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Bullous Disorders (Visarpa)


Bullous Disorders - Causes, Symptoms & Ayurvedic Treatment

Fluid filled skin blisters measuring greater than 10mm are referred to as bullae. Skin disease characterized by appearance of bullae falls under the category of bullous disorders. Bullous pemphigoid, epidermolysis bullosa, dermatitis herpetiformis, pemphigus foliaceaus, varicella infection are some of the common bullous disorders. Dr. Gupta’s IAFA is the best Ayurvedic destination for the management of bullous disorders through natural friendly measures.


  • Fluid filled blisters usually greater than 5mm 
  • Large blisters along skin folds that does not rupture easily
  • Itchy skin
  • Skin around bullae appear normal or darker in color
  • Reddish or yellowish discoloration on blisters
  • Eczema or hive like rash


Many of the bullous skin disorders are autoimmune while some can be caused due to adverse drug reaction, hypersensitive reaction, exposure to light, radiations, medical conditions like lichen planus, diabetes, rheumatoid arthritis, ulcerative colitis, psoriasis, multiple sclerosis etc.


Acute bullous conditions should be investigated through bacterial and viral culture. Skin biopsy should be taken before making diagnosis. Haematological investigation should also be accompanied.

Mitigation Techniques

  • Avoid exposure to sun, light, radiation etc.
  • Wear loose fitting cotton clothes
  • Take proper case of wounds by regular dressing and applying of antiseptic medication.

Types of Visarpa

  1. Agni visarpa
  2. Kardama visarpa
  3. Granthi visarpa
  4. Kshataja visarpa

Dr. Sahil Gupta Allergy Specialist

Dr. Gupta’s IAFA is the best Ayurveda center for curing skin ailments including bullous disorders”.

Reach Institute of Applied Food Allergy® for a natural friendly and Ayurvedic skin rejuvenation!!!


– Dr. Sahil Gupta (B.A.M.S., M.H.A.)

Ayurvedic Allergy Specialist
CEO & Founder of IAFA®

Diet in Bullous Disorders

Pathya (Do's) in Bullous disorders

  • Proper hygiene of the area containing blisters.
  • Low carbohydrate easy to digest vegetarian diet.

Apathya (Do's) in Bullous disorders

  • Avoid day sleep
  • Avoid Vidahi ahara 
  • Avoid Yougurt, masha, oily, spicy, non vegetarian, deep fried food


  • Utthanasana
  • Trikonasana
  • Bhujangasana 
  • Ustrasana
  • Tadasana 


  • Anuloma viloma pranayama
  • Kapalbati 
  • Nadishodana

Mudra Therapy

  • Prithvi mudra
  • Prana mudra 
  • Varun mudra 


Ayurvedic Management of Bullous Disorder


  • Shita (cold potency), snigdha (unctous) for internal and  external administration.
  • Sarpi pana (intake of ghee) is considered the most beneficial therapy for visarpa.

Internal Medicines

  • Guduchyadi kasayam
  • Trayantadi kasayam
  • Patoladi kasayam
  • Chandanasava
  • Usheerasava
  • Mustadi kasaya

  • Laghupanchamuladi kasaya
  • Bhunimbadi kasaya
  • Visarpahara kasaya
  • Shrestadi kasaya
  • Kulakadi kasaya

External Application

  • Lepam
  • Panchatwagadi churna
  • Shaddouta grita
  • Nyagrodadi churna
  • Shireeshatwagadi churna

  • Seka 
  • Nyagrodadi kasaya

Purifactory Therapy

  • Raktamoksha (blood letting)
  • Vamana (Therapeutic emesis)
  • Virechana (purgation)

Single Drugs Used in Bullous Disorders

  • Chandana (Santalum album)
  • Raktachandana (Pterocarpus santalinum)
  • Usheera (Vetiveria zizanoids)


Bullous disorders of the skin can be due to simple allergic reaction or life threatening like the pemphigus type. It takes prolonged periods to heel completely and recurrence due to ahitha ahara vihara acharana is also a common feature of these disorders. It is of prime importance to seek medical help at the earliest and take necessary treatment to prevent complications. Following Ayurveda will help in better healing and recovery through safe and complete nature friendly treatment modalities.


  1. Shloka No. 43, Chapter 13, Pandurogasophavisarpa Nidanam, Nidanasthanam, Ashtangahrudayam by Acharaya Vagbhata.
  2. Chunekar KC, editor. Bhava Mishra, Bhava Pralasha Nighantu, Vaatadi Varga 15. Revised Edition. Varanasi: Chaukhambha Bharati Academy; 2010. p. 507.
  3. Anonymous. The Ayurvedic Pharmacopeia of India, Part I. Reprint. 1/76. New Delhi: Ministry of Health and Family Welfare, Govt. of India; 2001. p. 70.

Article Written By: Dr. Sahil Gupta (B.A.M.S., M.H.A.)

Frequently Asked Questions

Question) What are Bullous Disorders?

Answer) Skin diseases which are characterized by appearance of bullae falls under the category of bullous disorders.

Question) What are the Symptoms of Bullous Disorders?

Answer) Fluid filled blisters usually greater than 5mm, Large blisters along skin folds that does not rupture easily and Itchy skin are the major symptoms of bullous disorders.

Question) Is there any Ayurvedic Remedy for Bullous Disorders?

Answer) Yes, Ayurveda has successful treatment for bullous disorders through natural friendly measures.

Question) Is Ayurvedic treatment effective in bullous disorders?

Answer) Ayurvedic treatment is found to be effective in bullous disorder. It involves medicines for internal use, external application and purificatory therapies.

Question) What is the Ayurvedic treatment of Bullous Disorders?

Answer) It involves medications that are cold in potency and unctuous in nature. Intake of cow ghee is most beneficial in bullous disease.

Question) Is yoga therapy effective in bullous disorders?

Answer) Yes, pranayama such as Nadi Shodhan Pranayam, kapalbhati are quite effective and yoga asanas such as Bhujangasana, Tadasana, Utthanasana etc. are quite effective.

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