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A 20-year-old male resident of Mathura visited the Nirogam clinic suffering from dry itchy patches over his back and buttocks.
He is a non-drinker, non-smoker studying at University. His food habits include a vegetarian diet with milk, curd, and ghee.
He stated that his cousin's sister and maternal uncle also suffer from the same ailment, suggesting genetic factors.
His diet and lifestyle did not suggest a trigger for the ailment.
His BP / Pulse rate / Heart rate and respiration were all found normal.
On further investigation, it was found that he had dry, itchy and scaly lesions on the lower portion of his back and on both buttocks. The symptoms had led to a black discoloration. There were no signs of watery or bloody discharge. The symptoms did not suggest HSV (Herpes Simplex Virus) or genital warts.
The patient had been taking allopathic medication which offered him temporary relief from itching. He confirmed urges of acute hunger and thirst but no sleep issues. He was passing stools more than twice a day.
He was diagnosed with Vicharchika which indicates very high levels of Pitta and Kapha.
He was immediately started on Nitya Virechana meaning daily purgation to remove the excess Pitta and Kapha dosha.
The patient was prescribed Patola Kadurohinyadi Kashayam, Mahatiktaka Ghritam, Kaisora Guggulu and Arogyavardhini Vati among other medications. Eladi Thailam and Nalpamaradi Thailam were recommended for external applications before baths. He was directed to use Nirogam's Raz Oil as a topical lotion twice a day.
The patient was strongly advised a diet of simple Mung dal khichdi, Vegetable soup of ghiya (bottle gourd) and pumpkin and buttermilk. He was also advised to avoid curd, leafy vegetables and excessive consumption of milk.
Within 3 weeks the patches on the buttocks and blackish discoloration had disappeared.
Excessive thirst and hunger were reduced. Bowel movements became normal (twice a day).
The itching still persisted and some changes in the medication were made for this. With the external application of oils, the patient is relieved from the itching. He was asked to follow the recommended diet for an additional month and was prescribed medicines to improve his immunity.
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