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Pigmentation on face and fourhead
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Skin and Hair Disorders
Question #28264
21 days ago
135

Pigmentation on face and fourhead - #28264

N.S

Pigmentation on face check and fourhead and also white patches on my face skin irritation on my face I am suffering from five years......................................................................

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Doctors’ responses

Avoid, oily, dairy products and bakery products. Regular exercise. Increase intake of raw vegetables and fruits. Take antiworm treatment.

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Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
18 days ago
5

Do the deworming of your body Albendazole 1 tab per week for 2 weeks Use fungifall ointment on your white patches Sit in the sun during morning time for 15 min Khadiradi tab 2BD A/F . This will cure it

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Kaishore guggulu Neemghan vati-1 tablet each twice daily after food with warm water Mahamanjistadi aristha-4 teaspoon with equal quantity of water twice daily after food Kumkumadi taila-1 to 2 drop gentle massage over the pigmented area

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When dealing with pigmentation issues on face, forehead, and white patches with skin irritation, it’s important to consider an Ayurvedic approach, understanding any underlying imbalances in your doshas and lifestyle factors that may contribute to the symptoms. Based on Ayurveda, skin pigmentation issues can often be linked to an imbalance in Pitta dosha, which governs heat and metabolism.

First, let’s address pigmentation and skin irritation. Consuming Pitta-pacifying foods can help cool the body’s internal heat. Focus on incorporating cooling, calming foods such as cucumbers, melons, and leafy greens into your diet. Avoid spicy, fried, and overly hot foods which can aggravate Pitta dosha. Instead, replace them with foods like coconut water, and consume a glass of fresh aloe vera juice daily to help soothe the skin internally.

Secondly, topical application of specific Ayurvedic herbs can offer relief. A paste made from sandalwood powder, rose water, and a pinch of turmeric may be applied to the affected areas. This can help soothe irritation and support skin lightening, providing a cooling effect to reduce Pitta dominance. Use this paste once a day, allowing it to dry before rinsing off with lukewarm water.

For the white patches, which might suggest a condition such as vitiligo, it is essential to consult a dermatologist to ensure accurate diagnosis. Ayurveda often looks at balancing the immune system. Bakuchi (Psoralea corylifolia) is an herb traditionaly used for such skin conditions. Mix a small amount of Bakuchi oil with coconut oil and lightly apply to the white patches, being careful as it’s quite potent.

Incorporating yoga and meditation into your routine can significantly aid in balancing doshas. Practices such as Shitali and Sheetkari Pranayama are cooling techniques particularly beneficial for Pitta imbalances.

Ensure regular sleep patterns and practice deep breathing exercises. If symptoms persist or worsen, it’s crucial to seek further consultation with a healthcare professional specialized in dermatological issues.

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Apply kumkumadi oil at night keep overnight Apply aloevera gel during the day When going out during the day use Sunscreen SPF 50+ Donot expose your self to direct Sun rays wear hat or use umbrella when going out Mahamanjistadi kadha 10ml twice daily after food with water will help purify your blood. Use besan powder+ curds+ manjista powder+ turmeric powder apply on pigmented areas keep for 10 minutes and wash with water. Follow up after 1 month

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1.Mahanjisthadi kwath 20 ml with 20 ml water twice daily, after meal 2.Gandhak Rasayan 2 tab twice daily with water, after meal 3.Kumkumadi tailam- apply on the pigmented area at night 4.Bakuchi oil-apply on the white patches twice daily

Avoid eating too much curd and fishes Avoid fried and processed food items Avoid spicy and sour food items Avoid using chemical products on your skin

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
17 days ago
5

Simple Remedies

1. Prepare paste from turmeric and milk of Calotropis procera, apply on the affected area.

2. Apply the paste prepared from turmeric & sandal wood with rose water.

3. Apply the paste of Terminalia Arjuna.

4. Make a paste of nutmeg (Jaiphal) with raw milk. Apply on pimples and black heads leave on for 20 minutes.

1.)Arogyavardhini rasa-500mg +gandhaka rasayana-500mg +khadira Churna-2gm +nimbadi Churna-2gm- 1 hr after food

2.) Manjishtadi Taila or Kumku-madi Taila (external) apply v2 times

3.) Syrup- raktashodhaka-20ml after food with water 2 times

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Your symptoms of pigmentation and white patches could be linked to various factors that might include an imbalance in doshas, particularly pitta dosha, which governs inflammation and skin health. Pitta imbalance can lead to skin conditions like pigmentation, irritation, and white patches. Here are some suggestions to help restore balance:

1. Dietary Changes: Avoid spicy, oily, and fried foods that can aggravate pitta. Include cooling foods like cucumber, coriander, and sautéed greens. Stay hydrated with plenty of water and herbal teas made from fennel, coriander, or mint.

2. Detoxifying Herb: Consider using Manjistha (Rubia cordifolia), an Ayurvedic herb known for its skin-healing properties. You can take it in tablet form or as a powder. Consult with a local practitioner for the appropriate dosage.

3. Skin Application: Prepare a paste of sandalwood powder and rose water. Apply this on the affected areas of the face, leave it for 15-20 minutes, then rinse with lukewarm water. This helps in cooling and soothing the skin, reducing irritation and pigmentation.

4. Routine: Maintain a consistent skincare routine, cleansing your face daily with a gentle, natural cleanser. Avoid harsh chemical-based products that might irritate your skin further.

5. Lifestyle Adjustments: Stress can exacerbate skin conditions. Engage in relaxing practices such as yoga, pranayama (breathing exercises), and meditation to calm the mind and balance doshas.

If your symptoms persist or worsen, it’s important to consult with a healthcare provider to rule out underlying conditions like vitiligo or dermatological issues that may need immediate attention. Remember, these Ayurvedic approaches take time to show results, so be patient and consistent with your practice.

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HELLO,

From what you have described- pigmentation on the face and forehead, white patches, irritation for 5 years- your condition could be mixed presentation

1) HYPERPIGMENTATION (vyanga/melasma like changes)- dark patches due to sun, hormones, stress, or pitta imbalance

2) DEPIGMENTATION (shwitra/vitiligo like patches)- white areas because of disturbed pigment production (melanocytes affected), linked to autoimmune tendencies and pitta-vata imbalance

3) SKIN IRRITATION= points to rakta dushti (impure blood) and agni imbalance (weakened digestion/metabolism)

Ayurveda sees this as a long term imbalance of pitta +vata dosha with blood and liver involvement

TREATMENT GOALS -Remove root cause (dosha imbalance + metabolic toxins) -purify blood and correct liver functions-> because skin reflects internal blood health -Restore pigmentation balance (increase melanin in white patches , reduce excess melanin in dark patches) -Soothe skin irritation and inflammation -Strengthen immunity and digestion -sustain long term results through diet and lifestyle changes

INTERNAL MEDICATIONS

1) KHADIRARISHTA= 20 ml with equal water after meals twice daily =for skin purification, reduces itching and pigmentation

2) AROGYAVARDHINI VATI= 1 tab twice daily with warm water =improves liver function, reduces skin toxins, balances pitta

3) MANJISTHA GHAN VATI= 2 tabs twice daily after meals =potent blood purifier, anti-inflammatory, helps pigmentation

4) NEEM CAPSULES= 250 mg twice daily =purifies blood, reduces itching, supports skin healing

5) BAKUCHI CAPSULES= 125 mg once daily in morning then kindly increase dose =promotes pigmentation in white patches (deworming)

DURATION= minimum 3 months for visible results

EXTERNAL TREATMENT

1) KUMKUMADI TAILA= bedtime application on pigmented dark area- evens skin tone

2) BAKUCHI TAILA (diluted with coconut oil 1:5 ration)= apply gently on white patches(it may irritate skin)

3) FRESH ALOE VERA GEL= daily soothing for irritation and cooling

4) SANDALWOOD + TURMERIC PASTE= reduces pigmentation ad irritation (use 2-3 times a week)

DIET -bitter an detoxifying foods- neem leaves (tender make chutney and have), karela, methi -fruits= pomegranate, papaya, apple, guava -vegetables= green leafy veg, bottle gourd, ridge gourd -spices= turmeric,cumin, coriander, fennel -warm water with manjistha or guduchi tea

AVOID -incomptible food= milk + fish, curd+milk, sour fruits with milk (causes skin disease) -very spicy, oily, Fried foods -junk, packaged, fermented foods -excessive sour and salty items (pickles, vinegar, excess citrus) -daytime sleeping and late night sleeping (disturbs doshas)

YOGA ASANAS -Sarvangasana, bhujangasana, matsyasana- improve blood circulation to face and skin) -Surya namaskar (gentle, if no severe irritation)

PRANAYAM -Anulom vilom= balances all doshas -Sheetali and sheetkari= cools down pitta (heat) in body -Bhramari= reduces stress and calms mind

DAILY ROUTINE -Apply coconut oil to body before bath to soothe vata-pitta -maintain stress free lifestyle meditation helpful

HOME REMEDIES -turmeric + honey paste= apply on pigmented areas, wash after 20 min -Aloe vera fresh gel= apply on white patches and irritated areas daily -Neem water wash= boil neem leaves in water, cool, use for face wash -Papaya pulp mask= improves pigmentation, nourishes skin

Since this is 5 years chronic, some investigations needed -CBC, LFT , Blood suagr= rule out anemia, liver issues, diabetes -Thyroid profile= thyroid imbalance often linked with pigmentation and vitiligo -Vit D and B12= deficiency worsen skin problems

-Your condition is chronic but manageable Ayurveda aims at root correction- balancing digestion, purifying blood, and restoring skin pigment naturaly -Treatment requires patience 3 months minimum with strict diet and lifestyle discipline

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
11 days ago
5

Your skin issue seems to be a combination of -Comedones(blocked pores- whiteheads and blackheads -Inflammatory acne- pustules with pain -sensitive skin, worsened by touching/ popping acne.

In Ayurveda, this typically relates to an imbalance in pitta and kapha doshas -pitta aggravation-> inflammation, redness,irritation -Kapha aggravation-> oiliness, clogged pores

INTERNAL MEDICATIONS

1) GANDHAK RASAYANA= 1 tab twice daily after meals =purifies blood , reduces inflammation

2) NEEM CAPSULES= 2 cap daily in morning =detoxifies blood and skin

3) AROGYAVARDHINI VATI= 1 tab twice daily after meals =helps regulate liver and skin health

4) MANJISTHA CHURNA= 1 tsp with honey after meals =reduces pigmentation and pitta

5) TRIPHALA CHURNA= at bedtime 1 tsp with warm water =detox and digestion support

TOPICAL CARE- FOR SENSITIVE, ACNE-PRONE SKIN

CLEANSING(twice daily) -mild herbal cleanser with neem, tulsi or aloe vera =avoid foaming, drying cleansers

TONING(very helpful) -rose water or diluted apple cider vinegar(few drops in water) =dab lightly using cotton- reduces inflammation

MOISTURIZING -aloe vera gel(Pure) or kumkumadi taila(non comedogenic versions) at night in very small quantity =avoid heavy creams or oils

SPOT TREATMENT -paste of neem + turmeric + sandalwood with rosewater- apply on acne spots only

DIET AND LIFESTYLE(very important)

AVOID -fried, oily, spicy, and fermented foods -milk and dairy esp. cold milk or panner -excess sugar or junk foods -heavy night meals or late eating

INCLUDE -warm water sipping through the day. -fresh fruits- pomegranate, papaya ,amla -light, digestible meals -turmeric in food or golden milk at night if tolerated

MIND AND DIGESTION CONNECTION -stress increases acne. Try pranayam(anulom-vilom, sheetali) daily -Maintain bowel regularity with triphala or fibrous food (flaxseeds, warm water with lemon in morning)

SIMPLE HOME AYURVEDIC MASK -1 tsp multani mitti -1/4 tsp turmeric -1/2 tsp sandalwood powder -rose water to make a paste apply gently, avoid scrubbing, leave for 10-15 minutes and rinse with cool water. Follow with aloe vera.

WHAT TO AVOID -scrubbing or over washing -picking or popping acne(can trigger more irritation even if no scarring now) -overuse of cosmetic products or facials -using hot water on face

THANK YOU

DR. HEMANSHU MEHTA

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I am someone who kinda learned early that medicine isn’t just about protocols or pills—like, it’s more about people, right? I did my BAMS with proper grounding in both classical Ayurveda and also the basics of modern med, which honestly helped me see both sides better. During internship, I got to work 6 months at Civil Hospital Sonipat—very clinical, very fast paced—and the other 6 at our own Ayurvedic hospital in the college. That mix showed me how blending traditional and integrative care isn't just theory, it actually works with real patients. After that I joined Kbir Wellness, an Ayurvedic aushdhalaya setup, where I dived into Naadi Pariksha—like really deep. It’s weird how much you can tell from pulse if you just listen right?? Doing regular consultations there sharpened my sense of prakriti, vikriti and how doshas show up subtle first. I used classical Ayurvedic texts to shape treatment plans, but always kept the patient’s routine, mental space and capacity in mind. Also I was part of some health camps around Karnal and Panipat—especially in govt schools and remote areas. That part really stays with me. You get to help ppl who dont usually have access to consistent care, and you start valuing simple awareness more than anything. I kinda think prevention should be a bigger focus in Ayurveda, like we keep talking about root cause but don’t always reach people before it gets worse. My whole method is pretty much built around that—root-cause treatment, yes, but also guiding patients on how to live with their body instead of fighting symptoms all the time. I rely a lot on traditional diagnostics like Naadi, but I mix that with practical therapies they can actually follow. No point in giving hard-to-do regimens if someone’s already overwhelmed. I keep it flexible. Most of my plans include dietary changes, natural formulations, lifestyle corrections and sometimes breathwork, daily rhythms and all that. I’m not here to just “treat illness”—what I really aim for is helping someone feel like they’ve got a handle on their own health again. That shift from just surviving to kinda thriving... that’s what I look for in every case.
5
572 reviews
Dr. Prasad Pentakota
ChatGPT said: I am Dr. P. Prasad, and I’ve been in this field for 20+ years now, working kinda across the board—General Medicine, Neurology, Dermatology, Cardiology—you name it. Didn’t start out thinking I’d end up spanning that wide, but over time, each area sort of pulled me in deeper. And honestly, I like that mix. It lets me look at a patient not just through one lens but a whole system-wide view... makes more sense when treating something that won’t fit neatly in one category. I’ve handled everything from day-to-day stuff like hypertension, diabetes, or skin infections to more serious neuro and cardiac problems. Some cases are quick—diagnose, treat, done. Others take time, repeated check-ins, figuring out what’s really going on beneath those usual symptoms. And that’s where the detail matters. I’m pretty big on thorough diagnosis and patient education—because half the problem is ppl just not knowing what’s happening inside their own body. What’s changed for me over years isn’t just knowledge, it’s how much I lean on listening. If you miss what someone didn’t say, you might also miss their actual illness. And idk, after seeing it play out so many times, I do believe combining updated medical practice with basic empathy really shifts outcomes. Doesn’t have to be complicated... it just has to be consistent. I keep up with research too—new drugs, diagnostics, cross-specialty updates etc., not because it’s trendy, but cuz it’s necessary. Patients come in better read now than ever. You can’t afford to fall behind. The end goal’s the same tho—help them heal right, not just fast. Ethical practice, evidence-based, and sometimes just being there to explain what’s going on. That’s what I stick to.
5
344 reviews
Dr. Neha Saini
I am Vaidya Neha Saini and Ayurveda’s not just my work—it’s kind of like my language of healing, a thing I live by, day in and out. I did my BAMS from Shree Krishna Govt Ayurvedic College in Kurukshetra and later finished MD in Ayurveda from Dr. D.Y. Patil Vidyapeeth, Pune (that place had a different kind of energy honestly). With more than five yrs of clinical experience under my belt, I’ve kinda shaped my path around treating chronic issues, long-drawn imbalances and lifestyle disorders that modern life throws at people without warning. My way of working isn’t about chasing symptoms. I try to understand what’s really going on underneath—it’s like the root cause matters more than just quieting the noise. I use classical Ayurvedic principles but I also keep an eye on modern clinical understanding, ‘cause you can’t ignore how medicine’s growing every day, right? Most of my cases come in with problems like skin conditions—psoriasis, eczema, sometimes hormonal stuff like PCOS or thyroid weirdness, joint stiffness, back pains, post-stroke situations, or nervous system setbacks that need slow but steady support. And for all that, I plan treatment around them, not some fixed protocol. Which means a mix of herbs, Panchakarma detox when needed, food tweaks, even small shifts in daily routine… all matching their prakriti and vikriti. I also do online consults 'cause a lot of folks don't always get to travel or access real Ayurveda nearby. I just feel like everyone should have a shot at natural healing, even if it's through a screen. One thing I try hard to never skip: listening. Really listening to people. Sometimes they don’t even know how to say what's wrong, but they feel it—and that matters. For me, trust is the main pillar, and treatment flows from there. Ayurveda for me isn’t a toolkit or a clinic-only thing. It’s like—how you eat, sleep, breathe, connect with seasons or stress. It’s everywhere. And everytime someone walks in confused, tired or just stuck with some health loop, my aim is to sit beside them—not ahead—and figure the way out together. Not fast fixes, but deep, steady change. That's what I show up for every single time.
5
12 reviews
Dr. Maitri Bhavesh Kumar Acharya
I am Dr. Maitri, currently in my 2nd year of MD in Dravyaguna, and yeah, I run my own Ayurvedic clinic in Ranoli where I’ve been seeing patients for 2 years now. Honestly, what pulled me into this path deeper is how powerful herbs really are—when used right. Not just randomly mixing churnas but actually understanding their rasa, virya, vipaka etc. That’s kinda my zone, where textbook knowledge meets day-to-day case handling. My practice revolves around helping people with PCOD, acne, dandruff, back pain, stiffness in knees or joints that never seem to go away. And I don’t jump to giving a long list of medicines straight away—first I spend time figuring out their prakriti, their habits, food cycle, what triggers what… basically all the small stuff that gets missed. Then comes the plan—herbs (single or compound), some diet reshuffling, and always some lifestyle nudges. Sometimes they’re tiny, like sleep timing. Sometimes big like proper seasonal detox. Being into Dravyaguna helps me get into the depth of herbs more confidently. I don’t just look at the symptom—I think okay what guna will counter this? Should the drug be snigdha, ushna, tikta? Is there a reverse vipaka that’ll hurt the agni? I ask these questions before writing any combo. That’s made a huge diff in outcomes. Like I had this case of chronic urticaria that would flare up every week, and just tweaking the herbs based on sheetala vs ushna nature... helped calm the system in 3 weeks flat. Not magic, just logic. I also work with women who are struggling with hormonal swings, mood, delayed periods or even unexplained breakouts. When hormones go haywire, the skin shows, digestion slows, and mind gets foggy too. I keep my approach full-circle—cleansing, balancing, rejuvenating. No quick fixes, I tell them early on. What I’m hoping to do more of now is make Ayurveda feel practical. Not overwhelming. Just simple tools—ahara, vihara, aushadha—used consistently, with some trust in the body’s own healing. I’m still learning, still refining, but honestly, seeing people feel in control of their health again—that’s what keeps me rooted to this.
5
273 reviews
Dr. Keerthana PV
I am an Ayurvedic doctor who kinda grew into this path naturally—my roots are in Kerala, and I did my internship at VPSV Ayurveda College in Kottakkal, which honestly was one of the most eye-opening stages of my life. That place isn’t just a college, it’s a deep well of real Ayurveda. The kind that’s lived, not just studied. During my time there, I didn’t just observe—I *practiced*. Diagnosing, treating, understanding the patient beyond their symptoms, all that hands-on stuff that textbooks don’t really teach. It’s where I learned the rhythm of classical Kerala Ayurveda, the art of pulse reading, and how Panchakarma ain’t just about detox but more about deep repair. I work closely with patients—always felt more like a guide than just a doctor tbh. Whether it's about fixing a chronic issue or preventing one from happening, I focus on the full picture. I give a lot of attention to diet (pathya), routine, mental clutter, and stress stuff. Counseling on these isn’t an ‘extra’—I see it as a part of healing. And not the preachy kind either, more like what works *for you*, your lifestyle, your space. Also yeah—I’m a certified Smrithi Meditation Consultant from Kottakkal Ayurveda School of Excellence. This kinda allowed me to mix mindfulness with medicine, which I find super important, especially in today’s distracted world. I integrate meditation where needed—some patients need a virechana, some just need to breathe better before they sleep. There’s no one-size-fits-all and I kinda like that part of my job the most. I don’t claim to know it all, but I listen deeply, treat with care, and stay true to the Ayurvedic principles I was trained in. My role feels less about ‘curing’ and more about nudging people back to their natural balance... it’s not quick or flashy, but it feels right.
5
118 reviews

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