If it’s coming again and again go for virechana before saman aushadhi
For kostha suddhi (detox) as these kusta Rog are shakha ashrita dosa so virechana is best for you
Than you can use Ayurvedic medicine for better result
Next Steps
On the other hand you can take help of alternative medicine like allopathy
Tab ictraconazol 200 mg 1-0-0 od in a day for 30 days along with Ayurveda treatment
Health Tips
Consult here for further treatment
Dr Nitin Kumar
Md in medicine bams pgdems DIHM CCPT
And you can read my articles too on Practo app