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Seeking Advice for Managing Long-term Psoriasis
Skin and Hair Disorders
Consultation #50349
144 days ago
700

Seeking Advice for Managing Long-term Psoriasis - #50349

Client_6f34ba
$6

Hello, I've had psoriasis for 20 years. I have done the following ayurvedic procedures and taken the following medicines. In March 2025, I did a panchakarma (virechana). After this procedure, I was advised to begin taking a spoonful of mahathiktham ghee as soon as I wake up in the morning. After that I mix neem powder with warm water and drink it before breakfast. After breakfast, I take two Kaishor guggulu tablets and one Ghandhaka rasayana. After dinner, I take one Ghandhaka rasayana tablet. In October 2025, I did a basti. In January 2026, I did another virechana. My spots have significantly improved, but there is still some flaking on the scalp. A new spot developed in December of 2025, that is red and itchy on my chest. I use Winsoria oil once a week on my scalp. I have been following the appropriate diet about 85% of the time. What are other suggestions that you have for medications to take or what else to do to clear my skin completely?

How would you describe the severity of your psoriasis symptoms currently?:

- Mild, occasional flaking

Have you noticed any specific triggers that worsen your symptoms?:

- No specific triggers

How would you rate your overall stress levels?:

- Moderate, sometimes stressful
Consultation is closed

Doctors' responses

Dr. Narendrakumar V Mishra
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

Avoid sour, fermented and bakery products. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cutisora oil for local application Tab Cutisora 2-0-2 Cap GT 2-0-2 Follow up after 4weeks.

13389 answered questions
39% best answers
Doctor has prepared a treatment plan for you
Vasu Cutisora Oil - Vasu Pharmaceuticals
Vasu Cutisora Tablets - Vasu Pharmaceuticals
Kerala Ayurveda GT Capsule - Kerala Ayurveda
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0 replies
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
144 days ago
5

Don’t worry Take. Arogya vardini vati 1tab bd AF Mahamanjsiadhi gana vati 1tab bd AF Pancha tiktha ghrita Guggulu 1tab bd AF Artisor ointment Externally apply Raktashodhak vati 1tab bd AF Avoid oily spicy food meat alcohol smoking U ll get results Dr RC BAMS MS

16058 answered questions
33% best answers
Accepted response

0 replies
Dr. Shobhana Thakkar
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

Avoid salt in diet , no yogurt, non veg food no dairy products, for Korean u can book a consultation

9 answered questions
56% best answers
Accepted response

0 replies
Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

●Nimbatiktam with Lajjalukeram A combination of internal administration of Nimbatiktam 200 mg twice daily and Lajjalukeram as external application for 60 days ●Nimbatiktam with Aragwadha kera Double blind clinical study was carried out on 40 patients randomly grouped into 2 groups (20 in each) ●1 gm nimbatikatam mixed with 100gm coconut oil and apply for 72 days ●Use neem leaves in bath water for 3 months ● Do not eat aggravated , non veg spicy pungent increase pitt ● Hydration ●Eat healthy diet

1162 answered questions
21% best answers

0 replies
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
144 days ago
5

Avoid soicy food and milk and milk products Do nasya with panchtikta ghurth 2 time day Take panchtikta ghurth 5 ml at empty stomach morning Take livtone 2-0-2 Tab NEEMVATI 2-0-2 Tab kesor gugulu 2-0-2 Tab virechan 0-0-1 Do RAKTAMOKSHAN ( leech therapy ) near panchkarma centre

1753 answered questions
38% best answers

0 replies
Dr. Prasad Pentakota
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

CAN I KNOW HOW OLD ARE YOU HOW IS YOUR DIGESTION/ APPETITE/ BOWEL HABIT ANY OTHER ILLNESS ? CURRENTLY ON WHAT MEDICATIONS YOU ARE ??

13602 answered questions
29% best answers

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Dr. M.Sushma
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

Continue Neem churna Gandhak rasayana along with that Khadira aristha 3 tsp with equal water after meals And for locally can apply shatdaut gritha Whole body abhayanga with warm sesame oil before bath

4952 answered questions
37% best answers

0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

HELLO, Since you describe your current state as mild with occassional flaking, the focus now should shift from strong cleansing to maintenance, scalp specific care, and immune stabilization After multiple virechana and Basti, your system has already undergo adequate purification. Now your symptoms suggest -residual vata + pitta in skin and scalp -mild rakta dhatu involvement -scalp dryness with flaking -new red itchy patch= localised pitta aggravation At this stage, aggressive detox is not ideal. Focus on -Rasayana (immune modulation) -Gentle blood purification -Scalp nourishment -stress stabilization INTERNAL MEDICATIONS 1) CONTINUE -Kaishor guggulu= 2 tabs after breakfast -Gandhak rasayana = 1 tab twice daily after meals 2) ADD FOR SCALP AND RESIDUAL LESIONS -Mahamanjisthadi kashaya= 20. ml with equal water twice daily before meals =excellent for lingering redness and blood purification 3) FOR IMMUNE MODULATION (important for chronic psoriasis) -GUDUCHI GHAN VATI = 2 tabs twice daily after meals 4) IF STRESS IS MODERATE Stress directly aggravates psoriasis -Brahmi vati= 1 tab at night -Ashwagandha churna= 1 tsp with warm milk at night -10 min of nadi sodhana daily SCALP SPECIFIC CARE Scalp psoriasis often persists because -Shampooing too too frequently dries scalp -Oil application only once weekly may not be enough SUGGESTED PLAN Oil scalp 2-3 times per week -Winsoria oil - continue -Neelibringadi taila= if dryness predominant -Ksheerbala taila= if more vata dryness Use mild herbal shampoo= avoid harsh medicated shampoos weekly IF THICK SCALING -Apply warm coconut oil + pinch turmeric once weekly overnight FOR NEW RED CHEST SPOT This indicates localised pitta flare TOPICAL -Psorakt ointment -aloe vera gel fresh -Paste of neem + turmeric Avoid steroid creams unless severe flare DIET (even at 85% tighten a bit more) Psoriasis is very diet sensitive -bitter vegetables- karela, neem leaves micro doses -lauki, tori, ridge gourd -moong dal -old rice or barley -warm water sipping AVOID -curd at night -fermented foods -leftover food -fish + milk combination -excess tomatoes, eggplant, sour fruits -packaged protein powders WEEKLY DETOX MAINTENANCE Once weekly -Triphala 1 tsp at bedtime= if bowel not perfectly clear -OR -warm water + 1/2 tsp ghee at night Only do further virechana if a strong flare happens With 20 year history, complete permanent disappearance is rare But -90-95% control -no new lesions -minimal flaking -long remission periods These are realistic and achievable MOST IMPORTANT MISSING COMPONENT -Stress modulation + consistent routine -Early sleep before 10:30 pm -Regular bowel movement daily These often matter more than adding more medicines DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

13354 answered questions
27% best answers

0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

It’s good that you’ve seen significant improvement — that shows your current approach is helping. With long-standing psoriasis, complete clearance may take time, and the focus is usually on stabilizing the condition and preventing new spots. Since you still have scalp flaking and a new lesion, it may mean the treatment now needs fine-tuning rather than adding more medicines on your own. After repeated shodhana procedures, sometimes the body needs a shift toward maintenance and strengthening support instead of continued cleansing. You may benefit from reviewing digestion, stress levels, scalp care frequency, and whether your internal medicines need adjustment based on your current stage. A personalized reassessment will help decide the next step and aim for more stable skin improvement.

1298 answered questions
11% best answers

0 replies
Dr. Gursimran Jeet Singh
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

✓Internal medicines – add these Haridrakhand – 5–10 gm at night with warm water Arogyavardhini Vati – 1 tablet morning after breakfast ✓Continue current Mahatiktakam Ghrita morning Neem powder morning Kaishore Guggulu 2 tabs morning Gandhak Rasayana 1 tab morning + 1 tab night ✓External for scalp & new chest spot Jatyadi Ghrita or Mahamarichyadi Taila – apply thin layer on scalp & chest spot nightly (leave 2–3 h or overnight and wash morning with mild herbal shampoo) Reduce Winsoria oil to once every 10–14 days (alternate with Jatyadi Ghrita) ✓Diet & Lifestyle tweaks Strict avoidance: nightshades (tomato, brinjal, potato, capsicum, chilli), fermented, curd at night, seafood, excessive citrus Daily must: pomegranate (1), amla (fresh/powder), bitter gourd (cooked), 1 tsp ground flaxseeds 10 min Anulom-Vilom + Bhramari pranayama daily (stress is moderate but still a flare trigger) No scratching – gentle combing only Regards Dr Gursimran Jeet Singh MD Panchakarma

1945 answered questions
25% best answers

0 replies
Dr. Rashid Ali
Bachelor of Ayurvedic Medicine and Surgery
144 days ago
5

Psoriasis mein apko apka life style , diet dono mein sudhar Krna hoga Baki medicines Tab psorakot - 2-2 bd Tab impusora - 2-2-2 tds Tab aragwadhadhi kashayam - 2-2 bd Tab arogyavardhini vati - 2-2 bd Syp Mahamanjisthadi kadha - 15-15 ml Vrihat danthpala oil - + impusora cream apply on spots 3 times / day Avoid salty diet , bitter diet , chicken mutton etc Avoid milk products , reduce stress , eat healthy & sleep more , mentain hygiene , do not touch spots

9 answered questions
22% best answers

0 replies
Dr. Krishnaja Biju
Bachelor of Ayurvedic Medicine and Surgery
143 days ago
5

Use chandanadi taila on scalp and manjishtadi taila on body. On the new lesion formed use triphala kashaya to wash it and keep it dry. Take triphala choorna 5 gm with water at bed time till the lesion heals

221 answered questions
34% best answers

0 replies

The treatment course was sent to the patient's private messages.


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