Dry skin withwhite flaky skin on nose side, chin ear inside itching, in scalp hair fall - #25354

1.Tikthakam kwatham tab 2-0-2 before food 2.Krimighna vati 1-0-1after food 3.Haridhrakhanda ½tsp(4-5times daily ) 4.Thriphala tab 2 at bedtime 5.Psorakot gel for ext.application (over dry skin )

*Please do a blood test of vitamin D , IgE and ESR

*Avoid too oily sour salty spicy and sweet food *Avoid Maida and its products *Avoid carbonated and soft drinks *Avoid non veg items fishes (Prawns,squids, etc) , Beef, chicken *Take 3-4litres of water /day *Improve more vegetables and fruits (Avoid Brinjal ,which cause more irritation) *Avoid curd, if want you can have buttermilk

🟠Use neem oil for scalp and on body 🟠Avoid fermented processed, packed food, no bekary product no maida, no oily spicy food, no pickle, papad. 🟢Mahatiktaghrut- half table spoon add 1 to 2 sips of luke warm water have it empty stomach daily in the morning at least 2 months. 🟢Tab: Sukshma triphala 2 tablets 2 times in a day after food for 15 days. 🟢Sarivadyasav 2 table spoon + same quantity luke warm water after breakfast and dinner for 1 month. 🟠No harsh body soap. 🟠Not to much hot water for bath. 🟠Use pure cotton clothes .

Don’t worry, First of all avoid excessive spicy, sour,salty,sweet food,sesame seeds,pea,brinjal etc… And start taking1.Mahatiktak kwath 15 ml with 30 ml of Luke warm water empty stomach twice in a day. 2.Gandhak rasayana 1-0-1 3.khadirarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 4.Mulethi powder 1 tsf once in a day … 5.manjishtha powder 1 tsf once in a day… Apply few drops of KUMKUMAADI TAILAM OVER THE AFFEXTED areas of your face at nignt… Follow up after 30 days…

HI SRILAKSHMI , so what you’re going through the dry itchy scalp, flaky facial skin, pigmentation, asthma, and gastric issues are all deeply connected. In Ayurveda, this points to a Vata-Pitta imbalance, meaning your body is both too dry and overheated inside. That dryness affects your skin and gut, while the heat causes inflammation and pigmentation. After delivery, your body went through Dhatukshaya (tissue depletion), and without full recovery, it left your system sensitive. That’s why your skin became dry and discolored, your digestion slowed, and even your immunity weakened. Your asthma from childhood shows your Pranavaha Srotas (breathing channels)have always been weak and in Ayurveda, lungs and skin are closely connected. So now your body is dry, undernourished, and inflamed at the same time. These symptoms match conditions like Vicharchika, Charma Kandu, and Kshudra Kushta, which all come from deeper imbalances, not just external triggers. So we can’t just use creams we need to heal your gut, nourish your blood, cool your system, and strengthen your immunity. With the right herbs, oils, and food, your skin and breath will both start calming down and rebuilding.

1. Internal Medicines

-Arogyavardhini Vati – 1 tablet after food, twice daily Detoxifies liver, clears pigmentation, and supports gut health -Avipattikar Churna – 1 tsp at bedtime with warm water Improves digestion, reduces gastric heat, clears toxins -Manjisthadi Kashayam – 15 ml with warm water, twice daily before food Purifies blood, reduces itching, clears facial pigmentation -Chandraprabha Vati – 2 tablets at night Balancing, anti-allergic, improves urinary and skin metabolism -Haridrakhandam – 1 tsp with warm milk in the morning Soothing for itching, anti-inflammatory, supports immunity -Chyawanprash (light version) – 1 tsp daily Nourishes lungs, balances Vata, rejuvenates skin post-delivery

2. External Applications

1.For Scalp & Hair Use Neelibhringadi taila or Kayyunyadi Taila, warm it slightly and apply 2–3 times a week 2.Wash with Shikakai + Reetha + Amla powder or mild herbal shampoo 3.For Face & Skin Face lepa (mask) – Mix Manjistha powder + Yashtimadhu + Rose water – apply on pigmented areas 3x/week 4.Moisturize daily with Kumkumadi taila or Eladi taila diluted in few drops of coconut oil For Body Itching 5.Use Nalparamadi taila or Eladi keram before bath Bathe with green gram (moong) powder instead of soap 6.Final rinse with Triphala decoction once a week

ADVICES: .Take light, warm, freshly cooked food – avoid leftovers, fermented, or too spicy foods .No curd, cold water, or excess dry foods

Include:

-Soaked almonds, raisins, dry figs -Moong dal soup, rice, ghee -Herbal teas: jeera + dhania + tulsi -Sleep early, avoid late-night screen use -Keep skin covered when outside, avoid harsh soaps and scrubs

Investigations Advised: CBC, ESR Liver function test Serum Vitamin D & B12 Thyroid Profile Fasting glucose + insulin (optional) Skin scraping (KOH test) if scaling is too much or spreads fast THANK YOU ,

REGARDS - DR.KARTHIKA

Hello Srilakshmi V, Thank you for sharing your health concerns. I can understand your concern regarding your skin, scalp, pigmemtation gastric issue, itching. But dont worrry we are here to help you out😊

** AYURVEDIC PERSPECTIVE**

👉Vata–Pitta Dushti with Rasa Dhatu Kshaya (nutritional tissue decreased ) 👉Dryness + heat due to aggravated Vata and Pitta 👉Mandagni (low digestive fire) ➡️Ama that is toxins ➡️ skin, scalp, and gut issues

➡️As you have history of asthma it further causes chronic Kapha imbalance

** AYURVEDIC PLAN OF TREATMENT**

✅ Dry Flaky Scalp & Hair Fall

☑️ Oil Treatment – 3 TIMES A WEEK Neelibhringadi taila / Durvadi taila - warm oil apply on head half. Hour before bath and wash it with mild herbal shampoo (like Shikakai or rita ) 👉Use a soft neem comb and avoid hot water head bath ☑️ Herbal Hair Mask – 1×/week Mix Aloe vera pulp + Amla powder + Brahmi powder + Rose water and apply for 30 mins 👉it soothes dryness, helps in reduceing flakes and also nourishes hair follicles

✅For Facial Pigmentation & Dry Skin

☑️Lodhra + Manjistha + Yashtimadhu churna Mix with rose water + aloe vera gel apply as face pack 3 times a week ☑️ Raktachandan choorna mix with raw milk apply on fave once a week ☑️ Kumkumadi taila Lightly massge on face at night
☑️Nalpamaradi taila Massage face before bath (20 mins) helps in improving pigmentation and also improves face dullness ☑️ keep light coating of eladi coconut oil on itching areas

✅ Internal Ayurvedic Medicines

1 Khadirarishta 30ml-0-30ml with equal water after food ( Detoxifies skin and blood) 2 Yashtimadhu churna ½ tsp with honey morning & night (For asthma and pigmentation) 3 Jeeavamrutham 1 tsp at bed time follwed by warm water ( for hair ) 4 Triphala churna 1 tsp at bedtime with warm water (Cleanses gut and improves overall health)

👉You may need to take this combination for 3–6 months depending on your body’s response

✅ Healing Diet Plan

✅ Include Moong dal khichdi with ghee Bottlegourd, pumpkin, spinach, beetroot Amla, pomegranate, black raisins (soaked) Cumin–ajwain–fennel tea Warm water only – no cold water

❌ Avoid: Milk + salt combination Spicy, sour, oily foods Pickles, tomato, curd (especially at night) Cold, dry foods and late dinners Excess tea/coffee

✅Lifestyle Modification ☑️Anulom Vilom and bhrami shitali (15 mins/day) Reduces asthma, strengthens lungs ☑️Early dinner (before sunset ) Better digestion, skin glow ☑️Abhyanga ( oil massage) with Ksheerabala / Dhanwantaram taila once a week

Ayurveda will help your skin, hair, lungs and digestion from the inside out It may take patience, but your body will improve with consistent support.

Wishing you glowing skin and good health 😊

Warm Regards Dr. Snehal Vidhate

Rx Evenshade cream apply at dark area Agastya Hareetaki 1-0-1 Dadimashtak churna 1/2 tsf before food Chandraprabha vati 1-0-1 Neem tab 1-0-1

Avoid spicy and junked food Practice Bhramari pranayama

HELLO SRILAKSHMI V,

You are experiencing a combination of symptoms -dry , flaky skin on face(around nose, chin), and inside ears -scalp itching with hairfall -facial pigmentation -loss of appetite, gas(gastric issues) -chronic asthama - overall body dryness, itching

All of these issues are connected. In Ayurveda, this is mainly due to imbalance in vata and pitta doshas, with some involvement of kapha in asthma.

VATA DOSHA IMBALANCE -dryness, rough skin, hairfall -gas, constipation, variable appetite - insomnia or poor sleep - nervous system sensitivity - excess movement in body and min

PITTA DOSHA IMBALANCE -skin pigmentation -burning or inflammation -heat in digestion - emotional irritation or anger

KAPHA DOSHA -in Asthama, mucus accumulation in lungs - blockages, heaviness, sluggish digestion

So we are seeing a vata-pitta aggravation with chronic kapha influence in lungs

TREATMENT GOALS

1) BALANCE VATA= reduce dryness, itching, hairfall, gas 2) CALM PITTA= reduce pigmentation, inflammation 3) SUPPORT KAPHA IN LUNGS= manage asthama gently 4) IMPROVES DIGESTION= key to all healing 5) NOURISH SKIN AND HAIR from within and outside 6) BUILD OJAS= to prevent recurrence

INTERNAL TREATMENT

* FOR SKIN AND PIGMENTATION

1) KHADIRASTISHTA= 15ml with equal water after meals twice daily

2) MAHAMANJISTHADI GHANVATI= 1 tab thrice daily after meals

3) GANDHAK RASAYANA= 1 tab twice daily after meals

4) AROGYAVARDHINI VATI= 1 tab twice daily after meals helps liver and pigmentation

* FOR HAIR FALL AND SCALP DRYNESS

1) NARASIMHA RASAYANA= 1 tsp daily with warm milk at bedtime

2) CHYAWANPRASHA= 1 tsp in morning for immunity

3) TRICHUP CAPSULES= 1 cap twice daily after meals

* FOR DIGESTION AND GAS

1) AVIPATTIKAR CHURNA= 1 tsp before meals with warm water

2) TRIKATU CHURNA= 1/2 tsp with honey twice daily after meals

* FOR ASHTAMA 1) SHITOPALADI CHURNA + TALISADI CHURNA + YASHTIMADHU CHURNA= mix equal part, take 1 tsp with honey daily in morning and night (very effective for asthama)

EXTERNAL TREATMENT

EXTERNAL OIL APPLICATIONS

1. NEELIBHRINGADI TAILA- massage warm oil 30 mins before bath for 4 times/week(ref- sahasra yoga)

2. DHURDHURAPATRADI TAILA- for scalp dryness and dandruff = twice/week(ref- bhaisajya ratnavali)

3. BRAHMI-AMLA OIL- infuse oil with fresh amla and brahmi leaves regularly use

FOR FRIZZ- use coconut or sesame base for INFLAMATION- use amla infused cooling oils

POTENT HERBAL PACKS FOR SCALP

1)CLASSIC HAIR PACK -bhringaraj churna- 1 tsp -amla powder- 1 tsp -hibiscus powder- 1 tsp -aloe vera pulp- 2tbsp Apply 1 hour before bath; rinse with herbal decoction

2)RAKTA- SODHANA SCALP LEPA -Manjistha+lodhra+triphala+sandalwood+rose water =apply during pitta-aggravated stages, especially with itching or scalp redness

ESSENTIAL FOODS -cow milk+ghee= builds Ojas, nourishes dhatu -black sesame seeds= asthi dhatu enhancer -soaked almonds(5-6)= omega 3+ protein -fresh amla(or juice)= rasayana, anti-pitta -moong dal khichdi= easily digestible -curry leaves(raw/chutney)= rich in iron and vitamin c -dates, figs, raisins= rasa dhatu replenishment

AVOID -spicy, fermented, fried , junk food -late night meals -overconsumption of tea, coffe, carbonated drinks -alcohol, smoking

LIFESTYLE + DAILY ROUTINES

MORNING ROUTINE -Wake before 6 AM= aligns with brahma muhurtha if possible

-GANDUSHA(oil pulling) with sesame oil= removes ama from head and neck

-NASYA= instill 2 drops of ANU TAILA in each nostril every morning- clears srotas, enhances hair nourishment

-SHIROABHYANGA(Hair oiling)- calms vata, strengthens follicles

-LIGHT YOGA- enhances circulation to scalp

HAIR WASH -use herbal decoctions- shikakai, Geetha, amla, powder boiled and filtered -avoid chemical shampoo, hot water -wash 2-3 times/week max

YOGA ASANA -Adho much svanasana(downward dog)= increases scalp blood flow -Sarvangasana= stimulates thyroid, nourishes head region -Shirshasana= direct blood flow to scalp -Ustrasana, Matsyasana= opens up chest and throat, affects hormonal balance

PRANAYAM -Bhramari= calms mind, improves oxygen to hair roots -Anulom vilom= balances vata- pitta -Sheetali/sheetkari= pitta shamak

MEDITATION -daily 15 mins of Trataka(candle gazing)+ Dhyana can help hormonal and mental factors

SPECIAL HIAR DECOCTION BOIL- 1 tsp bhringaraj, 1 tsp brahmi, 1/2 tsp yashtimadhu, 3 cups water-> reduce to 1 cup->drink daily AM or PM

APPLY 2-3 TIMES/WEEK 1) sandalwood+ rose water pack -For cooling and reducing tan -mix 1 tsp sandalwood with rose water apply for 20 mins

2) LICORICE POWDER+ MILK -ligthens dark spots and pigmentation -use as a mask for 15-20 mins

3) TURMERIC + GRAM FLOUR + YOGURT. PASTE -traditional ubtan for tan removal = brightens complexion with regular use.

4) ALOE VERA GEL+ SANDALWOOD POWDER -use at night, soothe skin.

5) KUMKUMADI TAILA - apply 2-3 drops at night = hyperpigmentation

6) NALPAMRADI TAILA= whole body massage 30 mins before bath

FOR EARS -apply ELADI KERAM or warm COCONUT OIL with a cotton bud for dryness

NATURAL HOME REMEDIES -soaked almonds(5) + black raisins(10) = every morning -aloe vera juice(10ml)= empty stomach for skin and digestion -turmeric+ honey= ½ tsp turmeric in 1 tsp honey daily for immunity - triphala churna= 1 tsp with warm water at night for detox and bowel -keep scalp and skin moisturised regularly - use chemical free shampoo -sleep 7-8 hrs and avoid screen time at night - reduce stress, which can worsen vata and skin issues - avoid exposure to dry air, AC, cold wind

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

FEEL FREE TO REACH OUT IN CASE OF ANY DOUBTS

THANK YOU

DR. MAITRI ACHARYA

Kaishore guggulu- Neemghan vati- 1 tab twice daily after food with lukewarm water Sithophaladi churna- 1/4 tsp with honey twice daily Avipattikara churna- 1/2 tsp with water before meals Bringaraja taila- scalp massage to be done Drink plenty of fluids Avoid spicy soup fermented foods

Hi SriLakshmi this is Dr Vinayak as considering your problem… The condition is due to aggravated vata … along with pitta * Just follow proper diet and avoid dry items and spicy food Rx - THUVARAKA TAILA - for external application ( take small amount of oil luke warm it then gently massage over area wash with warm water or apply before bath) then take bath) *T .Arogyavardini vati 1-0-1 after food T gandaka rasayana 1-0-1 after food *

HI Srilakshmi v, Thank you for sharing your concerns in such depth. Based on your symptoms — dry and itchy scalp, facial pigmentation, flakiness around the nose, chin, and ears, chronic asthma, gastric issues, poor appetite, and generalized itching — it’s clear that there’s a deeper systemic imbalance involving primarily Vata and Pitta doshas. Ayurveda sees skin conditions not just as surface-level issues but as reflections of internal disturbance, particularly involving digestion (Agni), blood (Rakta), and immune health (Ojas).

Before initiating treatment, it’s important to understand that in skin diseases, a thorough in-person Ayurvedic consultation is essential. This allows the physician to assess your Prakriti (constitution), Dushti (level of tissue involvement), and severity, ensuring the line of treatment aligns with your individual needs.

Suggested Ayurvedic Management (Based on Your Current Complaints) While personalized care is best, based on the symptoms shared, the following protocol may offer support: 1. Scalp Oil Application

Use Dudhurdhapatradi Taila for gentle head massage

Apply 1 hour before washing the head (2–3 times a week)

2. Herbal Head Wash

Boil a combination of Amalaki, Daruharidra, Manjishtha, and Sariva

Use this decoction to wash your hair in place of chemical shampoos

3. Weekly Scalp Mask (2x/week)

Mix Bhringaraj, Amalaki, and fresh Aloe vera pulp

Apply the paste on the scalp for 30 minutes before rinsing

Internal Medications 1. Arogyavardhini Vati – 2 tablets twice daily 2. Gandhak Rasayan – 2 tablets twice daily 3. Panchatikta Ghrita – 1 to 2 teaspoons twice daily on an empty stomach 4. Panchsakar Churna – 2 grams twice daily with lukewarm water

For External Use While internal cleansing is key, external care also matters:

Keep your skin moisturized with natural oils like Kumkumadi taila or coconut oil

Avoid chemical-based face washes and creams

Dietary & Lifestyle Guidelines (Pathya-Apathya) Foods to Include (Pathya):

Warm, freshly cooked meals with ghee

Moong dal, bottle gourd, barley, Amla

Spices like turmeric, cumin, coriander, fennel

Herbal teas (jeera or ajwain water)

Seasonal fruits (excluding citrus during flare-ups)

Foods to Avoid (Apathya):

Spicy, fermented, fried or overly sour foods

Curd (especially at night), processed snacks, cold drinks

Incompatible food combinations (e.g., milk + salty foods)

Daytime sleeping, stress, and late-night eating

Lifestyle Tips Practice light yoga and Pranayama, particularly Anulom Vilom and Bhramari to support asthma

Maintain a regular eating and sleeping schedule

Avoid exposure to harsh weather, dust, and chemical cosmetics

The combination of skin and respiratory issues you’re experiencing suggests a deep-rooted imbalance that can definitely be addressed with Ayurvedic care, patience, and consistency. I highly encourage you to visit a Ayurvedic physician in person for a detailed evaluation. With proper guidance, many individuals have experienced significant improvement in chronic skin conditions and related symptoms.

Please feel free to reach out if you need help connecting with a practitioner or following the suggested regimen.

Wishing you steady healing and strength ahead

HELLO SRILAKSHMI L,

Chronic issue focusing on - dry skin and scalp itching - white flaky skin on face-sides of nose, chin, ear - hairfall - pigmentation post-delivery - asthma(chronic) -body itching -low appetite and gastric issues

This appears to be vata-kapha imbalance with involvement of pitta: - Vata-> dryness, roughness, hairfall, low appetite - Kapha-> white flakes, itching, sluggish digestion - Pitta-> pigmentation, post delivery hormonal changes, gastritis

INTERNAL TREATMENT

FOR DRY SKIN, SCALP -Mahatiktaka ghrita= 1 tsp with warm water on empty stomach

FOR HAIRFALL -Narayan Taila(internal use)= 10 drops with milk at night

FOR ITCHING AND SKIN ALLERGY -Haridra khanda= 1 tsp twice daily with milk in morning and night

FOR LOW APPETITE/GAS -Hingwastaka churna= 1/2 tsp before meals with warm water twice daily

FOR PIGMENTATION(MELASMA, CHLOASMA) -Mahamanjistha kashaya= 15ml with equal water twice daily after meals

FOR ASTHAMA AND IMMUNITY -Chyawanprasha= 1 tsp daily with warm milk in morning

FOR DIGESTION AND LIVER DETOX -Avipaatikar churna= 1 tsp at night with warm water

EXTERNAL TREATMENT

SKIN CARE -cleanse face with moong dal powder+ rose water - apply Kumkumadi taila at night 2-3 drops - use Nalpamram soap medicated soap

HAIR AND SCALP -weekly scalp massage with Neelibringadi taila - use shikakai+amla+reetha natural natural wash once or twice a week - avoid hot water on scalp

DIET

EAT -warm, oily, freshly cooked food - cow ghee, moong dal, red rice, cooked vegetables - ginger, cumin, fennel, ajwain - herbal teas-ginger, tulsi, cinnamon

AVOID -cold, dry, stale food - curd at night - fermented food, fried food - excessive tea/coffee - white sugar and refined flour

LIFESTYLE AND DAILY ROUTINE -oil massage with Sesame oil before bath - use lukewarm water for bath - practice Anulom Vilom and Bhramari Pranayam - avoid exposure to cold winds=asthama triggers

POST-DELIVERY RECOVERY TIPS -ensure adequate rest, nourishment, and iron rich foods - include dates, almonds, dry figs in diet -gentle yoga, daily walks, and stress management

PANCHAKARMA ADVISED -snehana+ swedana= oil massage and steam - virechana for skin detox - nasya for asthama and skin glow - shirodhara for hormonal and mental balance

Monitor your response every 3-4 weeks Skin and scalp recovery takes 6-8 weeks - hairfall may reduce in 2-3 months with consistent practice

THANK YOU

DR. HEMANSHU MEHTA