Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Pulmoplantar pustular psoriasis
Skin and Hair Disorders
Question #30910
255 days ago
988

Pulmoplantar pustular psoriasis - #30910

Alekhya
$3.51

I have this from may 2025 I have used so many medicines and homio and it is not even reducing and it can’t be controlled it looks like red spots and changes into puss form and it is itching sometimes it became scaly

Age: 21
Chronic illnesses: Palmoplantar pustular psoriasis
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Hello Alekhya, I understand you have been suffering a lot due to psoriasis. Don’t worry, here is the tailored treatment plan for you - We have to focus on treatment as well as the the psychological and other triggers also. Treatment - 1. Arogyavardhni vati 2-0-2 after meal 2. Kayakalpa vati 2-0-2 after meal 3.Neem ghanvati 2 -0-2 after meal 4. Mahamanjistharishta + Khadiraristh - 2 tsp each with 4tsp water twice a day after meal 5.Kayakalp oil - Local application over the affected area (but don’t use on scalp) Diet- Avoid sour and spicy food,fast food. Avoid curd, pickle, brinjal,lemon. Take bitter gourd, bottle guard, fruits Yoga - Anulom vilom, bhastrika, tratak, Sheetali, sheetkari. Remedies - Apply freshly extracted Aloe vera gel. Boil neem leaves and let it cool to warm, soak feet for 15 min daily. Keep feet clean. Wear cotton socks when outside. Don’t worry , follow these and you will definitely get relief. Don’t hesitate to reach out for any further query. Would like to hear your improvement in the review. Take care Alekhya Regards, Dr. Anupriya

832 answered questions
64% best answers
Doctor has prepared a treatment plan for you
SDM Kadirarista - SDM Ayurveda Pharmacy
Amrita Rajahpravartini Vati - Amrita Drugs
Aloevera Gel - Revinto
+2 more medications
Accepted response

0 replies

Hello Alekhya I can truly understand your concern. Palmoplantar pustular psoriasis (on palms & soles) is a autoimmune condition that can be frustrating, especially when it keeps recurring despite many treatments. But dont worry we are here to help you out 😊

✅AYURVEDIC APPROACH

✅INTERNAL MEDICATION (for blood purification & immunity) 1 Panchtikta Ghrita Guggulu 1 TSP morning empty stomach follwed by warm. Water – classic medicine for skin auto-immune disorders. 2 Arogyavardhini Vati 2-0-2 after food – liver detox & balances Pitta. 3 Mahamanjishthadi Kashayam 15ml-0-15ml +45 ml water – powerful blood purifier, reduces redness & itching.

✅EXTERNAL LOCAL APPLICATION

👉Coconut oil + Neem oil mix – apply on palms & soles to reduce dryness, pus, and scaling. 👉Aloe vera fresh gel – soothing for itching & burning. 👉Turmeric + ghee paste – helps healing of cracked/scaly patches.

(Avoid harsh soaps, detergents, frequent washing with hot water.)

✅DIETARY ADVICE-

❌Strictly avoid: fried foods, sour curd, red chili, excess salt, non-veg, alcohol, bakery, cold-drinks.

☑️Take more: bitter vegetables (karela, methi, neem leaves), bottle gourd, pumpkin, pomegranate, green gram, old rice.

☑️Include buttermilk (takra) with jeera daily – good for digestion & skin.

☑️Drink warm water to flush out Ama (toxins).

✅Lifestyle & Stress tips

Maintain regular sleep cycle – late nights worsen psoriasis. Stress is a major trigger – practice Anulom Vilom & Bhramari pranayama daily. Gentle sun exposure in the morning is beneficial. Avoid scratching or peeling scales – it worsens flare-ups.

✅PANCHAKARMA (if possible at Ayurveda centre)

For resistant cases like yours, Panchakarma therapies are very effective

1 Virechana (Purgation therapy) – to eliminate excess Pitta. 2 Raktamokshana / Jalaukavacharana (Leech therapy) – reduces local inflammation & pus. 3 Takradhara (medicated buttermilk pouring therapy) – calms stress & immunity. 4 Basti (medicated enema) – balances Vata & immunity.

With regular Ayurvedic care, psoriasis can be brought under long-term control, flare-ups reduce, and skin starts healing gradually.

Wish you a Good health😊

Warm Regard Dr Snehal Vidhate

11987 answered questions
28% best answers
Doctor has prepared a treatment plan for you
Arogyavardhini Gutika Ras - Dabur
Maha Manjishtadi Khada - Dhootapapeshwar
Panchatikta Gritha Guggulu - Dhootapapeshwar
Accepted response

0 replies

Need personal consultation,

Please visit nearby panchkarma centre for further advice.

Take care😊

Kind Regards, Dr.Isha Ashok Bhardwaj.

1391 answered questions
44% best answers
Accepted response

0 replies

Ok do not worry You can start on Kayakalpa vati-one tablet twice daily before food with warm water Kaishore guggulu- Neemghan vati- 1 tab twice after food with warm water Haridra khanda-of teaspoon with warm water after food twice daily Mahamanjistadi aristha-4 teaspoon with equal quantity of water twice daily after food Kayakalpa taila- local application Avoid oily spicy fried and non vegetarian foods

13597 answered questions
29% best answers

0 replies

​In Ayurveda, Palmoplantar Pustular Psoriasis (PPP) is often understood as a chronic skin condition (Kushtha Roga) resulting from an imbalance of the three doshas, particularly Vata and Pitta, and sometimes Kapha. Your description of “red spots,” “puss form,” “itching,” and “scaly” skin aligns with a complex dosha imbalance.

​Pitta Imbalance: The redness and pus formation are classic signs of aggravated Pitta, which governs heat and inflammation.

​Vata Imbalance: The dryness, scaling, and itching you describe point to an excess of Vata, which is associated with dryness, roughness, and air.

​Kapha Imbalance: The pustules and “puss form” can also be linked to an imbalanced Kapha, which deals with fluids and can lead to oozing or wetness.

​Ayurvedic treatment for this condition is holistic and aims to address the root cause by purifying the blood, balancing the doshas, and improving digestion (Agni). The approach often includes:

​1. Diet and Lifestyle (Ahar Vihar) ​Avoid Pitta-aggravating foods: Stay away from spicy, sour, and salty foods. This includes things like fermented foods, curd, and excessive use of chili and spices. ​Embrace Vata and Pitta-pacifying foods: Focus on a diet rich in cooling, bitter, and sweet (natural) tastes. Incorporate green leafy vegetables, old rice, green gram (moong dal), and bitter gourd. ​Hydration: Drink plenty of water and herbal teas to help with detoxification. ​Avoid incompatible food combinations (Viruddha Ahara): Ayurveda emphasizes avoiding combinations like milk with fish, or hot and cold foods together. ​Stress Management: Psoriasis can be triggered by stress. Practices like yoga, meditation, and pranayama (breathing exercises) are highly recommended.

​2. Herbal Remedies ​ ​For blood purification: Manjishtadi kashaya 20 ml after food 2 times a day

well-known for their detoxifying and anti-inflammatory properties.

​For inflammation and scale . Giloy ghan vati 1-1 -1 after food

helps to boost immunity and cleanse the blood.

​For internal cleansing: tab Arogyavardhini Vati 1-1-1 before food used to improve digestion and remove toxins.

​For external application: Karanj oil or jatyadi ghrita

often applied to the affected areas to reduce inflammation, itching, and promote healing. ​

1370 answered questions
20% best answers

0 replies

1.Patolakaturohinyadi kwatham tab 2-0-2 before food 2.Vilwadi .gulika 1-0-1after food 3.Thriphaladi churnam 1tsp at bedtime with hot water 4.Krimighna vati 1-0-1after food

Weekly once Virechana(Purgation) with Avipathy churnam (1packet/10gm) with ½glass hot water in empty stomach followed by light diet only - this is to cleanse your body.

*Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Practice yoga and meditation regularly

*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Maida and its products

497 answered questions
27% best answers

0 replies

Don’t worry take swadista virechana churnam 1tsp with lukewarm water, pancha tikta ghrita Guggulu 1tab bd, Thalakeshwara Ras 1tab bd,vibha ointment Externally enough

15369 answered questions
34% best answers

0 replies

Start with 1) panchtiktagrit guggul 2-0-2 after food with water 2) neem ghanvati 1-0-1 after food with water 3) psorolin oil for local application on affected area.2-3 times daily 4) kamdudharas 1-0-1 after food with water Avoid wrong combination of food like milk with salty foods, citrus fruits,nonveg food, Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice

13584 answered questions
30% best answers

0 replies

U can start with Pachatiktaka kashayam tab 1-0-1 before food Khadiradhi vati tab 1-0-1 after food Kaishora Guggulu Tab 2 bd after food 777 oil external application

508 answered questions
30% best answers

0 replies

HELLO ALEKHYA,

WHAT IS IT :- PPP is a chronic skin disease that mainly affects the palms and soles, It causes red patches, pustules (small pus-filled spots), scaling, and itching

WHY IT HAPPENS (Ayurvedic view) -due to imbalance of pitta (heat) and kapha (stickiness, heaviness) dosha -impurities (known as Aam) and Rakta dushti (impure blood) accumulate in the body. -The skin express this imbalance in the form of inflammation, pustules and scaling

WHY IT DOESN’T HEAL EASILY : -PPP is considered a Kushtha roga (skin disorder) in Ayurveda. chronic skin diseases are deeply rooted in blood and tissues, so superficial. ointments alone are not enough.

TREATMENT GOALS -Detoxification = remove accumulated toxins and balance doshas -Blood purification= cleanse the blood to prevent pustules and scaling -Immunity and digestion= improve digestive fire to prevent formation of toxins -Local healing= reduce pustules, redness and itching -Long term balance= prevent recurrence through lifestyle, diet, and stress management

INTERNAL MEDICATIONS

1) KAISHOR GUGGULU= 2 tabs twice daily after meals =purifies blood, reduces inflammation and swelling

2) AROGYAVARDHINI VATI= 2 tabs twice daily after meals =detoxifies liver and blood, corrects digestion

3) GANDHAK RASAYANA= 2 tabs twice daily after meals =anti microbial, improves skin healing, reduces itching

4) MAHAMANJISTHADI KASHAYA= 20 ml with equal water twice daily after meals =strong blood purifier, useful in skin diseases

5) NEEM CAPSULES= 1 cap daily in morning =natural antimicrobial, reduces pustules

6) GUDUCHI EXTRACT= 500 mg twice daily =boosts immunity, balances pitta

EXTERNAL APPLICATIONS

OILS -Karanja taila + nimba taila= antimicrobial, reduces pustules -Coconut oil with turmeric= soothes itching and scaling

PASTES/PACKS -Aloe vera gel + turmeric paste on pustules- healing and cooling -Neem leaf paste= reduces redness and infection

BATHING -use lukewarm water add a few neem leaves or Triphala decoction for soaking hands/feet

LIFESTYLE CHANGES

DAILY ROUTINE -wake up early, drink warm water to flush toxins -gentle oil massage with coconut/sesame oil before bath -keep palms and soles clean and dry, but not overly dry

AVOID -scratching or peeling scales -tight footwear or gloves that traps sweat -daytime sleeping, late night waking

DIET -green leafy vegetables esp. bitter ones- neem, methi, karela -oil rice, wheat, barley, mung dal -fruits= pomegranate, apple, papaya -spices= turmeric, coriander, cumin

AVOID -very spicy, sour, salty, fried, fermented foods -red meat, sea food, alcohol, carbonated drinks -curd, cheese, pickles -junk/processed foods

YOGA ASANAS -bhujangasana -vajrasana -trikonasana -paschimottanasana =improves digestion and detox

PRANAYAM -anulom vilom= balances doshas -sheetali/sheetakari= cooling, reduces pitta -bhramari= calms stress

MEDITATIONS -stress worsens psoriasis; 10-15 mins daily help

SIMPLE HOME REMEDIES -drink neem leaf decoction 3-4 leaves boiled in water 3-4 times/week -apply turmeric + aloe vera paste on affected areas -drink triphala water at night -fenugreek seeds soaked overnight- eat in morning to purify blod

-PPP is chronic but manageable with a holistic approach -Ayurveda aims to treat the root cause rather than just skin -Be patient = results take weeks to months but recurrence reduces with consistent lifestyle and diet -combine ayurveda + yoga + stress management for best outcome

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

13082 answered questions
27% best answers

0 replies

1.Panchtikta guggulu 2 tab twice daily after meals 2.Arogyavardhini vati 2 tab twice daily after meals 3.Manjisthadi kwath 20 ml with 20 ml water twice daily before meals 4.Jatyadi oil-apply on the affected area once daily 5.Bakuchi oil-apply on the affected area twice daily

Adv: Avoid sour and spicy food Avoid fried and processed food items Avoid Carbonated drinks Avoid tea and coffee

12130 answered questions
27% best answers

0 replies

It sounds like you are experiencing yaba saproot in Ayurvedic terms, a condition often correlating to pustular psoriasis in modern medicine. This condition often involves imbalances in the doshas, particularly Pitta and Kapha, leading to toxin (ama) accumulation in your system. To address this holistically, let’s start with dietary recommendations: Emphasize cooling, bitter and astringent foods to help balance Pitta. Include leafy greens, bitter gourd, and turmeric in daily meals. Avoid spicy, oily, salty, and sour foods as they may exacerbate your symptoms.

Lifestyle adjustments include practicing Tridoshic balance yoga that focuses on gentle stretching and deep breathing—this apporach aids detoxification and alleviates stress, a common trigger. Adequate sleep is vital to allow your body to heal naturally. Refrain from smoking, alcohol, and stress triggers, indulgence in these factors may irritate your skin conditions further.

Herbally speaking, Neem (Azadirachta indica) has properties that can purifying blood and reduce inflammation. You might want to drink neem tea daily or apply neem paste on the afflicted areas. Likewise, application of Aloe Vera gel topically might soothe itching and reduce scaliness. Ayurveda texts recommend Panchakarma, a detoxification treatment, to cleanse the accumulated toxins in the body, however consult a qualified practitioner to guide you appropriately.

It’s essential to keep track of other symptoms that may be emerging and seek immediate medical care if any dramatic changes occur. While Ayurveda provides a path towards balance and healing, continued collaboration with your healthcare provider is crucial. Never hesitate to reach out to a health professional if acute symptoms arise.

13381 answered questions
39% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


What Ayurvedic foods should I avoid for rosacea and what could bumps on my nails mean?
How to treat hair fall and grey hair for thicker black hair?
How to treat recurring foot corns on the soles that are painful and keep coming back?
What causes yellowish tint and dark patches on my face after taking multivitamins?
How to treat acne and remove pus marks on my face?
How to treat hair fall caused by hard water and stress after moving to Himachal?
How to reverse hair thinning caused by excessive scalp sweating in adults over 40?
How to treat painful pimples on my face that keep coming back for 3 years at 18 years old?
What to apply for tiny red and black moles on my breast and arm?
Can I use salicylic serum while taking Ayurvedic medicine for acne treatment?
Can lichen planus come back after treatment if I feel weak?
Why isn't Aloe Vera Chinesis recommended for skin care in Ayurveda?
What Ayurvedic treatment can help my 24-year-old daughter with her chronic skin redness and itching?
Can I use Murivenna for my 5-month-old baby's skin allergy on the face?
How to treat persistent fungal infection and oily dandruff on scalp?
What to do for dull and combination skin that darkens with products and causes rashes?
How to reduce skin tanning naturally with combination skin and comedones on nose?
How to treat hair fall caused by hard water and stress after moving to Himachal?
Is Kairali Ayurveda Anu Thailam effective for controlling hair fall and how does it work?
How to treat acne and blackheads that have been worsening for 4 years?
Can I use hair oil and serum together, and is shampoo necessary after using oil before a shower?
Can I mix Kottakal Kunthalakanti oil with Rosemary oil for hair growth?
How to choose between syrup, powder, or tablet forms of Khadirarishta, Mahamanjishtadi, and Trifala for skin issues?
What to do for recurring facial acne that keeps coming back for 3 years in an 18-year-old?
How long will it take for LPP on my neck and face to heal on its own, and what precautions should I take?
Is it safe to apply clove oil on burnt skin for relief?
How to treat recurring acne and dark spots on my face?
How to treat psoriasis with Ayurvedic tablets after stopping allopathy?
Is Lomasathana Thailam good for skin, and should I mix it with carrier oil or apply it directly?
How to treat hair loss that started after moving to a new place and is affected by stress?
How to treat pus-filled pimples that appear before my period after starting Mahamanjitha?
How to treat severe itching from keratosis pilaris at night for a 22-year-old in a hostel?
How to make my hair grow faster after a recent haircut?
What to do for hair fall caused by hard water and stress after moving to Himachal?
What is causing uneven skin tone and rough bumps on my arms that release white material?
How to treat melasma on cheeks and nose that hasn't improved with allopathy for 3 months?
What are some remedies for hair loss and gray hair?
What is the best Ayurvedic treatment for pimples and dark spots on my cheeks?
How to treat skin eczema on my palms effectively?
What are the best Ayurvedic treatments for hair thinning and hair fall on the right side of my head?
Can I use aloe vera to treat Tinea Versicolor with irritating itchy skin that started 2 weeks ago?
What are the best remedies for hair fall and greying in a 43-year-old woman with anemia?
How to treat pus-filled pimples and dark spots on my face?
What is Lichen Amyloidosis and how to treat skin darkening and itching on my body?
What is causing my hair loss after moving to Himachal from Bombay for the last 5-6 years?
What is the best Ayurvedic treatment for itchy, burning scalp and hair loss in a 74-year-old with long-term chemical exposure?
Can I take Khadirarishta, Mahamanjishthadi, and Sarivadyasava syrups together for skin issues?
What are the connections between skin problems and liver health?
What is the best ointment for treating blackheads on my nose?
How to treat long-standing pimples on forehead for a 34-year-old male?
How to treat excessive hair fall and dryness with visible scalp?
How to treat dull, pigmented skin and dark circles effectively?
How to treat excessive hair fall and dry, frizzy hair after applying oil?
What to do for deep acne scars that appeared suddenly at 27 after having acne as a teen?
How to treat psoriatic eczema on both legs with itching for 8 years using Ayurveda, including diet details?
How to treat heavy nodular acne and dark spots on face and back for a 29-year-old male?
How to promote advanced hair growth and prevent thinning hair naturally?
What to do for hair fall after moving to Himachal from Mumbai?
What is the best oil for thick, long, and black hair?
How to promote faster and healthier hair growth using natural oils and remedies?
How to treat oily skin with dark spots and pimples, and can I use Multani Mitti?
What is the best Ayurvedic cream for all skin issues like eczema, bacterial and fungal infections, redness, and rashes?
Can a 16-year-old girl with thin and weak hair take Sitaram Narasimha tablets, and how many should she take?
What causes uneven skin tone and excessive dryness on my upper body with on-and-off constipation?
How to treat dandruff and severe hair fall that has lasted more than 6 months?
How to use Nalpamaram and Nagarmotha powder for acne on face and body?
How to reduce itching and swelling from Lukoskin cream and syrup after 3 days of use?
Can I take Mhasurdarsan Dhan Vati for skin allergy I've had for 8 years with small bumps and itching?
What is the natural remedy for rosacea and what should I avoid in my diet and daily habits?
How long will it take for eczema to improve with Mahamanjishtha and Khadirarishta syrup?
How to treat excessive hair fall after pregnancy along with body pain and stress?
How to treat Lichen Planus and how long will it take to heal?
How often should I use durdurapathradi keratailam for dandruff and severe hair fall?
How to treat worsening pimples and skin allergies while taking mahamajisthadii kwadha and khadirarishta?
What is the best treatment for keratosis pilaris on elbows and butt that feels hard like thorns?
How to reduce skin tanning naturally for combination skin with oily nose and dry cheeks?
How to treat recurring dyshidrotic blisters on palms that worsen in summer?
How to treat hair loss that started after moving to a new place and is affected by stress?
Can I use salicylic serum while taking Ayurvedic medicine for acne treatment?
How to treat chronic acne and irregular periods in a 24-year-old with oily skin?
How to choose between syrup, powder, or tablet forms of Khadirarishta, Mahamanjishtadi, and Triphala for skin issues?
How to treat scars after pimples on my back?
How to use Ayurvedic herbal shampoo for hair loss after pregnancy?
What are the small yellow bumps on my neck and around my eyes, and how to treat them?
How to treat oily skin on my face to prevent allergies and acne?
How to use Kesh King tablets for hair regrowth and is it safe for pregnant women?
What causes yellowish skin and dark patches on my face with occasional rashes?
How to maintain hair thickness and reduce hair fall in thin crown area?
Can I use Giloy Vati, Neem Vati, and other Ayurvedic remedies for my hand psoriasis with dry, itchy, and cracked skin?
How to treat psoriasis on palms and soles with deep cracks and bleeding?
Can I use Arjuna Churna on my face for vyanga without consulting an Ayurvedic doctor?
How to treat fungal skin infections and itching in armpits and neck?
How to treat high pigmentation around the neck and back with Mahamanjishthadi and Khadirisht?
Can I use Nalpamaradi Keram and Manjista Churna for my skin issues and what dosage is safe?
How to eat Kayakalpa Kwat for clear skin and digestive issues?
Can I use salicylic acid serum while taking Ayurvedic medicine for acne treatment?
How to stop hair fall and improve gut health for a vegetarian?
Can Ayurveda cure perioral dermatitis with sunscreen and remedies?
How to promote fast and healthy hair growth with mustard oil and rosemary?
How to reduce itching and swelling from using Lukoskin cream and syrup?

Doctors online

Latest reviews

Presley
7 hours ago
Really happy with the advice! The doctor's explanation was so clear and reassuring. Exactly what I needed to hear, thank you so much!
Really happy with the advice! The doctor's explanation was so clear and reassuring. Exactly what I needed to hear, thank you so much!
Hudson
7 hours ago
Thanks for the detailed response! Really appreciate the breakdown and the specific product recommendations—super helpful!
Thanks for the detailed response! Really appreciate the breakdown and the specific product recommendations—super helpful!
Ryan
7 hours ago
Finally, a clear answer! Really appreciate the simple steps you explained. Makes it less stressful. Thanks a ton!
Finally, a clear answer! Really appreciate the simple steps you explained. Makes it less stressful. Thanks a ton!
Natalie
9 hours ago
Thanks for the advice! Your explanation made sense and the remedy seems to be working. Feeling thankful to have found the right help!
Thanks for the advice! Your explanation made sense and the remedy seems to be working. Feeling thankful to have found the right help!