Erythema Nodosum is a type of skin inflammation that is located in a certain part of fatty layer of skin. It results in reddish, painful, tender lumps most commonly located in the front of the legs below the knees. This condition is usually self-limiting and resolves on its own in 3 to 6 weeks. However, the chronic type may last for years, with intermittent recurrences. Erythema nodosum may occur as an isolated condition or in association with other conditions, including medications and chronic diseases.
The Ayurvedic treatment of erythema nodosum is aimed at treating the inflamed skin and identifying and treating any underlying condition present. Medicines like Arogya-Vardhini, Triphala-Guggulu, Maha-Manjishthadi-Qadha, Kamdudha-Vati, Gandhak-Rasayan and Chandraprabha-Vati are useful in this condition. Medicines which act on the ‘Ratka’ and ‘Mansa’ dhatus (tissues) are useful in this condition. These include medicines like Patol (Tricosanthe dioica), Kutki (Picrorrhiza kurroa), Saariva (Hemidesmus indicus), Patha ( Cissampelos pareira), Musta (Cyperus rotundus), Triphala (Three fruits), Nimba (Azadirachta indica) and Kutaj (Holarrhina antidysentrica).
Since this condition is associated with other chronic infections and chronic inflammatory diseases, treatment is also aimed at reducing the chronic inflammation and the specific pathology underlying that condition. Medicines like Manjishtha (Rubia cordifolia), Saariva, Guduchi (Tinospora cordifolia), Amalaki (Emblica officinalis) and Gokshur (Tribulus terrestris) are useful in such situations.
Medicines like Mahamanjishthadi-Qadha and Saarivasav are given on a long term basis to prevent recurrence. Local applications like ointments can be used, which contain medicines like Manjishtha, Haridra (Curcuma longa) and Chandan ( Santalum album). Though this condition is painful, it does not involve internal organs, and the overall long-term outlook is very good.