Treating lichen planus pigmentosus around the neck using Siddha-Ayurvedic principles involves addressing the dosha imbalance, especially focusing on pitta dosha, which often leads to skin conditions. The first step is to calm the pitta dosha through dietary adjustments. Avoid spicy, sour, and excessively salty foods as they aggravate pitta. Instead, incorporate more cooling and soothing foods like cucumber, cilantro, and ghee. These help in maintaining a balanced agni (digestive fire) crucial for processing toxins, or ama, which might be contributing to your condition.
Topically, a paste made from sandalwood and turmeric can be applied directly to the affected area. Sandalwood has cooling properties, while turmeric is anti-inflammatory and anti-oxidant. Mix them with rose water to form a smooth paste and apply gently, leaving it on for about 20-30 minutes before rinsing with warm water. This should be done once daily, ideally in the evening.
Incorporating Triphala churna at night, taken with warm water, helps detoxify the system. Triphala balances tridoshas and promotes healthy digestion, crucial for managing skin conditions like lichen planus pigmentosus.
To address this at the systemic level, daily yoga, focusing on asanas and pranayama that cool the body and mind, can be beneficial. Practice Sheetali pranayama (cooling breath) for calming the pitta. Spend 5-10 minutes in early morning practicing this breathing technique to soothe your system.
The timeframe for improvement can vary based on individual body constitution and lifestyle choices. Generally, it might take a few months to notice visible changes with consistent application and lifestyle adjustment. However, if the condition persists or worsens, consulting a healthcare professional is essential. Always ensure these remedies align with any existing treatments you’re receiving.


