Managing Nephrotic Syndrome and Recent Symptoms - #47812

For rashes apply vibha ointment Externally, khadirarista 20ml bd enough

1. Gokshuradi Guggulu – 2 tablets BD (after meals with lukewarm water) Supports kidney function, reduces edema. 2. Chandraprabha Vati (Dhootapapeshwar) – 2 tablets BD (after meals) Helps in urinary system balance and inflammation. 3. Mahamanjishta Arishta – 15 ml OD (after lunch, diluted with equal water) Blood purifier; helpful in skin rashes and inflammation. 4. Punarnava Asava – 15 ml OD (after dinner, diluted with equal water) Reduces fluid retention and supports renal health. 5. Giloy Swarasa – 15 ml once daily (morning on empty stomach, mixed with equal water) Immunity booster, anti-inflammatory, supports post-viral recovery. 🌿 External Application Shat Dhauta Ghrita Apply a thin layer over rashes 2 times daily Soothing, anti-inflammatory, promotes skin healing. 🥗 Dietary Modifications Prefer: Light, freshly cooked food Moong dal, lauki, tori, pumpkin, carrot Old rice, barley, jowar Pomegranate, apple, pear Warm water (sip throughout the day) Avoid: Excess salt, pickles, papad, packaged foods Fried, spicy, fermented foods Curd at night, cheese, bakery items Red meat, excess protein supplements Cold drinks and refrigerated food 🌤️ Lifestyle Advice Maintain regular sleep cycle (sleep before 10:30 PM) Gentle walking or yoga (20–30 min daily) Avoid day sleep Protect from cold, damp weather Manage stress with pranayama (Anulom-Vilom, Bhramari) Avoid overexertion

NEPHROTIC SYNDROME IS A CONDITION WHERE KAPHA AND JALA MAHABHUTA DOMINANCE IS PRESENT AT THE KIDNEY LEVEL AND ANY RECENT INFECTION LIKE VIRAL FLU SORE THROAT OR PROLONGED COUGH DEFINITELY AGGRAVATES KAPHA AND AMA IN THE BODY WHICH CAN TRIGGER MILD EDEMA AGAIN EVEN AFTER A LONG PERIOD OF STABILITY

THE ANKLE AND LEG SWELLING YOU NOTICED AFTER THE INFECTION WAS A SIGN THAT THE SYSTEM WAS STRUGGLING TO CLEAR THE EXCESS FLUID AND INFLAMMATORY LOAD AND THE MEDICINES YOU TOOK CHANDRAPRABHA VATI AND NEERI SYRUP HAVE DONE THEIR JOB WELL SINCE YOU HAVE ALREADY SEEN AROUND EIGHTY PERCENT REDUCTION IN SWELLING

NOW COMING TO THE RASHES ON THE INNER THIGHS THIS IS MOST LIKELY DUE TO PITTANUBANDHA KAPHA SHODHANA MEANING WHEN EXCESS FLUID AND TOXINS START MOVING OUT THEY SOMETIMES MANIFEST AS SKIN RASHES ESPECIALLY IN SENSITIVE AREAS IT CAN ALSO BE A MILD REACTION DUE TO CONTINUED DIURETIC ACTION AND INTERNAL HEAT

AT THIS STAGE I WOULD ADVISE NOT TO STOP THE MEDICINES ABRUPTLY BUT YES IT IS SAFE AND WISE TO REDUCE THE DOSE

YOU CAN REDUCE CHANDRAPRABHA VATI TO ONE TABLET TWICE DAILY AFTER FOOD NEERI SYRUP CAN BE REDUCED TO TEN ML TWICE DAILY AFTER FOOD

FOR THE RASHES YOU CAN ADD GANDHAKA RASAYANA ONE TABLET TWICE DAILY AFTER FOOD OR KAISHORA GUGGULU ONE TABLET TWICE DAILY AFTER FOOD

EXTERNALLY APPLY PURE COCONUT OIL OR SHATADHAUTA GHRITA OVER THE RASH AREA TWICE DAILY

AVOID SPICY SOUR FERMENTED AND VERY SALTY FOODS FOR A FEW DAYS CONTINUE A LIGHT BALANCED DIET WITH WARM COOKED FOODS AVOID COLD EXPOSURE LATE NIGHTS AND OVEREXERTION

THIS IS NOT A DANGEROUS SIGN AND ACTUALLY INDICATES THAT THE BODY IS ADJUSTING AND REBALANCING AFTER THE INFECTION BUT IT NEEDS GENTLE SUPPORT AND NOT AGGRESSIVE DRAINAGE NOW

IF THE RASHES INCREASE OR BECOME ITCHY OR PAINFUL THEN A SHORT COURSE OF MAHATIKTAKA KASHAYA CAN BE ADDED UNDER SUPERVISION

YOU ARE DOING WELL OVERALL AND YOUR RECOVERY TREND IS POSITIVE PLEASE MOVE SLOWLY AND DO NOT CHANGE MULTIPLE MEDICINES AT ONCE.

Other than Chandraprabha vati n Neeru syrup or you on any anti hypertensives? Sometimes anti hypertensives may lead to odema of ankle n legs

N moreover Chandraprabha vati is not cause for swelling but still just one tablet twice daily is enough after food N Neeru syrup 10 ml twice daily

For inner rashes just start Mahamanjistadi aristha -15 ml with equal amounts of water twice daily after meals Once the rashes subsides you can stop that also

Do not load your kidneys too much with medicines

If itching is still persisting let me know ow we can add turmeric based medicine which is safer in your case

Hello Thanks for explaining everything so clearly. I get why you’d be worried—when you’ve got nephrotic syndrome, even little things like swelling or a rash can really freak you out. But dont worry we are here to help you out 😊

YOUR CONCERN

You have nephrotic syndrome and have been doing well for about a year and a half.

–December: You caught the flu, had a sore throat, and a lingering dry cough for a month. –After being sick: Your ankles and legs got a bit swollen. –What you took: Chandraprabha Vati (2 tabs twice a day) and Neeri Syrup (twice a day). –Result: The swelling went down by about 80%! –New thing: You’ve had a rash on your inner thighs since yesterday. –Diet:You eat well and balanced.

AYURVEDIC VIEW

This looks like a flare-up after your infection.

In Ayurveda, a viral infection can mess with your digestion and create toxins. With nephrotic syndrome, there’s already an imbalance and weak kidney channels, leading to fluid leaking and swelling.

The medicines you took helped reduce the swelling.

The new rash suggests a slight increase in heat and blood irritation, possibly because:

– You’re still recovering. – Some medicines can be a bit warming. – Your skin might be sensitive, or it’s from rubbing (inner thighs).

It’s actually pretty common to see this kind of thing when swelling starts to go away.

MEDICATION CHANGES

1. Chandraprabha Vati: * Good for swelling and kidney health. * Can be a bit warming. * Since your swelling is almost gone, you should: * Reduce the dose to 1 tablet, twice a day, AFTER food. (Don’t just stop it, slowly lower the amount.)

2. Neeri Syrup: * Gentle, protects kidneys, and cooling. * Keep taking the same dose (twice a day).

DEALING WITH THE RASH (IMPORTANT!)

It’s probably just a mild irritation from heat and rubbing.

Here’s what to do:

EXTERNALLY Apply coconut oil or Shatadhauta ghrita on it twice a day. Keep the area dry and don’t wear tight clothes.

INTERNALLY Take Guduchi satva, 1 tsp once a day with water. (It’s safe for your kidneys and helps with inflammation after a virus.)

DIET PLAN

INCLUDE

* Light, warm, freshly made food. * Enough protein, but not too much. * Veggies like lauki (bottle gourd), tori (ridged gourd), pumpkin, rice, and moong dal. * Sip warm water.

AVOID

* Very spicy, fried foods. * Pickles, fermented foods. * Too much salt. * Sour fruits for a bit.

CHECK-UPS (If you haven’t recently)

* Urine test (for protein) * Blood tests for creatinine and albumin

It’s really good that your swelling is 80% better! The rash seems mild and fixable. Lowering your medication dose is the right move. Keep an eye on things—your body is still bouncing back from that virus.

Warm Regards Dr. Snehal Vidhate

1.Chandraprabha vati 2 tab twice daily with water after meals 2.Gokshuradi guggulu2 tab twice daily with water after meals 3.Punarnavadi kwath 20 ml with 30 ml water twice daily after meals 4.Ural Syrup 2 tsp twice daily

Dietary Guidance (Pathya-Apathya): - Favor light, easily digestible foods: moong dal, lauki, tori, red rice, barley. - Avoid excess salt, fried foods, and heavy dairy (curd, paneer). - Prefer warm water over cold drinks. - Include turmeric and cumin in cooking for mild anti-inflammatory support.

Lifestyle: - Gentle yoga: Bhujangasana, Pawanmuktasana, Shavasana — avoid strain. - Adequate rest and stress management (pranayama, meditation). - Keep legs elevated when resting to reduce ankle swelling.

Warm Regards Dr. Anjali Sehrawat

As per details given by you it’s Water retention and protein loss through kidney You must be careful for pittavardhak aahar,

You should Follow the diat plan - Low salt diet, Rice, bottle gourd, ridge gourd, pumpkin, Coconut water (if potassium levels are normal), Adequate but not excessive protein

You must Avoid - Excess curd, cheese, Pickles, papad, Very spicy, sour, fermented foods, Oily, Baked, bakery items.

And instead of taking only chandraprabha vati make a suitable combination for your condition as follows -

1) (Chandraprabha Vati + Gokshuradi Guggulu + Punarnavadi Mandur) 1 tablet each - Twice a day - After food. 2) Neeri syrup - 10 ml twice a day - after food But do Not take more than 3 week. 3) Chandanasav Syrup - 15 ml twice a day after food - only if rashes appeared again.

Keep monitoring some reports like KFT, Urine routine, serum albumin, serum creatinine levels on regular basis

HELLO,

You have Nephrotic syndrome, which means -Your kidneys are taking protein into urine -this causes low protein in blood -Low protein leads to water retention , causing swelling in legs, ankles, face

AYURVEDIC VIEW Your condition is mainly due to disturbance of -Mutravaha srotas (urinary/kidney channels) -Kapha dosha-> swelling, heaviness -Pitta dosha-> inflammation, protein leakage, rashes -Agni (digestive / metabolic fire)-> weakened after ilness

WHY DID SYMPTOMS REAPPEAR AFTER FLU? Your viral throat and cough infection acted as a trigger -Viral fever-> pitta increases -Prolonged illness-> Agni becomes weak -Weak Agni-> poor tissue nourishment -Kidneys (already sensitive) become overloaded -Result-> mild relapse of swelling This is very common in nephrotic patients after infections

WHY DID RASHES APPEAR NOW? The rashes are important POSSIBLE REASONS -Heat accumulation -Reaction to long- term use of Ushna (hot) medicines -Blood impurity (rakta dushti)

Chandraprabha vati is excellent- BUT -It is hot in potency -Long term or higher dose-> skin rashes, itching, burning

So your body is saying “'swelling is improving, but heat is increasing”

TREATMENT GOALS -protect kidneys -reduce protein leakage -prevent relapse -balance pitta and kapha -improve digestion and immunity -avoid medicine-induced side effects

INTERNAL MEDICATIONS

1) CHANDRAPRABHA VATI= reduce dose to 1 tab twice daily OR stop for 5-7 days if rashes persist Duration= short term use 4-6 weeks max at a time = improves kidney function, reduces swelling , supports urinary system, clears obstruction in channels

2) NEERI SYRUP = 15ml twice daily after meals for 3 months =cooling, supports kidneys, reduces protein leakage, safe for long term use

3) PUNARNAVA MANDUR= 2 tabs twice daily after meals =best herb for swelling, strengthens kidneys, reduces water retention naturally

4) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =immunity + kidney protection

5) SARIVADIASAVA= 15ml + equal water twice daily after meals =cooling, anti itching, blood purification

6) SHATAVARI KALPA= 1 tsp at night with warm milk =kidney tonic, cooling

EXTERNAL TREATMENT

FOR RASHES -apply pure coconut oil or Shatadhauta ghrita -twice daily -avoid scratching

AVOID -strong soaps -chemical creams -hot water

DIET GOLDERN RULE= food is medicine in kidney disease

INCLUDE -light, cooling easy to digest :- -rice, barley -bottle gourd, ash gourd, ridge gourd -lauki soup -pumpkin -coconut water (if potassium normal) -moong dal (thin) -coriander, cumin, fennel water

AVOID STRCTLY -salt excess -pickles, papad -fried food -spicy, sour food -bakery, junk food -packaged snacks -tomatoes, brinjal -red meat -alcohol

PROTEIN INTAKE -Do NOT overconsume protein -Take only what doctor advice -Excess protein worsens kidney damage

LIFESTYLE CHANGES -sleep early -avoid stress -avoid cold exposure and infections -gentle daily walking -avoid daytime sleep -loose cotton clothes

YOGA ASANAS -vajrasana -bhujangasana -pawanmuktasana -shavasana

AVOID -headstand -intense twisting -power yoga

PRANAYAM -Anulom Vilom= 10 min -Bhramari= 5 rounds -Deep breathing

AVOID -kapalbhati

HOME REMEDIES -coriander seed water daily -Jeera + fennel boiled water -Coconut oil application for rashes -warm water sipping

INVESTIGATIONS NEEDED Please do regularly -urine routine -urine protein -serum albumin -kidney function test -lipid profile These help detect silent relapse early

You are not in a severe stage right now-that is good news Your body responded well to treatment, but it is signalling excess heat

KEY MESSAGE -Do not chase swelling alone- protect kidneys long term

With gentle medicines, cooling diet, proper rest, regular monitoring

You can maintain stability and avoid relapses

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Take Chandraprabhavati safe Star neeri kft syrp Don’t worry So mach itching use allargo ( antihistamines) natural medicine 2 bd Do nasya with gow ghee each nostril 2 drop 2 time day

Your swelling improved 80% with current treatment, that’s good. The new rashes on inner thighs are likely a mild allergic/sensitivity reaction to one of the medicines (most probably Neeri Syrup or Chandraprabha, as both can occasionally cause skin reactions in sensitive people, especially after prolonged use).

Reduce / Stop Neeri Syrup first – it is the more common culprit for rashes in nephrotic patients. Stop Neeri completely for 5–7 days and observe if rashes fade. Continue Chandraprabha Vati but reduce to 1 tablet twice daily (morning & night) for now.

For Rashes Apply Aloe Vera gel (fresh or pure) thinly on inner thighs 2–3 times daily (soothes & heals quickly). If very itchy, add Haridrakhand 5 gm morning + night with warm water (best natural anti-allergic). Avoid tight clothing, excessive sweating, and scratching.

For Remaining Swelling Continue Chandraprabha Vati (reduced dose) + strict low-salt diet. Legs elevated 20 min twice daily. Drink coconut water 200–300 ml daily (natural diuretic, kidney-safe).

Diet Give daily: moong khichdi + minimal ghee, pomegranate, thin buttermilk + roasted jeera, boiled veg. Avoid completely: excess salt, dairy (except small ghee), processed food, cold drinks.

When to See Doctor Urgently If rashes spread, blister or become very itchy/painful. If swelling increases again or urine output decreases. Repeat urine routine + serum albumin + creatinine soon (post-viral relapse is common in nephrotic syndrome).

Stop Neeri, reduce Chandraprabha, add aloe gel and watch for 5–7 days. Update your nephrologist.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Add to your medicines Haridhdhrakhand 1tsp twice daily before food with warm milk. Reduce dose of chandraprbha vati to 1-0-1 after food with water Neeri continue as before. Lessen intake of protein diet and lessen intake of salt in your diet also Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.