hyperpigmentation and hair fall - #31753
pigmentation in neck underarm elbowhas bile stone hair fall during shower and combing no sugar no bp knee pain in rightleg sometimes body will pain at night during sleep leg hands fingers.grey hair also present due to hair dye my face skin is infected like dry flakes


Doctors’ responses
Amlaki rasayana-1 teaspoon with warm water at morning Neemghan vati- Giloyghan vati-one tablet twice daily after food with warm water Dashamoola aristha- Mahamanjistadi aristha-2 teaspoon each with equal quantity of water twice daily after food Drink plenty of fluids Avoid spicy oily sour fried fermented food Apply Alovera gel over face daily Kumkumadi tailam- gentle to be done at the pigmented area Bringaraja taila -scalp massage to be done
Your symptoms suggest, toxin, buildup, and weak digestion, causing pigmentation, pain, and hair fall Take Himalaya neem capsules 1-0-1 Khadira aristha 15-0-15 ml with water Alovera gel - apply over face Indulekha hair oil Drink warm water throughout the day Triphala hurna-0-0-1 tsp with warm water at bed time
HELLO NANDINI,
Nidana (Ayurvedic causes) Pitta aggravation → pigmentation, gall stones, greying of hair. Vata aggravation → joint pain, dryness, body ache, flakiness of skin. Kapha stagnation → dark pigmentation in neck/axilla, slow metabolism.
Pathya (Diet & Lifestyle) Diet: Warm, freshly cooked, light-to-digest food. Add green leafy vegetables, amla, aloe vera juice, turmeric, sesame, black sesame seeds, curry leaves. Exclude fried, spicy, fermented, excess tea/coffee, chemical foods.
Lifestyle: Regular oil massage (abhyanga) with kshirabala oil or sesame oil. Proper sleep prior to 11 pm. Light yoga & pranayama (especially anulom-vilom, kapalabhati for metabolism, vajrasana post-meals).
Chikitsa (Management) **For Pigmentation & Skin -Manjishta + Sariva + Neem powder – ½ tsp each, with warm water once a day. -External: Use Kumkumadi taila at night or aloe vera gel in daytime.
For Hair Fall & Greying -Bhringraj churna (½ tsp with warm water, at bedtime). -Daily scalp massage with Bhringraj taila or Neelibhringadi taila. -Use amla (fresh or powder) once a day.
For Gallstones -Punarnava + Gokshura + Triphala decoction (mild cleansing, nourishes liver & gallbladder). -Kutki churna (¼ tsp with meals, in honey/warm water).
For Joint & Body Pain -Dashmool kwath (½ cup twice daily). -External: Warm oil application + hot water fomentation.
For Overall Balance -Triphala at night (½–1 tsp in warm water). -Panchakarma (if available) → Virechana and Abhyanga-Swedana will serve deep.
THANK YOU
DR. HEMANSHU MEHTA
Avoid using hair color. Use henna. Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Tab. Bhringraj 2-0-2 Tab. Manjistha 2-0-2 Massage on scalp with Neelibhringraj oil twice a week. Follow up after 4weeks
Hello Nandini ji, The condition of hair and skin are indicators of our overall health. Changes in hair texture, appearance, or growth rate, as well as skin’s color, texture, and presence of rashes or lesions, can reflect underlying health issues. So, internal medicine and external treatment both are needed. Treatment - 1. Neem ghanvati 1-0-1 after meal 2. Mahamanjisthadi kwath 30ml with 30 ml water twice a day after meal 3. Amalaki rasayan+ Black sesame seed powder - 1 tsp with water twice a day before meal 4. Rogan Badam oil -2-2 drops in each nostril either in the morning empty stomach or at bedtime. 5. Apply Aloe vera gel after cleaning the face with rosewater 6. Apply kumkumadi tel on face before bedtime 7. For hair growth - Castor oil mixed with coconut oil- Apply on the hair and massage gently.Use twice a week.
Follow these - 1. Adequate amount of water 2. Eat antioxidant rich food like amla, beans, green tea, spinach etc 3. Clean your towel and pillowcase every week 4. Avoid using makeup or some chemical product especially before sleeping. 5. Boil 1 spoon of triphla powder in 2 glasses of water,let it cool then use this for hairwash once a week. 6. Stress management -Through meditation, walking, journaling etc.
Yoga - 1. Anulom vilom 2. Sheetali 3. Sheetkari 4. Adhomukhashavasan 5. Uttanasan Follow this treatment plan and you will see the difference. Review after 1 month. Regards, Dr. Anupriya
Bhringamalakadi Taila - extly apply and massage for 10 min.-2 times
Jeevamrita Leha or Chyavanaprasha Leha-1 tsf- 2 times after food with milk
3- Shuddha Shilajatu-250mg
+ Saptamrita Loha - 500
+ bhringaraja Churna -3gm with ghee and honey after food 2 times a day
selected hair treatment for three months before you will see results.
Vamana-Ma Virechana-I
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.
For pigmentation
1) kumkumadi oil - for massage on face
2 ) syp raktashodhaka - 10 ml after food 2 times a day
Apply kumkumadi oil on neck, underarm, elbow at bedtime. Laxadi guggul 1-0-1 after food with water . Stop using hair dye, it looks it does not suit you. Instead use natural hair dye like henna. Avoid direct Sun rays exposure use hat or use umbrella when going out during the day Apply Aloe vera gel on face .
1.Manjisthadi kwath 20 ml with 20 ml water twice daily 2.Arogyavardhini vati 2 tab twice daily with water 3.Kumkumadi oil-massage 2-3 drops on the pigmented area and leave it overnight 4.Amalaki rasayan 1 tsp with warm milk twice daily
The symptoms you’re describing could be linked to an imbalance in your doshas, particularly an aggravated Pitta dosha. Hyperpigmentation, such as darkening of the neck, underarms, and elbows, often reflects excess Pitta, manifesting as discoloration and heat in those areas. Bile stones and excessive hair fall may also point towards Pitta imbalance.
First, addressing your diet is essential. Focus on cooling, Pitta-pacifying foods. Incorporate foods like cucumber, coconut water, melons, and aloe vera juice. Avoid spicy, oily, and fried foods, as they can exacerbate the condition. Drinking a glass of warm water with a teaspoon of apple cider vinegar before meals can help improve digestion.
For hair fall, a gentle scalp massage with bhringraj or coconut oil mixed with a few drops of rosemary essential oil can improve circulation and strengthen the roots. Do this twice a week. Stay clear of harsh chemicals in hair dyes; consider natural henna as an alternative if covering grey hairs is important.
For skin health, use natural cleansers like besan (gram flour) mixed with milk or rose water to cleanse the affected areas on your neck and face. Applying a paste of turmeric and sandalwood with a splash of milk on dry, flaky skin can soothe and heal over time.
Considering your knee pain, gentle yoga stretches can provide relief and improve circulation. Add turmeric and ginger to your meals for their anti-inflammatory properties. Check your seating posture; prolonged sitting or poor posture also contribute to joint pain.
Due to complexity of your symtoms, consider visiting an Ayurvedic practitioner for a personalized approach. Persistent or severe conditions, such as visible stones, warrant immediate medical evaluation to rule out any severe complications. Always consult with a healthcare provider before starting any new treatment.
HELLO NANDINI,
From your symptoms -pigmentation in skin folds- neck, underarm, elbow -hairfall during shower and combing -premature greying -dry, flaky facial skin -body pains at night, knee pain, finger stiffness -gall stones - bile stone
In Ayurveda, this suggests mainly Pitta imbalance (heat, bile, metabolism disturbance) along with vata imbalance (dryness, hairloss, joint pains)
-PITTA controls color, digestion, liver-bile function. when aggravated-> pigmentation, gallstones, skin issues, early greying
-VATA controls movement, dryness, nerves. When aggravated-> hairfall , body pain at night, flaky skin
-KAPHA may play a small role in skin fold pigmentation due to sluggish metabolism
so, your condition is Pitta-vata dominant with rakta (blood) and asthi (bone, hair) dhatu involvement
TREATMENT GOALS -Correct pitta-> for pigmentation, liver, gallstone, premature greying -balance vata-> for dryness, body pain, hairfall -purify rakta dhatus -> for skin discoloration, flaking -nourish asthi dhatu-> for hair and joints -prevent recurrence-> by improving digestion, metabolism, and lifestyle
INTERNAL MEDICATIONS
1) AROGYAVARDHINI VATI= 1 tab twice daily after meals for 3 months =cleanses liver, corrects bile disorders, reduces pigmentation, helpful in gallstones
2)TRIPHALA CHURNA= 1 tsp with warm water at bedtime =gentle detox, improves digestion, reduces skin problems, prevents constipation
3) MANJISTHA GHAN VATI= 500mg twice daily after meals for 3 months =blood purifier, reduces dark pigmentation, clears skin
4) BHRINGARAJ CAPSULES= 1 cap twice daily with warm water for 3 months =hair tonic, prevents hairfall, delays greying, supports liver
5) DASHMOOLA KASHAYA= 25ml + equal water twice daily before meals for 2 months =reduces vata, relieves body pain, nourishes joints
6) GANDHAK RASAYANA= 1 tab twice daily with ghee =for skin healing, anti-inflammatory
EXTERNAL APPLICATIONS
FOR PIGMENTATION -Apply fresh aloe vera gel + a pinch of turmeric daily -Manjistha + sandalwood + honey paste once weekly on affected areas
FOR HAIR -oil massage with Neelibringadi taila twice a week (warm oil ) -Avoid chemical dyes-> use Heena + amla + indigo herbal mix for colouring
FOR DRY FACE -Apply Kumkumadi Taila 2-3 drops at night, massage gently -Or simple organic coconut oil if skin is very dry.
DIET -ghee small amounts daily -milk with a little turmeric at night -fresh fruits pomegranate, apple, papaya, black grapes -vegetables like bottle gourd, pumpkin, ash gourd, leafy greens -soaked almonds, raisins, dates -whole grains like old rice, barley, wheat -moong dal , green gram
AVOID -very spicy, oily, fried food -sour foods- vinegar, pickles, excess tomatoes -tea, coffee in excess -chemical dyes, junk food, packaged snacks
HOME REMEDIES -Amla juice 10-15ml in morning-> for hair and skin -coriander seed water-> soak overnight, drink in morning for pitta balance -Fenugreek seed water-> strengthens hair and digestion
LIFESTYLE -sleep early , wake early -avoid late nights- increases vata-pitta -gentle oil massage once weekly with sesame/coconut oil
YOGA -shashankasana= calming -bhujangasana= improves digestion, liver -vajrasana after meals= helps digestion -setu bandhasana= for joints and circulation
PRANAYAM -Nadi sodhana= balances vata pitta -sheetali/sheetkari= cooling, reduces heat/pitta -bhramari= calming for stress, supports hair health
INVESTIGATIONS -LIVER FUNCTION TEST= since gallstones and pigmentation linked to liver -LIPID PROFILE= gallstones linked to cholestrol -VITAMIN D and CALCIUM= for knee/joint pain -THYROID PROFILE= as thyroid issues can cause pigmentation + hairfall -CBC -> to check anemia, which can worsen hairfall
Your symptoms are a combination of lifestyle-related metabolic imbalance leading to gall stones, skin and hair issues, and body pain
Ayurveda focuses not just on temporary relief, but on root cause correction -cleaning liver and blood -nourishing hair and skin -reducing pain and dryness -correcting lifestyle
If you follow internal medicines 3 months, external care, proper diet, and stress management you should gradually notice -lightening of pigmentation -reduced hairfall -better skin tecture -relief from joint/body pains -improved digestion and energy
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
The symptoms you’re describing seem to indicate an imbalance in your doshas, primarily pitta and vata doshas. The pigmentation issues, as well as the bile stones, suggest excess pitta, whereas hair fall and joint pain often points towards vata imbalance. Addressing these imbalances requires a comprehensive approach.
For pigmentation and bile stones, it is advisable to follow a diet that pacifies pitta. Avoid spicy, oily, and acidic foods which can aggravate pitta. Incorporate cooling foods like cucumbers, watermelon, and coconut water. A blend of herbs like Amalaki (Indian gooseberry), Guduchi (Tinospora cordifolia), and Neem can help in detoxifying the body. You could consider a teaspoon of triphala powder mixed with warm water at bedtime to aid digestion and detoxification process.
To deal with hair fall, improving your scalp health is key. Oil your scalp once or twice a week with Brahmi and Bhringraj oil. Eating foods rich in iron, healthy fats and vitamin C, such as almonds, sesame seeds, and amla can help nourish the hair. A gentle head massage before shower can stimulate scalp circulation and reduce hair fall.
Knee pain and the body’s tendency to ache at night could be alleviated by practicing calming yoga stretches before bedtime. It can help balance vata and keep joints supple. Rasna powder boiled in water can be taken once a day to reduce joint pain. Also, maintaining a consistent sleep schedule and keeping warm during cold nights is useful.
Your dry flaky skin on the face could be improved by reestablishing moisture. Applying a gentle herbal face pack using aloe vera and pinch of turmeric twice a week can soothe and hydrate. Avoid chemical-laden skin products which may aggravate the infection.
If symptoms persist or worsen, consult an ayurveda practitioner and consider having blood tests done to rule out deeper underlying conditions. Immediate medical consultation is wise for any sudden, unexplained changes or pain.

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