Since you have had this for 30 years and are on Methotrexate, the disease is deeply rooted in your tissues. The goal is management and reducing flare-up frequency, not an overnight cure. Since you are diabetic, we must avoid liquid syrups (Arishtas) that contain sugar.
Ayurvedic Prescription
1. Kaishore Guggulu: 2 tablets twice daily.
Time: After food with warm water.
2. Arogyavardhini Vati: 2 tablets twice daily. Time: After food.
3. Mahamanjisthadi Kashayam (Decoction): 15ml mixed with 45ml warm water. Time: Twice daily on an empty stomach.
External Therapy 777 Oil (Wrightia Tinctoria): Apply strictly to the affected patches 30 minutes before bathing and expose the skin to mild morning sunlight for 10 minutes if possible.
Important Medical Instruction Do not stop Methotrexate suddenly. Stopping it abruptly can cause a severe rebound flare-up. Continue it as prescribed by your specialist.
Sugar Control is Key: High blood sugar feeds the skin infection. If your diabetes is uncontrolled, no skin medicine will work. Keep your sugar levels strictly managed.
Regards Dr Gursimran Jeet Singh MD Panchakarma

Hello, As psoriasis as well as DM are long standing panchakarma treatments will help you a lot to manage the symptoms very effectively. So i would advice you to consult ayurveda doctor around your place who is having panchakarma treatment set up Take care, Kind regards.
Consulting the near by AYURVEDIC PHYSICIAN
CHRONIC PSORIASIS WITH DAILY FLARE UPS AND LONG STANDING DIABETES IT IS IMPORTANT TO APPROACH THIS GENTLY AND NATURALLY TO SUPPORT SKIN HEALING WITHOUT DISTURBING BLOOD SUGAR CONTROL
FOR INTERNAL MEDICINES YOU CAN TAKE KANCHANAR GHAN VATI TWO TABLETS TWICE DAILY AFTER FOOD WITH PLAIN WATER THIS HELPS IN DETOXIFYING BLOOD REDUCING INFLAMMATION AND SUPPORTING SKIN TISSUES
ALONG WITH THIS TAKE MANJISHTHA CHURNA ONE TEASPOON WITH WARM MILK OR WATER AT NIGHT REGULARLY IT IS VERY EFFECTIVE IN PURIFYING BLOOD REDUCING SKIN REDNESS AND PROMOTING HEALING
YOU CAN ALSO TAKE ALOE VERA JUICE 20 ML WITH WARM WATER ON EMPTY STOMACH IN THE MORNING THIS HELPS COOL THE BODY REDUCE ITCHING AND SUPPORT SKIN MOISTURE
EXTERNALLY APPLY A PASTE MADE OF NEEM LEAVES AND MANJISHTHA ROOT ON AFFECTED AREAS ONCE OR TWICE DAILY IT SOOTHES ITCHING REDUCES INFLAMMATION AND PROMOTES HEALING
ENSURE YOUR DIET SUPPORTS BOTH DIABETES AND SKIN HEALTH AVOID FRIED SPICY AND HEAVY OILY FOODS INCLUDE MORE GREEN LEAFY VEGETABLES FIBER AND PROTEIN DRINK PLENTY OF WATER AND MAINTAIN REGULAR SLEEP
REGULAR FOLLOW UP IS IMPORTANT TO MONITOR SKIN CONDITION AND BLOOD SUGAR LEVELS AVOID SELF CHANGING YOUR DIABETES MEDICATION AND USE AYURVEDIC MEDICINES UNDER SUPERVISION FOR BEST RESULTS
IF NEEDED YOU CAN ADD ALOE VERA GEL TOPICALLY FOR SOOTHING FLARE UPS AND TRIPHALA CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER TO SUPPORT DIGESTION AND DETOXIFICATION
1.Panchtikta ghrita guggulu 2 tab twice daily with warm water or milk 2.Neemghan vati 2 tab twice daily with water after meals 3.Arogyavardhini vati 2 tab twice daily with water after meals 4.Khadirarishta 20 ml with 20 ml water twice daily with water after meals 5.Mahamarichyadi taila- Apply twice daily
🥣 Lifestyle & Diet Guidance - Avoid: Sour, salty, fermented foods, alcohol, red meat, excess sugar. - Prefer: Bitter and cooling foods (bottle gourd, bitter gourd, neem, turmeric, moong dal, barley). - Hydration: Warm water sips throughout the day. - Stress management: Psoriasis flares with stress — pranayama (Anulom Vilom, Bhramari) and meditation help. - Skin care: Gentle oil massage with medicated oils, avoid harsh soaps, keep skin moist.
Warm Regards DR. ANJALI SEHRAWAT