Managing Psoriasis Triggers in My Elderly Mother - #40677
My mother, aged 78 years, suffering from psoriasis, she will be Okey for some time again it will trigger. Regularly taking ayurveda treatment. 1. Khadirarishta & mahamangishta 20 ml each twice, 2. Artisor tab- 1-1-1 three times daily 3. Hicop 25 half at night 4. Lycored twice a day 5. Coconut oil, moisturizer, Vaseline, epigen ointment. Again it will trigger, what should I do. Please inform.
How often does your mother experience flare-ups of psoriasis?:
- ConstantlyWhat factors seem to trigger her psoriasis symptoms?:
- Weather changesHow would you describe her overall health and energy levels?:
- Poor, low energyDoctor-recommended remedies for this condition
Doctors' responses
Psoriasis in an older person naturally comes and goes even with regular Ayurvedic medicines, flair- calm- flair is common because digestion, immunity sleep, whether and stress keep changing, utter rate, the goal is to make flares milder and less frequent not expected to disappear completely Our medicines are appropriate, but two things usually cause repeated triggering … when her digestion, slows or bowels become irregular, inflammation, rises, and skin flares A very mild digestive correction helps Start her on Triphala churna 1 teaspoon with warm water at night if she is having constipation Avipattikara churna half teaspoon with water before meals, if she is having acidity Neem capsule Kaishore guggulu Tablet each twice daily after food with warm water Kayakalpa vati one tablet twice daily before food with warm water Apply kaya kalpa taila - apply over the psoriatic patches If sev itching then use haridra khand half teaspoon with warm water after meals, allu Avoid oily, spicy sour fermented, processed food Avoid rubbing scrubbing or friction on affected areas Avoid Cure at night, tamarind Keep meals, simple, cooked, warm, and light
HELLO,
YOUR SKIN,DIGESTION ANS SYSTEMIC SYMPTOMS ARE INTERRELLATED AND ROOTED. IN DEEPER IMBALANCE WHICH AYURVEDA RECOGNIZES PRIMARILY AS AGNI DUSTI(DIGESTIVE FIRE DISTURBANCE) AND SROTORODHA(BLOCKAGES OF BODY CHANNELS)-ESPECIALLY RASA,RAKTA, AND TWAK VAHA SROTAS. THE SYMPTOMS POINTS TOWARDS A CHRONIC PITTA-KAPHA-VATA IMBALANCE WITH TOXIN BUILDUP AD WEAK TISSUE NUTRITIONAL STATUS, LEADING TO A DEGENERATIVE CONDITION THAT MIMICS FEATURE OF
1)SKIN PSORIASIS INDICATES:- TWAK VIKAR(SKIN DISEASE), POSSIBLY EKAKUSHTA , ASSOCIATED WITH RAKTA DHATU DUSTI AND RASA DHATU KSHAYA
2)GUT AND SYSTEMATIC SYMPTOMS MAY CAUSING SKIN PROBLEM - EXCESS GAS, BLOATING,WEAKNESS , FATIGUE POST MEALS=AGNIMANDYA+GRAHANI+VATA PRAKOPA
3)MAIN ROOT CAUSE-AGNI DUSTI(IMPAIRED DIGESTION), TOXIN ACCUMULATION, VITIATED RAKTA,PITTA,VATA, LACK OF PROPER DHATU POSHANA(NUTRIENT TRANSFORMATION), STRESS/LIFESTYLE INDUCED DOSHA IMBALANCE
THIS COULD BE TREATED BY INTERNAL MEDICINES + EXTERNAL APPLICATION FOR SKIN+ DIET STRICTLY FOLLOW+ LIFE STYLE AND YOGA PRANAYAM+BASTI SUPPORT+ TIMELINE OF EXPECTED RECOVERY
FOLLOW THIS MEDICATIONS PROPERLY
1)DEEP DIGESTION CORRECTION- AGNIDEEPANA AND AMA PACHANA-
-HINGWASTAKA CHURNA- 1/2 TSP WITH GHEE BEFORE MEALS
-KUTAJARISTA- 20 ML WITH EQUAL WATER AFTER MEALS TWICE DAILY
-AROGYAVARDHINI VATI- 1 TAB TWICE DAILY AFTER FOOD- LIVER,SKIN METABOLISM
- TRIPHALA CHURNA- 1 TSP AT BEDTIME WITH WARM WATER- FOR GUT CLEANSING
2)SKIN HEALING(RAKTA SUDDHI+TWAK PRASADANA)
-MAHAMANJISTHADI KASHAYA- 20 ML WITH WARM WATER,TWICE DAILY BEFORE MEALS
-PANCHATIKTA GHRITA GUGGULU- 1 TAB TWICE DAILY AFTER FOOD-ANTIINFLAMMATORY, SKIN , AUTOIMMUNITY
-KHADIRARISTA- 15 ML WITH WATER AFTR MEALS TWICE DAILY- BLOOD PURIFIER, ANTI-ITCHING
- NEEM CAPSULE- 1 CAP TWICE DAILY IN MORNING AND AT BED TIME FOR PERSISTENT ITCHING AND WHITE PATCHES
-BAKUCHI CHURNA-1/2 TSP WITH HONEY AFTER BREAKFAST-VERY SLOWLY INTRODUCED
-SARIVADI VATI- 1 TAB TWICE DAILY- USEFUL IN CHRONIC SKIN ALLERGIES AND PIGMENTARY CHANGES
3)EXTERNAL APPLICATION - -BAKUCHI TAILA- APPLY GENTLY ON WHITE PATCHES(1-2 HRS BEFORE BATH) ON ALTERNATE DAYS
-JATYADI TAILA- APPLY GENTLY FOR DRY,ITCHY AREAS-AFTER BATH
-KHADIRARISTA WASH- DILUTE IN WATER AND USE FOR FINAL RINSE OR SPONGE BATH ON ITCHY AREAS
- ALOE VERA(FRESH GEL)- APPLY PLAIN ON IRRITATED SKIN - SOOTHING,HEALING
4) LIFESTYLE AND YOGA - DAILY ROUTINE - SLEEP EARLY BY 10 OM, AND WAKE UP BEFORE SUNRISE USE WARM WATTER FOR BATHING AND DRINKING GENTLE SELF MASSAGE WITH KARANJA TAILA-3 TIMES/WEEK AVOID SLEEPING DURING DAY TIME
YOGA AND PRANAYAM VATA BALANCING POSES- PASCHIMMOTTANASANA, PAWANMUKTASANA, VAJRASANA- 15 MIN SURYANAMSKAR - SLOW PACE- 6 ROUNDS
PRANAYAM- ANULOM-VILOM,BHRAMARI,SHEETALI- 15 MIN
MEDITATION-10 MIN DAILY
*AVOID INTENSE EXCERCISE UNTIL DIGESTION STABILIZES
5)DIET PLAN - INCLUDE - WARM,LIGHT ,COOKED FOODS MOONGDAL,RICE GRUEL,CUMIN,AJWAIN,GINGER STEAMED/BOILED VEGETABLES HERBAL TEAS- FENEEL,CORIANDER,AJWAIN COW GHEE
AVOID - MILK,CURD FERMENTED FOOD,BAKERY,REFINED FLOUR BRINJAL,TOMATOES,POTATOES COLD DRINKS,FRIDGE WATER NON VEG, EGGS-FOR NOW TILL TREATMENT CONTINUES SOUR FRUITS, SUGAR AVOID MIXING MILK+FRUITS OR MILK+SALT- STRICTLY AVOID
RECOVERY TIMELINE- IF YOU CONSISTENTLY FOLLOW THIS PROTOCOL THEN 100% RESULT YOU WILL OBSERVE WEEK 1-3:- ITCHING, GUT SYMPTOMS AND SLEEP WILL IMPROVE WEEK 4-6:- ENERGY,DIGESTION,AND FEWER WHITE PATCHES MONTH 2-3:- SKIN RECOVERY BEGINS, STABLE BOWEL MOVEMENT
THIS APPERS TO BE SYSTEMATIC ISSUE AFFECTING SKIN, AS A REFLECTION OF INTERNAL DOSHA IMABALNCE AND DHATU DEPLETION PSORIASIS - LIKE CHANGES AND ITCHING NEED INTERNAL BLOOD PURIFICATION, VATA PITTA BALANCING AND LONG TERM GUT HEALING THE ABOVE TREATMENT IS BASED ON YOUR SYMPTOMS AND WILL GIVE 100% RESULT IF YOU FOLLOW CONSISTENTLY
DO FOLLOW CONSISTENTLY
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
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
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