1. Do you have acne?(Required) Yes No This field is required.2. Do you have boils?(Required) Yes No This field is required.3. Do you have chapped skin?(Required) Yes No This field is required.4. Do you have hair loss, hair thinning?(Required) Yes No This field is required.5. Do you have hives, urticaria?(Required) Yes No This field is required.6. Do you have increased pigmentation?(Required) Yes No This field is required.7. Do you have itching?(Required) Yes No This field is required.8. Do you have leg ulcers?(Required) Yes No This field is required.9. Do you have moles, freckles?(Required) Yes No This field is required.10. Do you have loss of skin elasticity?(Required) Yes No This field is required.11. Do you have multiple lypomas?(Required) Yes No This field is required.12. Do you have oily skin?(Required) Yes No This field is required.13. Do you have pruritus (itching)?(Required) Yes No This field is required.14. Do you have pyrexia(fever)?(Required) Yes No This field is required.15. Do you have rash?(Required) Yes No This field is required.16. Do you have sclerodermic, dermal cysts?(Required) Yes No This field is required.17. Do you have seborrhea(dandruff)?(Required) Yes No This field is required.18. Do you have skin burns?(Required) Yes No This field is required.19. Do you have skin cancer?(Required) Yes No This field is required.20. Do you have vitiligo(white patches of skin)?(Required) Yes No This field is required.HiddenVataHiddenPittaHiddenKaphaHiddenFireHiddenWaterHiddenEarthHiddenMetalHiddenYangHiddenYinHiddenWood Submit