Hello, Your history of dark pigmentation around the mouth, deep acne scars, large open pores, and sun-triggered dullness suggests Vata–Pitta imbalance, post-inflammatory hyperpigmentation, and weak skin barrier (Rasa Dhatu Dushti). Combination skin often leads to excess oil in T-zone + dryness around the mouth, which worsens pigmentation and scars.
This treatment focuses on Pitta cooling, enhancing skin regeneration, collagen support, reducing pigmentation, and strengthening your skin barrier to shrink pores.
🔎 Recommended Investigations (If not done in the last 6 months) 1. Vitamin D3 & B12 – low levels cause dull skin & pigmentation. 2. Thyroid Profile (TSH, T3, T4) – hypothyroid can cause perioral darkness. 3. Fasting Blood Sugar & HbA1c – insulin fluctuations cause pigmentation around mouth. 4. Liver Function Test – poor detox can increase acne marks & dullness.
💊 Internal Medicines Phase 1 – 15 days (Pitta–Vata balance + detox + glow) 1. Avipattikar Churna – ½ tsp at bedtime with warm water (reduces internal heat that causes pigmentation) 2. Manjistha Capsule / Manjisthadi Kwath – 2 caps twice daily after meals (excellent blood purifier for pigmentation) 3. Sariva (Anantmool) Syrup – 2 tsp twice daily (cooling + reduces tan + hydrates skin from within) 4. Giloy Satva / Guduchi Ghana – 1 tablet twice daily (reduces inflammation & helps scars fade faster)
Phase 2 – 45 days (Collagen rebuilding + scar reduction + pore tightening) 1. Kaishore Guggulu – 2 tablets twice daily after meals (reduces old acne marks & prevents new breakouts) 2. Chyawanprash (sugar-free if needed) – 1 tsp every morning (improves skin immunity, prevents scarring) 3. Shatavari tablet – 1 tablet at bedtime (balances hormones and moisturises skin internally)
🌿 External & Supportive Therapies Daily Routine 1. Aloe vera gel (fresh or pure) – every morning 2. Kumkumadi Tailam – 3–4 drops at night, massage gently 3. Sunscreen (mandatory) SPF 50, reapply every 3 hours if outdoors 4. Rose water mist twice daily (tightens pores & balances oil)
Weekly Routine 1. Ubtan for pigmentation – 3× weekly 1 tsp masoor dal powder ½ tsp turmeric 1 tsp curd (or rose water if oily skin) Apply 15 mins → wash with lukewarm water. 2. Scar & Pore Pack – 2× weekly Multani mitti 1 tsp Sandalwood powder ½ tsp Rose water (closes pores, reduces dark patches) 3. Ice cube massage – 1 min daily on T-zone (shrinks pores)
🥗 Diet & Lifestyle Recommendations ❌ Avoid 1. Spicy, fried, oily foods (worsen pigmentation & pores) 2. Excess tea/coffee (increases Pitta + dullness) 3. Late nights (pigmentation becomes darker) 4. Using strong scrubs (increase scars) 5. Hair touching face (causes breakouts) ✅ Include 1. 1 cup warm water + ½ lemon every morning 2. Lots of coloured vegetables: beetroot, carrot, spinach (build collagen) 3. Soaked almonds (5) + walnuts (2) daily 4. 1 tsp ghee in lunch (builds healthy skin barrier) 5. Turmeric + black pepper + cumin regularly 6. Green Moong Dal 3× weekly (skin healing food)
🧘🏻♀️ Yoga & Pranayama For glow + Pitta balance 1. Sheetali / Sitkari pranayama – 5 minutes 2. Anulom Vilom – 10 minutes 3. Bhramari – 5 minutes Asanas 1. Bhujangasana 2. Sarvangasana (if no thyroid issues) 3. Vajrasana 4. Pawanmuktasana
Good sleep (10:30 pm) improves pigmentation more than any cream.
🕉️ Follow-up & Duration • Improvement in oil control & dullness within 10–12 days • Pigmentation lightens in 4–6 weeks • Deep acne scars need 2–3 months • Large pores begin to tighten in 3–4 weeks • Re-check blood tests after 8 weeks if needed
✨ With Pitta cooling, Vata balance, internal blood purification, and gentle external care, your skin tone, texture, and scars will gradually improve. Your condition is reversible with consistent care.
With kind regards, Dr. Sumi MS(Ayu)
Start with Sarivadi ghanvati 1-0-1 after food with water Manjistadi kadha 10ml twice daily after food with water. Mix manjista powder+ raktachandan powder+ turmeric powder mix with curds apply for 10mins and rub in circular movement and wash with clean water. Do this twice weekly.
Use evenshade ointment Externally and nalmaparadi tail external application
Start on Neem capsule 1-0-1 Kaishore guggulu 1-0-1 Mahamanjistadi aristha 10-0-10 ml Khadira aristha 10-0-10 ml Apply Kumkumadi tailam over pigmented area Drink plenty of fluids Apply Alovera gel daily at night Before going out apply sunscreen daily Avoid spicy sour fermented foods Drink plenty of fluids
HELLO,
From an Ayurvedic perspective, acne(known as Yuvan pidika) is primarily caused by an imbalance in the pitta dosha, PITTA- Inflammation, redness, burning, pus KAPHA- oily skin, comedones, whiteheads, cysts VATA- scarring, pigmentation, dryness
CONTRIBUTING FACTORS -impaired digestion->(Mandagni->Ama) -Blood impurities(rakta dushti) -Hormonal imbalance(especially in women) -Improper skin hygiene -Stress, lack of sleep, poor lifestyle
TREATMENT GOALS 1)balance pitta and clears toxins 2)improve digestion- agni deepana 3)blood purification- rakta sodhana 4)regulate hormones 5)promote skin healing and scar reduction
TREATMENT PLANNED FOR YOU
INTERNAL 1)GANDHAK RASAYANA- 1 tab twice daily after meals= 8-12 weeks continue
2)AROGYAVARDHINI VATI- 1 tab twice daily after meals= 12 weeks
3)NIMBADI GUGGULU- 2 tabs twice daily after meals= 8-12 weeks
4)MAHAMANJISTHADI KWATH- 20 ml+40 ml water twice daily before meals= 3+ months
5)SARIVADYASAVA- 15ml+equal water after meals twice daily= 2 months
PANCHAKARMA ADVISED IF FEASIBLE -VIRECHANA(purgation) -RAKTAMOKSHAANA(leech therapy) -NASYA(nasal drops)
EXTERNAL APPLICATIONS
1)CLEANSER(daily use) -Triphala decoction(cooled)- use as a gentle wash -Neem water- antibacterial -Herbal face wash with turmeric, aloe, neem
2)FACEPACKS(2-3 TIMES/WEEK)
-multani mitti+ neem powder+ turmeric+ rose water= anti-acne, reduces oil, clears pores
-Sandalwood powder+milk+manjistha powder= for pigmentation, cooling effect
-Massor dal paste + milk or rose water= lightens acne scars
apply for 15-20 minutes, wash off with cool water.
3)OILS FOR ACNE MARKS AND GLOW -KUMKUMADI TAILA- scar reduction, pigmentation lightening, glow -JATYADI TAILA(if active acne present)- anti-inflammatory, heals eruptions -NEEM OIL(DILUTED)- potent antibacterial
apply thin layer before bed
DIET:-
EAT -BITTER AND ASTRINGENT TASTES- neem, bitter gourd, amla, bottle gourd -COOLING FOODS- coconut water, cucumber, coriander -FRUITS- amla, pomegranate, guava, apple -WHOLE GRAINS- red rice, barley, wheat(avoid polished rice) -WATER- warm water, triphala-soaked water(overnight infusion) -DETOX TEAS- cumin-fennel-coriander seed decoction
AVOID -milk+salt, curd+fruits, banana+mmilk-> virrudha ahara(incompatible) -excess oily, fried, spicy, sour foods-pickles, chips -chocolates, ice creams, caffeinated and carbonated drinks -late night meals, irregular eating -smoking, alcohol, junk food
LIFESTYLE GUIDELINES -wake up before 6 AM- aligns with brahma muhurta, boosts healing
-Oil massage- 2 times/week with neem oil or coconut oil
-Yoga- Suryanamaskar, sarvangasana, matsyasana, trikonasana etc
-PRANAYAM- anulom vilom, sheetali, bhramari- cools pitta
-Adequate sleep- 7-8 hours of undisturbed sleep crucial for skin regeneration
-Face hygiene- don’t touch face often, clean pillow covers weekly, avoid harsh scrubbing.
MENTAL - EMOTIONAL -chronic skin disorders often correlate with repressed emotions, stress, or frustration -Daily 10 minute meditation, journaling, or mantra chanting helps reduce cortisol, which worsen acne.
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
1.Mahamanjistha kwath 15 ml with 15 ml water after meals 2.Sarivadyasva 15 ml with 15 ml water twice daily after meals 3.Kaishore guggulu 2 tab twice daily with water after meals 4.Kumkumadi taila-apply 2-3 drops and massage gently on pigmented area at bedtime and leave it overnight
- Face pack (thrice weekly): - Mix Multani Mitti + Neem powder + Rose water + Mulethi powder. - Apply for 15 minutes, wash with lukewarm water. - Benefit: Tightens pores, reduces oiliness, clears pigmentation.
🥗 Diet & Lifestyle - Avoid: Spicy, oily, fried foods, excess tea/coffee, late nights. - Prefer: Cooling foods – cucumber, lauki, karela, leafy greens, pomegranate. - Hydration: Drink coriander seed water (soak overnight, strain, drink in morning). - Sun care: Always apply natural sunscreen (aloe vera + sandalwood paste) before going out.
Start with 1. Neem Tablets: 1-0-1 twice daily after meals with water. 2. Manjisthaadi kashayam: 20ml-0-20ml with 20ml water before food 3. Haridra tablet: 1-0-1 with warm milk.
External Applications 1. Kumkumadi Tailam: Apply 3-5 drops to face/body nightly; massage gently, wash morning. (For scars, tanning, pigmentation.) 2.Turmeric-Sandalwood Paste: Mix ½ tsp each powder with rose water; apply to face 3x/week, rinse after 20 mins. (For acne, scars.) 3. Neem-Aloe Vera Gel: Mix fresh aloe gel with neem powder; apply to acne spots 2x/day, rinse after 30 mins.
Diet Guidelines Include: Cooling foods—cucumber, bitter gourd, pomegranate, tulsi tea; low-oil veg diet. Avoid: Spicy/oily/fried foods, dairy excess, sugar—to control sebum. Hydration: 8 glasses warm water; drink coriander/licorice tea daily.
Lifestyle Tips Cleanse face 2x/day with neem-based wash. Sun protection: Use sandalwood paste as natural sunscreen. Gentle exercise: Yoga 20 mins daily; avoid heat. Stress reduction: Meditation 10 mins/day.
Regards Dr Gursimran Jeet Singh MD Panchakarma
HELLO THANK YOU FOR CONTACTING US IN ASK AYURVEDA
YOU ARE HAVING HYPERPIGMENTATION OF SKIN AROUND YOUR MOUTH
YOU WILL GET BENIFIT BY USING AYURVEDIC MEDICATION
FIRST OF ALL YOU MUST AVOID SUN EXPOSURE
YOU CAN USE ANY SKIN CREAM WHICH PROTECT FROM SUN EXPOSURE
AVOID EATING SPICY , SOUR ,COLD ITEMS
DRINK PLENTY OF WATER , BUTTER MILK , JUICES
EAT FRUTS , GREEN LEAFY VEGETABLE
HIGH PROTEIN DIET
MEDICATION
1]NEEM GHAN VATI TWO TIMES A DAY AFTER FOO D
2]MAHAMANJISTADI KASAYAM 10ML WITH EQUAL AMOUNT OF WARM WATER TWO TIMES A DAY BEFORE FOOD
3]KUMKUMADI TAILAM FOR EXTERNAL APPLICTIONS OVER ACNE SCAR
4]BATH USING ANY NEEM BASED SOAP
I HOPE YOU WILL GET RELIEF
THANY YOU
WARM REGARDS
DR.P.PRASAD
To address dark pigmentation around the mouth, acne scars, and large pores, we must focus on balancing your doshas and implementing remedies that nurture the skin. Dark pigmentation often relates to an imbalance, usually increased pitta. Acne scars and large pores point to vata and kapha issues. Here are some detailed steps.
Firstly, focus on a pitta-pacifying diet to reduce excess heat within the body. Incorporate cooling foods like cucumber, cilantro, and fennel, avoiding spicy, oily, and fried foods. Drink plenty of water and herbal teas like chamomile or mint to keep the body cool and hydrated.
Topically, for pigmentation, you can use a paste of sandalwood and turmeric by mixing equal amounts of both powders with a little rose water. Apply to the affected area, leave it for 15-20 minutes, then wash off with lukewarm water. Do this 2-3 times a week. Turmeric has anti-inflammatory properties, while sandalwood helps cooling the skin.
For acne scars and large pores, application of aloe vera gel mixed with a few drops of lemon juice can help in evening out the skin tone and tightening the pores. Use it every other day; leave it on for about 20 minutes before rinsing. Aloe vera is known for its healing properties, while lemon juice can help reduce pigmentation, though if your skin is sensitive, test on a small area first.
Avoid excessive use of chemical products as they can exacerbate vata and pita imbalances. Opt for natural, non-comedogenic products that harness ingredients such as neem or tea tree.
Daily practice of yoga and pranayama can improve circulation, reducing stress, which often worsens skin issues. Try incorporating such exercises into your morning routine to maintain balance in all doshas. Consider consulting an Ayurvedic practitioner if in-depth, personalized advice is needed. Avoid self-treating if open wounds or irritation occur.
