I don’t think after taking cp vati Punarnava or Arogyavardini vati — pt got allergic reactions You have to ask triggering agents like that the patient has taken any new medication/ or had any sea foods/ dairy products- which is very common in urticaria Meanwhile you stop those medicines start on Haridra Khanda 1 teaspoon after meals with warm water Neemghan vati after breakfast and dinner
And wait for 15 days , if the rashes doesn’t recur in 15 days it means the pt is hypersensitive to one of the above drugs do not start Start on single herb and observe
Chandraprbha vati + aarogyavardhini are potent medicine to be given as per required depending on patient body type So at present stop these medicines You can start with Kamdudharas moti yukta 1-0-1 Haridhdhrakhand 1tsp twice daily before food with milk. Apply coconut oil+camphor on rash areas.
What you observed is most likely a drug sensitivity or intolerance reaction
Chandraprabha vati and Arogyavardini vati are potent formulations, and punarnavadi kashayam is also fairly strong When given together, especially in a patient with sensitive digestion heat intolerance or underlying liver, skin sensitivity, they can sometimes trigger skin rashes, even though the original symptoms improve
Possible reasons might be Exc internal heat Metal/mineral intolerance Weak digestion
So presently stop all the three medications until the rashes subside Start on Mahamanjistadi aristha 4 teaspoon with equal amount of water twice daily after meals Haridra khanda half teaspoon with warm water twice daily after meals Neem capsule one capsule twice daily after meals Apply plain coconut oil over the rashes Or you can apply aloe vera There is any in digestion, then take Hingwastaka churna of teaspoon with warm water after meals
Once the rashes subside, you can start continuing it
Hello,
The development of rashes and itching within a few days after taking Chandraprabha Vati, Arogyavardhini Vati, and Punarnawadi Kashayam indicates a likely hypersensitivity or allergic reaction to one of the herbal components or excipients in the formulations.
⚠️ Possible reasons:
1. Individual allergy – patient may be sensitive to herbs like Arogyavardhini Vati (contains bhasmas) or other components. 2. Dose too high – can trigger skin reactions in sensitive individuals. 3. Contamination or adulteration – rare, but possible if formulations are not from trusted sources. 4. Interaction with other medications – if patient is taking other drugs, reactions may appear.
🔎 Recommended Action 1. Stop all suspected medications immediately. 2. Check severity of rash: Mild: redness, itching
Severe: swelling, blistering, breathlessness (emergency) 3. Supportive care:
Apply calming herbal paste like Aloe vera gel or Sandalwood + rose water paste externally
Hydration – drink warm water, avoid hot and spicy food
💊 Ayurvedic Medicines for Rash & Itching (7–10 days) Internal Medicines: 1. Neem (Nimba) Churna / Tablets – ½ tsp with water once or twice daily 2. Guduchi (Giloy) Satva / Powder – 1 tsp in warm water morning 3. Triphala Churna – ½ tsp with warm water at bedtime
External / Topical Measures: 1. Sandalwood + Rose Water Paste – apply on rashes 2–3× daily 2. Aloe Vera Gel – cools itching and redness 3. Avoid scratching to prevent secondary infection
🥗 Diet & Lifestyle Recommendations ✅ Include: * Light, fresh, cooked meals * Coconut water, cucumber, pomegranate * Warm water sipping ❌ Avoid: * Spicy, oily, deep-fried foods * Red chili, tomato, sour pickles * Excess tea/coffee and packaged foods
💊 After Reaction Management Once rashes subside, re-evaluate herbal medications; avoid same combination initially.
Consider single herb therapy for symptoms (e.g., Punarnava alone for urinary discomfort) with low dose.
Patch test if needed before restarting any Ayurvedic medicine.
⚠️ Emergency Warning
Seek immediate medical attention if: 1.Rash spreads rapidly 2.Swelling of face/lips/tongue 3.Difficulty breathing or dizziness
⏳ Follow-Up
Rashes usually subside in 5–7 days with gentle treatment.
Restart herbal medicines only under supervision, preferably with single-herb therapy in very low dose.
The rash is likely an allergic reaction. Stop the medicines, use Neem, Guduchi, and Triphala internally, apply cooling external pastes, maintain a light diet, and avoid irritants. Monitor for worsening; seek urgent care if severe symptoms appear.
Warm regards, Dr. Sumi MS(Ayu)
Hello, I see your point and yes—this kind of situation can be really puzzling, especially when the main symptoms get better but some new side-effects show up.
YOUR CLINICAL SCENARIO
Medicines given: Chandraprabha Vati Arogyavardhini Vati Punarnavadi Kashayam
Indications: Painful urination Indigestion
Response: ✔️ Urinary pain & digestion improved ❌ Generalized body rashes with itching
Rashes: Just a few days. Allergy history: Not known
AYURVEDIC CLINICAL INTERPRETATION
Such a Pitta aggravated state with rashes as a symptom, strongly indicates a Pitta-prakopa–dominant drug reaction, not a treatment failure.
What probably happened?
1️⃣ Excess Pitta Aggravation
Arogyavardhini Vati is composed of: Katuki Tikta–Ushna dravyas Sometimes Loha/Tamra Bhasma (depending on the formulation)
Chandraprabha Vati also includes: Katu–Tikta dravyas Deepana–Pachana action
👉 Thus, in a Pitta-prone or Rakta-sensitive patient, this can: Rapidly mobilize Ama Push toxins into Rakta Dhatu Manifest as Twak Vikara (rashes, itching)
2️⃣ Ama Detox Faster Than Elimination Capacity
The improvement of urinary symptoms shows that: Apana Vata channel has been opened However, if:
Bowels Liver Skin channels (Swedavaha srotas) are not prepared → toxins exit via the skin
👉 This phenomenon is called “Shodhana-asahishnuta” (intolerance to cleansing effect).
3️⃣ Hidden Drug Sensitivity / Idiosyncratic Reaction Even the most classical formulations may become: Causers of Rakta–Pitta type hypersensitivity
In particular, if: Patient has a history of allergies Eczema, urticaria, or food intolerance is present Food allergies also
The current season is Grishma / Sharad
IMPORTANT CLINICAL POINT
It is not a toxic reaction, but a functional Pitta–Rakta flare. The fact that: Urinary pain reduced Digestion improved
Points out that drug selection was right, but the dose, sequencing or patient constitution might not have been fully compatible.
IMMEDIATE MANAGEMENT (WHAT TO DO NOW)
1️⃣ Temporarily Stop the Aggravating Medicines stop Arogyavardhini Vati Chandraprabha Vati If at all necessary, only continue: Punarnavadi Kashayam (reduced dose)
PITTA–RAKTA PACIFICATION (CORE STEP)
INTERNAL MEDICATION
1. Guduchi Satva – 500 mg twice daily (Best drug of choice for drug-induced rashes)
2. Sarivadyasava – 15 ml + equal water, twice daily (Cools Rakta, reduces itching)
3. Avipattikar Churna – ½ tsp at bedtime with warm water (Makes Pitta get rid of by the intestines, not skin)
DETOX CORRECTION (VERY IMPORTANT)
Gentle Detox Strategy ❌ Strong Deepana-Pachana should not be taken now ✅ Mridu Virechana & Pitta Shamana should be taken
Keep taking warm water throughout the day Light, non-spicy diet No fasting
👉 This is a way of preventing the skin from becoming overloaded with toxins.
EXTERNAL CARE FOR RASHES
Put Shatadhauta Ghrita or Coconut oil + a pinch of camphor on your skin Don’t use hot water for bathing Wear loose cotton clothing
WHEN TO REINTRODUCE ORIGINAL MEDICINES
Only after: The rashes disappear completely (7–10 days) Itching is gone Bowel movement is normal
Reintroduction Strategy
One medication at a time will be reintroduced Start with: Chandraprabha Vati → lower dose Only if necessary, Arogyavardhi vati to be added
Wishing you a good health😊
Warm Regards Dr Snehal Vidhate
🔍 Possible Reasons for Rashes & Itching - Drug reaction / hypersensitivity: Even Ayurvedic medicines can trigger allergic-type reactions in sensitive individuals. - Arogyavardhini Vati contains Kutki (Picrorhiza kurroa), Triphala, Shuddha Parada, Shuddha Gandhak etc. – these can sometimes cause skin eruptions if the patient’s liver or skin metabolism is sensitive. - Chandraprabha Vati has multiple mineral and herbal ingredients; in rare cases, it may cause dermatological reactions. - Punarnavadi Kashayam is generally safe, but in combination with other strong formulations, it may have altered metabolism. - Idiosyncratic reaction: Some patients react unpredictably to certain herbs/minerals, even if they are generally considered safe.
🌿 Suggested Next Steps - Stop the medicines immediately until rashes subside. - Give soothing support: - Sarivadyasava (15 ml + 45 ml water, twice daily) – for skin detox. - Manjishtha Churna (½ tsp daily with warm water) – blood purifier. - Aloe vera juice (10–15 ml daily) – cooling and skin-friendly. - Topical relief: Apply sandalwood paste or aloe gel on rashes. - Reintroduce medicines slowly: If needed, restart one medicine at a time in low dose to identify the culprit. - Monitor liver and kidney function with tests if rashes persist.
Arogyavardhini Vati - This formulation contains Tamra Bhasma (Copper) and Kutaki. In a patient with a Pitta constitution or acidic digestion, these Hot and Piercing ingredients trigger immediate skin reactions and rashes.
Discontinue Arogyavardhini Vati and Chandraprabha Vati immediately.
(For Rashes): 1 Kamadudha Ras (Moti Yukta): 1 tablet twice daily (Before food). Neutralizes the heat. 2 Haridra Khanda: 1 tsp twice daily. Acts as a natural antihistamine for itching.
For Urinary Pain: Once rashes subside, switch to a Cooling Protocol: 1 Gokshuradi Guggulu (instead of Chandraprabha). 2 Chandanasava (Sandalwood tonic) or Syrup Neeri. Avoid hot potency drugs like Shilajit or Copper for this patient.
Regards Dr Gursimran Jeet Singh MD Panchakarma
When incorporating Ayurvedic formulations like chandraprabha vati, arogyavardhini vati, and punarnavadi kashaya, it is essential to inspect for potential imbalances and ensure that they suit the individual’s prakriti and vikruti. Rashes are a possible indication of an exacerbated Pitta dosha, which might be triggered by the heating nature of these formulations or due to an underlying sensitvity to any ingredient.
An imbalance in the Pitta dosha can lead to skin rashes due to its hot and sharp qualities. Chandraprabha Vati, though usually balancing for Vata and Kapha, can enhance Pitta due to its ingredients. Arogyavardhini Vati specifically promotes liver function and may increase Pitta as well. While Punarnavadi Kashayam acts as a diuretic and aids detoxification, its effects can also vary on one’s doshic constitution.
Reviewing the dosage and the combination of these herbs is crucial, considering this reaction. Often, excessive or prolonged intake or incorrect combination may lead to skin issues. You might want to temporarily cease medication and evaluate if this resolves the rashes. This includes ensuring proper anupan (vehicle) for medicinal intake - using cooling agents like ghee or milk where appropriate.
For immediate relief, consider simple dietary adjustments to pacify Pitta, such as consuming cooling foods like cucumber or coconut water. Suggest topical application of a cooling paste, say sandalwood and rosewater, to soothe the skin. Monitoring hydration and encouraging intake of Pitta-pacifying herbal teas like mint or coriander can also be supportive.
If symptoms persist, do consult with a dermatologist for a thorough examination. It’s crucial to prioritize safety and minimize discomfort while treating symptomatiques evident and ensuring alignment with body constitution and current imbalances.
