Dear XXXXXXX

Thanks for contacting XXXXXXX and Ayurveda for your query, and going by your case presentation following causative/probable, preventive and dietary regimen is given:

     As you reside in Singapore, what are the climatic conditions there (dry air)?
     Does dry skin has resulted in problems or symptom/disease has resulted in dry skin?
     Any other associated disease like diabetes, hypothyroidism, or decreased nutrition status? Any history of use of cosmetics/medications? Do investigate for RA Factor!
     Due to dry skin is there any sort of inflammation or infection, the so called “Skin Problem” in our history?
     Is there consumption of any endotoxins either in the form of herbs, mineral or animal product by the patient.
     Are/were these white spots examined by a dermatologist, does they itch or hurt? Because they are small might be macules.
     Psoriasis like symptoms near backside of head could be “Scalp Psoriasis”

TREATMENT:
     Take diet XXXXXXX in protein,iron,folic acid,brown rice, orange,green vegetables,wheat, barley,green gram,lemon,turmeric,bitter gourd,garlic,pomegranate,nutmeg,bitter and sweet (not sour) food, dry ginger, khadira, black pepper,long pepper,old clarified butter,honey,light exercise,massage,boiled and filtered water to drink, tea,coffee(not after meals or during periods of fasting)
     Avoid raw fruits,raw radish,too much oily food,over eating, brinjal, tomatoes, soap, jaggery,coffee,sour and sweet food,oil,curd,newly harvested cereals, incompatible foods, food with heavy, unctuous and cold properties,sesame,salt,black gram, milk,lisora,makoya, day sleeping, mental stress, excessive exercise.
     vitamin e-rich food:spinach,almond oil,sweet poato,sunflower seeds,and wheat germs are good for the skin problems.
     scalp should be dandruff free.
     taking bath in sea water is very good for the skin treatment, similarly at home taking bath in epsom salt or oatmeal containing water is also good.
     because skin infection of any type is precipitated by stress and disturbed immune system,hence medicines like Shankhpushpi, Sarpagandha,Brahmi,alongwith Suvarn Parpati ,Ashwagandha,Shatavri, as Immuno modulators can be given after consulting Ayurveda Physician there.

     .Panchnimba churan 500mg
Ras manikya 250mg
Arogyavardhini vati 500mg
Guduchi satva 500mg
With ghee of cow twice a day,later take mahamanjishthadi kweatha 20ml.

     . udaybhaskara churna 125mg
paribhadra rasa 250mg
chakramard beeja churna 250mg
with khadirarishta three times a day
     .use pf 777 oil over scalp with fingertips for 15 minutes and afterward wash the scalp with herbal shampoo of her choice. If there are no Abdominal concerns like ulcer,or acidity this oil can be given in a dose of 1 tsf with hot milk, 1 hour before breakfast and diner, twice a day.
     .Chalmogra tail 3gm (5ml)
Marichadi tail 6gm (10ml)
Mix them and massage with this oil
     .Aloe vera cream applied locally has given/shown encouraging results.

P.S.:     Hopefully aging is not a concern
Please revert back with your concerns

Dr.Munish Sood
Consultant & Physician
MD. (Ayu.) Kayachikitsa
Naimittika Clinic.

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