Ayurvedic Treatment For Blisters, Medicines, Herbs, Personal Experience

Article by Dr Raghuram Y.S. MD (Ay)
Role of Panchakarma in the treatment of blisters
Panchakarma does have a good role in managing blisters, especially the stubborn ones or when the blisters are recurring at a continuous pace. Panchakarma might not be needed in combating simple and uncomplicated blisters. They could well be effectively managed with the classical formulations enlisted above in different contexts and one or the other of the formulations I am going to enlist in the upcoming paragraphs. 

Snehana (internal and external administration of medicated oils and or ghee) – is mandatory if the cleansing procedures i.e. Panchakarma measures are planned to be administered in blisters.

Swedana (fomentation, sudation, steaming) – is also mandatory inclusion after snehana. Snehana and Swedana are the pre-treatment procedures for Panchakarma procedures and helps in preparing the patient to undergo the cleansing measures.

Vamana – (Therapeutic emesis) is used to expel morbid kapha. It is highly beneficial in the blisters which are non-suppurative and consists of serum or plain fluid, in blisters associated with itching.

Virechana (Theapeutic purgation) – is the best treatment of the lot to get rid of stubborn blisters. It expels vitiated pitta and combats vitiated rakta (blood). Virechana is useful in blisters associated with inflammation, suppuration, burning sensation and infection.

Raktamokshana (bloodletting) – combats vitiated rakta and pitta and when used in combination with virechana it enhances the effect.

Virechana and Raktamokshana will remove the circulating impurities and prevent the recurrences of blister. The above said measures of Panchakarma provide long standing immunity against the blisters and prevent their recurrence.

Nasya (nasal instillation of medicines) – beneficial in blisters occurring in the face, head (scalp) and neck region.

While discussing the Ayurvedic differential diagnosis of blisters we have seen Panchakarma measures especially Vamana, Virechana and Raktamokshana being indicated in almost cases which were compared to blisters be it Kushta or Visphota or Masurika.
Read related: Blisters: Ayuvedic Understanding, Treatment Principles

boil blister

Pathya-Apathya (Diet, wholesome and unwholesome stuffs for blisters) –
Pathya – Below mentioned are some of the wholesome stuffs for Kandu

  • Virechana – therapeutic purgation
  • Vamana – therapeutic emesis
  • Lepa – application of medicinal pastes
  • Langhana – fasting
  • Raktamokshana – bloodletting
  • Purana yava – old barley
  • Purana Godhuma – old wheat
  • Shashtika shali – paddy or rice grown in 60 days
  • Jeerna shali – rice cooked from old paddy
  • Mudga – green gram
  • Masura – lentils
  • Jangala rasa – meat soup of animals living in desert regions
  • Navaneeta – butter
  • Ghrita – ghee
  • Draksha – raisins
  • Dadima – pomegranate
  • Karavellakam – bitter gourd
  • Vetragra – upper part of bamboo shoots
  • Dhatri – Emblica officinalis
  • Khadira – Acacia catechu
  • Nagakesara – Messua ferra
  • Shireesha – Albizia lebbeck
  • Karpura – camphor
  • Chandana – sandalwood
  • Tila lepanam – application of sesame paste
  • Patola – pointed gourd
  • Shatavari – Asparagus racemosus
  • Vidanga – Embelia ribes
  • Nimbi patra – tender leaves of neem
  • Bilwa pushpa – flowers of Bael tree
  • Tikta yusha – soup prepared from bitter herbs
  • Yusha or soup made from Mudga (green gram), Masura (Lens culinaris or lentils) and Aadhaki (Cajanus cajan or Pigeon pea) mixed with Shunti (ginger powder)
  • Sunishannaka (Blepharis edulis)
  • Vetra agra – tip of bamboo shoots
  • Tanduliyaka – Amaranthus spinosus
  • Katillaka – Orthosiphon basilicum
  • Parpataka – Fumaria indica

Apathya (Non-beneficials) – Below mentioned are some of the unwholesome stuffs for those suffering from blisters

  • Vyayama – excessive exercise
  • Diwaswapna – excessive day sleep
  • Surata – excessive sexual intercourse
  • Pravata – excessive breeze
  • Krodha – anger
  • Shoka – grief
  • Vamana dharana – forcibly withholding the urge to vomit
  • Guru anna – heavy to digest foods
  • Drava ahara – excessive liquid diet
  • Snigdha ahara – excessive intake of oily or fried foods
  • Vega dharana – withholding the impending natural body reflexes or urges
  • Agni santapa – exposure to fire after heating heavy meal
  • Lashuna – garlic
  • Kulattha – horse gram
  • Masha – black gram
  • Tila – sesame
  • Sweda karma – sudation or steaming in excess
  • Vidahi anna – corrosive foods
  • Lavana – excess consumption of salt
  • Amla – excess consumption of sour things
  • Katu – excess consumption of pungent things
  • Madhya – alcohols
  • Arka prabha – excess exposure to sunlight
  • Dadhi – excessive intake of curds
  • Dugdha – excessive consumption of milk
  • Anupa mamsa – excessive consumption of meat taken from the animals living in marshy areas

Single herbs used in treating Blisters –

  • Nimba (neem)
  • Vidanga (Embelia ribes)
  • Khadira (Acacia catechu)
  • Aragwadha (Cassia fistula)
  • Chakramarda (seeds of Cassia torra)
  • Tulasi (Holy Basil)
  • Haritaki (Terminalia chebula)
  • Bibhitaki (Terminalia bellirica)
  • Amalaki (Emblica officinalis)
  • Karanja (Pongamia pinnata)
  • Sarshapa (mustard)
  • Haridra (turmeric)
  • Krishna Jeraka (Caram carvi)
  • Saindhava Lavana (rock salt)
  • Kushta (Saussurea lappa)
  • Paste of Durva (Cynodon dactylon)
  • Twak (Cinnamon)
  • Apamarga (Achyranthes aspera)
  • Mulaka (radish)
  • Pippali (long pepper)
  • Vasa (leaves of Adhatoda vasica)
  • Guduchi (Tinospora cordifolia)
  • Daruharidra (Berberis aristata)
  • Guggulu (Commiphora mukul)
  • Nimba twak (bark of neem tree)
  • Patola patra (leaves of pointed gourd)
  • Manjishta (Rubia cordifolia)
  • Yavani (Bishop’s weed)
  • Yavani (Bishop’s weed)
  • Shunti (ginger)
  • Maricha (black pepper)
  • Kumari (Aloe vera)
  • Eranda (castor plant)
  • Bhunimba (Andrographis paniculata)
  • Parpataka (Fumaria indica)
  • Indrayava (seeds of Holarrhena antidysenterica)
  • Chandana (sandal)
  • Shirisha (Albizzia lebbeck)
  • Karavellaka (bitter gourd)
  • Shatavari (Asparagus racemosus)
  • Nyagrodha (Ficus bengalenesis)
  • Udumbara (Ficus glomerata)
  • Ashwattha (Ficus religiosa)
  • Parisha (Thespesia populanaea)
  • Punarnava (Boerhavia diffusa)
  • Devadaru (Cedrus deodara)
  • Plaksha (Ficus lacor)
  • Sariva (Hemidesmus indicus)
  • Shigru (drumstick)
  • Yashti (Glycyrrhiza glabra)
  • Varuna (Crataeva nurvala)
  • Other herbs mentioned in the list of Deepana, Pachana herbs etc are also useful in Kandu

Read related: 21 Easy And Effective Home Remedies for Blisters

Classical formulations for Blisters –
Kashayam (herbal decoctions) –

  • Guggulutiktakam Kashayam
  • Mahatiktakam Kashayam
  • Tiktakam Kashayam
  • Patolakaturohinyadi Kashayam
  • Nimbadi Kashayam
  • Shonitamritam Kashayam
  • Patoladi Kashayam
  • Trayantyadi Kashayam
  • Mahamanjishtadi Kashayam
  • Aragwadhadi Kashayam
  • Drakshadi Kashayam
  • Aragwadhamahatiktakam Kashayam
  • Nimbamritadi Panchatiktakam Kashayam
  • Varanadi Kashayam
  • Sukumaram kashayam

Asava-Arishtas (fermented herbal drinks) –

  • Khadirarishtam
  • Aragwadharishtam
  • Kumaryasavam
  • Sarivadyasavam
  • Vidangarishtam
  • Putikaranjasavam
  • Kanakabindwarishtam
  • Devadarvarishtam
  • Nimbamritasavam
  • Mulakadyarishtam

Churnas (herbal powders and granules) and Bhasma (herbal ash) –

  • Panchanimbadi churnam
  • Nimbadi churnam
  • Eladi Churnam
  • Vidangadi churnam
  • Guggulupanchapalam Churnam
  • Pathyadi Churnam
  • Sudarshana Churnam
  • Avipatti churnam
  • Triphala churnam
  • Haridra kanda
  • Vyoshadi vatakam
  • Loha bhasma
  • Swarna makshika bhasma
  • Tamra bhasma

Churnas for external application –

  • Rasottamadi Lepa Churnam
  • Avalgujadi churnam
  • Dashanga lepam
  • Sinduradi lepam
  • Siddarthaka Snana Churnam (for bath)

Vati, Gulika (tablets) Rasa aushadhas (herbo-mineral compounds) –

  • Arogyavardhini
  • Gandhaka Rasayana
  • Talakeshwara Rasa
  • Navayasa loha
  • Vidangadi lauha
  • Krimikutara rasa
  • Krimighna vati
  • Krimishodini vati

Guggulu preparations –

  • Kaishora Guggulu
  • Panchatikta Ghrita Guggulu
  • Kanchanara Guggulu
  • Punarnavadi Guggulu
  • Saptavimshati Guggulu

Ghrita (medicated ghee) –

  • Tiktakam Ghritam
  • Varanadi Ghritam
  • Mahatiktakam Ghritam
  • Guggulutiktakam Ghritam
  • Patoladi Ghritam
  • Aragwadhadi Ghritam
  • Aragwadha Mahatiktakam Ghritam
  • Shatadhautam Ghritam (external)

Tailam (oils for external application) –

  • Asanaeladi Tailam
  • Chandanabalalakshadi tailam
  • Durvadi tailam
  • Eladi tailam
  • Karanja tailam
  • Marichyadi tailam
  • Mahamarichyadi tailam
  • Nalpamaradi tailam
  • Nimbadi tailam
  • Panchavalkadi tailam
  • Somaraji tailam
  • Nimbamritadi eranda tailam (internal)

Avalehas and Rasayanam (Confections) –
Amritabhallataka lehya
Madhusnuhi Rasayanam
Chyavanaprasham
Trivrit leham
Read related: Blisters: Prevention Tips, Treatment, Chances Of Cure

Proprietary medicines for pruritus –

  • Tab Allerin (BAN)
  • Tab and Syurp Radona (Solumiks company)
  • Tab Purim (Himalaya)
  • Tab Pamarin (IMIS)
  • Tab Raktashodhak (Baidyanath)
  • Tab Biogest (KAPL)
  • Cap Cutis (Vasu pharma)
  • Cap Acnovin (Vasu)
  • Cap Marvin (Phyto Pharma)
  • Cap Dermafex (BAN company)
  • Cap Urtiplex (Charaka pharmacy)
  • Cap Epderm (Capro lab)
  • Cap G7 (JRK company)
  • Cap GP500 (Zen)
  • Cap Neemwin (Baidyanath)
  • Cap Tiktamrit (Pavaman)
  • Cap Pesin (JRK)
  • Cap Psora (Ayulabs)
  • Cap Neemi (Trio)
  • Cap Visora (Four-S Lab)
  • Syrup Surakta (Baidyanath)
  • Syrup Raktamrit Kwath (Pentacare)
  • Syrup Sariva Kalpa (Swadeshi)
  • Syrup Subala (Nanjangud)
  • Syp Shitala (Unjha)
  • Allergin granules (Nagarjuna)

External –

  • Oil Psoria (Nagarjuna)
  • Oil 777 (JRK)
  • Oil Cutis (Vasu)
  • Ointment Cutis (Vasu)
  • Ointment Cutfar (BAN)
  • Ointment Cutex (Trio)
  • Ointment Psorolin (JRK)
  • Ointment Kusumolin (Kumar)
  • Oil and Ointment Lippu (JRK)
  • Kusuma bathing powder (Kumar)
  • Parimala Bathing powder (Chaitanya)

Note – The above enlisted classic and proprietary formulations are not only useful against blisters but also cure the diseases in their backdrop. Many of these medicines are broad spectrum medicines and formulations acting on multiple system disorders.
Read related: Blisters: Causes, Differential Diagnosis, How They Manifest?

My clinical experience with blisters – Dr Raghuram
In many years of my clinical experience I have hardly encountered a few blisters which were stubborn and of chronic nature. I had to seek the help of Panchakarma especially Virechana to combat them. But once Virechana or Vamana was administered, with a good set of follow up medicines (formulations) and management of diet and lifestyle changes would see them off. Recurrences are rare. Vamana, to be frank I have used fewer times than Virechana. I had no occasions where Raktamokshana was needed.

As a rule in most of the cases of blisters, especially the acute one I have always started the treatment with Krimihara chikitsa (treatment for worms and infection) not to miss out on any sort of infection.

I have mentioned many formulations extracted from the treatises in the discussion of differential diagnosis and management of blisters in Ayurvedic way. I had tried a few formulations which comprised of less than 6-7 herbs. Whenever it was easy for me to advice the patients to prepare such formulations using simple kitchen herbs or easily available herbs, I have asked them to prepare and consume as home remedies. Success rate is good.

But generally in a sort of OPD practice at clinics I have preferred prescribing medicines (formulations) which are readily available in the counters. They are equally effective. Many patients find it difficult to prepare even simple formulations at home in busy schedules. Readymade formulations come handy. I am going to enlist the classical (readymade) formulations and patent (proprietary) medicines in the coming paragraphs. I have prescribed my mixing and matching a few of them according to the nature of the disease and the condition of the diseased.

Many blisters respond to home remedies and simple formulations, single herbs also. It was not different in my case. But I have as a responsible doctor always tried to see if there is some serious condition on the backdrop of blisters especially when they were chronic or stubborn. But majority of time I have encountered mild to moderate cases of blisters which don’t run to a chronic course.

Nitya virechana (regular purgation) with some decoctions, ghee or powder is another favourite part of my prescription. Many times there may not be any need to go for therapeutic purgation. Nitya Virechana will do the job. I have administered medicines like Patoladi Kashayam, Patolakaturohinyadi Kasayam, Avipattikara churna, Sukumaram Kashayam, Sukumara Ghritam, Nimbamritadi Eranda Tailam etc for this purpose. This makes sure that the toxins are expelled on regular basis and the metabolism is kept intact and balanced. They also help in curing the blisters.

Disease modifying medicines like Nimbadi Kashayam, Shonitamrita Kashayam, Manjishtadi Kashayam, Sarivadyasavam, Tiktakam Kashayam, Guggulutiktakam Kashayam, Patoladi Kashayam, Mahatiktakam Kashayam, Arogyavardhini, Triphala Guggulu, Kaishora Guggulu, Panchatikta Ghrita Guggulu etc are always my part of prescription.

I have never forgot to prescribe ideal diet to combat the morbid doshas and prescribe Rasayanas (immune-modulators) in the terminal stages of the diseases.

Limitations of Ayurveda in combating blisters –
Ayurveda is highly successful in treating effectively even the worst of the blisters including the chronic, stubborn and complicated ones. Blisters are not a big issue to handle. Many times we encounter simple and uncomplicated blisters. To handle complicated and chronic blisters we have a weapon called Panchakarma. Failure rates are rare. At least I have not seen any failure in my practice.

Just before finishing –
Most of us would have had an experience with one or the other type of blisters. Some may come and go away without doing anything. Some may respond to some home remedies along with some lifestyle corrections and diet modulations. Many may go on to wear the form of chronic nature, get stubborn with time and also keep visiting us. When they stay with us for a long time and do not go away they really play on our nerves. Problem arises when they occur on cosmetic parts like face and exposed skin. We get conscious and many times embarrassed.

We keep trying lot of options to get rid of these blisters. Some times we may be lucky enough to get proper treatment and suggestions. But sometimes we may be on suffering side. In chronic cases careful assessment of the blisters need to be done and the causative factor should be tracked out. Many times blisters are not skin manifestations. They represent some serious or chronic illness of the interior of the body. We need to address those diseases in order to get rid of the blisters.

Ayurveda provides the best remedies for all sorts of blisters including the chronic and complicated one. Panchakarma treatments and effective formulations will come handy in these cases. Good immune modulators and comprehensive follow up will avoid recurrences. Blisters need comprehensive attention; both external and internal remedies should be skilfully combined to see them off.

Get rid of your stubborn blisters in a natural way through effective Ayurvedic remedies and treatments!!!
Click to Consult Dr Raghuram Y.S. MD (Ayu)


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