Malabar Thikthakam Ghritam can be quite effective for managing skin issues, especially ones linked with vata-pitta imbalances which can manifest as dry, itchy, and flaky skin. Your symptoms around the elbows and knees suggest an imbalance that could potentially be soothed by the properties of this Ghritam, known for its ability to pacify aggravated doshas with its cooling and soothing qualities.
Thikthakam Ghritam typically contains a blend of ghee infused with herbs like neem, kutki, and patola, which are highly beneficial for detoxifying and supporting skin health. However, since your skin is sensitive, introduce it cautiously into your routine. Begin with a patch test: apply a small amount to an unaffected area of your skin and observe for any adverse reaction over 24 hours. If well-tolerated, you can gradually start using it.
For application, you can take a small amount of the intrnal, warm it between your palms, and gently massage it onto the affected areas. Evening is usually the best time to do this, letting it absorb overnight. You can continue this nightly routine until you see improvement; provide your skin with consistent nourishment.
It’s also important to support your body’s internal balance. Consider your diet; ensure it’s rich in hydrating and cooling foods, such as cucumbers and melons, to help balance out the internal heat and dryness. You should maintain adequate hydration and avoid overly spicy or heating foods that could exacerbate your condition.
If after a few weeks there’s no improvement or if your symptoms worsen, it would be wise to consult an Ayurvedic practitioner or return to your dermatologist for further evaluation. Safety and effectiveness go hand-in-hand, so adjust your use accordingly and pay close attention to your body’s signals throughout this process.



