Right nidana

Right nidana Right treatment

"picking up the exact nidana for a disease is a game changer"

Some time evaluating the key nidana can change the whole course of treatment. A case of a 45-year-old male suffering from tinea, which can be correlated with mandal kushta. The symptoms were profound itching in round, circled skin lesions, majorly in the inguinal region. The patient was applying too many local creams and taking antifungals and antihistamines.As a first instance in this case, drugs like aargwadhadi kashyam gandhak rasyanam and arogyavardhini should be given, but upon digging deep in the nidana, I found that the patient is taking tea 3-4 times a day. The patient was a bit anxious and lean. I neglected the kandu symptom and mandal kushta and thought about treating this case as pattika kushta. Patolkaturohinyadi kashyam was given along with Gandhak rasyana for 14 days. A huge amount of relief was there. The patient has stopped applying local creams. After that I added Arogyavardhini too. Whole lesions got resolved within 3 months of treatment.Tea directly vitiated pitta. So in this case tea was causing kushta. In a nutshell, always evaluate the nidana. Don't give treatment just merely based on the disease appearance. Ask the patient what went wrong. What do you think? Why are you getting this disease? Sometimes a patient will itself tell you the causative factor of the disease.