Can a 70-year-old woman take Nimbadi Kwath for groin swelling, and is it safer in tablet or liquid form for her kidneys? - #55014

First most important thing is the evaluation of the swelling to rule out any kind of underlying cysts or lymphadeonopathy. About the kdney issue: Be it Allopathy or Ayurveda all medicines have to go past the kidney to get filtered out of the body. Nothing is absorbed in 100 % so if the kidney issue is major (as you have not mentioned in details about the kidney problem) I would suggest for physical examination and one to one consultation of the patient. About Kerala Ayurveda Nimbadi Kwath: Nimbadi Kwath is mainly used in Ayurveda for inflammatory and skin/infective conditions and is not specifically a medicine for groin swelling, so the cause of swelling matters first. In elderly patients with kidney concerns, tablet form (Kwath tablets/Ghanvati) is generally more convenient and gentler than concentrated decoction liquid because: dosage is easier to control less chance of contamination/spoilage avoids excess concentration if digestion is weak However, any kwath preparation should still be used cautiously if kidney function is reduced. 1 tablet twice daily after food with warm water for a few days and observe. Ensure good hydration unless fluid restriction is advised by her doctor. Stop and seek medical review if: swelling increases pain develops fever appears skin becomes red/warm difficulty walking develops swelling becomes hard/fixed urinary symptoms occur Regarding Jathyadi Kera Thailam: It is mainly used externally for wound healing, ulcers, fissures, and infected skin lesions. If the skin over the swelling is intact (no wound/opening), applying oil may not help much. If there is a small superficial infected area, irritation, or healing wound, a thin layer can be applied externally after cleaning the area. Do not massage deeply over a groin swelling. Avoid applying if: the swelling is unexplained there is fungal infection with moisture there is active pus collection the area is very warm/red