कई सालों तक क्रीम इस्तेमाल करने के बाद भी अगर चेहरे पर हाइपरपिग्मेंटेशन ठीक नहीं हो रहा है, तो मैं क्या ट्राई कर सकता/सकती हूँ? - #52815

Hello I can understand your concern regarding chronic hyperpigmentation on your face This is due to pitta and rakta imbalance Aa you have not been helped with creams it means the root cause is internal and that has to be corrected to see visible changes ▪️Ayurvedic plan of treatment ▪️Internal Medication ➖Mahamanjisthadi kwath 15 ml twice daily with equal water after foof ➖Sarivasavam 30 ml twice daily after food ➖Mahatitkatam ghrita capsule 1 twice daily after food ▪️External care Take chandan powder Make a paste with rose water and apply daily on your face as face pack -Mix yastimadhu churna with milk and apply on the hyperpigmented patches and keep it overnight Morning
-Apply kumkumadi taila twice daily on your face ▪️Sun protection -use board spectrum sunscreen Also use scarf or umbrella ▪️Diet plan Include -have coconut water daily -lukewarm. Water with lemon juice in morning empty stomach -Have soaked almonds -dates -Green vegetable Avoid -Spicy -fermented food -Pickles -excessive tea or coffee Also consider Checking your Heamoglobin level -Thyroid profile Do follow up after 30 days So that we can plan further treatment accordingly Wishing you a good health and glowing even skin 😊 Warm Regards Dr Snehal Vidhate

Hyperpigmentation, often termed Vyanga in Ayurveda, is generally viewed as a manifestation of an imbalance in Pitta Dosha, specifically the Bhrajaka Pitta (the subtype of Pitta that resides in the skin and governs color). When this is combined with aggravated Vata, it can lead to deep-seated, stubborn discoloration that resists topical-only treatments. ​In Ayurveda, long-standing skin issues are rarely treated just on the surface; the focus shifts to blood purification (Rakta Prasadana) and liver health, as the skin is considered a mirror of your internal blood quality. ​The Root: Chronic use of various creams can sometimes thin the skin or cause “rebound” hyperpigmentation. Ayurveda focuses on cooling the heat in the blood and removing the “Ama” (toxins) that prevent the skin from regenerating healthy cells. ​Internal vs. External: Since you’ve tried creams for years, the Ayurvedic approach would be “Abhyantara” (internal) purification to stop the pigment from over-producing at the source. ​For chronic cases, a combination of blood purifiers and skin-rejuvenating tonics is typically suggested. ​1. Manjishtadi Kwath (Tablet or Liquid) This is the gold standard for blood purification. Manjistha is renowned for its ability to “break” the accumulation of melanin and cool the blood. ​Dose: 15 ml of liquid mixed with 45 ml of lukewarm water, taken twice daily before food. If using tablets, take 2 tablets twice daily. ​2. Gulguluthikthaka Gritham (Capsule or Ghee form) Since your condition has persisted for years, it is considered “Dhatugata” (deep-seated in the tissues). This preparation contains Neem and other bitter herbs processed in ghee to reach the deeper layers of the skin. ​Dose: 2 capsules twice daily, approximately 30 minutes before meals. ​3. Kumkumadi Oil (External Application) For the face, this traditional saffron-based oil is used not just for glow, but to treat “Nilika” (dark shadows). ​Usage: Apply 3 to 5 drops on a clean, damp face at night. Massage gently in upward strokes and leave it on overnight. If you have very oily skin, wash it off after 30 minutes with lukewarm water. ​Supportive Lifestyle Tips ​Sun Protection: Ayurveda emphasizes protecting the skin from “Atapa” (excessive sun). While using these medicines, the skin becomes more active in its renewal process, making it more sensitive to UV rays. ​Dietary Shifts: Avoid “Vidahi” foods - those that cause a burning sensation or are excessively spicy, salty, or sour, as these directly flare up Pitta and worsen pigmentation. ​Hydration: Drink water stored in a copper vessel to help balance the Kapha and Pitta elements affecting the skin.

?? Do’s: ?? Stay hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Stress free lifestyle ? Dont’s: ? Oily and Spicy food. Processed and preserved food. Packed and ready to eat items. Picklesand papad Dried fish Curd ?? Medication: ?? Cap. Marvin 2 caps twice a day before food. Tab. Liv 52 DS 1 tab twice a day after food Syp. Sarivadhyasav 2 tsp twice a day after food. Kumkumadi tailam 3-4 drops light massage daily at night on the pigmented area. If you can stay away from th sun for 3 hours after application you can use it at day time as well. Panchendriya vardhan Tailam. 2 drops in each nostril early in the morning empty stomach. Make the oil lukewarm.

Hyperpigmentation is stubborn and takes time to improve. Creams alone often don’t work unless used correctly and consistently. The most important step is daily sunscreen, otherwise the pigmentation keeps coming back. –Internal Medicines: Manjistha Churna – 3g BD with lukewarm water Khadirarishta – 15 ml + equal water BD after meals Arogyavardhini Vati – 1 tab BD after meals - external application: Kumkumadi Taila – local application at night lodhra + chandan + Manjistha lepa – once daily (15–20 min) -Pathya (do’s): Light, cooling diet Include amla, neem, green vegetables Adequate hydration – Apathya (Don’ts): Avoid spicy, oily, fermented foods Avoid excessive sun exposure, heat –Advice: Daily sunscreen (important even in Ayurveda practice) Stress management, proper sleep

Hyper pigmentation is due to the vitation of Pitta and Rakhta in your body which cause toxin and low digestive fire So so we will focus on balancing both Pitta and Rakhta also enhancing your metabolism 1)Maha tiktakam kwath - 15 ml twice daily with 45 ml lukewarm water 30 minutes before food 2) manjishthadi kwath-15 ml twice daily with 45 ml lukewarm water 30 minutes before food 3) gugglu tiktakam ghrita- capsule- one capsule twice daily after food with warm water 4) kumkumadi thailam-3-5 drop massage before going to bed and leave overnight wash in the morning or wash 30 minutes after in the night 5) eladi choornam- mix with milk or rose water apply as a mask for 15 to 20 minutes twice a week Use natural sunscreen aur cover your face with a cotton scarf between 10 a.m. to 4:00 p.m. Sure 7 to 8 hours of sleep practice Pranayam daily for 10 minutes avoid Harsh chemical face wash use lukewarm or cold water to wash your face

Long-standing hyperpigmentation usually happens due to pitta imbalance + sun exposure + hormonal factors + skin sensitivity. Using multiple creams without internal correction often doesn’t give lasting results. First, protect your skin. Avoid direct sun exposure as much as possible. Use a mild sunscreen regularly. Do not use harsh or steroid-based creams. For external care, apply a simple paste of sandalwood powder with rose water or aloe vera gel once daily. You can also apply a mix of turmeric (very small pinch) with milk or honey, 3–4 times a week. Keep skin routine gentle. Do not over-wash or scrub. Diet plays a big role. Avoid spicy, oily, fried food, excess tea/coffee, and junk food. Include fruits, vegetables, amla, coconut water, and plenty of hydration. This helps reduce internal heat. Lifestyle: Sleep on time and manage stress. Late nights worsen pigmentation. Medicines: Manjistha churna 3 grams twice daily with warm water. Arogyavardhini vati 1 tablet twice daily after food. Khadirarishta 15 ml with equal water twice daily after food. This helps purify blood, reduce pigmentation and improve skin gradually. Do not expect very fast results. Improvement comes slowly over 6–8 weeks with consistency. For proper skin type assessment and targeted treatment, you can consult me.

Hi Common reasons I see: •Sun exposure without strict protection •Hormonal factors / stress •Post-acne marks or sensitive skin damage •In Ayurveda: Pitta imbalance + Rakta dushti (heat in blood) So just changing creams again won’t give lasting results. Try these- •Sunscreen (SPF 30–50) daily – non-negotiable •Azelaic acid (10–20%) or Kojic acid creams – for pigmentation (at night) •Niacinamide serum (4–5%) – evens tone (daytime) •Mild retinol at night (if skin tolerates) (2-3 times at night) These work slowly but are proven. Internal Ayurveda Medicine- •Mahamanjishthadi Vati – 1 tab twice daily after food •Amla daily (juice or powder) Diet (very important) Include: •Amla, pomegranate, green vegetables •Adequate water •A little ghee (for skin nourishment) Avoid: •Excess spicy, fried, junk food •Too much heat-producing foods (can worsen pigmentation) Lifestyle •Strict sun protection (reapply sunscreen) •Proper sleep (skin repair happens at night) •Manage stress (direct impact on pigmentation) Honest expectation- •Old pigmentation takes time (8–12 weeks minimum) •Complete removal may not happen, but significant lightening is achievable Dont switch now, follow this consistently. If you want more personalized treatment , share your skin type and history (acne, hormones, sensitivity) etc.

1.Manjistha churna 1/2 tsp twice daily with warm water or honey after meals 2.Sarivadyasava 20 ml with 20 ml water twice daily after meals 3.Tripahal churna 1/2 tsp at bedtime with warm water 4.Kumkumadi taila- massage gently with 2-3 drops on the pigmented areas at bedtime and leave it overnight Diet & Lifestyle---- - Favor cooling foods: cucumber, pomegranate, coconut water, leafy greens. - Avoid excess spicy, sour, and oily foods (they aggravate Pitta). - Drink plenty of warm water for detox. - Practice Pranayama (Anulom Vilom, Sheetali) for cooling effect. - Adequate sleep and stress management are essential for skin healing.

Take amla juice 10ml+ aloevera juice 10ml twice daily after food with 30ml. Water. Both these powerful herbs are good for skin, and contains vitamin, minerals and antioxidants . Apply kumkumadi oil on face at night. Swarnamukhi face pack make paste and apply on face keep for 10 minutes and wash with clean water do this twice weekly. Include fresh green vegetables in your diet semi cooked or sauted. Take mahamanjistadi kadha 10 ml twice daily after food with water, will help,purify blood Apply Sun screen SPF 50+ during the day, Avoid direct Sun rays,Wear hat or use umbrella when going out during the day.