Azelaic acid cream not helping, is there an Ayurvedic alternative? - #16935

So it sounds like you're dealing with quite a bit of frustration with your current treatment. The irritation and inconsistent results can be super disheartening, especially when you're following instructions to a T. Switching to an Ayurvedic approach could definitely offer you another layer of understanding, particularly since Ayurveda often looks at acne through the lens of internal imbalances. In Ayurveda, acne is often linked to an imbalance in Pitta dosha, which governs heat, anger, and intensity. This imbalance can manifest as inflammation and irritation, just like what's happening to your skin with the burning sensation. It's also crucial to look at digestion—our agni or digestive fire. Poor digestion may lead to the build-up of toxins (ama) that could exacerbate skin issues. Stress might also trigger Pitta, so it’s worth looking into some stress management techniques. Dietary changes are foundational in Ayurveda. Consider incorporating cooling and soothing foods like cucumbers, coriander, fennel, and coconut water. Avoid too spicy, oily, or acidic foods that can aggravate Pitta. These dietary adjustments can support your skin’s health from the inside out. On the topical front, you might have better luck with a paste of sandalwood mixed with a little rose water or turmeric (just a pinch, since it can stain!), applied gently on the affected areas. These are known for their cooling and anti-inflammatory properties. Also, aloe vera gel could be a good natural moisturizer without causing more irritation. Herbs like manjistha (Rubia cordifolia) can be taken internally (preferably in powder or capsule form)—it’s great for blood purification and detoxifying the body. Another approach could be to use Neem for its antibacterial properties, but remember to start slow to see how your skin reacts. It's also a good idea to check with an Ayurvedic practitioner to tailor these insights more closely to your unique prakriti (constitution) and current dosha imbalances. They might suggest an individualized plan, including other remedies you hadn’t considered. Lastly, while these Ayurvedic methods are relatively mild, if you ever experience worsening symptoms, it’s essential to seek medical guidance promptly. ausuallly, a combined approach works best: addressing internal balance while cautiously handling your external routine. All the best, and hope you find your skin’s balance soon!