Tranexamic acid - #17019

Melasma in Ayurveda is linked to excess Pitta and toxin (Ama) accumulation, often aggravated by hormonal imbalances, liver dysfunction, stress, and poor digestion. Instead of suppressing symptoms like tranexamic acid, Ayurveda focuses on purifying the blood and balancing Pitta for long-term healing. Manjistha is excellent for detoxifying the blood and reducing pigmentation, while turmeric helps brighten the skin and balance inflammation. You can take these herbs internally as capsules or decoctions and apply them externally as a face pack with sandalwood and rosewater. A diet rich in cooling, hydrating foods like coconut water, coriander juice, and bitter greens can prevent excess Pitta buildup. Avoid spicy, fried, and processed foods, as they trigger pigmentation. Since stress and irregular eating patterns contribute to hormonal imbalance, practicing mindfulness, yoga, and proper mealtime discipline can significantly help. Liver-supporting herbs like Bhumiamalaki and Triphala can also improve detoxification and skin clarity. Ayurvedic treatments like Virechana (purgation therapy) may be beneficial for stubborn melasma by removing deep-seated toxins.

Melasma does indeed have deep roots connecting to internal balance and lifestyle factors—it’s not just about the skin, truly a whole-body perspective. You’re spot on about it being linked with heat or “Pitta” imbalance primarily, sometimes combined with “Vata” issues, so let’s focus on cooling and stabilizing the internal environment.

It’s true, manjistha, turmeric, and sandalwood are your best friends here—working from the inside out. Manjistha is a powerful blood purifier, improving skin tone from within. You can take manjistha powder, about 1 teaspoon mixed with warm water, daily. Turmeric acts as an anti-inflammatory and antioxidant. Adding it to your diet can aid in reducing pigmentation, but for an extra boost, mix turmeric paste with milk and apply it topically couple of times a week. Sandalwood paste made with rose water can give a soothing effect—apply this directly to the affected skin as a mask.

Now let’s dive into diet: Try keeping your meals cooling and hydrating. Think cucumbers, leafy greens like spinach, and plenty of water. Avoid spicy, fatty, and overly processed foods which can worsen Pitta imbalance. Eating at regular intervals helps stabilize your digestion—or “agni.”

Stress and hormones do play a significant role. Yoga and meditation might become your anchor here. Both are known to help balance hormonal fluctuations and reduce stress. A daily practice, even 15 minutes, could bring noticeable changes.

Also, ensure you’re sleeping well and exposure to the sun is minimized—sun aggravates melasma big time. Wearing a hat and using natural sunblock is a simple preventive measure.

See how these changes fit into your life. Remember, Ayurveda takes time but works to the root; patience is key. If possible, connect with an Ayurvedic practitioner for a detailed look at your dosha and lifestyle—each person’s journey is unique and deserves that tailored approach!