Seeking Ayurvedic treatment for Hidradenitis Suppurativa - #36074

Hello Rajeev ji,

I can understand your condition — Hidradenitis Suppurativa (HS) —It is indeed painful and chronic, but dont worry we are here to help you out😊

✅MAIN CAUSES-

👉 Improper diet (too much oily, spicy, non-veg, fermented food) 👉 Sedentary lifestyle 👉 Excess sweating and poor hygiene 👉 Stress and low immunity

✅AYURVEDIC PLAN OF TREATMENT

✅INTERNAL MEDICATION

1 Guggulu Tikta Ghrita 1 tsp twice daily with warm water before meals (Purifies blood and reduces inflammation) 2 Kaishor Guggulu 2-0-2 after food (Detoxifies blood and reduces pus formation) 3 Gandhak Rasayan 1 tab twice daily after food (Acts as a natural antibacterial and skin rejuvenator) 4 Sarivadyasava 20 ml with equal water twice daily after food (Blood purifier and anti-inflammatory)

✅EXTERNAL APPLICATION

1. Triphala Churna paste or Neem–Turmeric paste – apply locally over the affected area daily after cleaning.

2. Jatyadi Taila – apply after washing the wound with Triphala decoction or Neem water.

3. Steam fomentation (Nadi Sweda) with Triphala decoction 1–2 times weekly to open tracts and reduce pus.

✅PANCHAKARMA THERAPIES (Highly Beneficial)

Panchakarma helps purify blood and remove deep-seated toxins that keep the infection recurring:

1 Raktamokshana (Leech Therapy) Best for chronic infected HS – drains impure blood, reduces pain and pus

2 Virechana Karma (Therapeutic Purgation) Clears Pitta & toxins from liver–intestine channel

3 Takra Dhara or Abhyanga with Nimba Taila Reduces inflammation and burning sensation

👉 These should be done under supervision of an experienced Ayurvedic Panchakarma physician.

✅DIET AND LIFESTYLE

✅ Recommended

Fresh fruits: pomegranate, amla, papaya Vegetables: lauki, tori, karela, leafy greens Spices: turmeric, cumin, coriander, fennel Warm water throughout the day Include Triphala at night for mild detox

❌ Avoid

Non-vegetarian, fried, spicy, fermented, and junk foods Sweets, bakery, curd, cheese, alcohol, smoking Tight clothing, synthetic fabrics Daytime sleep and late nights

✅LIFESTYLE TIPS

Maintain armpit hygiene — clean and dry area daily. Avoid deodorants and harsh soaps — use neem soap. Manage stress with meditation or Anulom Vilom Pranayama. Keep body weight under control.

Ayurvedic management works gradually but deeply, focusing on root cause removal, not just symptom relief.

You may start noticing improvement in 3–4 weeks, with reduction in pus and pain. Continue for 3–6 months for complete tissue healing and recurrence prevention.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

1.Guggulu Tikta Ghrita 1 tsp with warm milk or water empty stomach in the morning 2.Panchtikta Ghrita Guggulu 2 tab twice daily with water after meals 3…Neemghsns vati 2 tab twice daily with water after meals 4.Khadirarishta 20 ml with 20 ml water twice daily after meals

External Ayurvedic Applications 1. Jatyadi Taila - Apply gently to affected area after cleaning triphala or neem decoction - Helps heal wounds, reduce pus, and soothe inflammation 2. Turmeric Paste + Neem Powder - Mix with warm water and apply locally for 15–20 minutes - Natural antiseptic and anti-inflammatory

🧘 Lifestyle & Dietary Tips - Avoid spicy, oily, and fermented foods - Include bitter vegetables (karela, neem leaves, methi) - Drink warm water throughout the day - Practice gentle yoga and breathing exercises to reduce stress - Wear loose, breathable clothing to reduce friction

Thank you for reaching out and trusting me with your health journey Mr Rajeev I understand how painful and frustrating this condition must have been for you especially since you have been dealing with it for so many years When a condition like hidradenitis suppuration becomes chronic it indicates that there is a deep inflammation and toxin accumulation inside the body that is expressing itself through the skin The focus in ayurveda is to not just dry the wound or reduce pain from the surface, but clear out the internal cause that keeps creating these tunnels and discharges repeatedly

It looks like a combination of excessive heat and stagnation inside the body’s channels, this leads to repeated boils pus and foul smelling discharge The medicine you have taken so far may have helped temporarily but have not addressed the root cause

You can start on Kayakalpa vati Neemghan vati Each 1 tablet after food with lukewarm water Khadira aristha- 15 ml with equal water after meals

Hello Rajeev Start with Kishore guggul 1-0-1 after food with water Triphala guggul 1-0-1 after food with water Mahamanjistadi kadha 15 ml twice daily after food with water Wash with neem kwath and apply jatyadi oil in affected area . Avoid sour fermented foods

Hidradenitis supportiva best Treatment is kahara sutra application and never reoccunrnce now use take Guggulu tiktha kashayam 1tab bd, kaishora Guggulu 1tab bd, Thalakeshwara ras 1tab

I dealed hidradenitis supportiva with ksharasutra application never recurrence

Hi Rajeev chopra ji,

The disease tend to become chronic with subcutaneous extension leading to indurations, sinus and fistula having a profound impact on the quality of life. The clinical features of HS can be compared with Naadivrana mentioned in classics. The treatment modalities of Naadivrana includes mainly Shodhana and Ksara Sutra application are adopted.

In modern system of medicine there are no curative (medical) therapies for HS, only symptomatic treatment can be done. This includes adjuvant therapy (e.g., pain management, smoking cessation, weight loss, treatment of super infections, hygiene practises, topical wound dressings) to topical and systemic agents (e.g., antibiotics, anti-inflammatory agents, anti-androgen drugs) and surgical interventions such as excisional surgery and laser surgery.

Shodhana Chikitsa is not only effective in eliminating toxins. It has a wide range of therapeutic uses such as improving circulation immunity and eradicating diseases etc, Guggulu based Apamarga Kshara Sutra has the combined effect of Apamarga Kshara, Guggulu and Turmeric and said to be unique drug formulation for cutting and healing of sinus tract.

So advice you for personal consultation bcz as u send puss and blood comes out and it is since 2018. So kindly do personal consultation rather to take just medicine. If there will be needing of shar sutra just go for it, u will get permanent cure after that.

Just go for personal consultation for shar sutra and shodhan for permanent cure . Untill that, Oral treatment -

1) trifla guggulu 2 tab BD after crushing with Luke warm water 2) mahamanjishtadi kashya 20 ml BD with equal amount of water 3) dashang lep for local application

Firstly wash the HS With trifla kshayay for shodhan of wound, and than apply jayadi tailam for healing.

For 7 days and go for personal consultation

U can start with Kaishora Guggulu Tab 2 bd after food Gandaka Rasayanam tab 1-0-1 after food Mahamanjishtadi kwatham 20 ml twice a day after food Guggulu tiktaka gritham softgel capsule 1-0-1 before food with warm water Externally wash the area with Triphala kashayam regularly followed by Jatyadhi tailam application over the affected area In diet take more of freshly prepared food articles More of green leafy vegetables and fruits

🩺 INTERNAL MEDICINES Course duration: 3–6 months with gradual improvement. 1. Manjishthadi Kashayam 15 ml with 45 ml warm water, twice daily before food. 👉 Purifies blood, reduces inflammation, clears Rakta dushti. 2. Guggul Tikta Ghrita 1 tsp with warm water/milk on an empty stomach in morning. 👉 Excellent for deep-seated infections and chronic skin diseases. 3. Kaishor Guggulu 2 tablets twice daily after food. 👉 Detoxifies Rakta and relieves pus formation, pain, and swelling. 4. Gandhak Rasayan 1 tablet twice daily after meals with lukewarm water. 👉 Antimicrobial, helps healing and skin regeneration. 5. Arogyavardhini Vati 1 tablet twice daily after meals. 👉 Liver detox and blood purification; improves metabolism. 🌿 EXTERNAL APPLICATIONS 1. Triphaladi Tailam or Jatyadi Tailam Wash area with warm saline or Triphala decoction Then apply oil gently twice daily. 👉 Promotes wound healing and reduces pus. 2. Turmeric + Neem Paste (optional, natural remedy) Mix turmeric powder + neem paste in water and apply for 20 mins daily. 👉 Reduces bacterial growth, soothes inflammation. 🍵 DIET & LIFESTYLE Avoid: Spicy, fried, fermented, junk, and non-vegetarian foods Milk + salt combinations Alcohol, smoking Excessive sweating or tight clothing Favour: Fresh fruits (pomegranate, amla) Green vegetables, barley, moong dal Warm water throughout the day Daily gentle walk, mild yoga, pranayama (especially Sheetali, Anulom Vilom)

In Ayurveda, Hidradenitis suppurativa may correlate with an imbalance of the tridoshas, primarily Pitta and Kapha. The condition, as it’s manifesting with inflammation, pus, and blood, suggests the involvement of Raktadhatu and Rakta Dhatu dushti, along with deeper tissue levels like Mamsa and Meda dhatus. The first step is focusing on pacifying Pitta and Kapha doshas while cleansing the Rakta dhatu.

Herbal treatments can be considered to help detoxification and promote healing. Neem (Azadirachta indica) is one such powerful herb known for its anti-inflammatory properties. You can take neem tablets or decoction daily, ensuring the dose aligns with your constitution—around 500 mg of neem extract twice daily could be a starting point. Turmeric (Curcuma longa), also beneficial for its antibacterial and anti-inflammatory qualities, can be included in your diet or taken as a supplement, about 1-2 grams per day with warm water or milk.

Maintaining a diet that reduces Kapha and Pitta accumulation—like avoiding spicy, oily and heavy foods—is crucial. Instead, favor a diet rich in fresh fruits, vegetables, leafy greens, and cooling herbs like coriander and mint. Hydration is also important, so drink plenty of warm water through the day.

Topically, applying a paste of turmeric with honey on the affected area might offer relief due to antiseptic qualities. Shidhh Makardhwaj ointments are traditionally used in such conditions. However, ensure it’s done under a professional’s guidance.

Engage in a regular cleansing routine, using medicated oils such as Sahacharadi taila for localized Snehana (oiling). After application, mild steaming could help in enhancing circulation and healing.

Avoid tight, synthetic or rough clothing that could further irritate the skin. Light cotton clothing preferrably. Moreover, managing stress through meditation or yoga might also contribute to overall relief, as stress can worsen inflammations.

Finally, it’s critical to keep in contact with an Ayurvedic practitioner who can provide ongoing advice tailored to your progress. If there are signs of severe infection or systemic issues, prompt medical evaluation should not be hesitated. Balancing modern and ancient approaches will yield the best result.

Hidradenitis Suppurativa (HS) can be quite challenging, so looking at it from an Ayurvedic and Siddha perspective might offer some holistic relief. HS often indicates a Kapha and Pitta imbalance in Ayurveda, which manifests through the suppuration (pus) and inflammation (swelling and heat). Targeting these imbalances needs addressing both dietary and lifestyle factors along with targeted herbal treatments.

1. Dietary Changes: Focus on a Pitta-Kapha pacifying diet. Avoid spicy, oily, and fried foods, which can aggravate both doshas. Instead, incorporate more cooling and light foods like steamed vegetables, whole grains, and lentils. Foods rich in bitter and astringent tastes are beneficial, so include greens like spinach and fenugreek.

2. Herbal Remedies: Herbs like Turmeric (Haridra) and Neem (Nimba) are known for their anti-inflammatory and anti-septic properties. You could take Turmeric in warm milk or a diluted tea formulation daily. Neem can be used in paste form on the lesions or in herbal baths.

3. Topical Treatments: Apply a paste made from Haritaki (Terminalia chebula) or Triphala over the affected areas. This might help to cleanse the area gently and could contribute to draining toxins from skin.

4. Lifestyle Modifications: Maintain regular bowel habits to keep your internal system clean, aiding the skin as a reflection of internal health. Practices like dry brushing can also facilitate skin detoxification and improve blood circulation.

5. Exercise & Wellness: Engage in mild exercises and yoga asanas like Vrikshasana (Tree Pose) and Tadasana (Mountain Pose) which can improve lymphatic flow, potentially decreasing inflammation.

While these suggestions might form part of your approach, it’s crucial to remember that HS can be serious, and any significant change in severity should be evaluated by a health professional. Continuing your communication with a healthcare provider ensures that you’re covering all the necessary bases health-wise.

HELLO RAJEEV,

Hidrandenitis suppurative (HS) is a chronic inflammatory skin condition that affects the hair follicles and sweat glands, especially in areas like the armpits, groin, buttocks , and under the breasts. It causes painful lumps , abscess pus filled boils, and tunnels (sinus tract) that sometimes ooze blood or pus and may leave scars

WHY IT HAPPEN? -hair follicles get blocked - inflammation occurs - bacteria grows inside - the immune system overreacts leading to chronic infection and tissue daage

Ayurveda sees HS as a condition arising from vitiation of -Pitta dosha= causing heat, inflammation, and pus - Kapha dosha= causing blockage, swelling , and stickiness - Rakta dhatu= becoming impure and inflamed Overtime, this imbalance creates “Dusta vrana”(chronic wounds) and “granthi/ pidika” (sinus tracts)

The deeper cause is ama (toxins)- undigested waste from food, stress, and poor digestion - which circulates in the blood, deposits under the skin, and blocks the sweat glands

TREATMENT GOALS -Detoxify the body- remove toxins and purify the blood -reduce inflammation and infection- control pitta and kapha dosha - heal existing lesion- promote healthy would healing -prevent recurrence- strengthen immunity -restore digestion and metabolism- because poor digestion is the root cause

INTERNAL MEDICATIONS

1) KAISHOR GUGGULU= 2 tabs twice daily after meals for 3 months =purifies blood, reduces chronic inflammation and pus

2) AROGYAVARDHINI. VATI= 1 tab twice daily after meals for 3 months = improves liver function, clears internal toxins

3) GANDHAK RASAYANA = 1 tab twice daily after meals for 3 months = acts as natural antibiotic and skin detoxifir

4) GUGGULU TIKTAKA GHRITA= 1 tsp with warm water before meals for 6 weeks = deep detoxifier , balance pitta and kapha

5) MAHAMANJISTHADI KASHAYA= 20 ml with warm water twice daily after meals for 3 months = blood purifier, reduces inflammation

6) TRIPHALA CHURNA= 1 tsp with warm water at bedtime =keeps digestion and bowel clean, prevents toxin buildup

EXTERNAL TREATMENT

LOCAL CLEANING -NEEM-TURMERIC DECOCTION = Boil 10-15 neem leaves + 1/2 tsp turmeric in 1 L of water. cool it. use this gently wash the affected area 2-3 Tims daily =kills bacteria , dried pus, reduces itching

LEPA (HERBAL PASTE) - Home = mix triphala powder + turmeric + aloe vera gel into a paste apply for 30 min, then wash =draws out the pus, soothes pain and reduces swelling

MEDICATED OILS -Jatyadi taila= apply twice daily after washing = promotes wound haling, deodorants or. tight clothing around the armpit

If condition is long standing as since 2018 deep cleansing- Panchakarma will help

a) Raktamokshana -leech is applied near the affected area. It draws out impure blood and reduces inflammation and pus =brings quick relief in pain, burning and swelling

B) Virechana - cleanses pita from the liver and intestines =balances internal heat and prevents pus formation

C) Basti - especially tikta ksheera basti helps detoxify and rejuvenate from inside

These therapies should be done under certified ayurvedicdoctor

YOGA ASANAS- avoid strenuous or frictional movement in armpit area -bhujangasana - improves circulation - ardha matsyendrasana- detoxifies liver - pawanmuktasana=aids digestion - vajrasana- sit in this for 10 min after meals for better digestion

PRANAYAM -Anulom vilom=10min morning and evening - Sheetali/seetkari = reduces pitta (heat) -Bhramari= calms stress and supports hormonal balance

Cosistency is key - 20 min of yoga + Pranayama daily improves circulation, immunity and reduces inflammation

DIET - eat warm, freshly cooked easy to digest food - include bitter astringent and mildly sweet foods= bitter gourd, bottle gourd, ridge gourd, neem, turmeric, ama, green moong dal - drink warm water or water infused with turmeric or cumin seeds -eat early dinner around 7 pm - maintain good hygiene- keep area dry, weak loose cotton clothes

AVOID -fried, oily, spicy and fermented foods -dairy curd panner cheese when infection is active - red meat, sea food , alcohol and smoking - sugary foods, bakery items, cold drinks - stress, sleeplessness and irregular meals

HOME REMEDIES -Turmeric + black pepper= mix 1/2 tsp turmeric + pinch of black pepper in warm milk or water once daily= natural anti inflammatory nd antiseptic - Neem juice= 20 ml empty stomch every morning for 21 days= deep blood purifier - Aloe vera gel (fresh)- apply locally for soothing effect and water healing - Triphala wash

Hiradenitis suppurative is a stubborn, chronic disease but Ayurveda offers genuine long term relief by teatig the root imbalance not jut the lesion

You can expect gradual improvement in -pain and pus discharge Within 3-6 weeks -reduction in new lesion in 2-3 months - better energy, digestion and immunity in 4-6 months

Patience and consistency are vital - this is not an overnight cure, but t can significantly reduce suffering and prevent recurrence

DO FOLLOW

HOPE THIS MIGHT BE HEPFUL

THANK YOU

DR. MAITRI ACHARYA