Sounds like you’re dealing with a pretty annoying skin condition, and it could indeed align with Sidhma in Ayurveda, which is like you said, linked to imbalances in Vata and Kapha doshas. You’re right in thinking that it can be chronic and requires some patience and persistence with treatment.
Sidhma is usually linked to both internal and external factors. Internally, it might be poor digestion, or ama (toxic build-up), along with lifestyle habits that may aggravate Vata and Kapha, like not enough sleep or erratic eating patterns. Externally, cold, dry weather and stress could definitely exacerbate the symptoms. So it’s a bit of both worlds, you need a two-prong approach.
Neem, turmeric, and manjistha are great picks—you’re on the right track with these! Neem can be more effective when applied topically as a paste or oil for its antibacterial properties. Turmeric can be taken internally—perhaps add it to your diet with warm milk or as a supplement. Manjistha is excellent for blood purification and can be both consumed and used in external applications. You could make a paste by mixing them with rose water and apply on affected areas. But remember, a patch test is wise before diving in.
Diet-wise, try to avoid cold, oily, or overly spicy foods to pacify Vata and Kapha. Warm, cooked meals, plenty of hydration, more vegetables, that’s generally better. Avoiding processed foods and reducing sugar intake could also be beneficial.
Lifestyle changes like consistent sleeping patterns, stress management (yoga, meditation), and regular exercise help balance the doshas. The key is consistency, not perfection, you know?
Scarring might be a little tricky. Ayurveda could help over time by improving skin health and reducing discoloration with herbs like aloe vera or sandalwood paste. Pigmentation might take time to fade, but persistence is key.
Panchakarma therapies like Virechana (therapeutic purgation) and Rakta Mokshana (blood letting) can be beneficial and might speed up the process of balancing doshas and purifying blood. If you can’t access these, managing Sidhma with over-the-counter Ayurvedic products and home treatments is totally feasible—just more gradual.
Improvement can vary from person to person. Could be weeks or months, depends on your unique constitution and how well you adhere to your regimen. There might be ups and downs but regular consultations with an Ayurvedic practitioner can guide you through hurdles.
Stick with it, approach it holistically, and give your skin the love and care it needs. Patience, as frustrating as it sounds, really is your friend here!



