systemic issues Your digestive issues + edema + skin changes are interconnected Unless gut is corrected, symptoms will keep recurring Do follow Hope this might be helpful Thank you
• Punarnavadi Kwath (200 Ml) - Kerala Ayurveda (Punarnavadi Kwath 200 Ml) — x2 • Gulguluthikthakam Kwath (Kw. 200 Ml) - Kerala Ayurveda (Gulguluthikthakam Kw. 200 Ml) — x2 • Kaisoravatakam (Gulika 50 Nos) - Kerala Ayurveda (Kaisoravatakam Gulika 50 Nos) — x2 • Dhanwantharam Thailam - Kerala Ayurveda (Dhanwantharam Thailam 200 Ml) — x1
Start with Punarnavadi kwath tablet 1-1-0 after food with water Kishore vatikam 1-0-1 after food with water will help heal the ulcers . mahamanjistadi kadha 15 ml twice daily after food with water and as a blood purifier. Apply jatyadi oil on affected area twice daily.
This looks like changes from long term swelling where fluid collects around the ankles and affects small blood vessels leading to dark spots commonly seen in chronic venous insufficiency Get cbc thyroid profile and Doppler study Avoid long standing reduce salt intake
Symptom which you describe above our due to vitation of vata and Pitta which effects the blood and muscle tissue which leads to the skin change 1) Sahacharadi Kwath- 15 ml with 45 ml lukewarm water wise daily before food 2) Punarnavadi Kwath-15 ml with 45 ml lukewarm water wise daily before food 3) Manjishtadi Kwath- 2 tablet twice daily after food 4) Kaisore Guggulu-2 tablet twice daily after food 5)Pinda Tailam- apply gently in upward direction Reduce salt intake Use rock salt (Saindhava Lavane) in moderation. Incorporate bottle gourd, bitter melon (Karela), and leafy greens Limit curd, pickles, vinegar, and fermented batters (like idli/dosa) Sip on warm water infused with coriander seeds throughout the day. Leg Elevation: Elevate your legs above heart level for 15-20 minutes, 3-4 times a day, and use a pillow under your feet while sleeping. Avoid Prolonged Standing/Sitting Regular walking
