HELLO BAL,
I’m sorry to hear that you’re dealing with such persistent and painful symptoms. Hidradenitis suppurative (HS) can be incredibly challenging, especially when it’s chronic and affecting sensitive areas like the vulva or groin.
-Avoid friction, tight clothing, and shaving in affected areas -use antibacterial washes like chlorohexidine
In Ayurveda, HS symptoms resemble “VIDRADHI” (deep abscess) or “DUSHTA VRANA” (chronic wounds), caused by imbalance in the pitta and kapha doshas, along with rakta dushti (vitiation of blood)
INTERNAL MEDICATIONS
1) PATOLKATUROHINYADI KASHAYA= 20 ml with equal water twice daily before meals =blood purifier, reduces inflammation and skin infections
2) PANCHATIKTA GHRITA GUGGULU= 2 tabs twice daily after food with warm water =purifies blood, supports healing of chronic wounds and abscesses
3) SARIVADYASAVA= 25ml with equal water after meals =blood purification, cooling, reduces burning and itching sensation
4) NIMBADI GUGGULU= 2 tabs twice daily after meals =antibacterial, balances pitta-kapha, effective in pustular and cystic skin lesions
5) HARIDRA KHANDA= 1 tsp twice daily with warm milk =anti inflammatory, anti allergic, supports skin immunity
6) GANDHAK RASAYANA= 1 tab twice daily after meals with water =acts as a rejuvinator improves skin healing reduces pus and infection
LOCAL TREATMENT
1) TRIPHALA DECOCTION WASH -clean affected area once/twice daily with lukewarm triphala decoction =acts as antiseptic and promotes healing.
2) NEEM PASTE -can be applied topically on intact skin or early lesions- not open wounds =antibacterial and antiinflammatory
DIET AND LIFESTYLE
-warm, cooked, easy to digest food -moong dal khichdi, rice, boiled steamed veggie -bitter vegetables= neem, Karela, methi , turmeric -spices= turmeric, cumin, coriander, fennel -adequate hydration -loose,breathable cotton underwear
AVOID -dairy-especially curd and cheese -red meat ,eggs -sugar, fried and fermented foods -alcohol,smoking or excessive caffeine -tight clothing or synthetic underwear
LIFESTYLE -gentle yoga no pressure on affected area -meditation and pranayam to reduce flare up triggers from stress -adequate sleep and hygiene
THANK YOU
DR. HEMANSHU MEHTA
There is no cure for hidradenitis suppurativa, ayurvedic treatment can ease your symptoms and help prevent flaring. Apply aloevera gel to sooth irritated skin. Sitz bath twice daily with triphala kwath. Take mahamanjistadi kadha 15 ml twice daily after food with water Kishore guggul 1-0-1 after food with water Avoid,if any kind of addiction.
Don’t worry, And start taking1.Kanchnaar guggulu 1-0-1 for chewing 2.khadirarishta 20ml with equal amount amount of Lukewarm water just after having meal twice in a day. 3.Kaishore guggulu 1-0-1 for chewing 4.Gandhak rasayana 1-1-1 5.Manjishta powder 1tsf with Lukewarm water twice in a day. **wash your affected area with the help of PANCHVALKAL KWATH… follow up after 45 days…
hello bal, You’re 58, and living with recurrent vaginal cysts for 4 years, along with chronic conditions like lichen simplex, hidradenitis suppurativa, and irregular heartbeat, your body is signaling deep-seated chronic inflammation, suppressed immunity, and tissue-level imbalance. Repeated antibiotic use is giving only temporary relief, but not addressing the root cause and over time, it may actually increase the sensitivity and recurrence.
In Ayurveda, this kind of condition is considered a Dushta Yonivyapad, mainly involving Pitta-Rakta-Vata dushti along with chronic Kapha-Srotorodha (blockage and fluid stagnation). The cysts are not only local; they’re a manifestation of accumulated toxins (Ama), hormonal imbalance, and long-standing tissue-level damage. That’s why lichen simplex, HS, and cysts are overlapping they are all auto-inflammatory in nature, aggravated by poor lymphatic drainage and internal heat.
But yes with internal detox, immune modulation, and consistent care, you can ease the symptoms and reduce recurrence. It needs a patient but steady effort.
Internal Medicines (6–8 weeks minimum): Guggulutiktaka Kashayam – 15 ml + 45 ml warm water before food, twice daily Kaishora Guggulu – 2 tabs twice daily after food Sudarshan Vati – 2 tabs twice daily to reduce chronic inflammation and prevent infections Punarnavadi Mandura – 1 tab twice daily (helps in tissue repair, supports liver and blood) Kanchanara Guggulu – 2 tabs at bedtime for cyst resolution External Therapies (if possible at home or in clinic): Sitz bath (Yoni avagaha) with Triphala + Neem + Turmeric decoction – 15 mins daily Gentle yoni pichu (cotton swab dipped in Jatyadi Taila or Nirgundi Taila) – insert locally for 15 mins after bath, if comfortable Local application: Lodhra + Manjistha + Yashtimadhu paste (mix with rose water) over vulvar area 3 times/week
Pathya (Diet and Routine): Start your day with warm water + 1 tsp cow ghee Include bitter and astringent tastes – methi, neem, turmeric, karela, lauki, beetroot, moringa Eat freshly cooked food, avoid leftover or cold food Hydrate with coriander + fennel seed water Take 5 soaked almonds, 7 raisins, and 2 dates every morning
Avoid (Apathya): Curd, cheese, paneer, non-veg food during active flare Cold water, fridge food, reheated leftovers Sugary snacks, bread, bakery items Tight undergarments, synthetic fabrics Stress, sleep disturbance
Investigations to Rule Out Underlying Aggravators: HbA1c (check sugar profile if diabetic tendency suspected) CRP, ESR (for inflammation tracking) Pelvic USG (to reassess cyst type/structure) Vitamin D3 and B12 levels Pap smear if not done recently
This kind of condition needs layered healing not just symptomatic relief. We have to cool the inflammation, detoxify, repair tissues, and support hormonal-liver-lymphatic function. With patience and gentle Ayurveda, it’s absolutely possible to reduce your discomfort and bring long-term relief.
If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika
Hello Bal ji, Thank you for sharing your concern. I can undrrstand your concern regarding recurrent vaginal cysts especially if painful and treated only with antibiotics for year but dont worry we are here to help. You out😊
AYURVEDIC TREATMENT PLAN ✅ INTERNAL MEDICATION
1 Kanchanar Guggulu 2-0-2 after food Granthi-nashak (cyst dissolving), reduces gland swelling 2 Triphala Guggulu 1-0-1 (Detox + mild anti-inflammatory) 3 Guggulu Panchapala Churna 1 tsp with lukewarm water at bedtime (Clears deep-seated cystic blocks) 4 Gokshuradi Guggulu 2-0-2 (Urinary & reproductive tract cleanser)
✅ EXTERNAL TREATMENT
1. Sitz Bath daily Boil Neem leaves + Triphala powder (2 tbsp) in 2 litres of water.Reduce to half, strain, and sit in warm decoction for 10–15 mins.Helps drain inflammation, reduce itching and pain.
2 Jatyadi Taila: After bath, gently apply a drop or two externally to reduce inflammation.
✅DIET MODIFICATION
❌Avoid: Excess dairy (milk, paneer, cheese) Spicy, sour, fermented food Non-veg, especially red meat & eggs Refined sugars, fried snacks
✅Include Warm, cooked light meals Moong dal, barley, bottle gourd, ridge gourd Turmeric milk (1 pinch haldi in warm water at night) Amla juice, aloe vera juice (10–15 ml in the morning)
Bal ji, recurrent cysts signal a systemic imbalance, not just a local problem. Antibiotics suppress but don’t resolve root causes. With Ayurvedic treatment you can achieve long-term relief and avoid recurrence.
Wishing you comfort and full recovery soon Warm regards Dr Snehal Vidhate
HELLO BAL,
Hidrandenitis Suppurative is a long-term chronic skin condition where painful boils, lumps, or cysts form under the skin, often in areas where the skin rubs together- like armpits, groin, buttocks and under breasts. In your case, they’re affecting vaginal area, which is particularly painful and sensitive
WHAT HAPPENS Hair follicles get blocked-> sweat glands become inflamed-> infection sets in-> lumps or cysts form-> there burst or leak pus-> scar tissue forms over time
WHY IT HAPPPENS? -it’s not due to poor hygiene it is due to -overactive immune response - hormonal imbalances -genetic predisposition -obesity or friction from tight clothing -smoking or unhealthy lifestyle -excessive sweating
In Ayurveda, HS resembles conditions like “KOTHA”, “VIDHRADHI” or “DUSHTA VRANA”. it involves an imbalance of -Kapha-mucus , heaviness -pitta- heat, inflammation -leading to blocked srotas(body channels)
AYURVEDIC CAUSES -poor digestion(agni dysfunction) -Build up of toxins-Ama -Suppressed emotions like anger/stress-pitta aggravation - improper food combinations- viruddha ahara - excessive intake of spicy, oily, fermented or processed food
TREATMENT GOAL -reduce pain, inflammation and frequency of flare ups -prevent new cysts -promote healing and reduce scarring - enhance immune system and skin health -improve quality of life
INTERAL MEDICATIONS
1) KAISHOR GUGGULU= 2 tabs twice daily after meals with warm water for 3 months = powerful blood purifier, reduces pitta and rakta dhatu vitiation, heals skin lesions and chronic inflammation
2) GANDHAK RASAYANA= 1 tab twice daily after meals with warm water for 2 months =reduces pus formation, improves skin immunity
3) MANJISTHA CAPSULES= 500 mg cap with honey twice daily after meals for 4 months =support blood cleansing, reduces toxins from tissues, improves lymphatic drainage
4) PANCHATIKTA GHRITA GUGGULU= 10 ml of ghrita once daily early morning on empty stomach for 45 days =deep tissue detox, heals chronic wounds, reduce inflammation and corrects immune response
5) TRIPHALA GUGGULU= 2 tabs twice daily after meals for 3 months =clear infection, drying up, improve gut detox, clears channels blocked by kapha
6) NIMBADI KASHAYA= 15 ml twice daily with warm water before meals for 2months =clears pitta kappa disorders, controls infection, itching and pain
EXTERNAL APPLICATIONS
1) TRIPHALA KASHAYA WASH =boil triphala powder in water, strain and wash the affected area daily =mild antiseptic , speeds up wound healing
2) NEEM + TURMERIC PASTE =make a paste of neem leaf powder and turmeric in rose water. Apply on boils for 30 mins, then wash off daily or every alternate day
3) KARANJA TAILA = apply on healed or rupture lesions =improves tissue repair, reduces scarring, anti microbial
LIFESTYLE CHANGES
1) MAINTAIN HYGIENE= gently cleanse with warm water and herbal wash like neem or triphala
2) AVOID FRICTION= wear loose, breathable cotton underwear
3) AVOID SHAVING= consider trimming
4) QUIT SMOKING= strongly linked to HS flare-ups
5) WEIGHT MANAGEMENT= reduces skin folds and friction
6) AVOID HEAT, SWEATING, STRESS= use fans, avoid tight clothing
INCLUDE -warm, cooked foods= soups, stews -bitter vegetables-neem, Karel, methi - turmeric, cumin, coriander - green leafy veggies - amla - herbal teas- ginger, turmeric -coconut water -ghee-small amount, improves digestion
AVOID -dairy-especially cheese, curd -fermented food-idli, dosa, vinegar -sugar, sweets -red meat, deep fried food - spicy, salty, sour items - cold drinks, ice cream
YOGA ASANA -bhujangasana -supta baddha konasana -setu bandhasana - malasana -viparita karani
PRANAYAM -Anulom vilom= balances hormones -Bhramari= reduces stress -Sheetali= reduces body heat -Deep belly breathing= enhances digestion and immunity
STRESS MANAGEMENT stress is a major trigger. include -regular sleep 7-8 hours -gentle nature walks -avoid overthinking -journaling emotions
PERSONAL CARE -use mild, fragrance free soaps -pat dry area, avoid rubbing - use herbal powders- neem , multani mitti to reduce sweat -change undergarments twice daily
TREATMENT DURATION -Ayurveda works gradually= expect improvement in 6-12 weeks with proper routine -long term management may be needed to avoid relapse
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
Understanding your symptoms, which seem to align with a condition like hidradenitis suppurativa, it’s crucial to first emphasize the importance of not discontinuing prescribed medications without consulting your doctor. However, complementary approaches can support your treatment.
Hidradenitis suppurativa often reflects an imbalance, particularly of the pitta dosha, which governs inflammation and heat in the body. To ease your symptoms, focus on pacifying pitta through diet and lifestyle modifications. Avoid spicy, oily, and acidic foods that can aggravate pitta. Include cooling foods like cucumber, melons, and leafy greens. Drink plenty of water and tender coconut water throughout the day to keep yourself hydrated and cool.
Use turmeric, known for its anti-inflammatory properties, by consuming it with warm milk, ideally before bed. Applying a paste of turmeric and sandalwood at the site can provide relief and support detoxification. Do this once daily for a week and observe changes.
Regular kanchanar guggulu, an ayurvedic preparation, can promote healing of skin tissue and alleviate the issue. Take it as per the guidelines on the package or as advised by an Ayurvedic practitioner.
Maintain proper hygiene; gently clean affected areas with neem or tulsi (holy basil) infused water, known for their antibacterial properties, and dry thoroughly, ensuring no moisture retention.
Gentle yoga asanas, like marjariasana (cat pose) and bitilasana (cow pose), can support lymphatic circulation which is beneficial. Practice for 15 minutes daily in a calm environment. Avoid harsh movements or high-intensity workouts that increase friction or sweat.
Please share developments or persisting severity with a healthcare provider since it is essential for monitoring a condition like this. Remember, integrative approaches can be supportive but should never replace professional medical treatments.
1stly hidradenitis suppurativa never cured by internal medicine and only way and best treatment is ksharasutra therapy and never reccurancce HP is like sinus tracks is cured by only ksharasutra application not by internal medicine
Are the cysts are pus filled?? Are you seeing any improvement after taking antibiotics??
