Dark pigmentation around the neck, as seen in conditions like lichen planus pigmentosus, can be particularly challenging to manage but Ayurveda offers several strategies to help. The imbalance in the doshas, particularly Pitta and Vata, can contribute to skin pigment changes. To address this in Ayurvedic practices, focusing on both internal and external treatments can be beneficial.
First, consider dietary modifications. Increase intake of foods that pacify Pitta and Vata doshas. This includes cooling foods, such as cucumber, coconut water, and sweet fruits like grapes and mangoes. Avoid excessively spicy, oily, and processed foods, also limit caffeine and alcohol intake to help manage Pitta.
Regarding lifestyle, maintaining a regular sleep schedule, engaging in stress reduction practices like yoga or meditation, and avoiding excessive sun exposure can be helpful. Early morning sun exposure, however, can provide benefits from sunlight while minimizing risks associated with UV exposure.
For topical applications, an ubtan made from chickpea flour (besan), turmeric, and milk can be applied gently to the affected area. Turmeric has anti-inflammatory properties and can help brighten skin over time. Apply this mixture 2-3 times a week, leaving it for 15-20 minutes before rinsing off.
Internal remedies include taking herbs like Manjistha (Rubia cordifolia) known for skin benefits and detoxification. Prepare a decoction using 1 teaspoon of manjistha powder twice a day. Always consult with a qualified Ayurvedic practitioner before beginning any herbal treatments to ensure they suit your specific constitution and conditions.
Pigmentation changes, especially from lichen planus pigmentosus, can take several months to over a year to diminish, depending on individual response and consistency with treatments. It’s important to be patient and perseverant, consulting with healthcare providers as needed.
Lichen Planus Pigmentosus (LPP) can take time to improve and varies from person to person. In the Siddha-Ayurvedic tradition, treating such pigmentation involves addressing the underlying dosha imbalances, often involving the Pitta dosha. Here are a few steps you might consider:
First, work on cooling the Pitta dosha. This can be done through dietary changes. Try incorporating cooling foods like cucumber, leafy greens and coconut water. Avoid spicy, oily, and excessively sour or salty foods as they may aggravate Pitta.
Prepare a herbal paste using turmeric and sandalwood powder. Mix equal parts with a bit of rose water to form a paste, and apply it gently on the pigmented area. Leave it on for 20-30 mins before rinsing it off. Turmeric is known for its anti-inflammatory properties, while sandalwood can help in reducing pigmentation.
Consider Triphala, which is a combination of three fruits—cools excess Pitta and helps detoxify your body. You can take half a teaspoon of Triphala powder with warm water at bedtime.
Hydration and regular cleansing are essential. Wash the affected area with lukewarm water; avoid any harsh soaps or chemical-laden products.
Include Tulsi (Holy Basil) leaf tea in your regime, which can help balance the immune response underlying LPP.
Managing stress through practices like yoga or meditation can also beneficial since stress can influence skin conditions.
Timing for the pigmentation to clear varies significantly; following these steps consistently may take several weeks or even months. Always remember to follow up with your healthcare practitioner to monitor progress and discuss any new symptoms. If you experience any sudden changes or worsening of the condition, seeking immediate medical attention is advised.



