Nagarjuna Manjishtadi Kashayam Tablet is generally used for skin conditions, targeting imbalances related to blood purifying (rakta shodhana) properties and reducing pitta dosha aggravations. Skin issues, particularly those described with redness and itchiness like yours, often relate to imbalances in pitta and kapha doshas. When the pitta is overheated, it can manifest as inflammation, while kapha’s involvement might result in the itchiness and flakiness you’re experiencing. Now, Manjishtadi Kashayam is recommended to be taken typically on an empty stomach — ideally, 30 minutes before meals. Missing doses disrupts the continuous effect needed to balance doshas, so consistency is crucial.
You may consider increasing the dosage to twice daily, but always consult with a practitioner before changing dosage. In the Siddha tradition, maintaining a light diet with reduced oily and spicy foods helps boost the efficacy of such remedies by avoiding additional pitta aggravation. Include more cooling foods like cucumbers, melons, and green leafy vegetables, which can calm down internal heat and inflammation.
Since you’ve mentioned a prickly, possibly infective sensation, it may indeed be worth consulting a healthcare professional in person. This ensures proper diagnosis and treatment in case it’s beyond what Manjishtadi Kashayam can address. And if there’s no improvement or it’s worsening, immediate attention is needed to rule out deeper issues or infections that may require conventional medical treatments.
For enhancing skin health, combining kashayam with topical applications of natural soothing agents like aloe vera gel could provide symptomatic relief alongside the internal treatment. Remember, Ayurveda emphasizes a holistic approach, so balancing local applications with internal medicine helps more effectively.



