Scabies can be quite a persistent issue, and I’m sorry to hear your brother’s dealing with it for this long. Ayurveda, indeed, has its ways to tackle such concerns by addressing the root causes - focusing usually on blood impurities (rakta dhatu) and dosha imbalances, often involving kapha and pitta doshas contributing to the condition.
Neem and turmeric are truly powerhouse herbs here. Neem oil is revered for its antimicrobial properties and it might help in fighting off those pesky mites. Plus, turmeric helps in reducing inflammation and itching. But, applying these on broken skin…well, you gotta be cautious. Sometimes it can sting a bit on already irritated areas, so it’s best used when the skin is intact or with diluted proportions. Mixing neem oil with coconut oil could be gentler.
Now about internal medicine, yes! Ayurveda often suggests herbal formulations like gandhaka rasayana and arogyavardhini vati. These help detoxify and purify the blood, hence dealing with the internal imbalance. Trikatu and triphala choorna are also recommended for maintaining digestion and enhancing detoxification.
Results can vary - some might feel relief in a few days, others take weeks. Regularly applying oils and taking herbs should show improvement, but patience and consistency is key.
As for precautions, staying away from spicy and oily foods since they can aggravate pitta, and hence the skin condition, might help. Loose, cotton clothes are your best friends - they prevent irritation and allow the skin to breathe.
Don’t forget to wash bed linens and clothing frequently in hot water to prevent the infection from spreading. Keeping nails short can stop the mites from finding homes there, and reduce skin damage from scratching.
Seek professional guidance tailored for your brother, ensuring these approaches suit his specific condition and prakriti. Ayurvedic treatment can be a great complement, but remember urgent medical care should be the priority in severe cases.