Hypo pigmented skin lesions with itching

56/y/o female patient with hypopigmentation of skin of arms & hands from past 4 months. Earlier there was no such complain. No H/o pain, burning sensation or itching No H/o any systemic disease Appetite reduced Thirst increased Bowel on-off incomplete evacuation & sometimes sticky stools Urine normal

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Balanced nutrition...no sugar no nonveg diet no eggs no mushrooms no fried foods... cauliflower, boiled diet, sulpha if tolerant multani mitti with rose water and turmeric powder carrots apricots ginger spinach.paneer whey water

May be a c/o shwitra.. Which may be confirmed by related tests, clinical examination. As told in history of reduced appetite, first correct it by agnitundivati 1bd for 3days/5days depending on condition. Bowel habit should also be corrected, for this Asta churna 1tsf in noon n night just before food with hot rice n 2ml of ghee. Pigmento set n bakuchi taila sthanika lepa n exposed to early morning sunlight.

Vitiligo

Dx Vitiligo Rx Sepia 200/3dose Ars.sulph.flab.3x tds

Manjistadi kashayam 15 ml bd bf Lukoskin 2 bd bf Arogyavardini vati 2 bd af Chitrakadi vati 2 bd af Lodrasavam 15 ml bd af Avagujathi beeja churnam with cow urine external application

Vitiligo.... Advise Pigmento set.

देखने में तो शिवत्र प्रतित होता है। रोग कृच्छ साध्य है।

Kali brom 200

It looks like vitiligo vulgaris

Constitutional remedy with PQRS.

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