Skin rash around Umbilicus

A 53-year-old man presents with a skin rash centered around his umbilicus. He describes slight itching and burning and denies symptoms elsewhere. The patient lists his medical history as including “borderline” diabetes. Examination reveals a well-demarcated zone of erythema about the umbilicus; slight erythema about the rectum is noted as well. generals- all normal except disturbed sleep and occasional burning in urination mentals- cries easily, helpful, fear of dark, conflict with in-laws, always tensed Suggestions Please

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Pancha Tikta Ghrita Guggulu Giloya Ghan Vati Gandhak Rasayan Tab Khadirarishta Prakshalan With Neem Patra Kwath Local Application of Cutis Cream.
Aarnika 30 Sulphur 30
कायाकल्प तेल लगाने व कायाकल्प वटी 2 सुबह शाम जल से सेवन कराएं सत गिलोय 4 रत्ती रस माणिक 2 रत्ती शोधित गन्धक 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं निश्चित रूप से लाभ होगा योग परिक्षित है पिछले 40 वर्ष से प्रयोग कर रहा हूं
Gandhak rasayan Khadirarisht Aarogyavardhini vati Rasa manikya Neemb +chakramard+bakuchi+haridra+chalmugra lepa for local application
Rasa manikya Panchtiktaghrita guguul Haridrakhand Gandhak rasayan Khadiratisth Neenv patra swaras for prakshlan Cutis cream locally
Dear Dr. Jitendra Yadav, Advice for the case. Tab. Arogyavardhini Ras 1 tds. Haridra Khand 1/2 tsp BD With milk. Dermola ointment.
Khadiradi vati Arogyavardhani vati Kaya kalp vati Rasa manikya Manjisthadi kwath Kaya kalp tail Giloy ghan vati
Dx: periumbilical rash because of streptococcus associated with perianal streptococcus dermatitis
Shilajatu vati Arogyavardhni vati Nisakathakadi kashyam Shatdhautaghritan ointment
Dx: Stretococcal dermatitis @Jitendra Yadav
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