This looks like chronic wet eczema behind ear, commonly similar to Vicharchika in Ayurveda with Kapha-Pitta dominance. The wet discharge, crusting and recurrence cycle usually means the skin is not drying and healing completely internally. Avoid Curd, cheese, bakery, fermented food Excess citrus, pickles, tomato, chilli Scratching or removing crust forcefully Chemical shampoo, hair dye, perfume near ear Ayurvedic treatment short: Internal: Gandhak Rasayan 2 tablets twice daily after food Mahamanjisthadi Kwath 15 ml + equal warm water twice daily before food Khadirarishta 20 ml + equal water after lunch and dinner If constipation or heat: Avipattikar Churna 1 tsp at night with warm water External: Clean gently with sterile cotton Apply Nimbadi Taila or Mahamarichyadi Taila very thin layer twice daily If too much wet discharge, first apply Yashtimadhu churna lightly for drying, then oil after few hours Diet Neem leaves 5–7 tender leaves morning for 15 days Drink coriander seed water daily Keep gut clean and bowel regular
••Ayurvedic Pathophysiology (Samprapti) In Ayurveda, your presentation strongly correlates with a type of Kshudra Kustha (minor skin affliction), closely resembling Vicharchika (which matches wet/weeping eczema). ••Here is how the doshas are playing out in your condition: ••Kapha Dosha (The Weeping & Blisters): The initial “mustard-sized blisters” (Srava), the continuous oozing of clear/yellowish fluid under the crust, and the location in the skin folds are classic signs of aggravated Kapha and Kleda (excess moisture/toxins). ••Pitta Dosha (The Trigger & Inflammation): Your instinct about the Citrus maxima (Pomelo) is spot-on. Excess sour (Amla), sharp (Teekshna), and heating (Ushna) foods instantly agitate Bhrajaka Pitta (the Pitta residing in the skin) and vitiate the Rakta Dhatu (blood tissue). Stress acts as a major catalyst here, further fueling Pitta. ••Vata Dosha (The Crusting & Flaking): The dry flakes and crusting show Vata trying to dry up the moisture. When the crust is prematurely removed, the underlying, unhealed Kapha-Pitta exudate leaks out again. ••Because this occurred in your childhood as well, there is an underlying Kha-Vaigunya (inherent weakness in the tissue spaces) behind your ears, making it a preferred site for toxins (Ama) to settle. ••Line of Treatment (Chikitsa Sutra) To break the Wet \rightarrow Crust \rightarrow Weep cycle, we must simultaneously dry up the deep-seated Kleda (moisture), purify the Rakta (blood), and soothe the skin barrier without trapping the infection. 1. External Management (To Break the Local Cycle) ••Strict Rule: Do not pick or force the crusts off. Let them fall off naturally. Removing them manually re-traps the skin in the inflammatory phase. ••Kshalana (Washing/Soothing): Wash the area gently with a lukewarm decoction of Triphala Churna or Neem leaves. Both are highly astringent (Kashaya) and bitter (Tikta), which actively dry up the weeping (Kleda-shoshana) and act as natural antimicrobials. Pat completely dry with a clean, disposable tissue. ••Lepa/Taila (Topical Application): While it is actively weeping, heavy oils can sometimes trap heat. A dust of Tankan Bhasma mixed with a little honey or clean water can help dry it out. •Once it shifts to the dry/crusting phase, classic formulations like Marichyadi Taila or Mahatiktaka Ghrita are excellent for healing the skin barrier without allowing it to crack and weep again. 2. Internal Purification (To Cleanse the Root) Since the gut is “good but not perfect” and the blood is carrying the inflammatory markers, internal herbs are crucial: ••Rakta Prasadana & Shodhana (Blood Purifiers): Classical formulations like Kaishore Guggulu or Panchanimba Churna are specifically indicated for stubborn, weeping skin conditions. They contain herbs like Guduchi, Triphala, and Neem which calm Pitta and dry Kapha. ••Kusthahara Kwatha: Mahamanjisthadi Kwatha or Khadirarishta help cleanse the lymphatic system and blood, preventing the bilateral spread you experienced. ••Deepana/Pachana (Gut Optimization): Ensuring smooth bowel movements is vital to flush out Pitta. A mild laxative or bowel regulator like Avipattikar Churna (taken at bedtime with lukewarm water) helps direct the aggravated Pitta downward (Anulomana) and away from the skin.
