Female pt of 55 yrs
C/o itching on B/l ankle region with blackish discoloration
Burning after itching
No oozing, no scales
Since 5 to 6 yrs.।।
Now same discoloration strt on both palms

Dd-psoriasis

Psoriasis
medicine can use👉

1.Manikya ras/Nimb patra ghan/ Nimb beej ghan/ Nimb twak ghan/ kutki/ Sariva ,Mahamanjishthadi kashay & Khadirsal

2.Nimbadi choorna + Aarogyavardhini tabs. With Mahatiktak ghrit as Anupana

3. Psorokind oil and Gandhak druti for local application

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