लाइकेन प्लेनस पिगमेंटोसस के इलाज के विकल्प क्या हैं? - #47471

Yes curable Don’t worry take Arogya vardini vati 1tab bd, Gandhak Rasayana 1tab bd, Pancha tiktha ghrita Guggulu 1tab bd,vibha ointment Externally, khadirarista 20ml bd enough u ll get results

Dr RC BAMS MS

THANK YOU FOR SHARING YOUR CONCERN

LICHEN PLANUS PIGMENTOSUS IS A CHRONIC PIGMENTARY CONDITION AND I WANT TO BE VERY HONEST AND PROFESSIONAL WITH YOU IT IS A CONTROLLABLE AND MANAGEABLE CONDITION BUT IT IS NOT A QUICKLY OR EASILY REVERSIBLE ONE

FROM AN AYURVEDIC POINT OF VIEW THIS CONDITION USUALLY INVOLVES LONG STANDING IMBALANCE OF HEAT AND DRYNESS IN THE BODY ALONG WITH DEEP SEATED SKIN AND BLOOD TISSUE INVOLVEMENT WHICH IS WHY THE PIGMENTATION APPEARS DARK AND PERSISTS FOR YEARS

COMPLETE ERADICATION OF EXISTING PIGMENTATION IS DIFFICULT ESPECIALLY WHEN IT IS SEVERE AND PRESENT FOR MORE THAN TWO YEARS HOWEVER SIGNIFICANT CONTROL PREVENTION OF FURTHER SPREAD AND GRADUAL LIGHTENING OF THE SKIN IS POSSIBLE WITH CONSISTENT LONG TERM TREATMENT AND STRICT LIFESTYLE DISCIPLINE

IMPROVEMENT IN COLOR HAPPENS SLOWLY OVER MONTHS AND NOT IN WEEKS THE PRIMARY GOALS OF TREATMENT ARE TO STOP PROGRESSION REDUCE INTERNAL HEAT STABILIZE THE SKIN AND SUPPORT NATURAL REPAIR MECHANISMS

AVOIDING DIRECT SUN EXPOSURE HEAT STRONG COSMETICS HAIR DYES PERFUMES AND CHEMICAL BASED SKIN PRODUCTS IS VERY IMPORTANT EVEN SMALL TRIGGERS CAN MAINTAIN THE CONDITION

IN AYURVEDA SUCH CONDITIONS ARE HANDLED WITH INTERNAL MEDICATION EXTERNAL CARE AND DIETARY REGULATION TO PREVENT FURTHER DAMAGE AND ALLOW SLOW RECOVERY

IF YOU ARE EXPECTING A COMPLETE AND RAPID RETURN TO ORIGINAL SKIN COLOR THAT EXPECTATION NEEDS TO BE REALISTICALLY MODIFIED HOWEVER IF YOU ARE COMMITTED TO LONG TERM CARE IT IS VERY MUCH POSSIBLE TO CONTROL THE CONDITION AND ACHIEVE VISIBLE IMPROVEMENT IN SKIN TONE AND QUALITY

CONSISTENCY PATIENCE AND GUIDED TREATMENT ARE THE KEY FACTORS IN MANAGING THIS CONDITION SUCCESSFULLY

Hlo,

I understand how frustrating lichen planus pigmentosus (LPP) can be, especially after trying homeopathy and allopathy without much improvement.

Let me answer you honestly from an Ayurvedic perspective.

Is Lichen Planus Pigmentosus curable? 👉 LPP is manageable and pigmentation can be significantly reduced, but it usually does not disappear overnight.

Ayurveda aims to: - Stop progression - Reduce inflammation and burning/itching - Gradually lighten pigmentation - Prevent recurrence With consistent treatment for 3–6 months, many patients see visible improvement.

Ayurvedic Understanding (Simple) - LPP is mainly caused by: - Pitta + Rakta dushti (vitiation of heat and blood) - Aggravated by weather changes, stress, spicy food, sun exposure - Chronic nature makes it slow to reverse

Ayurvedic Treatment Plan (Practical & Safe)

1️⃣ Internal Medicines - Mahamanjishthadi Kwath – 15 ml + equal water, twice daily (Purifies blood, reduces pigmentation) - Khadirarishta – 15 ml after meals, twice daily - Gandhak Rasayan – 1 tablet twice daily after food - Arogyavardhini Vati – 1 tablet twice daily (only if digestion is good) ⏳ Duration: 3–4 months minimum

2️⃣ External Application - Kumkumadi Tailam (only at night) Apply gently, leave overnight If burning/irritation → use Shatadhauta Ghrita instead

⚠️ Avoid steroid creams completely

3️⃣ Diet – VERY IMPORTANT ❌ Avoid: Spicy, fried, fermented foods Pickles, curd at night Tea, coffee, alcohol Excess sun exposure

✅ Include: Bottle gourd, pumpkin, ridge gourd Pomegranate, apple Coconut water Buttermilk (daytime only)

4️⃣ Lifestyle Care Avoid stress and late nights Protect skin from sun (use physical protection, scarf/umbrella) Gentle face wash only (no scrubs, peels, cosmetics)

When will you see results? 1 month: Burning/itching reduces 2–3 months: Pigmentation stabilizes 4–6 months: Gradual lightening visible

Important Truth LPP requires patience and consistency. Mixing systems repeatedly slows recovery. Ayurveda works best when followed exclusively and regularly.

Tq

Hello I get it. Dealing with lichen planus pigmentosus (LPP) for so long, especially after trying homeopathy for a year and regular medicine for five months with no real improvement, must be incredibly tiring and emotionally draining. Your question, Is it curable? What else can I do? is totally fair.

YOUR CONCERN

From what you’ve told me: – You’ve had LPP for two years. – It’s pretty serious, causing a lot of discomfort. – You’ve tried homeopathy (1 year) and regular medicine (5 months). – Weather changes make it worse. – You’re currently on prescription meds. – The dark spots are constant and upsetting.

Your main worries are: * Can LPP be cured, or is it permanent? * Why isn’t it getting better with treatment? * What can actually help now?

IS LPP CURABLE?

Okay, here’s the honest truth: LPP is a long-term skin condition. It won’t disappear overnight, but you absolutely CAN get it under control, make it stable, and see it get much better with the right long-term approach.

–New spots can stop showing up. – Swelling can go down. – The dark spots can get lighter over time – Flare-ups can be kept from happening.

But this takes patience, sticking with the plan, and treating the root cause.

WHAT’S BEHIND THIS? (AYURVEDA’S TAKE)

In Ayurveda, LPP is seen as an issue involving:

– Pitta Dosha gone wrong (the main thing): This means too much heat and swelling, sensitivity to sun and weather, and the dark spots.

– Bad Blood (Rakta Dhatu): Impure blood leading to ongoing skin discoloration.

–An Auto-immune-like Reaction: Your body’s defenses attacking your own skin. This explains why just putting creams on doesn’t work.

–Toxins (Aama) + Weak Digestion (Agni): Toxins sitting in your body for a long time and poor digestion mess with how your skin heals.

This is exactly why outside creams alone can’t fix LPP.

A FULL AYURVEDIC TREATMENT PLAN (This is usually where you start seeing results)

1. DETOX (SHODHANA) – SUPER IMPORTANT

For serious, long-term LPP, detoxing isn't just an option, it's a must.
* Virechana (therapeutic cleansing): This is the best way to treat skin problems related to Pitta-Rakta. It helps get rid of toxins from deep down and stops future problems.
*  Definitely needs to be done with an Ayurvedic doctor watching over you.

2. INTERNAL MEDICINE (SHAMANA)

1.  Mahamanjisthadi Kashayam: 15ml-0-15ml +45 ml. Water Cleans blood, helps with pigmentation control.
2.  Gandhak Rasayan: 1-0-1 after food 

Good for chronic skin swelling, balances immunity 3. Arogyavardhini Vati: 1-0-1 after food Supports your liver (which is key for pigmentation). 4. Guduchi tablet 1-0-1 after food Helps calm the immune system.

You’ll need to take these for at least 3–6 months.

3. EXTERNAL CARE

*   Gently moisturize with coconut oil or special medicated oils.
*   Stay away from harsh soaps, scrubs, and chemical peels.
*   Strictly protect yourself from the sun (wear clothes that cover you, don't rely on heavy chemical sunscreens).

DIET – THIS IS MAKE OR BREAK FOR YOUR RESULTS

✅INCLUDE

*   Cooling foods: Rice, moong dal (split yellow lentils).
*   Bottle gourd, ridge gourd, pumpkin.
*   Pomegranate, apple.
*   Lots of water.

❌AVOID

*   Spicy food.
*   Fermented food.
*   Pickles, vinegar.
*   Bakery items.
*   Too much tea/coffee.
*   Restaurant or junk food.

CHANGES TO YOUR DAILY LIFE

* Avoid direct sun. * Get stress under control (stress is a huge trigger for autoimmune skin conditions). * Go to bed before 11 PM. * Don’t try to treat yourself or switch treatments all the time.

AN IMPORTANT TRUTH

Many people don’t get better because: * They skip the detox. * They don’t stick to the diet. * They switch treatments too often. * They expect results too quickly.

LPP needs a deep, steady approach, not a quick fix.

You definitely have options. You’re just at a point where a proper Ayurvedic treatment that gets to the root of the problem is needed, not just something that treats the surface.

You’re not going through this alone

Warm regards Dr. Snehal Vidhate

LPP is an autoimmune condition involving deep blood impurity (Rakta Dushti). It is stubborn (Krichra Sadhya) and takes 6–9 months of consistent treatment to show results.

1. Internal Medicines Mahamanjisthadi Kashayam: 15ml mixed with 60ml warm water, twice daily (before food). (Blood purifier). Kaishore Guggulu: 2 tablets twice daily with warm water (after food). (Corrects autoimmune inflammation). Gandhak Rasayan: 2 tablets twice daily. (Rejuvenates skin).

2. External Therapy Nalpamaradi Thailam: Apply gently on dark patches 30 minutes before bathing.

3. Crucial Rules Sun Protection: LPP is Photosensitive. Strictly avoid direct sun exposure; it darkens patches immediately. The Virechana Detox: Since oral medicines failed, you need Virechana (Therapeutic Purgation) at a Panchakarma center to flush liver toxins.

Diet: Stop all Sour foods (Curd, Pickles, Lemon) and Fermented foods (Idli/Dosa).

Regards Dr Gursimran Jeet Singh MD Panchakarma

मैं समझ सकता हूँ कि यह स्थिति आपके लिए कितनी निराशाजनक और भावनात्मक रूप से थकाऊ रही है, खासकर जब आपने इतने लंबे समय तक विभिन्न चिकित्सा प्रणालियों को आजमाया है और राहत नहीं मिली है… लिचेन प्लेनस पिगमेंटोसस कोई साधारण पिगमेंटेशन समस्या नहीं है, यह त्वचा और रक्त की एक गहरी बैठी हुई सूजन की स्थिति है, यही कारण है कि बाहरी अनुप्रयोग या अल्पकालिक उपचार अक्सर परिणाम नहीं देते हैं। यह कोई ऐसी स्थिति नहीं है जो जल्दी ठीक हो जाती है, लेकिन हाँ, यह प्रबंधनीय है और इसे सही दीर्घकालिक दृष्टिकोण के साथ नियंत्रित और सुधारा जा सकता है। आयुर्वेद में हम इसे केवल त्वचा पर काले धब्बे के रूप में नहीं देखते हैं, बल्कि एक आंतरिक असंतुलन के रूप में देखते हैं जो बाहर परिलक्षित होता है। मौसम संवेदनशीलता, गर्मी तनाव, पाचन समस्याएं, प्रतिरक्षा और लंबे समय से सूजन सभी एक भूमिका निभाते हैं, इसलिए उपचार आंतरिक प्रणाली को शांत करने, रक्त को शुद्ध करने, यकृत के कार्य का समर्थन करने, गर्मी को कम करने और त्वचा को अंदर से ठीक करने पर केंद्रित होता है। दवाएं आपके शरीर के प्रकार, पाचन, मल पैटर्न, नींद, तनाव स्तर और हार्मोनल संतुलन के आधार पर चुनी जाती हैं। आंतरिक दवाओं के साथ, बाहरी अनुप्रयोगों की सलाह दी जाती है, कठोर क्रीम नहीं। सूर्य से सुरक्षा बहुत महत्वपूर्ण है, गर्मी, घर्षण, इत्र, सौंदर्य प्रसाधन, स्क्रबिंग और घरेलू उपचारों के साथ प्रयोग करने से बचना आवश्यक है। आहार एक प्रमुख भूमिका निभाता है - ताजा पका हुआ भोजन, मसालेदार, तला हुआ, खट्टा, किण्वित और पैकेज्ड खाद्य पदार्थों से बचना त्वचा को स्थिर करने में मदद करता है। तनाव प्रबंधन भी उतना ही महत्वपूर्ण है, भावनात्मक तनाव पिगमेंटेशन और सूजन को बढ़ा सकता है। पहले खुजली, जलन और फैलाव कम होता है, फिर रंग धीरे-धीरे हल्का होता है। निरंतरता महत्वपूर्ण है और बार-बार उपचार बदलना नहीं चाहिए। आशा मत खोइए, इस स्थिति के लिए धैर्य, उचित मार्गदर्शन और एक समग्र योजना की आवश्यकता होती है, आक्रामक उपचार के बजाय। यदि सही तरीके से प्रबंधित किया जाए तो रोग को स्थिर किया जा सकता है और जीवन की गुणवत्ता में काफी सुधार हो सकता है।

HELLO,

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

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

In Ayurveda, Lichen Planus Pigmentosus is related to Pitta imbalance, rakta (blood) dushti, and accumulation of ama (toxins).

Treatment focuses on cooling the body, improving digestion, and preventing further pigmentation. Results are slow but steady with discipline.

✅ Foods to include Freshly cooked, home food Rice, chapati, simple dal Vegetables like bottle gourd, ridge gourd, pumpkin, ash gourd Green leafy vegetables (in moderation) Fruits like apple, pear, papaya, pomegranate Coconut water (if digestion is good) Plenty of plain water

❌ Foods to avoid Very spicy, oily, fried foods Bakery items, junk food, fast food Fermented foods (idli, dosa, curd, pickles) Excess tea, coffee Sour foods (vinegar, excess lemon, tamarind) Processed and packaged foods

Lifestyle advice Avoid direct sun exposure; use physical protection (cap, scarf) Avoid cosmetics, perfumes, hair dyes on affected areas Do not scrub or rub the skin Avoid tight clothing and friction Sleep early and manage stress (stress worsens pigmentation)

🧘‍♀️Simple Ayurvedic daily habits🧘‍♀️ Eat meals on time Avoid overeating and late-night meals Light dinner before 7:30–8 pm Gentle pranayama like Anulom Vilom daily Mild yoga and walking are beneficial

💊Medication💊

Cap. Marvin 2 caps twice a day before food Tab. Panchatiktaghrut Guggul 2 tabs twice a day before food Tab. Arogyavardhini Vati 2 tabs twice a day before food

Syp. Khadirarishta 3 tsp twice a day after food

Kukurma Cream Local Application.