Could it not have been both. He had some kind of leprosy, but he was also receiving treatment that didn't help him and just kept him sedated. After he rejects the medicine, he suddenly becomes totally lucid and gains the ability to walk again.
I got the impression that the high towers were purposely manipulating the Meisters so that Vyiserys never got proper treatment. Or it could even be that the Maesters are in on it. They seem to keep swapping Maesters in and out. It also seems strange that the Maesters can't make a proper diagnosis or give any actual treatment. They just seem to be caring for wounds and pain, as opposed to offering up some kind of magical treatment. They figured out a way to turn the mountain into a zombie, now the best they can do for Viserys is give him a bubble bath.
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