Ano rectal disorder

A male/28 patient with c/o itching on gluteal region... and eruptions like this on both sides since 15 days. One among this formed wound with pain and difficulty in sitting. H/ o shetapitta on medications like LSSR , Swadishta virechana choorna, mahakhadira kashaya. Itching under control now. Vitals normal No other abnormalities Habbit smoking drinking occasionally Prakruti pitta vata Koshta madhyama agni samagni Constipation absent What should be diagnosis and Line of treatment?

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Sir I don't think we can consider this case as Ano Rectal Disorder... It looks like Infected Mandala Kushtha @Dr. Deepak Rathee sir What you think?

@Hemant Adhikari yes sir i agree with you... what could be line of management
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Dear Dr. Deepak Rathee Sir, Advice for the case. Tab. Gandhak Rasayan 1 tds with milk. Marichyadi tail for local application. Erand bhrasta haritaki churna 1 tsp at bed time.

Thank you doctor
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1) Mahalakshmi vilas Ras 1 tab. Rasmanikya 50 mg. Gandhak Rasayan 1 tab Arogya vardhini tab.1 Kamdudha Ras moti 1 tab 2). Maha Marichyadi tail 1 Somraji tail Panderm+ oint. Locally 3) Panchtikt ghrit 5 gm.b.d.with warm godugdh and mishri

Thanku very much sir
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Fungal with secondary infection. चिकित्सा-1 शुद्ध गंधक 250 mg शुद्ध गैरिक 250 mg सुबह शाम 2.आरोग्यवर्धिनी 1 1 3.कांचनार गुग्गल 1 1 4.निम्बादी चूर्ण 2 ग्राम चिरायता चूर्ण 2 ग्राम 5.खादिरारिस्ट 20 ml समान मात्रा जल से।

thanku very much sir
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गंण्डोरिकदम् तैल लगाने के लिए। त्रिफला चूर्ण 10 ग्राम रात को सोते समय दूध में मिलाकर नियमित रूप से सेवन कराएं।

Thanku very much sir
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Clean with triphala Mahamanjistha kwath 20 ml bd for 15 days Gandhak rasayana 2bd Chitrakadi bati 2 bd

Thanku very much sir
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Tinea cruries Anti fungal treatment Ketostar oint Cap itraconazole 100mg od for week

Thanku very much sir
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Neem 2 bd af Haridra khandam 1 tsp bd AF Marichadi thailam external application

Thanku very much sir
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Arogya vardhini 1tds Gandhak rasayan 1tda Gandhak malhar for L.A

Thanku very much mam
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Tinea corporis infection Antifungal treatment may benefit

Thank you doctor
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