An 89+ year old female patient experiencing worsening erythema on bilateral lower extremities over past few weeks. No itching, pain or burning. . No major health issues, but obvious fungus in toenails. Complains of toes feeling “stiff”. Not certain if this is infection or allergy or circulatory? Treatment ? Diagnosis?

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Stasis dermatitis, low blood supply due to varicose veins leads to eczema making skin prone to infections. There may be lymphedema also. Treat like siraj granthi and sidhma kshudra kustha. Arogyawardgini vati+ ras manikya+ neem tablet+ swarnmakshik bhasm+ kaishore guggul BD with mahamanjisthadi kwath and aragwadhadi kwath at night only. gentle massage with lupis oil + saindhavadi oil externally.

Agree with @Dr. Divya Sharma ma'am....
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May be stasis dermatitis?

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Stasis dermatitis

Agree with Dr. Divya Dharma. Hamamelis Q or Puls Q may be indicated according to symptom similarity.

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RT

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Pittadosha saman Laghu Sutsekhar Ras 2 BD kamdudha Motiyukt I BD kaishor guggul I BD Chandanaswa 30 ml with warm water BD N Apply Mahamarich yadi tail, Rasmanikya ras 10 GM Kuktandav bhasma10 GM Giloysatva20 GM louhbhasm 10 GM manjistha churn 60 GM mixed up N 500 mg BD with warm water.

Agree with@Dr. Divya Sharma , in Homoeopathy constitutional homoeopathic treatment may effective

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Stasis dermatitis

OBESITY. TOES. NAILS. BI.V.DISTENDED. CLIMAXIS AGG. STIFFNESS. SULPH 200 FEW DOSES AT INFREQUENT INTERVAL'S.

Could be stasis dermatitis.

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