In Indralupta (alopecia areata), after venesection/puncturing the vein nearest to the site (yathāsannaṃ sirāṃ viddhvā) and scraping/scarifying the area thoroughly (pracchāya gāḍhaṃ), a thick paste (pralepayet) made of kāsīsa (ferrous sulphate), manohvā (realgar), tuttha (copper sulphate), and ūṣaṇa (Piper nigrum / black pepper) should be applied;
In Indralupta (alopecia areata), after venesection/puncturing the vein nearest to the site (yathāsannaṃ sirāṃ viddhvā) and scraping/scarifying the area thoroughly (pracchāya gāḍhaṃ), a thick paste (pralepayet) made of kāsīsa (ferrous sulphate), manohvā (realgar), tuttha (copper sulphate), and ūṣaṇa (Piper nigrum / black pepper) should be applied;