Lichen planus, known as “karai thozhugal” or “thol noigal” in Tamil, is a chronic inflammatory condition that manifests as itchy, purplish lesions on the skin or white patches in the mouth. Traditional medicine in Tamil Nadu often links this condition to imbalances like excess heat or toxins in the blood (pitta dosha) and addresses it through detoxification and cooling therapies. Herbs such as neem (veppam), turmeric (manjal), and aloe vera (katralai) are commonly used to reduce inflammation, soothe the skin, and promote healing. Siddha and Ayurvedic approaches include internal formulations like Kashayams (herbal decoctions), powders, and oils to balance the body’s internal heat and support skin health. External applications, like medicated oils and pastes, help alleviate itching and inflammation. Diet and lifestyle modifications, including avoiding spicy foods and incorporating cooling foods, as well as practicing yoga, are recommended to support healing and prevent flare-ups. In Tamil Nadu, there are specialized Siddha and Ayurvedic clinics focused on managing chronic skin conditions like lichen planus, and many patients report positive results with consistent treatment. However, sourcing authentic remedies and following the prescribed regimen may present some challenges, and results typically take time.
Lichen planus does indeed feature prominently in traditional Tamil remedies, often referred to as “karai thozhugal.” In Ayurvedic terms, this condition is usually linked to pitta dosha imbalance, which results in excess heat and inflammation in the body. That’s why the focus is often on cooling therapies and detoxification processes.
Neem or “veppam” is commonly recco’d herbal remedy in Ayurveda due to its blood-purifying and anti-inflammatory properties. To use it, you might take neem leaves, make a paste and apply directly to the affected area, or even consume neem capsules. Turmeric or “manjal” is another favorite; its anti-inflammatory and antioxidant capabilities are well-documented. Mixing turmeric with raw honey and taking it orally can help reduce inflammation. Aloe vera or “katralai” gel applied externally can soothe itching and redness.
Siddha medicine, revered in Tamil Nadu, often uses formulations like kashayams, which are herbal decoctions to flush out toxins. There’s also powders and oils like neem oil—massaging this into the skin can specifically help with itching. Pastes made from sandalwood (known for its cooling effect) could be used, providing relief from burning sensation.
Dietary changes play a crucial part too. Avoiding spicy, salty foods and sticking to a diet rich in leafy greens, fruits, and whole foods is suggested. Yoga and meditation to balance the mind and stress levels can also ward off flare-ups.
Tamil Nadu offers a number of Siddha clinics that specialize in skin conditions. While there’s plenty anecdotal evidence of their benefits, effectiveness can vary between individuals. These traditional methods are generally seen as complementing conventional treatment rather than fully replacing them.
I remember a patient who used these traditional treatments for lichen planus, combined with lifestyle modifications, started noticing improvements within three months. Her challenges were more about sourcing high-quality herbal products.
If you could share some updates or other individual testimonials, it’d help paint a complete picture. The community could greatly benefit from knowing more experiences—it truly makes a difference hearing real-life cases.



