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Immunodeficiency
Question #31473
87 days ago
500

lichen planus Hairfall treatment - #31473

Pushpa

Hi I suffer from lichen planus Hairfall which is autoimmune disorder. It is scarring alopecia. I am scared to take any medication and I am just using tropical steroid lotion. Please advise. I would like to know if there is anything in Ayurveda can help with my condition

Age: 45
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Doctors' responses

Hello Pushpa.

If you take treatment you can prevent getting alopecia. Take amalaki rasayan 1-0-1 after food with water Mahamanjistadi kadha 15 ml twice daily after food with Light massage on head with Amala and mahabhringraj hair oil twice weekly keep overnight and wash with mild herbal shampoo. Avoid spicy, sugary, fried,street,foods. Kamdudharas 1-0-1 after food with water Do pranayam daily 5-10mins bhastrika lom -vilom kapalbhatti bhamri. Avoid direct Sun rays exposure on head wear hat or use umbrella when going out during the day.

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HELLO PUSHPA,

Lichen Planus is a rare autoimmune condition where your immune system mistakenly attacks the hair follicles , especially in the scalp. The inflammation destroys the hair follicle permanently- leading to scarring and irreversible hair loss.

KEY FEATURES -patchy hair loss with redness, itching, burning or pain - follicular plugging- scalp looks like small dots or bumps -shiny patches of scalp with no hair follicles- sign of permanent scarring

It’s considered a type of scarring alopecia and a variant if Lichen planus, which can also affect the skin or mucous membranes

In Ayurveda, LPP is viewed as a complex disease involving -vitiation of pitta and vata doshas - involvement of Rakta dhatu (blood tissue) and Mamsa dhatu (muscle tissue) -A condition called Khalitya + Raktadushti + Darunaka + Indralupta aspects

It is chronic and Tridoshaja , especially dominated by Pitta (Inflammation) and Vata (Destruction, dryness, degeneration)

SYMPTOMS YOU ARE EXPERIENCING -patchy hair loss on scalp - redness or inflamed areas -burning or painful sensation in scalp - itchy or tender scalp - no regrowth in some areas(scarring

INVESTIGATIONS NEEDED -Scalp biopsy= most important to confirms LPP diagnosis -Trichoscopy(dermoscopy)- magnified look at scalp -Blood test -ANA (anti-nuclear antibodies) -ESR, CRP (inflammation markers) - Thyroid profile (autoimmune thyroiditis) - Vitamin D, B12 - Iron studies

TREATMENT GOAL -stops or slow down progression of scarring -control inflammation-reduce burning, itching, redness - purify blood and reduce autoimmune response - promote regrowth in non scarred areas - rejuvinate and nourish scalp tissues - prevent recurrence

DETOX THERAPY- if feasible go for panchakarma= best results in cases like yours

-VIRECHANA= purgation =clears excess pitta from liver ,blood and skin. very effective for LPP

-BASTI= especially effective for chronic autoimmune conditions. vata- pacifying basis rejuvinate scalp tissues

-RAKTAMOKSHANA(leech therapy)= useful in active, inflamed patches, reduces burning , pain, and promotes healing

INTERNAL MEDICINES= to be taken for at least 3-6 months

1) KAISHOR GUGGULU= 2 tabs twice daily after meals with warm water =reduces inflammation, purifies blood

2) AROGYAVARDHINI VATI= 1 tab twice daily after meals with water = supports liver detox and skin health

3) MAHAMANJISTHADI KASHAYA= 20 ml twice daily with warm water before meals = excellent blood purifier, acts on skin and scalp inflammation

4) GUDUCHI CAPSULES= 1 cap. twice daily after meals =immunomodulatory, helps correct autoimmunity

5) BRINGARAJ CAPSULES= 1 cap twice daily in morning and at night = hair tonic, supports regrowth in early stages

6) TRIPHALA= 1 tsp with warm water at bedtime =gentle detox, and digestive support

7) BRAHMI VATI= 1 tab at bedtime = reduces stress, calms autoimmune flare ups

EXTERNAL APPLICATIONS

-NEELIBRINGADI TAILA= apply warm oil to scalp, leave for 1 hour then wash = 3 times/week= use for long term

-DURVADI TAILA= good for active inflammation, alternate days until redness reduces

-KUMKUMADI TAILA= for pigmentation, inflammation only at night, few drops to patches

HERBAL HAIR WASH

BOIL AND COOL -AMLA+ REETHA+SHIKAKAI powder(1 tsp each in 1-2 cups water) -strian and use as a mild cleanser

ALSO= ALOEVERA GEL + NEEM WATER RINSE

LEPA -Manjistha+ neem + sandalwood with cow milk or rose water =leave for 45 min then wash use 2-3 times/week

-JATYADI LEPA= for inflamed skin, ulcerated patches

-SIDDHA TAILA + RASOTHAMADI LEPA= once in 10 days

DIET TO BE FOLLOWED -fresh fruits=pomegranate , sweet grapes, amla - Vegetables= bottle gourd, ridge gourd, ash gourd, leafy greens - mung dal -light and etoxifying - rice, whole wheat - cow ghee-small amount, especially medicated ghee - coconut water - turmeric, coriander, fennel, cumin in cooking

AVOID -spicy, sour, fermented foods- pickles , vinegar - deep fired, oily, heavy-to-digest food - over consumption of salt - tea, coffee, alcohol, smoking - excess curd, cheese, panner - non veg food (esp red meat), at least during treatment

LIFESTYLE + YOGA + PRANAYAM

YOGA( 5-20 minutes daily) helps regulate immunity and nervous system. focus on gentle, cooling, and anti stress practices -balasana -shashankasana -viparita karani - supta baddha konasana

PRANAYAM -nadi sodhana -sheetali/sheetakari -bhramari

AVOID -over exertion - over heating - excessive sun exposure - irregular sleep

LONG TERM MANAGEMENT

-BE PATIENT= hair loss due to LPP is often irreversible in scarred areas. but progression can be slowed and some regrowth is possible in early, non scarred follicles

-Early intervention is crucial

-Stress is a major trigger-managing it is as important as medications

DO FOLLOW CONSISTENTLY

THANK YOU

HOPE THIS MIGHT BE HELPFUL

DR. MAITRI ACHARYA

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Ashwagandha capsule Giloyghan vati 1 tab each after food with lukewarm water Triphala churna-1 tsp with warm water at night Bringaraja taila - for massaging hair Avoid chemical based shampoos

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For dealing with lichen planus hairfall, an autoimmune condition, Ayurveda offers various natural approaches focusing on balancing the body’s doshas, particularly if there’s excess pitta, which can manifest as inflammation and skin issues, including lichen planus. First off, maintaining a pacifying diet is integral. Incorporate cooling and soothing foods like cucumber, watermelon, and coconut water, and reduce spicy and acidic foods which can exacerbate pitta imbalance. Meals should be regular and small, promoting proper digestion and assimilation.

To enhance scalp health, a gentle, regular oil massage can be beneficial. Consider using medicated oils like Bhringraj or Bringamalakadi oil, which are traditionally used in Ayurveda, applied twice a week on the scalp to nourish the hair follicles. Apply these oils gently and leave for an hour before rinsing off, using lukewarm water. This may promote blood circulation and reduce dry, scaly patches on the scalp associated with lichen planus.

Herbs play an essential role too. Turmeric, known for its anti-inflammatory properties, can be ingested in moderate amounts—add a pinch of turmeric to warm milk or use it in your cooking. Another herb, Amla (Indian gooseberry), can be significant due to its high vitamin C content and antioxidant properties. A daily intake of Amla juice or powder can potentially help strengthen the immune system and improve skin health.

Digestive health, or ‘agni,’ is paramount in Ayurveda. Maintaining robust agni can be achieved by consuming warm water throughout the day to flush out toxins, aiding in balancing the immune response. Avoid cold foods or drinks as they can dampen digestive fire.

Additionally, stress management is crucial, as stress can trigger or worsen autoimmune responses. Incorporate Ayurvedic practices like relaxation or Pranayama (breathing techniques), and meditation daily. This can calm the mind and body, and reduce stress levels significantly.

While these Ayurvedic remedies can offer support in managing lichen planus, it’s vital to continue monitoring the condition and consult with an Ayurvedic practitioner especially for individualized treatment tailored to your specific needs. Balancing Ayurveda with any existing medications or treatments should be done cautiously. If symptoms persist or worsen, seeking further medical advice is always recommended.

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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.
85 days ago
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1 Bhringamalakadi Taila - extly apply and massage for 10 min. 2 times

2 Jeevamrita Leha or Chyavanaprasha Leha-1 tsf after food 2 times with milk

3.Shuddha Shilajatu-250mg+ Saptamrita Loha - 500mg+ bhringaraja Churna -3gm after food 2 times with honey and ghee Diet and Lifestyle Pathya: Fresh fruits, fresh vegetables, nutritious food, adequate sleep Apathya: Avoid salt, sugar, tobacco, and alcohol. Overconsumption of salt and sugar increases dandruff and hairloss. Avoid large amounts of vitamin A Avoid strong soaps, shampoo or hair sprays. Only use mild castile soaps. Hats and wigs are apt to cause hair to fall out faster, since they limit the air to the scalp.

Avoid tension, stress, worry and hurry.

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Dr. Anupriya
I am an Ayurvedic doctor trained at one of the most reputed institutes (yeah, the kind that makes u sweat but also feel proud lol) where I completed my BAMS with 70%—not just numbers but real grind behind it. My focus during & after graduation has always been on treating the patient not just the disease, and honestly that philosophy keeps guiding me even now. I usually see anywhere around 50 to 60 patients a day, sometimes more if there's a health camp or local rush. It’s hectic, but I kinda thrive in that rhythm. What matters to me is not the number but going deep into each case—reading every complaint, understanding symptoms, prakriti, current state, season changes etc. and putting together a treatment that feels “right” for that person, not just for the condition. Like, I don’t do one-size-fits-all plans. I sit down, make case reports (yup, proper handwritten notes sometimes), observe small shifts, modify herbs, suggest diet tweaks, even plan rest patterns when needed. I find that holistic angle super powerful. And patients feel it too—some who come in dull n restless, over weeks show clarity, skin settles, energy kinda gets back... that makes the day worth it tbh. There’s no shortcut to trust, and i get that. Maybe that’s why patients keep referring their siblings or maa-papa too. Not bragging, but when people say things like “you actually listened” or “I felt heard”, it stays in the back of my mind even when I’m dog tired lol. My goal? Just to keep learning, treating honestly and evolving as per what each new case teaches me. Ayurveda isn’t static—it grows with u if u let it. I guess I’m just walking that path, one custom plan at a time.
85 days ago
5

Hello Pushpa ji, Treatment - 1.Amalaki rasayan -5gm twice a day after lunch and dinner 2. Bhringraj tablet 2-0-2 after meals. 3. Badam Rogan oil - 2-2 drops in each nostril either in the morning empty stomach or at bedtime. 4.For hair growth - Castor oil mixed with coconut oil- Apply on the hair and massage gently.Use twice a week. 5. For dandruff - Tankan bhasma -5gms - Mix it with coconut oil and apply on hair ,leave for 2-3 hours and then shampoo

. Boil 1 spoon of triphla powder in 2 glasses of water,let it cool then use this for hairwash once a week.

Diet- Eat antioxidant and vitamin c,E rich diet . Eat amla, spinach,dates, soaked and peeled almonds. Avoid fast food, oily food. Yoga- Anulomvilom,Adhomukhashavasan, Uttanasan Lifestyle modifications - Take atleast 7 hours of sound sleep. Stress management -Through meditation walking journaling gardening Follow these and you will definitely get results. Follow up after 15 days. Regards, Dr. Anupriya

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Lichen Planus causing hairfall, particularly as alopecia, can indeed be approached with Ayurvedic principles, yet it’s crucial to tread carefully due to its autoimmune nature and potential for scarring. Conventionally, modern medicine aims at suppressing immune response with steroids, which you are using. In Siddha-Ayurveda, the emphasis would be on calming the aggravated doshas, specifically trying to balance pitta dosha, as it often governs skin and hair health issues.

Firstly, addressing your dietary habits is pivotal. Avoid pitta-increasing foods – such as spicy, very sour, and excessively salty foods. Favor a diet with cooling, soothing items: sweet fruits, vegetables like cucumber, pumpkins, and fresh coconut water can be beneficial. Hydration with pitta-pacifying herb-infused water like coriander or cumin seeds might help, ideally consumed at room temperature.

From an herbal perspective, you might consider Brahmi (Bacopa monnieri) in the form of oil or a hair pack, known for its pacifying effects on pitta and calming the mind, which often influences autoimmune conditions. Applying such herbal formulations gently onto the scalp could reduce inflammation and promote a conducive environment for hair follicles. Yet, ensure you test a small patch first due to sensitivity risks.

As for lifestyle, integrating stress management practices, like daily meditation or gentle yoga, specifically Sheetali pranayama, encourages soothing of the body and mind. Rest is essential. Ensure adequate sleep, as it plays a crucial role in immune modulation.

Remember, coordination with your healthcare provider is imperative. Thoroughly consult with a qualified Ayurvedic practitioner to tailor these suggestions to your unique prakriti and ensure safety. Sudden discontinuation of any advised treatment without professional guidance is not advocated. With a focused approach, you might find relief through holistic management.

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I am an Ayurveda practitioner who’s honestly kind of obsessed with understanding what really caused someone’s illness—not just what hurts, but why it started in the first place. I work through Prakruti-Vikruti pareeksha, tongue analysis, lifestyle patterns, digestion history—little things most ppl skip over, but Ayurveda doesn’t. I look at the whole system and how it’s interacting with the world around it. Not just, like, “you have acidity, take this churna.” My main focus is on balancing doshas—Vata, Pitta, Kapha—not in a copy-paste way, but in a very personalized, live-and-evolving format. Because sometimes someone looks like a Pitta imbalance but actually it's their aggravated Vata stirring it up... it’s layered. I use herbal medicine, ahar-vihar (diet + daily routine), lifestyle modifications and also just plain conversations with the patient to bring the mind and body back to a rhythm. When that happens—healing starts showing up, gradually but strongly. I work with chronic conditions, gut imbalances, seasonal allergies, emotional stress patterns, even people who just “don’t feel right” anymore but don’t have a name for it. Prevention is also a huge part of what I do—Ayurveda isn’t just for after you fall sick. Helping someone stay aligned, even when nothing feels urgent, is maybe the most powerful part of this science. My entire practice is rooted in classical Ayurvedic texts—Charaka, Sushruta, Ashtanga Hridayam—and I try to stay true to the system, but I also speak to people where they’re at. That means making the treatments doable in real life. No fancy lists of herbs no one can find. No shloka lectures unless someone wants them. Just real healing using real logic and intuition together. I care about precision in diagnosis. I don’t rush that part. I take time. Because one wrong assumption and you’re treating the shadow, not the source. And that’s what I try to avoid. My goal isn’t temporary relief—it’s to teach the body how to not need constant fixing. When someone walks away lighter, clearer, more in tune with their system—that’s the actual win.
5
179 reviews
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
362 reviews
Dr. M.Sushma
I am Dr. Sushma M and yeah, I’ve been in Ayurveda for over 20 yrs now—honestly still learning from it every day. I mostly work with preventive care, diet logic, and prakriti-based guidance. I mean, why wait for full-blown disease when your body’s been whispering for years, right? I’m kinda obsessed with that early correction part—spotting vata-pitta-kapha imbalances before they spiral into something deeper. Most ppl don’t realize how much power food timing, digestion rhythm, & basic routine actually have… until they shift it. Alongside all that classical Ayurveda, I also use energy medicine & color therapy—those subtle layers matter too, esp when someone’s dealing with long-term fatigue or emotional heaviness. These things help reconnect not just the body, but the inner self too. Some ppl are skeptical at first—but when you treat *beyond* the doshas, they feel it. And I don’t force anything… I just kinda match what fits their nature. I usually take time understanding a person’s prakriti—not just from pulse or skin or tongue—but how they react to stress, sleep patterns, their relationship with food. That whole package tells the story. I don’t do textbook treatment lines—I build a plan that adjusts *with* the person, not on top of them. Over the years, watching patients slowly return to their baseline harmony—that's what keeps me in it. I’ve seen folks come in feeling lost in symptoms no one explained… and then walk out weeks later understanding their body better than they ever did. That, to me, is healing. Not chasing symptoms, but restoring rhythm. I believe true care doesn’t look rushed, or mechanical. It listens, observes, tweaks gently. That's the kind of Ayurveda I try to practice—not loud, but deeply rooted.
5
643 reviews
Dr. Narendrakumar V Mishra
I am a Consulting Ayurvedic Physician practicing since 1990—feels strange saying “over three decades” sometimes, but yeah, that’s the journey. I’ve spent these years working closely with chronic conditions that don’t always have clear answers in quick fixes. My main work has been around skin disorders, hair fall, scalp issues, and long-standing lifestyle stuff like diabetes, arthritis, and stress that kinda lingers under everything else. When someone walks into my clinic, I don’t jump to treat the problem on the surface. I start by understanding their *prakriti* and *vikriti*—what they’re made of, and what’s currently out of sync. That lets me build treatment plans that actually *fit* their system—not just push a medicine and hope it works. I use a mix of classical formulations, panchakarma if needed, dietary corrections, and slow, practical lifestyle changes. No overnight miracle talk. Just steady support. Hair fall and skin issues often feel cosmetic from outside—but internally? It’s about digestion, stress, liver, hormones... I’ve seen patients try 10+ things before landing in front of me. And sometimes they just need someone to *listen* before throwing herbs at the problem. That’s something I never skip. With arthritis and diabetes too, I take the same root-cause path. I give Ayurvedic medicines, but also work with *dinacharya*, *ahar* rules, and ways to reduce the load modern life puts on the body. We discuss sleep, food timing, mental state, all of it. I’ve also worked a lot with people dealing with high stress—career burnout, anxiety patterns, overthinking—and my approach there includes Ayurvedic counseling, herbal mind support, breathing routines... depends what suits them. My foundation is built on classical *samhitas*, clinical observation, and actual time with patients—not theories alone. My goal has always been simple: to help people feel well—not just for a few weeks, but in a way that actually lasts. Healing that feels like *them*, not just protocol. That’s what I keep aiming for.
5
1292 reviews
Dr. Nisha Bisht
I am an Ayurvedic physician with over 10 years of real, everyday experience—both in the clinical side and in managing systems behind the scenes. My journey started at Jiva Ayurveda in Faridabad, where I spent around 3 years juggling in-clinic and telemedicine consultations. That time taught me how different patient care can look when it’s just you, the person’s voice, and classical texts. No fancy setups—just your grasp on nidan and your ability to *listen properly*. Then I moved into a Medical Officer role at Uttaranchal Ayurved College in Dehradun, where I stayed for 7 years. It was more than just outpatient care—I was also involved in academic work, teaching students while continuing to treat patients. That phase really pushed me to re-read things with new eyes. You explain something to students one day and then end up applying it differently the next day on a patient. The loop between theory and practice became sharper there. Right now, I’m working as Deputy Medical Superintendent at Shivalik Hospital (part of the Shivalik Ayurved Institute in Dehradun). It’s a dual role—consulting patients *and* making sure the hospital ops run smooth. I get to ensure that the Ayurvedic care we deliver is both clinically sound and logistically strong. From patient case planning to supporting clinical staff and overseeing treatment quality—I keep an eye on all of it. Across all these years, my focus hasn’t changed much—I still work to blend classical Ayurved with today’s healthcare structure in a way that feels practical, safe and real. I don’t believe in overloading patients or selling “quick detox” ideas. I work on balancing doshas, rebuilding agni, planning proper chikitsa based on the person’s condition and constitution. Whether it’s lifestyle disorders, seasonal issues, chronic cases, or plain unexplained fatigue—I try to reach the cause before anything else. I still believe that Ayurved works best when it’s applied with clarity and humility—not overcomplicated or oversold. That’s the approach I carry into every patient room and every team meeting. It’s a long road, but it’s one I’m fully walking.
5
289 reviews

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Lincoln
17 hours ago
This response was super helpful. The detailed steps and suggestions feel spot on and easy to follow. Really appreciate the practical advice. Thanks a ton!
This response was super helpful. The detailed steps and suggestions feel spot on and easy to follow. Really appreciate the practical advice. Thanks a ton!
Luke
23 hours ago
Wow, thanks a lot for the detailed advice! It was super helpful to get such a clear and practical plan. Feeling better already 😊
Wow, thanks a lot for the detailed advice! It was super helpful to get such a clear and practical plan. Feeling better already 😊
Andrew
23 hours ago
Thanks for the straightforward advice, doc! Appreciate the quick response and will definitely consider setting up a consult to get more personalized guidance. Feels good to have a direction to go in.
Thanks for the straightforward advice, doc! Appreciate the quick response and will definitely consider setting up a consult to get more personalized guidance. Feels good to have a direction to go in.
Christian
23 hours ago
Thanks for cutting through the noise. Your advice made things clearer. Always helpful to get a second opinion like this!
Thanks for cutting through the noise. Your advice made things clearer. Always helpful to get a second opinion like this!