Diagnosis (Ayurvedic):
Chronic vulvar itching (Severe, constant) – Pitta-Kapha imbalance causing Jangha-Sphika Vedana
Internal Medicines:
- Manjishtha Churna – 3 grams, taken in the morning on an empty stomach with warm water or milk, for 1 month.
- Neem Capsules / Neem Churna – 500 mg, twice daily after meals, for 1 month.
- Haridra (Turmeric) with Ghee – 1 teaspoon turmeric + 1 teaspoon ghee, taken in the morning on an empty stomach, for 1 month.
- Gokshura Churna – 3 grams, at night with water, for 1 month.
Note: After 1 month, medicines should be reviewed and adjusted based on symptom relief.
External Treatment:
- Apply a thin layer of Neem-Turmeric paste over the affected area 1–2 times daily. Wash gently after 30 minutes. Avoid internal mucosa.
- Apply Coconut oil or Ksheerabala Taila 2–3 times daily after washing to keep the area moist and reduce itching.
- Wash the vulvar region once daily with lukewarm Triphala water.
Dietary & Lifestyle Advice:
- Avoid spicy, oily, fermented, or sour foods that aggravate Pitta.
- Include cooling foods such as cucumber, coriander, ghee, and sweet fruits.
- Drink 2–3 liters of water daily.
- Use mild, unscented soap or plain water for cleaning.
- Wear cotton, loose-fitting underwear.
- Practice daily stress management: Pranayama (Sheetali / Sheetkari) and yoga asanas like Shavasana and Supta Baddha Konasana.
Follow-Up:
- Review after 4 weeks to assess severity of itching, skin condition, and response to treatment.
- If symptoms persist, consider Ayurvedic Panchakarma therapies (like Basti or local cooling therapies).
Tq
