Along with the above Can add Gandhaka rasayan 1-0-1 And apply psorolin ointment ext application Avoid spicy, sore, fermented processed, non-vegetarian foods

Avoid sour, fermented and packed foods. Increase intake of raw vegetables and fruits. Tab. Cutisora 2-0-2 Cutisora oil for local application. Tab. Arogyavardhini 2-0-2 Cap. Brahmi 1-0-1 Follow up after 4weeks.
Hello I truly understand your concern regarding your mother’s recurrent psoriasis flare-ups. At her age, managing such a chronic condition with low energy can be challenging, especially when symptoms improve temporarily and then recur. But dont worry we are here to help you out😊
The treatment goal here is to:
1. Purify the blood and remove toxins (Rakta Shodhana) 2. Maintain skin hydration and immunity 3. Prevent seasonal or weather-related relapses
✅CURRENT MEDICATION
Your mother’s current regimen is good and classical —
Khadirarishta + Mahamanjishtarishta: Blood purifier, maintains liver function
Artisor Tablet: Anti-inflammatory and Rasayana support
Hicop 25: Sedative-antihistamine (for sleep & itching)
Lycored: Antioxidant support
Topicals: Coconut oil and moisturizers are beneficial
✅AYURVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATIONS
In addition to current medicines, you can add
1 Arogyavardhini Vati – 1 tab twice daily after meals (liver support + anti-Kushtha action)
2 Guggulu Tikta Ghrita – 1 tsp with warm water morning & evening (if digestion is good)
Continue Khadirarishta + Mahamanjishtarishta (20 ml each, twice daily after meals).
✅EXTERNAL APPLICATION
Coconut oil + few drops of Neem oil – apply twice daily to affected areas.
Psorolin oil may be alternated during flare-up phase.
Avoid excessive soap; use green gram (moong) powder for gentle cleansing.
✅HOME REMEDIES AND SUPPORTIVE CARE
👉Herbal Decoction (Kashayam) for Blood Purification Boil: 1 tsp Neem leaves, 1 tsp Guduchi stem, ½ tsp Turmeric, 5 Tulsi leaves in 2 cups water → reduce to 1 cup. Drink daily once in the morning for 6 weeks.
👉 Internal Cooling Drink 1 tsp Aloe vera pulp + 1 tsp Amalaki juice in ½ cup warm water daily morning on empty stomach.
👉 Gentle Oil Massage (Abhyanga) Daily morning body massage with Karanja Taila , followed by a warm water bath. This nourishes skin and pacifies Vata.
👉Sun Exposure 10–15 minutes early morning sunlight improves Vitamin D and reduces skin scaling.
✅DIET AND LIFESTYLE ADVICE
✅ Favourable Diet (Pathya)
Warm, light, easily digestible foods: mung dal soup, lauki, turmeric milk, ghee, rice gruel Include bitter and astringent tastes (Neem, Guduchi, Triphala) Drink warm water infused with turmeric or dry ginger
❌ Avoid (Apathya) Fermented, spicy, or sour foods Curd, fish, red meat, paneer, fried snacks Cold and refrigerated food Stress, anger, and sleeplessness
✅ Lifestyle and Preventive Measures
Maintain a fixed routine (Dinacharya) with timely meals and sleep. Keep the skin moisturized always. During seasonal change (especially winter), start internal Rasayana support like: Encourage mild stretching or chair yoga to enhance circulation.
In elderly patients, complete cure may not be possible, but flare-ups can be significantly reduced with regular gentle Rasayana support, and external hydration. With time, intervals between flare-ups increase and skin remains stable.
Wishing you a good health😊
Warm Regards, Dr. Snehal Vidhate
Take Arogya vardini vati 1tab bd, makaradwaja 1tab bd, pancha tikta ghrita Guggulu 1tab bd,artisor ointment Externally apply, swadista virechana churnam 1tsp with Luke warm water enough u ll get results Dr RC BAMS MS
1.Neem Capsules 1 cap twice daily with water after meals 2.Guduchi (Giloy) Tablets 2 tab twice daily with water after meals 3.Arogyavardhini Vati 2 tab twice daily with water after meals 4.Manjisthadi kwath 15 ml with 15 ml water twice daily after meals 5.Khadirarishta 15 ml with 15 ml water twice daily after meals 6.Winsoria Oil or Eladi Taila- apply twice daily
🍲 Diet & Lifestyle Tips - Avoid: Curd, sour foods, fermented items, seafood, and cold drinks. - Prefer: Warm, light meals with turmeric, cumin, coriander. - Hydration: Sip warm water throughout the day. - Sleep: Ensure early bedtime and gentle morning routine. - Stress: Practice deep breathing or gentle chanting.
- Panchakarma (if feasible): Virechana (purgation), Takradhara (medicated buttermilk pour), and Raktamokshana (bloodletting) are highly effective in chronic psoriasis.
Start with Panchtiktagrit guggul 2-0-2 after food with water Aarogyavardhini 1-0-1 after food with water Kamdudharas 1-0-1 after food with water Apply asoria oil on affected skin area twice daily Avoid nonveg if non-vegetarian Avoid wrong combination of food like milk with salty foods/ citrus fruits/nonveg food/ Do pranamyam lom -vilom bhastrika bhamri 5-10mins daily twice
Make the following changes
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil) Some exercise that will make her sweat
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Add Cap. Sorajit (S G Phytopharma) 2 caps twice a day before food
Use JK’s 777 oil daily on the patches
Use some medicated body wash instead of the soap. Soap can also cause recurrent infections.
If possible get JALAWKAVCHARAN from any nearby panchakarma center
1 Khadirarishta + Mahamanjisthadi Kwath: Continue 20 ml each + 40 ml warm water twice daily after meals. 2 Arogyavardhini Vati: 1 tab twice daily after meals. 3 Kaishor Guggulu: 2 tab twice daily after meals. 4 Neem Capsule: 500 mg twice daily after meals. 5 Guduchi Churna: 3 gm night with warm water.
External Applications Bakuchi + Jatyadi Taila (1:1): Apply on lesions twice daily → leave 1 hr → rinse. Panchavalkala Kwath Pariseka 20 gm in 2 L water and pour it on lesions everyday once
Diet Give only: Moong khichdi + 1 tsp ghee + bitter gourd. Pomegranate, amla, coconut water. Warm water sip every 30 min (2 L).
Avoid completely: Curd, fish, sesame, jaggery. Sour, salty, spicy food. Cold drinks, bakery.
Lifestyle Wear cotton clothes; avoid wool/synthetic. Avoid extreme weather (AC/heat). Oil massage with Neem Taila every Sunday. Sleep 9 PM – 5 AM.
Monitoring Lesion photos + PASI score: Monthly. LFT: After 60 days.
If flare is more than 50% then go for Virechana treatment at your nearby Panchakarma centre.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Psoriasis can indeed be persistent, especially when dealing with recurring triggers. While your mother is already following a robust Ayurvedic plan, there are additional considerations. Psoriasis, as you might know, is related to an imbalance in Vata and Pitta doshas. The treatment she’s following already targets detoxification and blood purification, which is essential.
Firstly, diet plays a crucial role. Encourage her to avoid foods that can aggravate Pitta, such as spicy, fermented, or sour foods. Instead, focus on a diet rich in cooling and soothing foods. Ghee can be a beneficial addition; it has lubricating properties which can help pacify Vata and soothe her skin. Have her take a teaspoon of ghee in warm milk, preferably in the morning. This can nourish her tissues and improve skin health.
Lifestyle adjustments can also make a big difference. Regular, mild exercises, yoga, or even breathing exercises can promote circulation and reduce stress, a known trigger for psoriasis. Reduce exposure to harsh climate changes and ensure she stays in a humid environment as dryness can worsen symptoms.
For topical relief, apart from coconut oil, consider adding a Turmeric and Neem paste application. These have natural anti-inflammatory properties and can be applied gently on affected areas. Ensure she applies a good quality, non-perfumed moisturizer immediately after bathing to lock in moisture.
Lastly, Ayurvedic texts often emphasize internal harmony—suggesting regular meditation or activities that bring joy and relaxation to her. If specific environmental or emotional triggers are identified, working to address them can help reduce the frequency of flare-ups.
Her treatment plan is comprehensive, but those slight modifications—especially focusing on dietary changes, lifestyle, and stress management—are keys. As always, keeping regular contact with her Ayurveda practitioner is vital to adjust her regimen if necessary. Regular monitoring of her skin condition can ensure any necessary tweaks in her treatment.
HELLO,
Her current regimen is good- Khadirarishta, Mahamanjisthrishta, Artist, Lycored, and topical care all support blood purification and skin healing. Continue as prescribed by her Ayurvedic doctor
KEY TRIGGERS -WEATHER CHANGES=apply coconut oil daily before bathing, use mild warm water for bath
-DRYNESS= frequent use of moisturiser and vaseline
-STRESS AND SLEEP= gentle evening routine, brahmi vati 1 tab at night can calm the mind
DIET -warm, freshly cooked meals -green leafy vegetables esp. neem, methi, giloy, soup -fruits= papaya, pomegranate, apple -cow’s ghee small quantity
AVOID -sour, salty, or fermented foods- curd, pickle -cold food, chilled drinks -fish and milk together -processed sugar and fried items
DETOX AND DIGESTION Once a month, mild home detox -Triphala churna= 1 tsp at night with warm water -keep bowel movements regular- constipation worsens skin issues
LIFESTYLE -sunlight exposure for 15 min daily -gentle yoga or breathing exercises if possible anulom vilom, bhramari -adequate rest and hydration at least 2 L water/day
TOPICAL AND SCALP CARE -continue coconut oil or medicated oil like Nimba taila -if itching increases, mix coconut oil + camphor crystal 1 small piece for relief -epigen oinement as directed
THANK YOU
DR. HEMANSHU MEHTA