Dyshydrotic eczema

Question

Good afternoon. Please advise me on the treatment of dyshidrotic eczema. Location on the back side of the foot at the heel. the term is 2 months. The nature of the lesion is bumpy skin inflammation, redness of the skin, itching, cracks and peeling of the skin. There are test results - the fungus is excluded. What can you recommend?

Dr Sujal Patil · Accepted Answer

Hello Lakshmi, Dyshydroyic eczema is an imbalance of Pitta & Vata dosha according to Ayurvedic diagnosis. These recommendations can help. 
#Topical Treatments:

Aloe Vera Gel: Apply 2-3 times daily (soothes inflammation).
Neem Oil: Mix with coconut oil, apply twice daily (anti-inflammatory).
Nalpamaradi Oil: Apply before bed (healing).
Coconut Oil: Apply twice daily (moisturizer).
#Dietary Guidelines:

Pitta-pacifying diet: Avoid spicy, salty, sour foods. Eat cooling foods (leafy greens, cucumbers, coconut water).
Hydration: Drink plenty of water and herbal teas (fennel, coriander).
# Lifestyle & Skin Care:

Oil Massage (Abhyanga): Use coconut or neem oil daily.
Cool Foot Soaks: Soak foot in cool water with turmeric or neem leaves.
Avoid Heat: Keep the area cool and avoid hot surfaces.
#Ayurvedic Medication Formulations:
Panchatikta Ghrita Guggulu: 1 tablet twice daily (balances doshas, skin support).
Gandhaka Rasayana: 1 tablet twice daily (reduces inflammation, heals cracks).
Consult an Ayurvedic practitioner for personalized guidance or follow up with me after 15 days.

Dr. Harsha Joy · Answer

Hi Lakshmi,Dyshidrotic eczema, also known as pompholyx, can be quite uncomfortable, especially when characterized by bumpy skin inflammation, redness, itching, cracks, and peeling, as you described. To manage this condition through Ayurveda, it’s important to adopt a comprehensive approach. Start with dietary modifications by embracing a Sattvic diet that includes fresh, whole foods while avoiding processed items and triggers such as spicy and fried foods. Incorporate herbal remedies like Khadir (Acacia catechu), known for its anti-inflammatory properties, which can be applied topically in a paste form mixed with honey. Manjistha (Rubia cordifolia) can be taken in powder form to purify the blood and alleviate skin inflammation. Neem (Azadirachta indica) is effective for reducing itching and inflammation; using neem oil or a neem leaf paste can be beneficial. Additionally, Gotu Kola (Centella asiatica) supports skin healing and can be consumed as a supplement. For topical applications, aloe vera gel can soothe the skin, while coconut oil helps moisturize and prevent cracking. A paste made from turmeric powder mixed with water can also reduce redness and swelling. Lifestyle changes are crucial; practicing yoga and meditation can manage stress, which often exacerbates flare-ups, and avoiding known irritants is key. You might consider herbal oils like Maha Narayana Taila or Kshirabala Taila for gentle massage on the affected area, promoting nourishment and reducing inflammation. If feasible, consulting an Ayurvedic practitioner for personalized Panchakarma treatment may provide additional benefits. Regular monitoring of your condition is essential, and if symptoms persist or worsen, seek further evaluation from a healthcare provider.

Dr. Ayush Varma · Answer

Ah, dyshidrotic eczema can be quite a tricky one, especially on the foot. So, it’s been around 2 months now, and it's getting to you with all that itchiness and peeling, huh? The fact that a fungus has been ruled out gives us a better focus on ayurvedic treatment.

First, let's talk about what might going on with your doshas – sounds like there's a Vata and Pitta imbalance happening here. Vata might be leading to the dryness and cracks, while Pitta brings in the inflammation and redness. So we gotta work on calming these down.

Consider starting with some nourishment for the skin. Coconut oil is amazing here, as it’s cooling and moisturizing. Gently massage it onto clean skin, preferably after a warm bath when your pores are open. Do it in circular motions, be gentle especially where you're already peeling. Try to do this twice daily – morning and before bed.

Now, diet! Hold on, don’t roll your eyes yet. Try to reduce oily, spicy, and processed food that could aggravate Pitta. Opt for foods that are mild, sweet, and cooling – like cucumber, watermelon, and sweet potato. Oh, and drink plenty of water!

Since there’s itching, I'd talk about bathing. Add a bit of neem powder or leaves in warm water for a soak. Neem's got this great antibacterial and soothing property. Just don’t use too hot water, it can worsen the itching.

Internally, you might wanna look at some herbs. Triphala is a solid option to balance stuff out and keep your bowels moving, which is essential. Talk to a practitioner nearby to ensure dosages and compatibility.

Also, ahh, stress, it’s a silent trigger. Breathing exercises? Try Pranayama for a few minutes each day. It helps settle both mind and body.

Lastly, if things get worse or you notice more irritation, reach out to a medical professional. Stay safe!

Dyshydrotic eczema - #189

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