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