How to erase post inflammatory Hyperpigmentation? - #26368

Don’t worry Ruchi, **Avoid excessive spicy, sour,salty food etc. And start taking, 1.Mahamanjishthadi kwath 20 ml with equal amount of Lukewarm water empty stomach twice in a day. 2.khadirarishta 20ml with equal amount of Lukewarm water just after having meal twice in a day. 3.Gandhak rasayana 1-1-1 4.Neem tab.1-1-1 **Daily Massage your face with NALPAMARADI OIL. **Massage your face with few drops of KUMKUMADI TAILAM at bed time only… **Apply paste of Raktachandana powder +Manjishtha powder +Mulethi powder and then wash it off with cold water… **Follow up after 1 month.

HELLO RUCHI,

WHAT IS LPP? Lichen Plans pigmentation is a chronic, progressive dermatological condition characterised by: -Dark brown to grey black pigmentation on sun-exposed or flexural areas - often triggered or worsened by sunlight, heat or inflammation - itching or burning on sun exposure -resistant to fading, even with treatment

AYURVEDIC PATHOGENESIS

PITTA DOSHA= heat, inflammation, and pigmentation RAKTA DHATU DUSHTI= impaired blood tissue function- responsible for skin color KUSHTA(skin disorder)= LPP can be categorised under minor Kshudra kushtha VYANGA= localised pigmentation due to pitta-raita vitiation AMA= toxin accumulation due to weakness digestion BHRAJAKA PITTA DUSHTI= disruption in skin pigmentation metabolism(skin pitta sub-type)

So, the root of the disease lies in- -vitiated pitta and rakta dhatu - ama(toxic byproducts of improper digestion) - sun exposure and stress aggravating bhrajak pitta

AYURVEDIC MANAGEMENT OF LPP

1) DETOXIFICATION

AT HOME

FOR 1ST 3 DAYS

- TRIKATU CHURNA= 1/2 tsp with warm water before food 30 mins before twice daily

-HINGWASTAKA CHURNA= 1 tsp with warm water after food twice daily

on 3rd day eat light food like khichdi at night

on 4th day VIRECHANA PROCEDURE - TRIVRIT LEHA= 50 gm with warm milk early morning after that don’t eat anything just have warm water -you will observe loose motions 5-10 times

this will detoxifies your body

after motions stops have light food for that day

THIS PROCESS WILL ELIMINATE EXCESS PITTA AND TOXINS

INTERNAL MEDICATIONS(start from day 5) these are meant to purify blood, cool down the body, balance pitta and improve skin tone

1) BLOOD PURIFIERS

-MAHAMANJISTHADI KASHAYA= 30 ml twice daily before meals with water = reduces pigmentation, detoxifies blood

-SARIDVADYASAVA= 20 ml twice daily after meals with water = pitta pacifier, reduces itching and heat

-GUDUCHI CAPSULES= 1 cap twice daily in morning and night = immunity and pitta regulation

2) LIVER AND PITTA REGULATORS

1) AROGYAVARDHINI VATI= 1 tab twice daily after meals =liver detox , skin health

2) AVIPAATIKAR CHURNA= 1 tsp at bedtime with warm water = improves digestion, reduces pitta

3) ANTI-PIGMENTATION LEPA AND RASAYANA -yastimadhu+haridra+chandan+ rose water paste = 3 times/week - 1 tsp sandalwood powder+ 1 tsp mulethi powder + 1 tsp manjistha powder+cucumber huice= 20 min leave and then wash

TOPICAL AYURVEDIC TREATMENT

NIGHT OIL APPLICATIONS

1) KUMKUMADI TAILA= 5 drops on affected area =reduces pigmentation, even tones

2) ELADI TAILA= whole body application before bath =prevents darkening, calms skin

3) NALPAMRADI TAILA= for facial pigmentation =brigthens dull skin

SUNPROTECTION(very imp for LPP) -Apply sunscreen with SPF 30-50 -use natural sun blockers= aloevera, cucumber juice , turmeric paste -cover skin with cotton clothes, hats, umbreallas -avoid sun exposure between 10 AM- 4PM

DIET AND LIFESTYLE

AVOID PITTA AGGRAVTING FOODS -spicy, sour, fermented, fried, junk food -red meat, alcohol, vinegar, excess salt - pickles, tamarind, tomatoes, brinjal

PREFER -bitter vegetables= kerala, neem, methi - amla, pomegranate, coconut water, buttermilk - turmeric milk with ghee - mung dal, barley, ghee, bottle gourd

LIFESTYLE TIPS -practice cooling pranayam= sheetali, sheetakari, anulom vilom -sleep early and avoid screen exposure before bed -reduce stres- LPP often worsens with emotional strain -bath with cool or lukewarm water not hot

EXPECTED OUTCOMES -1-3 MONTHS= reduced itching, fewer new pigmentation lesion -3-4 MONTHS= gradual fading of superficial pigmentation LONG TERM= if sun protection+ ayurvedic regime is followed, Pigmentation stabilises and skin tone evens out slowly

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

hello Ruchi,

Thank you for clearly mentioning the condition. Since your lichen planus is inactive and only post-inflammatory hyperpigmentation (PIH) remains, your focus can now be on gentle skin renewal, melanin regulation, and Ayurvedic support for even tone especially with your wedding coming up.

Lichen planus, once healed, leaves behind dark spots or patches due to melanin overproduction where the skin was inflamed. These marks fade slowly, but with the right topical care and internal support, we can boost natural skin turnover, lighten the area, and prevent new pigmentation.

Treatment Plan: 1. Ama Pachana (first 5 days – to support metabolism):

Avipattikar Churna – 1 tsp with warm water before breakfast and dinner Guduchi Churna – ½ tsp with lukewarm water once daily (increases skin immunity)

2. Skin Brightening & Pigment Correction (After 5 days):

Internal:

Manjishthadi Kwatha – 15 ml with equal warm water twice daily after meals Sarivadyasava – 15 ml with equal water twice daily after meals Triphala Churna – 1 tsp at bedtime with lukewarm water (detox + gut cleanse)

External:

Kumkumadi Tailam – apply 2-3 drops at night on the affected area, leave overnight (Start 2–3 times a week and increase gradually if no irritation) Use Ubtan made of Multani Mitti + Manjishta Powder + rose water – apply twice a week for 15 mins

Skincare Routine: Face wash: Use Aloe vera or Turmeric-based herbal face wash (gentle, no chemicals) Avoid harsh scrubs or creams with steroids Always apply sunscreen in the morning (SPF 30+) – crucial to prevent further darkening

Diet Tips: Avoid excess tea/coffee, fried, fermented, and spicy foods Add more pomegranate, gooseberry (amla), and green leafy vegetables Drink warm water infused with coriander seeds (soak overnight) — helps lighten pigmentation

Investigations (if not done): Vitamin D and B12 (low levels delay skin healing) Fasting blood sugar (if skin healing is slow or sticky discoloration)

Do you have a history of sun sensitivity or recurring skin eruptions? Have you used any chemical treatments, peels, or bleaching products recently?

Let’s begin early and you’ll see a noticeable improvement by your wedding. Wishing you glowing skin and a joyful celebration ahead. Regards, Dr. Karthika

You can start on Neemghan vati Kaishore guggulu- 1 tab twice daily after food with lukewarm water Khadira aristha Mahamanjistadi aristha- 2 tsp each with equal quantity of water twice daily after food Kumkumadi tailam- 1 drop gentle massage over face Apply Alovera gel along with rice flour and sandalwood paste daily

Hi Ruchi this is Dr Vinayak as considering your problem… You just apply yastimadhu churna with milk Or manjista with milk and rose water… It will help you clear your face Use Dermaflex soap for face

Addressing post-inflammatory hyperpigmentation in Ayurveda focuses on balancing your doshas and optimizing skin health from within. Since you’ve mentioned the marks aren’t active, we can concentrate on reducing pigmentation and evening out skin tone. Here’s how you can approach it.

Firstly, think about your diet, it plays a significant role in skin health. Include cooling and healing foods that pacify Pitta dosha, such as cucumber, aloe vera, and coriander. Drink plenty of water to help flush out toxins. A teaspoon of turmeric mixed in a glass of warm milk can act as a natural anti-inflammatory and skin-lightening remedy, consumed nightly.

Topical applications are also essential. You might consider making a paste using sandalwood powder and rose water. Apply it to the affected areas, leave it for 15-20 minutes, and rinse with lukewarm water. Yashtimadhu (licorice) has properties known to reduce hyperpigmentation. You may try applying it diluted with a base like aloe vera gel twice a day.

Ashwagandha and amla powders, taken orally, can support skin health, acting as adaptogens and rich sources of antioxidants. Take 1 teaspoon a day mixed in warm water or with honey, but consult an Ayurvedic practitioner to ensure these align with your dosha needs.

Consider gentle self-massage with kumkumadi oil nightly, promoting circulation and skin renewal. Use circular motions, especially on the affected areas.

Avoid direct sun exposure as much as possible, and always apply a natural sunscreen if you’re stepping out. These approaches aim to provide lasting and effective results, preparing your skin for your special day. Remember, consistency is key with these natural remedies and expect to see gradual improvements.

For addressing post-inflammatory hyperpigmentation from lichen planus, especially with your wedding coming up, integrating principles from Siddha-Ayurveda can be quite effective. Your constitution and specific dosha balance (likely Pitta imbalance in this case) will guide this healing process. Here’s a comprehensive approach:

1. Diet and Lifestyle: Cool your Pitta by favoring a diet rich in bitter, astringent, and sweet tastes. Incorporate foods like cucumber, lettuce, and melons. Avoid spicy, oily, and fermented foods. Support your skin and overall health by drinking plenty of water to stay hydrated.

2. Herb Application: To lighten hyperpigmentation, apply a paste of herbal compounds. Mix turmeric powder with sandalwood powder or Manjistha (Rubia cordifolia) in equal amounts, and add a bit of rose water to make a paste. Apply this paste gently on affected areas and let it stay for 20-30 minutes before rinsing off with lukewarm water. Repeat daily.

3. Internal Remedies: To balance the doshas and cleanse from within, a preparation like Avipattikar churna can be useful. Take 1/2 teaspoon after meals to aid digestion and enhance metabolism, supporting the natural clearing of skin imperfections.

4. Facial Steam: Once weekly, steer with neem leaves or tulsi (Holy Basil) in the water. This helps to open pores and promote circulation, aiding the healing process.

5. Medicated Ghee: Consider using Mahatikta ghee internally, a small amount daily, to consume on an empty stomach. It balances Pitta and promotes tissue rejuvenation.

Stay consistent with these practices leading up to your wedding, as natural approaches generally take some time to show visible results. However, persistent hyperpigmentation should still be assessed by a professional to rule out any other conditions.