How to treat persistent eczema behind the ear that keeps weeping and crusting? - #55934

This looks like chronic wet eczema behind ear, commonly similar to Vicharchika in Ayurveda with Kapha-Pitta dominance. The wet discharge, crusting and recurrence cycle usually means the skin is not drying and healing completely internally. Avoid Curd, cheese, bakery, fermented food Excess citrus, pickles, tomato, chilli Scratching or removing crust forcefully Chemical shampoo, hair dye, perfume near ear Ayurvedic treatment short: Internal: Gandhak Rasayan 2 tablets twice daily after food Mahamanjisthadi Kwath 15 ml + equal warm water twice daily before food Khadirarishta 20 ml + equal water after lunch and dinner If constipation or heat: Avipattikar Churna 1 tsp at night with warm water External: Clean gently with sterile cotton Apply Nimbadi Taila or Mahamarichyadi Taila very thin layer twice daily If too much wet discharge, first apply Yashtimadhu churna lightly for drying, then oil after few hours Diet Neem leaves 5–7 tender leaves morning for 15 days Drink coriander seed water daily Keep gut clean and bowel regular

Hello I can understand your concern And thank you for explaining your concern in detail This really helps us to understand your probable causes and diagnosis and helps to curate a customized treatment plan with better outcome 🔹From your explanation it typically looks like Chronic weeping eczema because of the cycle that you have explained like Wetness ➡️ Crust formation ➡️ Crust gets removed ➡️ then again wetness 🔹Also it is supported by the fact that -It always starts as blisters like lesions -It gets worse with stress -You had similar history in childhood And now it is persisting for months 🔹 This all suggest Recurrent chronic skin inflammation tendency First Important -Avoid scratching -Do not use any harsh soaps -alcohol based products -Frequently touching it ▪️Ayurvedic plan of treatment 🔹Internal Medication 1.Mahamanjusthadi vati - 1 tablet twice daily after food 2.Gandhak Rasayana - 1 tablet twice daily after food 3.Khadiraristha - 10 ml twice daily after food 4.Saribadyaasavam -10 ml twice daily after food 🔹External Care Wash the are with Neem decoction Take a lukewarm water infused with neem leaves for wash -Apply light coating of karanj taila on the eczema 🔹Diet and lifestyle It is truly said that skin is reflection of digestion So we have to keep your diet simple INCLUDE -Warm simple food -Moong dal -Bottle gourd -Ridge gourd -Coriander infused water AVOID -Sour food -Fermented food -Very spicy food -Packaged snacks 🔹Stress management This is most important aspect of your treatment As stress will further aggrevate your skin condition -Do daily pranyama -Practice yoga nidra Hope thia helped you Wishing you a good health 😊 Warm Regards Dr Snehal Vidhate

Namaste. Your symptoms look like chronic weeping eczema with recurrent inflammation behind the ears. The wet → crust → wet cycle usually indicates ongoing skin irritation with pitta-kapha imbalance. I generally advise this : • Mahamanjishthadi Kwath – 15 ml with equal water twice daily • Gandhak Rasayan – 2 tablets twice daily • Khadirarishta – 15 ml with equal water after meals • Neem Capsule – 1 capsule twice daily • Dermawin Ointment – apply thin layer on affected area Avoid scratching, sour/spicy foods, stress and keep the area clean and dry. Usually gradual improvement is seen in a few weeks with regular treatment.

Hello, From an Ayurvedic perspective, your symptoms the “wetness” (kapha/pitta imbalance), the localized intensity, and the tendency to recur suggest a deeper Rakta-pitta (blood/metabolic heat) and Kapha involvement. Excess intake of citrus fruits (which can be amla and vidahi acidic and irritating to the blood) likely acted as the nidan (trigger), while stress and gut health provided the underlying terrain. Prescription : ​1. Internal Medication ​Manjishtadi Kashayam: This is the gold standard for blood purification (raktashodhaka) and cooling inflammation. ​Dose: 15 ml diluted with 60 ml of warm water, twice daily, 30 minutes before food. ​Guggulu Tikthaka Ghritam: This helps in healing chronic, weeping skin lesions and regulating the inflammatory response. ​Dose: 1 teaspoon (approx. 5 ml) with warm water, twice daily, on an empty stomach. ​2. External Application ​Nalpamaradi Keram: This is excellent for soothing inflamed, crusting skin and promoting healing. ​Application: Apply gently to the affected area behind both ears using a clean cotton swab. Leave it for 30–45 minutes, then gently wash with lukewarm water. Do this twice daily. ​Triphala Churna (Wash): Before applying the oil, it is very helpful to clean the area with a decoction of Triphala to clear the crusts without force. ​Preparation: Boil 1 teaspoon of Triphala powder in 200 ml of water until reduced to 100 ml, strain, and let it cool. Gently pat the area with this liquid to clean the weeping surface. ​ ​Avoid Physical Removal: Do not peel or force the crusts off, as this physically restarts the kleda (weeping) phase. Let them soften and fall off naturally with the application of the oil. ​Dietary Note: Maintain your current avoidance of spicy/sour items. In Ayurveda, Dahi (yogurt) and fermented foods are strictly contraindicated in cases of active eczema as they increase kleda. ​Stress Management: Since you mentioned stress as a factor, consider Brahmi or Ashwagandha if the stress persists, as Manasika factors directly influence Pitta and skin health.

••Ayurvedic Pathophysiology (Samprapti) ​In Ayurveda, your presentation strongly correlates with a type of Kshudra Kustha (minor skin affliction), closely resembling Vicharchika (which matches wet/weeping eczema). ••​Here is how the doshas are playing out in your condition: ••​Kapha Dosha (The Weeping & Blisters): The initial “mustard-sized blisters” (Srava), the continuous oozing of clear/yellowish fluid under the crust, and the location in the skin folds are classic signs of aggravated Kapha and Kleda (excess moisture/toxins). ••​Pitta Dosha (The Trigger & Inflammation): Your instinct about the Citrus maxima (Pomelo) is spot-on. Excess sour (Amla), sharp (Teekshna), and heating (Ushna) foods instantly agitate Bhrajaka Pitta (the Pitta residing in the skin) and vitiate the Rakta Dhatu (blood tissue). Stress acts as a major catalyst here, further fueling Pitta. ••​Vata Dosha (The Crusting & Flaking): The dry flakes and crusting show Vata trying to dry up the moisture. When the crust is prematurely removed, the underlying, unhealed Kapha-Pitta exudate leaks out again. ••​Because this occurred in your childhood as well, there is an underlying Kha-Vaigunya (inherent weakness in the tissue spaces) behind your ears, making it a preferred site for toxins (Ama) to settle. ••​Line of Treatment (Chikitsa Sutra) ​To break the Wet \rightarrow Crust \rightarrow Weep cycle, we must simultaneously dry up the deep-seated Kleda (moisture), purify the Rakta (blood), and soothe the skin barrier without trapping the infection. ​1. External Management (To Break the Local Cycle) ••​Strict Rule: Do not pick or force the crusts off. Let them fall off naturally. Removing them manually re-traps the skin in the inflammatory phase. ••​Kshalana (Washing/Soothing): Wash the area gently with a lukewarm decoction of Triphala Churna or Neem leaves. Both are highly astringent (Kashaya) and bitter (Tikta), which actively dry up the weeping (Kleda-shoshana) and act as natural antimicrobials. Pat completely dry with a clean, disposable tissue. ••​Lepa/Taila (Topical Application): ​While it is actively weeping, heavy oils can sometimes trap heat. A dust of Tankan Bhasma mixed with a little honey or clean water can help dry it out. •​Once it shifts to the dry/crusting phase, classic formulations like Marichyadi Taila or Mahatiktaka Ghrita are excellent for healing the skin barrier without allowing it to crack and weep again. ​2. Internal Purification (To Cleanse the Root) ​Since the gut is “good but not perfect” and the blood is carrying the inflammatory markers, internal herbs are crucial: ••​Rakta Prasadana & Shodhana (Blood Purifiers): Classical formulations like Kaishore Guggulu or Panchanimba Churna are specifically indicated for stubborn, weeping skin conditions. They contain herbs like Guduchi, Triphala, and Neem which calm Pitta and dry Kapha. ••​Kusthahara Kwatha: Mahamanjisthadi Kwatha or Khadirarishta help cleanse the lymphatic system and blood, preventing the bilateral spread you experienced. ••​Deepana/Pachana (Gut Optimization): Ensuring smooth bowel movements is vital to flush out Pitta. A mild laxative or bowel regulator like Avipattikar Churna (taken at bedtime with lukewarm water) helps direct the aggravated Pitta downward (Anulomana) and away from the skin.

This pattern (weeping → crusting → again wet) behind the ear suggests chronic eczema with possible secondary bacterial infection + skin barrier weakness. It needs both drying + healing + infection control. Avoid scratching or forcibly removing crusts. Keep the area dry, especially after bathing. Avoid oils, heavy creams, and sweat accumulation behind ears. Jatyadi taila – very thin application twice daily Neem leaf wash (neem boiled water, cooled) – clean area once daily Gandhak rasayan – 1 tablet twice daily after food Khadirarishta – 15 ml with equal water twice daily after food If oozing increases, pain, or spreading redness occurs, it may need a short course of antibiotics along with treatment. With consistency, this cycle usually breaks in a few weeks. Regards, Dr Raghuveer (Ayurvedacharya)

Thank you for providing such a detailed, thoughtful history of your condition. Rx 1.Gandhak Rasayan 2 tab twice daily with water after meals 2.Kaishore guggulu 2 tab twice daily with water after meals 3.Mahamanjisthadi kwath 15 ml with 15 ml water twice daily after meals 4.Khadirarishta 15 ml with 15 ml water twice daily after meals 5.Jatydadi taila- local application twice daily after cleaning the area with triphala or neem water **The golden rule for weeping eczema in Ayurveda is: If it is wet, dry it. Do not apply heavy, sticky oils to a weeping wound. Strictly Avoid: Fermented foods (idli, dosa, curd/yogurt, cheese), pickles, vinegar, bakery items containing yeast, excess salt, and highly acidic fruits (citrus fruits, tomatoes). Favor: Bitter and astringent vegetables (bitter gourd, bottle gourd, ridge gourd), mung dal, and cooling spices like fennel, coriander, and cumin.

Hello, Eczema - is called vicharchika in ayurveda it’s a type of kushta (skin disorder) that mainly involves vata and kapha doshas, sometimes also pitta when there’s redness, burning, or oozing Ayurvedic view -vata dosha causes dryness, scaling, roughness, and cracks -kapha dosha causes thickening, itching, and stickiness -pitta dosha causes redness , burning, and oozing When these doshas get disturbed by wrong diet, stress, lack of sleep, or poor digestion, they mix with the blood and settle in the skin that leads to the symptoms - dry, itching, inflamed patches behind ears Treatment goals -remove toxins from the body -purify blood -balance the doshas -heal the skin and strengthen immunity -improve digestion and metabolism Internal medications 1) khadirarishta= 20 ml twice daily after meals with warm water =excellent blood purifier, reduces itching and rashes 2) manjisthadi kahsaya= 20 ml twice daily before meals with warm water =detoxifies skin and improves complexion 3) gandhak rasayana= 1 tab twice daily after meals =acts as rasayana,a boosts immunity, prevents infection 4) arogyavardhini vati= 1 tab twice daily after meals = regulates liver and digestion, essential skin health 5) sarivadi vati= 1 tab twice daily after meals =cooling and soothing balances pitta and rakta 6) sootsekhar ras (if dryness is severe)= 1 tab twice daily with ghee after meals =reduces vata, calm itching, and improves digestion Duration= 8-12 weeks External treatment Cleansing -use lukewarm water infused with neem leaves or triphala powder = cleanses, prevents infection, and reduces itching Topical applications -coconut oil + few drops of neem oil= apply gently twice daily- soothes dryness, antibacterial -jatyadi taila= apply on sores on cracks- speeds wound healing, reduces infection -kailas jeevan or aloe vera gel=for mild itching or redness- cooling and mositurizing -kumkumadi taila (night)= if skin becomes too dark or patchy= improves texture and tone Avoid steroid creams or perfumed lotions, as they can worsen dryness over time Diet and lifestyle -warm, freshly cooked food with a little ghee -green leafy vegetables boiled/spiced lightly -fruits=pomegranate, apple, papaya, amla -whole grains= rice, wheat, millets -herbal teas with tulsi, guduchi , or licorice -adequate water intake warm water preferred Avoid -curd, cheese, panner, and other dairy especially at night -fried, oily, and spicy foods -sour foods- vinegar, pickles, citrus in excess -junk foods, bakery items, soft drinks -late night sleep ,irregular eating -excessive stress or overthinknig increases vata Yoga asanas -bhujangasana= improves blood flow to skin -ardha matysnedrasana= enhances digestion -tadasana and vrikshasana= stabilises vata -pawanmuktasana= relieves bloating, aids detox Pranayam -anulom vilom= balances all doshas -bhramari= calms the mind and reduces itching related to stress -sheetali/sheetkari= cooling, helps pitta related burning or redness Home remedies -neem and turmeric paste- apply on itchy areas 1-2 times/week -anti septic, anti inflamatory -coconut water with camphor tiny pinch- for night application- relieves itching and dryness -aloe vera pulp + sandalwood powder - apply as a mask- cools and soothes skin -drink turmeric. Milk 1/4 tsp turmeric in warm milk nightly- supports internal cleansing -bath with oatmeal or green gram powder- natural cleanser for sensitive skin Eczema is a chronic but reversible condition. Ayurveda treats is holistically- by cleansing toxins, nourishing skin and restoring internal harmony the key lies in -consistency with herbal medicines -proper diet and regular lifestyle -avoiding known triggers -keeping a clam, stress free mind Once the doshas are balanced and digestion is strong, skin regains its natural softness and glow- with fewer flare ups Do follow Hope this might be helpful Thank you