Treatment of virechan atiyog I av small red color tiny marks on my body - #34441
I underwent virechan therapy and it had atiyog so after than I have skin issue everytime red color tiny spots appear on my skini eat Kamdudha ras moti yukta and then it subsides its happening again n again the pitta is elevated so what is the permanent solution
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Doctors’ responses
Riya , i understand your concern From your history, it is clear that after virechana sometimes the body shows atiyoga ( over purification) - this means pitta is remaining aggravated and circulating in rasa and rakta dhatu which is why you are getting recurrent red sports on the skin Kamadhudha Ras he is helping temporary, but for a permanent solution we need to stabilise your digestion, pacify pitta purify the blood, and nourish the tissue Continue kamadhudha rasa Add Pravala pisthi-125 mg twice daily with honey or cow ghee Guduchi satva -2 pinch with honey Saivadyasava -15, ML with equal quantity of water twice daily after meals Avipattikara churna-half teaspoon with water before meals
After 4 to 6 weeks, once eruptions are reduced, start on Amlaki rasayana-1 teaspoon with warm water at morning Shatavari kalpa -1 teaspoon with warm milk at night
Apply coconut oil over the spot Can even apply sandalwood paste along with rose water Drink coriander seed water, soak overnight, strain, and drink Can drink coconut water
Avoid spicy, shower, fermented, and fried food Free for cooling and easy to digest food like rice, moong dal bottle guard Ash guard, pomegranate ghee Do not skip meals or stay awake at late night Practice sheetali pranayama
With this combination, acute symptoms will settle within a few weeks and long-term will prevent recurrence by restoring balance your pitta and nourishing your dhatus
Thank you for reaching out and trusting this platform with your Health journey from what you have mentioned. It seems that the cleansing therapy was quite intense and triggered. Repeat repeated red spot on your skin disease assign that your pitta is elevated while the medicine you are taking helps control the flareup, temporary, relying on it. Repeat repeatedly will not give a permanent solution.
For lasting improvement, it is important to focus on calm. The PITTA in your body. This includes following a mild and cooling that avoiding various spicy, oily sour or fried food and eating at regular Time, gentle internal medicine that reduce PITTA and support the bodies balance can help prevent this sports from coming back Regular Care like coil massage, steam , stress management, proper sleep, and avoiding heat can also support balance
Since your skin eruption keep coming back, it is important to stabilise your PITTA systemically rather than reacting only when these spots appear with a carefully guided plan, including internal medicine, diet, and lifestyle adjustment, it is possible to prevent these flareups and strengthen your overall skin health
Hey, Go with 1.Sutasekhar rasa 250 mg bd twice daily with honey after meals 2.Arogya vardhini vati 2 tab twice daily after meals 3.Sarivadyasava 20 ml with 20 ml water twice daily after meals 4.Guduchi Satva 500 mg twice daily with water or milk after meals
For External Application-Eladi tailam or Coconut oil added with camphor in it.
Diet & Lifestyle - Avoid: Sour, spicy, fermented foods; excess salt; exposure to heat/sun; emotional stress. - Include: - Stewed apples, pomegranate, coconut water, barley, amla, ghee with Shatavari - Herbal teas: Coriander seed, rose petals, vetiver
Supportive Therapies - Takradhara (medicated buttermilk pour on forehead): Deeply cooling for Pitta and mind - Nasya with Anu Taila: Stabilizes Pitta in the head region - Sheetali & Sheetkari Pranayama: Daily cooling breathwork
WARM REGARDS DR.ANJALI SEHRAWAT
Start with Kamdudharas moti yukta 1-0-1 Aarogyavardhini 1-0-1 Both after food with water Avoid processed fatty fast sugary street foods, nonveg diet if non-vegetarian. Haridhdhrakhand 1tsp twice before food with milk. Apply extra virgin coconut oil on rashes. Follow up after 10 days
Hello Riya
I understand your concern. You are just 28 and after undergoing Virechan therapy, you have experienced Ati-yoga (over-purification / excess elimination). This has left your body in a Pitta-prone, sensitive state, which is why again and again tiny red spots appear on your skin whenever Pitta flares up. But dont worry we are here to help you out😊
✅ Permanent solution should focus on
Pacifying Pitta & Rakta Strengthening Agni (digestive fire) Regularizing skin metabolism Restoring balance after Ati-yoga
✅AYURVEDIC PLAN OF TREATMENT-
✅INTERNAL MEDICATION (long-term balance, not just emergency relief)
1 Kamdudha Ras (Moti yukta) – you are already taking, keep it SOS when flare appears.
2 Pravala Pishti – 1 pinch with honey or ghee once daily (excellent for Pitta-rakta disorders).
3 Sarivadi Vati 2-0-2 after food – purifies blood, prevents recurrence of red spots.
✅LIFESTYLE AND DIET (very important for permanent cure)
Avoid: Excess spicy, oily, fried, fermented food, excess tea/coffee, alcohol, red chili, tomatoes, curd at night.
Prefer: Cooling and Pitta-friendly diet → ghee, rice, moong dal, coconut water, coriander water, cucumber, pomegranate, seasonal sweet fruits.
Hydration: Always drink room temperature water (avoid ice-cold and very hot water).
Daily routine: Regular meals, avoid late-night sleeping, reduce stress (meditation / pranayama).
✅EXTERNAL CARE
Apply Sandalwood paste or Aloe vera gel on affected spots when they appear.
Bath with neem leaves decoction or triphala water twice a week to pacify Rakta-pitta in skin.
Repeated red spots are your body’s signal that Pitta-rakta is unstable. If not managed, it can lead to chronic skin disorders like urticaria, eczema, or psoriasis.
You need long-term Pitta-Rakta shaman chikitsa rather than just taking Kamdudha as first aid.
👉 With 2–3 months of continuous care, your skin sensitivity and recurrent red spots can be controlled and prevented.
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
It maybe be happen due to virechan atiyog For permanent solution you can start rasayan chikitsa take
Aamlki rasayana 1/2 tsf with leukworm water after dinner Praval pishti 1-0-1 Kamdudha ras 1-0-1
Avoid oily and spicy food
Virechana is meant to eliminate excess Pitta. An atiyoga can sometimes cause an over-elimination or improper mobilization of doshas, potentially destabilizing the body’s tissues and digestive fire (Agni), leading to a persistent, aggravated Pitta state that manifests on the skin.
Kamdudha Ras Moti Yukta is an excellent Pitta-pacifying medicine that relieves heat, which is why your symptoms subside. However, since they are recurring, the root cause or triggering factors are likely still present.
1. Immediate and Long-Term Internal Medication (Shaman Chikitsa) While Kamdudha Ras Moti Yukta is good for immediate relief, combination of medicines for a permanent effect, including:
1) Manjishtadi kwath- 10 ml 2 times after food
2) arogyavardhani vati-1 tab before food 2 times 3) jeerakadi churna - 1/2 tsf before food 3 times
Continual, personalized dosing of your current Kamdudha Ras Moti Yukta.
2. Dietary Changes (Pathya-Apathya) Diet is the most critical factor for Pitta balance. The spots will likely recur if you do not strictly follow a Pitta-pacifying diet.
Taste Sweet, Bitter, Astringent Pungent/Spicy, Sour, Salty
Grains Rice (white/basmati), Wheat, Barley, Oats Millet, Corn, Rye Dairy Ghee, Milk, unsalted Butter Curd/Yogurt, Cheese, Sour Cream Vegetables Asparagus, Cucumber, Green Beans, Zucchini, Sweet Potatoes, Bottle Gourd, Bitter Gourd Tomato, Chili, Onion, Garlic, Radishes, too much raw salad (especially in large amounts) Fruits Sweet Grapes, Melons, Coconut, Mango, Sweet Cherries, Avocado Sour/Unripe fruits (Lemon, Vinegar, Grapefruit), Pineapple Spices Cardamom, Coriander, Cumin, Turmeric, Fennel Chili powder, Black Pepper, Ginger (in excess), Mustard seeds Oils Ghee, Coconut Oil, Olive Oil Mustard Oil, Sesame Oil General Warm, freshly cooked meals. Fermented foods (vinegar, alcohol), Coffee, excessive Salt, Deep-fried or very oily foods. Key Pitta Diet Rules:
Eat at regular times and do not skip meals.
Avoid eating when angry, stressed, or very rushed.
Drink fennel or coriander seed water throughout the day.
3. Lifestyle and Stress Management (Vihara) Pitta is easily aggravated by heat and stress. Since you are only 28, incorporating these habits is a vital part of a permanent cure:
Cool Environment: Avoid excessive sun exposure, heat, and working in hot environments.
Mind-Body Balance: Practice calming activities like Sheetali Pranayama (cooling breath), meditation, or gentle yoga to manage the emotional heat (anger, frustration) that aggravates Pitta.
Routine: Maintain a regular daily routine (Dinacharya). Irregular sleep or eating habits directly disturb Pitta.
Abhyanga (Oil Massage): Use a Pitta-pacifying oil like Coconut Oil or Brahmi Oil for a light, gentle self-massage 3-4 times a week, followed by a warm shower.
A permanent solution requires consistency in all three areas (medicine, diet, and lifestyle) under the guidance of your Ayurvedic doctor. Healing from the atiyoga and chronic Pitta elevation will take sustained effort, likely over several months.
Hi Riya this is Dr Vinayak as considering your problem…no need to worry… After procedure you have follow the proper diet schedule according to the vega you get…I really don’t know how you followed and whether they said or not…
Rx-T kaishora guggulu 1-0-1after food T Arogyavardini vati 1-0-1after food Use Neem soap maa …
Virechana atiyoga, or the excess application of purgation therapy, can indeed lead to an imbalance, primarily affecting Pitta dosha, resulting in symptoms like tiny red spots on the skin. It’s true that Kamdudha Ras moti yukta helps, but addressing the root cause for a long-term solution is important. Here are some Ayurvedic suggestions tailored to your situation:
Firstly, consider introducing Pitta-balancing foods into your diet. Emphasize cooling, hydrating foods like cucumber, melons, and coconut water. Reduce your intake of spicy, sour, and salty foods as they can exacerbate Pitta. Incorporate more green leafy vegetables, which can help detoxify and cool the body naturally.
Hydration is key. Drink enough water, but ensure it’s slightly warm or at room temperature. Avoid hot, caffeinated beverages as they can elevate Pitta further.
Herbal remedies can support your condition. You might find relief with Gotu Kola or Guduchi; both have cooling properties. A decoction made from sandalwood is also beneficial. Take a teaspoon of sandalwood powder mixed with rose water internally. Do check with an Ayurvedic practitioner who knows your medical history before starting any new supplements.
Regular self-care practices like Abhyanga (oil massage) with cooling oils like coconut oil or sunflower oil can help. Massage in the morning before a bath; this not only nourishes the skin but also helps calm the Pitta dosha.
Exercise moderately. Overexertion can lead to increased Pitta; consider yoga or gentle walking instead of high-intensity workouts.
Remember, stress management is also crucial. Practices such as pranayama and meditation can have a calming effect on the body and mind.
Finally, if these measures don’t reduce the frequency of your symptoms, consider having an in-depth consultation with a qualified Ayurvedic physician. They can provide a more comprehensive treatment plan tailored to your individual prakriti and vikriti.
HELLO RIYA,
1) VIRECHANA THERAPY AND ATIYOGA -virechana is a pitta pacifying panchakarma therapy, mainly acting on liver, intestines and blood to eliminate pitta -ATIYOGA (excessive purgation) can lead to pitta aggravation, manifesting as –skin eruptions (tiny, red, spots- possibly pitta rash or rashes due to rakta dhatu involvement) –burning sensation –irritantion or mild itching
2) YOUR SYMPTOMS PATTERN -red, tiny spots-> pitta in rakta dhatu is vitiated -temporary relief after kamdudha ras moti yukta -> confirms pitta involvement -recurrence-> indicate incomplete detoxification and persistent pitta imbalance
1) IMMEDIATE MEASURES -Stop irritants= avoid spicy, sour, hot, oily, and fried foods -cool your body internally= drink coconut water, coriander, mint water, and rose water -topical soothing= apply sandalwood paste, aloe vera gel, or kumkumadi oil to red spots -Hydration= drink plenty of lukewarm water to flush toxins slowly
2) INTERNAL PITTA PACIFIERS
-KAMDUDHA RAS (moti yukta)= 1 tab twice daily for acute pitta spikes
-MANJISTHA CAPSULES= 1 cap in moring - blood purifier
-GUDUCHI GHAN VATI= 2 tabs in morning = pitta balancing, rejuvinates dhatu
-TRIPHALA CHURNA = 1tsp with warm water at bedtime =gentle detoxification, supports proper digestion
REJUVINATION
-CHYAWANPRASHA= 1 tsp in morning for tissue nourishment
-SHATAVARI RASYANA= 1 tsp with milk if pitta imbalance is mild but digestion is stable
PANCHAKARMA CONSIDERATIONS (next step) since virechana atiyoga aggravated pitta, the therapy should be corrected carefully
1) MILD DETOX -Virechana with correct dose under supervision (small, incremental purgation) -laghushuddhi diet before and after therapy
2) RAKTA SHODHANA -raktamokasahan if eruptions persist or are severe
3) POST PURIFICATION CARE -samsarjana krama (dietry progression) for at least 3-7 days
LIFESTYLE AND DIET -cool, bland, unctous foods avoid= fried, spicy, sour, fermented, excessivley hot foods -Include= milk, ghee, coconut, cucumber, watermelon, green leafy vegetables
LIFESTYLE -Avid sun exposure and heat -regular moderate exercise in cool hours -meditation and pranayam- sheetali/sheetkari for cooling
CHRONIC MANAGEMENT -gradual rasayana therapy for rakta and pitta dhatu -periodic mild virechana or herbal detox once every 3-6 months depending on pitta level -monitor digestion= constipation or irregular bowel-. pitta aggravation
RED FLAGS- when to see immediate attention -fever, severe itching, swelling, or oozing lesion -spots spreading rapidly-> could indicate secondary infection -persistent burning sensation or systemic syptoms
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Your experience of recurring red spots after virechan (purgation therapy) suggests a lingering imbalance in pitta dosha, which seems to have reached an atiyog (excessive effect) level during the treatment. This could be due to oversensitive skin or a deeper pitta imbalance that wasn’t fully addressed. Kamdudha ras with moti does provide temporary relief by cooling excess pitta, but it’s important to establish a longer-term solution.
Start by focusing on pacifying pitta through diet and lifestyle modifications. Avoid spicy, oily, and excessively hot foods that can aggravate pitta. Instead, focus on consuming foods that are cooling and sweet, such as coconut water, cucumber, watermelon, and dairy products if suitable for you. Incorporating bitter and astringent taste through amla, karela, and fresh greens can also help balance pitta.
Regular practice of pranayama, like sheetali and shitali, can help in cooling and calming the pitta. Ensure you manage stress well, as emotional stress can spike pitta levels. Consider gentle yoga to maintain calm and prevent heat accumulation.
For topical application, you may use a paste made of sandalwood powder with rosewater on affected areas to soothe irritation and inflammation. Avoid direct sun exposure and use natural sunscreen if necessary. Consult an experienced practitioner for personalized pitta-pacifying herbal formulations; herbs like neem, manjistha and guduchi may be recommended.
If symptoms persist or worsen, make sure to seek insights from a healthcare provider who can conduct a thorough evaluation and determine if any underlying issues may need attention beyond Ayurvedic care.

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