Hello Priyanka,
Thank you for explaining your condition. You are experiencing Acanthosis Nigricans (darkening of skin, especially in folds) for 1.5 years, repeated weight gain, and PCOD. You also notice skin darkening worsens with sunlight.
Likely Nidana:
1.Kapha-Pitta imbalance → leads to medodushti (fat tissue imbalance) and twak dushti (skin darkening). 2.Insulin resistance from PCOD → triggers acanthosis nigricans. 3.Agni (digestive/metabolic fire) weakness → repeated weight gain.
🔍 Recommended Investigations
1. Hormonal profile: LH, FSH, Estradiol, Progesterone, Testosterone, Prolactin, TSH, Insulin, HbA1c. 2. Lipid profile – cholesterol, triglycerides. 3. Fasting blood sugar and postprandial sugar. 4. Liver function test – fatty liver screening. 5. Skin assessment – dermatology consult if required.
💊 Internal Medicine
Phase 1 – Medo-hara & Agni deepana (4 weeks)
1. Triphala churna – 1 g with warm water at night (skin detox, lightens pigmentation). 2. Guggulu Panchapala churna – 1 g with warm water after meals (fat metabolism). 3. Guduchi kwatha – 20 ml with 20ml of warm water twice daily before meals (immunity & insulin support)
Phase 2 – Medo-pravartaka & Artava-sthira (next 4–6 weeks)
1. Chandraprabha vati – 2 tabs twice daily after meals (PCOD, metabolism support). 2. Ashokarishta – 15 ml + equal water twice daily (regulates menstrual cycles). 3. Triphala ghrita – 5 ml at night (skin health, digestion). 4. Kapikacchu churna – 3 g with warm milk once daily (insulin & metabolism support).
🌿 External Support
1.Topical: Aloe vera gel / Licorice-based cream on dark areas (sun-safe, skin-lightening). 2.Avoid prolonged sun exposure; use hats or light clothing to cover skin folds.
🥗 Diet & Lifestyle
Pathya (Recommended):
1. Low-glycemic diet – oats, whole grains, millets. 2. Leafy greens, bitter gourd, cucumber, tomato. 3. Soaked almonds & walnuts (healthy fats). 4. Drink plenty of water – 2–3 L/day. 5. Small, frequent meals to improve metabolism.
Apathya (Avoid):
1. Excess sweets, refined carbs, fried/oily foods. 2. Excess dairy (milk, cheese, cream) if insulin resistant. 3. Excessive sun exposure (worsens skin pigmentation). 4. Late-night eating and irregular sleep.
🧘♀️ Yoga & Lifestyle
1. Asanas: Surya Namaskar, Dhanurasana, Ardha Matsyendrasana, Paschimottanasana (boost metabolism, reduce insulin resistance). 2. Pranayama: Anulom Vilom + Kapalabhati (5–10 min daily). 3. Maintain regular sleep cycle (10 pm–6 am). 4. Gentle aerobic exercises / gym – 30–45 min, 4–5 days/week.
🌸 With Kind Regards
With consistent care addressing medo-dushti, insulin resistance, and PCOD, your skin pigmentation, weight, and cycles will gradually normalize. Avoiding excess sun and following the lifestyle recommendations will prevent further darkening.
– Dr. Sumi.
Start with Sariva ghanvati 1-0-1 after food with water Mahamanjistadi kadha 10ml twice daily after food with water Apply paste of turmeric powder multani mitti besan powder manjista powder mix with rose water apply twice weekly keep for 15 minutes and wash by rubbing. Apply Kumkumadi oil daily at bedtime Avoid Sun rays exposure use hat or use umbrella when going out during the day Apply Sunscreen SPF 50+ during the day.
For Pcod you can start with Tablet M2TONE 1-0-1 after food with water Kanchanar guggul 1-0-1 after food with water.
You need a personal consultation For Once you can use Kirtimukha lep made by dr. Rajan soni for 15 days
Above symptoms are mainly due to PCOD.
1. Sapthasaram kashayam 15ml + 45ml lukewarm water before food at morning. 2. Punarnavadi kashayam 15ml + 45ml lukewarm water before food at evening,
Took Kashaya’s half an hour before food.
3. Asokarishtam 15ml just after food. Stop arishtam during periods.
4. Rajapravarthini vati 1-0-1 with arishtam
Use Eladi choornam for external application. Apply it for 15 minutes and remove. After that apply eladi cream or kumkumadi tailam.
Always use any cream or oil after the removal of choornam.
Simple Remedies
1. Prepare paste from turmeric and milk of Calotropis procera, apply on the affected area.
2. Apply the paste prepared from turmeric & sandal wood with rose water.
3. Apply the paste of Terminalia Arjuna.
4. Make a paste of nutmeg (Jaiphal) with raw milk. Apply on pimples and black heads leave on for 20 minutes.
1.)Arogyavardhini rasa-500mg +gandhaka rasayana-500mg +khadira Churna-2gm +nimbadi Churna-2gm- 1 hr after food
2.) Manjishtadi Taila or Kumku-madi Taila (external) apply v2 times
3.) Syrup- raktashodhaka-20ml after food with water 2 times
Hi Priyanka – thank you for sharing your concerns
1. Identify the Root Causes (According to Ayurveda):
PCOD → Kapha and Vata imbalance + hormone disruption Acanthosis Nigricans → Linked to high insulin levels, Kapha dominance Hyperpigmentation → Pitta aggravation (sun sensitivity, skin discoloration) Weight gain → Weak Agni (digestive fire), sluggish metabolism, Kapha accumulation
Internal Medicines:
Triphala Churna – 1 tsp with warm water at bedtime Manjistha Churna or Capsule – 1 tsp powder or 500 mg capsule once or twice daily Chandraprabha Vati – 1 tablet twice daily after meals Ashokarishta or Kumaryasava – 15 ml with equal water after meals, twice daily
External Application: Turmeric + Aloe Vera + Lemon Mask – Apply 3 times a week for 15 minutes.
LIFESTYLE CHANGES (Crucial!)
Avoid sun exposure, especially 10am–4pm. Use umbrella/scarf Walk daily (30–45 mins) – helps reduce insulin resistance Avoid fried food, dairy, white sugar, maida (refined flour) Include fenugreek seeds, cinnamon, flaxseeds in diet Eat light, warm, freshly cooked meals to balance Kapha and Agni.
Thank you !
Take kukumadhitail external application, arogya vardini vati 1tab bd, sundari kalp 20ml bd enough
Hi Priyanka this is Dr Vinayak as considering your problem… Your hyperpigmentation problem is due to pcos … First that should be corrected… One should take one sitting of classical VIRECHANA…bcs it already reached level of medicines…so virechana is highly needed for you…
Rx-varunadi kashaya 10ml twice after food T.chandraprabha vati 2-0-2after food Amycordil plane 1-0-1 after food… T.rajapravartini vati 2-0-2after food… Follow this…once you get regular periods then we set the system… Thank you…
Hello Priyanka I understand your concern about Acanthosis nigricans. Acanthosis nigricans is not just a skin problem – it is a sign of internal imbalance like insulin resistance, PCOD, and weight gain. But dont worry we are here to help you out😊
✅AYRUVEDIC PLAN OF TREATMENT
✅INTERNAL MEDICATION
1 Nisha Amalaki Churna – ½ tsp -0-½ tsp morning & night with warm water after food (improves insulin sensitivity).
2. Shatavari kalpa 1tsp-0-1 tsp after food – for PCOD balance.
3 Khadirarishta – 30ml-0-30ml with equal water after food (blood purifier & skin support).
4 Triphala churna – 1 tsp at bedtime with lukewarm water (detox + gut health).
✅ EXTERNAL. REMEDIES (for Pigmentation)
👉Apply Aloe vera gel + Kumkumadi Tailam (few drops mixed) at night.
👉Use Licorice (Mulethi) + Sandalwood paste once a week as a face pack.
👉Wash face with raw milk + turmeric daily (mild natural cleanser).
👉Always apply natural sunscreen (aloe vera gel + rose water) before stepping into sun.
✅DIET MODIFICATION
✅ INCLUDE- green leafy veggies bitter vegetables (karela, methi), sprouts, fruits.
✅ Use turmeric, cinnamon methi seeds daily (balance sugar & hormones).
✅ Exercise/yoga at least 45 mins daily (walking, Surya Namaskar, Kapalbhati, Baddha Konasana).
❌ Avoid- refined sugar, bakery, oily/junk food, soft drinks. ❌ Avoid late nights, as it worsens hormonal imbalance.
pigmentation will not go away instantly with creams but if you work on PCOD, weight, and insulin resistance, the skin will start clearing within 3–4 months.
Ayurveda has very good results for this condition when followed regularly.
✅FOLLOW. THIS TREATMENT FOR 45 DAYS YOU WILL SEE 👉Gradual fading of dark patches, 👉Weight coming under control, 👉Periods becoming more regular, 👉Clearer, glowing skin naturally.
Wish you a Good health😊
Warm Regards Dr Snehal Vidhate
HELLO PRIYANKA,
WHAT IS HAPPENING IN YOUR BODY? -You have dark, velvety patches on the skin (Acanthosis Nigricans). This is not a skin disease alone; it reflects an internal imbalance -The main reason is insulin resistance- your body is producing insulin, but your cells are not using it effectively. so insulin stimulates the skin cells to grow and produce more pigment. -PCOD is also connected to insulin resistance and hormonal imbalance -weight Gain worsens both PCOD and skin changes
In Ayurveda, this is seen as -Kapha dosha aggravation causing weight gain, oily skin, sluggish metabolism -Meda dhatu dushti imbalance in fat tissue metabolism -Pitta involvement causing pigmentation, darkness -Avarana of vata blockage in natural metabolic pathways
TREATMENT GOALS -root correction= improve metabolism and reduce insulin resistance -Hormonal balance= manage PCOD naturally. -Weight management= reduce excess fat and improve digestion -Skin healing= lighten pigmentation and improve texture -Prevention= avoid further darkening and recurrence
INTERNAL MEDICATIONS
1) TRIPHALA GUGGULU= 2 tabs twice daily after meals =for weight reduction , detoxification, and metabolism
2) KANCHANAR GUGGULU= 2 tabs twice daily after meals =for PCOD , cysts, and kapha balance
3) AROGYAVARDHINI VATI= 1 tab twice daily after meals =improves liver function and skin health, reduces pIgmentation
4) MAHAMANJISTHADI KASHAYA= 20 ml with equal water twice daily before meals =blood purifier, excellent for pigmentation
5) NISHA AMALAKI CHURNA= 1 tsp twice daily with warm water =balances blood sugar , insulin, and pigmentation
DURATION= 3-6 months
EXTERNAL APPLICATIONS
1) KUMKUMADI TAILA= apply 2-3 drops at night on dark patches leave overnight =improves complexion and skin tone
2) HERBAL FACE PACK -Mix Manjistha powder + licorice + sandalwood + honey apply o affected areas, wash after 20 mins 3-4 times per week
3) FRESH ALOE VERA PULP= apply daily for soothing and lightening effect
LIFESTYLE MANAGEMENT
DIET -whole grain barley, millets, oats -bitter ad astringent vegetables bitter gourd, bottle gourd, leafy greens -spices= turmeric, black pepper, dry ginger, cinnamon -fruits= amla, pomegranate, papaya, apple
AVOID -sugary foods, cold drinks, fried and junk food -excess milk, panner, cheese, curd at night -refined flour, bakery products
USEFUL HABITS -warm water through the day -lemon + honey in warm water morning -gren tea/herbal tea with ginger , cinnamon
LIFESTYLE -Daily exericse= 30-45 min brisk walk or light jogging -Yoga asana helpful in PCOD and weight -suryanamaskar=12 cycles daily -bhujangasana, dhanurasana, chakrasana= improves ovarian health -naukasana, ustrasana= reduces belly fat
PRANAYAM -Kapalbhati 200 strokes/day= reduces belly fat, insulin resistance -Anulom vilom 10 min= balances hormones -Bhramari= reduces stress as it worsens PCOD.
HOME REMEDIES
1) HALDI + BESAN + ROSE WATER= weekly skin pack 2) NEEM + TULSI + AMLA JUICE= 10 ml daily 3) CINNAMON POWDER= 1 tsp in warm water daily, improves insulin sensitivity 4) ALOE VERA JUICE= 15 ml daily on empty stomach
-Acanthosis Nigerians is not only a skin problem, but a sign of internal imbalance (metabolic+hormonal) -Ayurveda treats roots cause along with symptom relief (pigment) -With 3-6 months of consistent ayurvedic medicines + diet + lifestyle + yoga you can expect -reduced pigmentation -improved menstrual regulairty -weight reduction -better energy and skin glow
HEALING IS GRADUAL BUT LONG LASTING IF YOU FOLLOW CONSISTENTLY
THANK YOU
DR. MAITRI ACHARYA
1.Asanadi Kashaya + Aragwadadi Kashaya 20ml with 20 ml water twice daily After Food 2.Chandraprabha vati 2 twice daily After Food 3.Triphala 2 tab at bedtime After Food 4.Kanchnara guggulu 2 tab twice daily after food 5.Kumkumadi oil- light massage on the affect area
Apply paste= turmeric + besan +manjistha powder + curd
Don’t worry just take
1 Chandraprabha Vati 1-0-1 2.Evenshade cream apply locally 3.kukumadi oil 2-3 drops and gently apply locally
Acanthosis nigricans, associated with insulin resistance, is often linked to weight gain and conditions like PCOD. First, let’s address diet, which plays a crucial role in managing insulin levels. Aim for a diet rich in whole foods, emphasizing vegetables, fruits, whole grains, and lean proteins. Reduce intake of refined sugars and high-glycemic-index foods; these can spike insulin levels.
Exercise is another key component. Regular physical activity can aid weight loss and improve insulin sensitivity, impacting acanthosis nigricans. Yoga, which aligns with Ayurveda, can be very effective. Asanas like Surya Namaskar, Nadi Shodhana Pranayama, and Kapalbhati help balance hormones and manage weight.
Turmeric, with its anti-inflammatory properties, may assist. Consider a daily dose of turmeric milk — boil a half teaspoon of turmeric in a cup of milk, consume it warm, preferably at night.
Avoid exposure to direct sunlight to prevent exacerbation of pigmentation. Use a natural sunscreen containing aloe vera or cucumber. To cleanse the skin, using a paste of sandalwood and rosewater might be soothing. Apply and wash it off after 15-20 minutes, maintaining a calm, cool skin environment.
With PCOD, focus on balancing hormones. Consuming seeds like flax and sesame help in regulating estrogen. Manage stress through meditation, promoting hormonal balance and reducing the associated symptoms.
It’s essential to monitor insulin levels and consult your doctor regularly. If you’re noticing persistent issues or rapid changes in pigmentation, seek a professional endocrinologist’s advice. This way you ensure an integrated approach that combines Ayurveda and conventional medical insights.
Its called as melasma in ayurveda vayanga Treatment is very simple Morning - manjhistha +lodhra churna lepa on face for 40 min. And night applying kumkumadi tail It will show effect in one week By Dr Akshay negi
Acanthosis nigricans often correlates with metabolic imbalances, closely linked to the excess weight gain and conditions such as PCOS, as you’re experiencing. In Siddha-Ayurveda, this skin condition can be seen as an expression of deep-seated imbalance, typically involving kapha dosha and maybe pitta aggravation, leading to issues in the skin dhatu (tissue).
Considering you are dealing with PCOS, focus on balancing kapha through diet and lifestyle, as this will help in addressing both PCOS and the hyperpigmentation. Incorporate foods that are light and warming. Favor fresh fruits, green leafy vegetables, legumes, and grains like barley which are less likely to aggravate kapha. Spices like turmeric and ginger are helpful in boosting digestion which helps in weight management, inflammation reduction, and skin tone improvement.
Try a purification treatment at home such as a regular detoxifying drink: Mix 1 teaspoon of triphala powder with warm water and drink it nightly. Triphala can assist in detoxifying the body and promote better skin health.
Abhyanga, or oil massage, with warm sesame oil can help stimulate blood circulation, thus aiding in reducing dark patches over time.
Since skin reacts to sunlight by darkening further, it’s crucial to limit sun exposure and use protective clothing when outdoors. You may also prepare a paste of aloe vera gel and rose water; applying this daily can help soothe the skin and keep it hydrated.
Your ongoing condition with PCOS should be closely monitored by a healthcare provider to maintain hormonal balance. Make sure to integrate these approaches gradually, and work in tandem with modern medical advice, particularly for hormonal conditions like PCOS.
