Hello, Your case suggests a strong underlying pitta-kapha inflammatory tendency with allergic immune overreaction, and the panchakarma may have either -been too strong/aggressive for your baseline state -done without fully stabilzing agni first -or caused incomplete elimination with aggravated pitta-kapha moving back into rasa/rakta channels The important clues are -worsening acne+ allergic rhinitis immediately after treatment -raised hsCRP and IgE -cystic inflammatory acne -chronic rhinitis with morrning congestion -previous PCOS/metabolic inflammation -bloating + fatigue This is not simply toxins coming out If symptoms persist for months, it means the system still remains aggravated Ayurvedic view Likely -rakta dushti - inflamed blood tissue -pitta kapha aggravation -residual ama -hyperactive mucosal immunity -diturbed vata after cleansing therapies You also seem to have -metabolic inflammatory tendency -allergic terrain -insulin resistance tendency historically (waist weight + neck pigmentation) Even though ultrasound pcod improved, the underlying inflammatory tendency remains active Important observation Sukumar ghrita + repeated sneha + vamana can worsen some people if -kapha is not dominant enough for vamana -pitta is already high -liver/rakta channels are overloaded -gut dysbiosis exists This can lead to -acne flare -rhinitis flare -inflammatory rebound -fatigue Main treatment goals -calm immune hyperactivity -reduce inflammatory pittakapha -heal gut/mucosal lining -stabilize agni gently -reduce cystic acne -control allergic rhinitis sustainably -avoid overly heating or overly oily medicines Ayurvedic approach 1) Stop excessively heating/heavy medicines If acne is severe , -prolonged indukantakm -strong rasayana -excessive ghee/oil therapies may currently be aggravating pitta-kapha Better internal support 2) Mahamanjisthadi kashaya= 20ml twice daily after meals with warm water =best for inflammatory acne, high hsCRP tendnecy, rakta dushti, chronic inflammatory skin tendency often stronger than tablets alone 3) Guduchi capsules= 1 cap twice dailyafter meals =immune modulation, reduces inflammatory reactivity, useful in elevated IgE tendency 4) Avipattikar churna= 1 tsp at bedtime with warm water =keeps pitta movin downward, reduces inflammatory gut heat 5) Nasya (very useful for rhinitis) -Anu taila= 2 drops each nostril daily morning =helps chronic allergic rhinitis,reduces morning blockages gradually Diet -warm cooked meals -bitter vegetables -bottle gourd/ ridge gourd -pomegranate -corainder -old rice/mooong -lightly spiced food Avoid -curd, yogurt -whey protein -excess nuts -fried foods -bakery foods -sugar -aged cheese -excess fermented foods -ultra spicy food These commonly worsen -cystic acne -IgE/allergy patterns -rhinitis About dairy even if digestion feels okay -many chronic acne + rhinitis patients worsen with -milk -panner -whey -curd Consider a 6-8 weeks trial reduction Helpful Morning -warm coriander fennel water Steam inhalation -plain steam at night if congestion severe Lifestyle very important -proper sleep -stress regulation -moderate exercise only Excess intense workouts may worsen -cortisol -inflammation -acne Important Do not repelatedly do -vamana -aggressive detox -excessive oleation while active inflammatory acne + rhinitis are flaring your system currently needs= stabilization and modulation, not stronger elimination Expected recvoery 6-8 weeks -less morning congestion –reduced inflammatory acne frequency -lighter digestion 3-6 months -improved skin healing -lower inflammatory activity -beter immune balance Your body does not appear weak It appears hyper- reactive and inflamed The goal now should not be stronger detoxification, but -calming rakta pitta inflammation -regulating immunity -supporting gut liver axis gently -reducing allergic overactivation That usually gives better long term results than repeated cleansing therapies in cases like yours Do follow Hope this might be helpful Thank you
Your symptoms suggest that your body may not have tolerated the intensity or sequencing of the Panchakarma well, especially with underlying long-standing Kapha-Pitta imbalance, allergic tendency, inflammation, and PCOD history. In some people, strong purification therapies can temporarily aggravate dormant doshas if digestion (Agni) and tissue strength are not fully stable before treatment. From an Ayurvedic perspective: Cystic acne + high hsCRP indicate ongoing Pitta-Rakta inflammation Allergic rhinitis + high IgE + sneezing show persistent Kapha-Vata involvement with hypersensitivity Bloating, fatigue, and fluctuating symptoms suggest weakened or unstable Agni after deep detoxification The improvement in menstrual cramps and bleeding pattern shows that some hormonal channels responded positively, but the inflammatory and allergic pathways still need proper balancing. What may have happened Heavy Sneha pana, Vamana, and oil-based Vasti together can sometimes: Increase internal heat and toxin movement Disturb sensitive Pitta-Rakta skin conditions Aggravate Kapha in respiratory channels if digestion is weak Trigger rebound allergic reactions in people with chronic antihistamine dependence Ayurvedic approach now At this stage, your body may need stabilization and gentle correction, not another aggressive detox. Focus should be on: Deepening digestion (Agni dipana) Reducing inflammatory Pitta Clearing allergic Kapha without over-drying Supporting liver and gut Calming immune hypersensitivity Helpful Ayurvedic measures Continue a simple warm anti-inflammatory diet Avoid: curd at night cold foods/drinks whey protein excess nuts fermented foods sugar spikes bakery items excessive chili and sour foods Prefer: warm cooked meals old rice/millet moong dal lightly spiced vegetables coriander, cumin, fennel infused water For allergic rhinitis Morning symptoms strongly indicate accumulated Kapha. Helpful practices: Steam inhalation with plain water Gentle saline nasal rinse Early dinner Avoid sleeping late Avoid cold exposure after sunset For acne flare-ups Very severe cystic acne often needs: Rakta-Pitta pacification Gut correction Hormonal inflammation management Manjisthadi and Avipattikar can help, but if acne is worsening continuously, medicines may need reassessment according to your constitution and digestion. Sometimes excessive “cooling” medicines without correcting Agni can prolong inflammatory acne. Important point Persistent elevation of: hsCRP IgE severe fatigue resistant cystic acne should not be ignored as “just detox reactions.” A combined evaluation with: Ayurveda physician dermatologist/allergist/endocrinologist is advisable to rule out ongoing insulin resistance, food sensitivities, gut inflammation, or autoimmune/allergic drivers.
hello thank you for contacting ask Ayurveda you are experiencing severe acne and rashes after panchakarma i want to know why you underwent panchakarma ? did you contacted them post panchkarma after getting the above symptoms? did you consulted any ENT surgeon regarding frequent sneezing and blockage? did you undergone ct pns? meanwhile i will prescribe some medication which will help you with your problem but for proper diagnosis and treatment i need some blood investigations i.e cbc, esr ,crp levels. please go through my medication list
चूंकि मैं अपनी पूरी जिंदगी एलोपैथी का उपयोग कर रहा था, मैंने CNs किए। पंचकर्म के बाद मैंने एक ईएनटी से परामर्श किया, लेकिन मेरा शरीर सिट्रिज़िन को पहले की तरह अच्छे से प्रोसेस नहीं कर रहा था। मैं दवाइयों के बाद अपने महसूस करने के तरीके के प्रति थोड़ा और जागरूक हो गया। इसलिए अब मैं अल्लेरकंद और हरिद्राकंद का उपयोग करता हूं। उपचार के बाद मेरा IgE 169 था और CRP 3 तक कम हो गया था। अब यह फिर से 223 और 7 पर है।
●Multani mitti - 2 teaspoons Neem powder - 1/2 teaspoon Manjistha powder - 1/2 teaspoon Mulethi powder - 1/2 teaspoon Sandalwood powder - 1/4 teaspoon Turmeric - 1 pinch Borosilicate ash - 1/8 teaspoon • Rose water or aloe vera gel - as needed Method: Mix all the ingredients to make a thin paste. Apply it only to the pimple area or in a thin layer all over the face. After 10-12 minutes, wash it off with lukewarm water. This can be used 2-3 times a week. ●1 teaspoon lemongrass. Add this mixture to 1 cup of hot water, cover, and let it steep for 10 minutes. Drink 2-3 times a day. It provides relief from nasal congestion, coughs, and flu. ● Hot Ginger: An effective remedy for colds and flu. This phlegm- and fatigue-relieving drink gently expels cold and moisture accumulated in the body. ●Shitophaladi churna + talisadi churna +honey mix well and lick it 3 4 times a day. ● Ginger-Cardamom and Cinnamon Mix: Ingredients: • 2 teaspoons ginger • 3 teaspoons cinnamon • A pinch of cardamom. Method: Boil 1 teaspoon of the mixture for 10-15 minutes. Once slightly cooled, add 1 teaspoon honey. ● Steam Therapy: Fill a pot with water and boil 1 teaspoon ginger or a few eucalyptus leaves. Cover your body with a towel and inhale the steam. Provides instant relief from: • Nasal congestion • Heaviness • Headache ● Simple but effective: 1 teaspoon of fennel powder • 1 teaspoon of cinnamon • 1 teaspoon of honey. Useful for coughs. ● Diet and lifestyle: Drink warm water frequently. Eat light and easily digestible foods. Avoid cold beverages. Avoid heavy meals. ● Relaxation and yoga: Rest is medicine • Get plenty of rest • Practice only light yoga poses like Surya Namaskar • Agni-bending postures. These postures clear nasal mucus and expel accumulated phlegm. ● Pranayama: Cleansing through breathing • Kapalabhati (light) • Anulom-Vilom (without Kamaka). These exercises clear the respiratory tract. ● Prevention: • Amla: Natural remedy. Amla • Healing • Source of Vitamin C. Immunity booster.
••Acne Exacerbation: The internal oleation (Snehapana) used during pre-procedure care can temporarily increase Agni-mandya (low digestive fire). If the subsequent elimination (like Virechana) was suboptimal (Avara Shuddhi), or if there was a premature intake of heavy food, the mobilized Pitta and Rakta manifest on the face as acute inflammatory acne. ••Rhinitis Exacerbation: Panchakarma drastically alters internal homeostasis. Exposure to subtle triggers like a cold breeze, dust, or consuming Abhishyandi (channel-clogging) foods immediately post-procedure causes an immediate rebound of Vata and Kapha in the Pranavaha Srotas (respiratory channels. Phase A: Correcting the Digestion (Agni Samrakshana) Your skin and respiratory system will not clear up until the digestive tract is stabilized. ••Strict Samsarjana Krama / Light Diet: Revert to a highly digestible, warm diet. Consume only Manda (rice water), Peya (thin rice gruel), or Yusha (green gram/moong dal soup) seasoned with a pinch of dry ginger (Shunti) and cumin (Jeeraka). ••Avoid Completely: Curd, fermented foods, cold water, sweets, oily/fried foods, and heavy meals. ••Ushnodaka: Sip warm water throughout the day to support Am Pachana (toxin digestion). 1.For the Skin (Pitta-Rakta Shamana): ••Mahatikitaka Ghrita / Aragwadhadi Kashayam: 15–20 ml taken on an empty stomach with warm water in the morning to soothe inflamed Rakta Dhatu. ••Kaishore Guggulu / Panchanimba Churna: Excellent for clearing post-Panchakarma residual systemic heat and toxic accumulation in the skin. 2.For Allergic Rhinitis (Vata-Kapha Hara): ••Haridra Khanda: 1 teaspoon (approx. 3–5 grams) twice daily with lukewarm water or lukewarm light milk on an empty stomach. It acts as an excellent anti-allergic and natural antihistamine. ••Trikatu Churna / Sitopaladi Churna: If there is excessive clear nasal discharge or congestion, a small dose with honey helps clear the accumulated Kapha. ••For Allergic Rhinitis: •••Pratimarsha Nasya: Do not undergo heavy Shodhana Nasya right now. Instead, apply 2 drops of Anu Taila or plain warm Goghrita (cow’s ghee) into each nostril daily in the morning to strengthen the mucosal barrier against allergens. ••Steam Inhalation: Inhale steam infused with a drop of Eucalyptus oil or a pinch of Ajwain (carom seeds) to relieve nasal congestion. •For Acne: •••Lepa (External Application): Apply a smooth paste of Rakta Chandana (red sandalwood), Nimba (neem), and Lodhra mixed with water or rose water over the lesions. Wash off once dry. Avoid any oil-based applications on the face right now.
This can happen when aggravated Kapha + Pitta with underlying Ama, excessive oleation (Sneha) not tolerated well, or purification done when agni/metabolism was not stable enough. The combination of: Sukumara ghrita, repeated sneha, oil basti during snehapana, vamana, and later medicines, may have been too heavy for your constitution if you already had: allergic inflammation, sluggish metabolism, acne tendency, food reactivity. Your current symptoms especially point toward: persistent allergic inflammation, gut–immune imbalance, and possibly dietary triggers still active. A few observations: Indukantham and Dashamoola can help some people, but in chronic allergic states with acne they may sometimes feel too warming/heavy depending on constitution. Avipattikar may help bowel heat/acidity, but if the underlying allergy trigger continues, acne/rhinitis may persist. High IgE suggests active allergic tendency, not just “toxins.” hs-CRP elevation means systemic inflammation is objectively ongoing. What may help now (general educational guidance, not personal medical diagnosis): Focus less on aggressive detox and more on stabilization For several months, many people benefit more from: light digestible diet, reducing inflammatory triggers, improving sleep, calming the immune response, and rebuilding gut tolerance. Common food triggers worth evaluating carefully Especially if sneezing worsens after eating: curd/yogurt, cold milk, whey protein, excess ghee/oily foods, peanuts, bakery foods, ultra-processed foods, sugar, fermented foods, packaged snacks. A structured elimination-and-rechallenge approach is often more useful than taking more medicines blindly. Morning allergic rhinitis measures Simple measures sometimes help significantly: saline nasal rinse, avoiding dust exposure on waking, washing bedding frequently, reducing indoor humidity/mold exposure, avoiding cold foods at night. Investigations worth discussing with a physician Because persistent inflammation deserves proper evaluation: fasting insulin / HOMA-IR, HbA1c, vitamin D, ferritin, eosinophil count, thyroid profile, allergy evaluation if symptoms are strong, lipid profile follow-up. Important point about “PCOD cured” An ultrasound becoming normal is good, but the inflammatory/metabolic tendency can still persist underneath. Acne, waist fat, pigmentation, LDL elevation, and CRP often reflect that deeper metabolic component. Be cautious with repeated Panchakarma now If symptoms worsened immediately after the previous course, repeating strong: snehapana, vamana, or heavy basti without stabilizing inflammation first may aggravate symptoms further. A gentler approach is often better in people with: high IgE, allergies, sensitive skin, chronic rhinitis, reactive digestion. You may benefit from consulting an experienced integrative physician (Ayurveda + modern medicine perspective) rather than focusing only on purification therapies. Tell only ayurvedic treatment For your current condition, the Ayurvedic approach should now focus more on: reducing Ama, calming Kapha-Pitta inflammation, controlling allergy tendency, and stabilizing Agni, rather than strong shodhana/Panchakarma again immediately. Possible classical Ayurvedic line of management often used in cases like yours: For allergic rhinitis (Pratishyaya / Vata-Kaphaja allergy) Haridra Khanda Commonly used for allergy tendency, sneezing, itching, raised IgE pattern. Sitopaladi Churna + honey Useful for recurrent sneezing and Kapha accumulation. Anu Taila 2 drops in each nostril in morning after steam/fomentation. Mild herbal steam with tulsi + ajwain. For acne + inflammatory Pitta-Kapha condition Mahamanjishtadi Kwatha Often preferred in inflammatory acne with blood vitiation. Kaishore Guggulu Commonly used when acne combines with inflammation and metabolic sluggishness. Guduchi Satva Useful for chronic inflammatory tendency and immune modulation. For Ama + metabolic tendency Arogyavardhini Vati Often used carefully in Kapha-Pitta metabolic disorders, acne, fatty tendency. Warm water throughout day. Early light dinner. Avoid daytime sleep. Diet (very important in Ayurveda for your case) Strictly reduce: curd, paneer, cheese, cold milk, banana at night, bakery foods, sugar, fried foods, excess ghee/oily foods, fermented foods, cold drinks. Prefer: warm cooked foods, old rice, green moong, bottle gourd, ridge gourd, turmeric, black pepper in small amount, cumin-coriander-fennel water. Panchakarma At present, avoid: heavy snehapana, repeated vamana, excessive oil basti, until allergy and acne stabilize.