Hello rishab , Thank you for sharing. Based on what you’ve described, your symptoms strongly resemble Lichen Planus Pigmentosus (LPP) with clear photosensitivity and post-inflammatory hyperpigmentation. This condition is stubborn and chronic, but Ayurveda can help by addressing the deeper imbalance — Pitta-Vata dushti, Rakta dhatu vitiation, and poor tissue detox leading to pigmentation not fading.
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Ayurvedic Explanation (in simple tone for patient):
LPP in Ayurveda is similar to a condition called “Neelika” or “Vyanga”, where Pitta (heat) in the skin is aggravated and mixes with vitiated Vata, causing dryness, dark pigmentation, and itching. Sunlight further increases Pitta and causes your Rakta (blood) to overreact, leading to long-lasting black patches and burning/itching sensation.
Since you’ve had this for 10 years, it shows deep-seated Rakta Dushti (toxic blood state), Bhrajaka Pitta imbalance (skin-level Pitta), and Rasa-Rakta Kshaya (poor nourishment and detox of first two tissues). Creams alone can’t correct this — internal detox and Pitta-Vata pacification is needed.
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Ayurvedic Treatment Plan
Internal Medicines: 1. Sarivadyasava – 15 ml + equal water after lunch and dinner 2. Kaishora Guggulu – 2 tablets twice a day after food 3. Manjisthadi Kashayam – 15 ml + water twice a day before meals 4. Avipattikar Churna – ½ tsp at bedtime with lukewarm water
External Applications: 1. Eladi Taila – for daily body application (apply and leave for 30 min before bath) 2. Kunkumadi Taila – apply a thin layer on affected areas at night (don’t use in day) 3. Aloe vera pulp (fresh) + Sandalwood powder pack on face or darkened areas – twice a week 4. Do not use steroid-based creams or harsh exfoliators
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Shodhana (Detox) Advice: • Raktamokshana (bloodletting) and Virechana (purgation) are highly recommended for long-standing LPP, especially in dushti of Rakta-Pitta. Please consult a qualified Ayurvedic doctor for this nearby.
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Diet Guidelines: • Avoid sour, spicy, fermented, and oily foods • Completely avoid: curd, tomatoes, green chilli, pickles, fried food • Include: amla, ghee, moong dal, old rice, bottle gourd, turmeric, neem juice (in moderation) • Drink coriander + vetiver (usheer) infused water
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Lifestyle Tips: • Always apply physical sunscreen or cover yourself with cotton clothing when in sun • Do not scrub or rub affected areas • Avoid hot water bath and sweating in sun • Night sleep before 10:30 PM, avoid screen exposure late night
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Optional Investigations: • Vitamin D3 • Serum IgE (to rule out allergic tendency) • Liver function test (since Pitta and Rakta are related)
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This condition needs patience but can improve with internal correction and gentle skin support. Don’t depend on fairness creams. With consistent care, the patches will gradually lighten and your skin will regain balance.
If you have any doubts, you can contact me. Take care, regards, Dr. Karthika
Hi Rishab this is Dr vinayak as considering your problem as your are suffering from this you should once go with classical VIRECHANA which will help you to get more benifit *just avoide exposing to sun more or cover your self as possible / use any suncream that sutes you * Avoide spicy and fried foods RX- t. Arogyavardini 1-0-1 after food Nalpamradi taila external application over pigmented area Brahmi grita 10ml in empty stomach early morning follow this … which help you to get good result
According to Ayurveda this Lichen planus is considered to be KITIBA KUSTA( A type of skin disorder) Here local application alone won’t work because body need internal detoxification also.
1.Karappan kashayam 15ml+45ml lukewarm water twice daily before food 2.Manjishtadi kwatham tab 2-0-2 after food 3.Krimighna vati 1-0-1after food 4.Mahatiktakam lepam ointment for ext.application
***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 /detox
Do’s 3-4litres of water /day More focus on fruits and vegetables Include Sprouted grains Practice yoga and meditation regularly to regulate stress hormones
*Don’ts Tea /coffee Oily too salty sour sweet foods Junk foods Carbonated/soft drinks Day time sleep Maida and its products
Lifestyle Tips i will advice -
Avoid hot spicy foods, caffeine, and alcohol — these flare up pitta
Include cooling foods – gulkand, coconut water, cucumber, sabja seeds
Practice stress reduction – yoga, pranayama (esp. Sheetali, Anulom Vilom)
Consider Doing:
ANA profile test (if autoimmune condition suspected)
Liver function tests, Vitamin D, Iron levels – deficiencies or imbalances can worsen skin pigmentation.
HELLO RISHAB,
WHAT IS LPP? Lichen Plans pigmentation is a chronic, progressive dermatological condition characterised by: -Dark brown to grey black pigmentation on sun-exposed or flexural areas - often triggered or worsened by sunlight, heat or inflammation - itching or burning on sun exposure -resistant to fading, even with treatment
AYURVEDIC PATHOGENESIS
PITTA DOSHA= heat, inflammation, and pigmentation RAKTA DHATU DUSHTI= impaired blood tissue function- responsible for skin color KUSHTA(skin disorder)= LPP can be categorised under minor Kshudra kushtha VYANGA= localised pigmentation due to pitta-raita vitiation AMA= toxin accumulation due to weakness digestion BHRAJAKA PITTA DUSHTI= disruption in skin pigmentation metabolism(skin pitta sub-type)
So, the root of the disease lies in- -vitiated pitta and rakta dhatu - ama(toxic byproducts of improper digestion) - sun exposure and stress aggravating bhrajak pitta
AYURVEDIC MANAGEMENT OF LPP
1) DETOXIFICATION
AT HOME
FOR 1ST 3 DAYS
- TRIKATU CHURNA= 1/2 tsp with warm water before food 30 mins before twice daily
-HINGWASTAKA CHURNA= 1 tsp with warm water after food twice daily
on 3rd day eat light food like khichdi at night
on 4th day VIRECHANA PROCEDURE - TRIVRIT LEHA= 50 gm with warm milk early morning after that don’t eat anything just have warm water -you will observe loose motions 5-10 times
this will detoxifies your body
after motions stops have light food for that day
THIS PROCESS WILL ELIMINATE EXCESS PITTA AND TOXINS
INTERNAL MEDICATIONS(start from day 5) these are meant to purify blood, cool down the body, balance pitta and improve skin tone
1) BLOOD PURIFIERS
-MAHAMANJISTHADI KASHAYA= 30 ml twice daily before meals with water = reduces pigmentation, detoxifies blood
-SARIDVADYASAVA= 20 ml twice daily after meals with water = pitta pacifier, reduces itching and heat
-GUDUCHI CAPSULES= 1 cap twice daily in morning and night = immunity and pitta regulation
2) LIVER AND PITTA REGULATORS
1) AROGYAVARDHINI VATI= 1 tab twice daily after meals =liver detox , skin health
2) AVIPAATIKAR CHURNA= 1 tsp at bedtime with warm water = improves digestion, reduces pitta
3) ANTI-PIGMENTATION LEPA AND RASAYANA -yastimadhu+haridra+chandan+ rose water paste = 3 times/week - 1 tsp sandalwood powder+ 1 tsp mulethi powder + 1 tsp manjistha powder+cucumber huice= 20 min leave and then wash
TOPICAL AYURVEDIC TREATMENT
NIGHT OIL APPLICATIONS
1) KUMKUMADI TAILA= 5 drops on affected area =reduces pigmentation, even tones
2) ELADI TAILA= whole body application before bath =prevents darkening, calms skin
3) NALPAMRADI TAILA= for facial pigmentation =brigthens dull skin
SUNPROTECTION(very imp for LPP) -Apply sunscreen with SPF 30-50 -use natural sun blockers= aloevera, cucumber juice , turmeric paste -cover skin with cotton clothes, hats, umbreallas -avoid sun exposure between 10 AM- 4PM
DIET AND LIFESTYLE
AVOID PITTA AGGRAVTING FOODS -spicy, sour, fermented, fried, junk food -red meat, alcohol, vinegar, excess salt - pickles, tamarind, tomatoes, brinjal
PREFER -bitter vegetables= kerala, neem, methi - amla, pomegranate, coconut water, buttermilk - turmeric milk with ghee - mung dal, barley, ghee, bottle gourd
LIFESTYLE TIPS -practice cooling pranayam= sheetali, sheetakari, anulom vilom -sleep early and avoid screen exposure before bed -reduce stres- LPP often worsens with emotional strain -bath with cool or lukewarm water not hot
EXPECTED OUTCOMES -1-3 MONTHS= reduced itching, fewer new pigmentation lesion -3-6 MONTHS= gradual fading of superficial pigmentation LONF TERM= if sun protection+ ayurvedic regime is followed, Pigmentation stabilises and skin tone evens out slowly
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
LPP…called lichen planus it’s a rare autoimmune disorder of skin… It’s needs external or internal medication to heel… Do follow
Divya SARWAKALP KWATH 100gm Divya KAYAKALP KWATH 100gm Divya IMMUNOGHRIT kwath=100gm… MIX all in a jar take 1 tsp boil 200ml of water till reduces 100 ml…take empty stomach twice daily
Divya IMMUNOGHRIT TAB Divya sea BUCKTHORN cap=1-1 empty stomach twice daily
Divya kaishore gugulu Divya arogyawardni vati Nutrela moringa tab=1-1 tab after meal twice daily
External application=spf 50+++ sunscreen while having sun exposure
AVOID spicy/hot beverages/fast food/sour food
Take atleast 3/4 litres water per day
Nutrela collagen prash =1 tsp at bed time regularly
You can cured for xure
You Can take Mahamanjistadi kadha 15 ml twice daily after food with water will help as blood purifier Sariva tablet 1-0-1 will help lighten LPP. Kamdudharas 1-0-1, help balance pH in stomach Use Sunscreen SPF 50+, during the day on exposed areas. Since LPP is chronic, will take longer time to show results. Avoid processed, junk foods, Do pranayam daily 5-10mins twice lom -vilom bhastrika kapalbhati. Taking herbal laxative to avoid constipation is recommended. So take tablet Harde 0-0-2 at bedtime with water.
Don’t worry Rishab
Avoid excessive spicy, sour,salty food and guru ahar(heavy to digest). And start taking1.Mahatiktak kwath 20ml with equal amount of Lukewarm water empty stomach twice in a day. 2.Khadirarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 3.Aarogyavardhini 1-0-1 4.Gandhak rasayana 1-0-1 5.Kaishore guggulu 1-0-1 for chewing
Follow up after 2 month…
Visit nearby panchkarma centre for further advice…
Hello Rishabh As you have said that your facing this problem since 10 years so you should go for Virechan Chikitsa(a type of Panchkarma). Medicine can help you little but for complete cure you have to go for Panchkarma
Kaishore guggulu Neemghan vati- One tablet twice daily after food with warm water Mahamanjistadi aristha Khadira Aristha-2 teaspoon each with equal quantity of water, dry after food
Lichen Planus Pigmentosus (LPP) can be quite persistent, especially because exposure to sunlight often exacerbate it. Ayurveda offers several approaches to manage this condition, primarily aiming to balance the skin health and reduce hyperpigmentation by addressing the root causes.
Firstly, consider dietary changes to balance your Pitta dosha, as it may be aggravated. Incorporate more cooling foods such as cucumber, cilantro, and ghee, and reduce spicy, sour, or salty items which might increase Pitta. Stay hydrated with water and herbal teas like chamomile to keep the skin nourished.
For topical treatments, you can prepare a paste using sandalwood powder and rose water. Apply this paste to the affected areas twice a day, it can provide soothing relief and help lighten pigmentation over time. Another useful remedy is the application of a turmeric and milk mixture; however, ensure you do a patch test, as some skin types might react to turmeric.
To support healing, take Triphala churna daily—usually one teaspoon with warm water before bedtime. It aids in detoxifying the body and promoting skin health. Consider using aloe vera gel directly from the plant on your skin, as it can cool and heal.
Sunscreen is crucial due to your sensitivity to sunlight, one that offers broad-spectrum protection without harmful chemicals, such as those containing zinc oxide, can shield your skin and prevent further pigmentation.
In terms of lifestyle, please make sure to cover exposed skin when outdoors with clothing or hats, and try to limit sun exposure during peak hours. Practicing Pranayama (breathing exercises) can also help to reduce stress and balance the body’s energies.
If you notice your symptoms are not improving, or if the itching is severe, consult an Ayurvedic practitioner for a more tailored treatment plan, potentially involving internal herbal formulations or Panchakarma therapies.
Though these natural approaches often require patience and consistency, they focus on bringing balance to the entire body, which can gradually manifest in radiant and healthy skin.
HELLO RISHAB,
Lichen Plans pigmentosus(LPP) is a chronic inflammatory skin condition, typically presenting as dark brown to greyish black patches , mostly on sun-exposed area. what you’re describing- worsening pigmentation and itching with sun exposure-is common in LPP. conventional treatments are limited in fully reversing pigmentation, and recurrence is frequent.
However Ayurvedic management can help reduce inflammation, support pigmentation reversal, and minimise recurrences when followed consistently
In Ayurveda, LPP resembles " VICHARCHIKA" or “VYANGA”, a condition involving vitiation of pitta and rakta dhatus, sometimes with kapha involvement.
The key triggers like sun exposure, stress, hot/spicy foods, and chemical exposure aggravate pitta and rakta, leading to pigmentation and skin sensitivity
INTERNAL MEDICATIONS
1) CHANDANADI VATI= 2 tabs twice daily after meals with coconut water
2) PITTARI AVALEHA= 1 tsp twice daily after meals with warm water
3) RAKTASODHAK VATI= 2 tabs twice daily after meals with water
4) USHEERASAVA= 20 ml twice daily with equal quantity of water after meals
5) TIKTAKA GHRITA = 1 tsp with warm water in morning empty stomach
6) PATOLKATUROHANYADI KASHAYA= 20 ml twice daily before meals with equal water
EXTERNAL OILS AND LEPA
1) JATYADI TAILA= apply on pigmented areas once daily leave on or rinse after 1 hour
2) VETPALAI TAILAM= apply at night every alternate days, wash off in morning
3) SIDDHARTHA TAILAM= apply before bath 45 mins , best used in morning
4) MULTANIMITTI + RAKTA CHANDAN + ROSE WATER PASTE =face/body pack 2-3 times/week apply for 20 mins, wash off gently
NATURAL REMEDIES
-ALOE VERA JUICE= 20-30 ml empty stomach in morning
-TRIPHALA CHURNA= 1 tsp at night with warm water for gentle detox
DIET
AVOID -spicy,sour,salty, fermented foods -non vegetarian food - tea, coffee, alcohol - excessive heat producing foods like tomatoes, pickles, red chillies
INCLUDE -cooling foods= cucumber , amla, coriander, buttermilk -bitter vegetables= neem, bitter gourd -Aloe vera juive
LIFESTYLE -always apply natural sun protection. sandalwood + turmeric paste or a cotton scarf when outside -avoid harsh soaps, use Multani mitti instead -practice yoga and pranayam- stress is a strong trigger for autoimmune skin conditions
SUN PROTECTION since you are sensitive to sunlight -apply sunscreen with physical blockers like zinc oxide or herbal alternatives before stepping out -use cotton clothing, full sleeves, and a wide-brimmed hat to limit exposure -cleanse skin with cold water after returning from outside
Ayurvedictreatment is deep acting 2-3 months to reduce itching and new pigmentation -6+ months to fade older marks
consistency and patience are key
THANK YOU
DR. HEMANSHU MEHTA
