Phemiphegus vulgaris

Pt have DM and Hypertension from 15 year. Develop blisters on whole body with lot of itching, after investigation doctor found it PHEMIPHEGUS VULGUIRIS. what will be the treatment for this in AYURVEDA ???

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In Ayurveda We Called it Visphotak. Raktadushti,pitta prakopaj Vyadhi. Rakta Vishodhan,Pitta Shaman Chikitsa. Shodhan Chikitsa- Virechan For Pitta Shaman. Jalaukavacharan For Rakta Mokshana. Maha Manjishthadi Kwath Panch Tikta Ghrita Guggulu Giloya Ghan Vati Gandhak Rasayan Tab Khadirarishta. Prakshalan With Neem Patra Kwath Local Application Of Maha marichyadi Tail

Dm should be controlled. Looking at age Sadhya virechan Followed by Panchtikta grit gugalu 2 bd Mahamanjisthadi kwath 2 tsf bd Aarogya vardhini vati 2 bd Aerand bhrusht harde hs according to koshtha Nimbadi oil for local application.

@Aniruddha Lele @Kedareshwar Pancholi @Rafiqul Islam @Dr. Anooja N @Dr. Brijal Nagoria waiting for your expert opinion on this case

CBC, BS(F) PP, UREA CREATININE , SODIUM, POTASSIUM, LIPID PEOPLE AND HbSAg must essential. Tab. Liv 52 DS 1tab BDAC X 3-4 Month.

Patolamuladi kashayam Mahamanjishtadi kashayam Kaisora Gulgulu gullika and vilwadi gullika