How to treat melasis on body . I had taken medications from 7 months no response - #32260

Melasis, or hyperpigmentation, often relates to imbalances in the body’s doshas - primarily Pitta and sometimes Kapha. From an Ayurvedic perspective, addressing these imbalances involves lifestyle, dietary adjustments, and specific herbal remedies.

First, dietary changes are crucial. Focus on a Pitta-pacifying diet, which means consuming cooling, soothing foods like cucumbers, cilantro, and watermelon. Steer clear of spicy, oily, and acidic foods as they can increase Pitta. Ensure your meals include plenty of fruits and vegetables which are bitter and astringent. Tridoshic elements like ghee and milk can also be calming to the system. Hydration is key: drink plenty of room-temperature water throughout the day.

In terms of lifestyle, manage excess heat by avoiding excessive sun exposure. Wear loose, breathable clothing made from natural fibers like cotton to reduce skin irritation. Practice cooling breathing exercises like Sheetali Pranayama - inhale deeply through a rolled tongue and exhale through the nose. This can help reduce internal heat and alleviate itching.

Herbal remedies can be beneficial, too. A paste made from sandalwood powder and rose water can be applied to affected areas. Turmeric possesses anti-inflammatory properties; it can be mixed with milk or yogurt and applied as a mask. Aloe vera, directly from the plant, applied to skin may provide soothing relief from irritation.

Internal herbal preparations may include Ayurveda classics like Manjistha, which purify blood and support clear skin. Guduchi (Tinospora cordifolia) is another potent herb which reduces Pitta-associated conditions. Consult a qualified Ayurvedic practitioner to determine the exact dosha imbalance and tailor these remedies safely.

Despite these suggestions, if there’s no notable improvement, consider visiting a healthcare professional to exclude underlying conditions. Immediate care is crucial if there is severe irritation or spreading. Always explore holistic advice tailored to personal prakriti and current lifestyle.

For treating melasis effectively, it’s essential to manage vitiated doshas, particularly Pitta and possibly Vata, while also supporting your body’s agni or digestive fire. The combination of heat, irritation, and the progression from itchiness to patches suggests a need to regulate internal heat and moisture balance.

First, focus on cooling and soothing measures. Aloe vera gel can be applied to the affected areas twice a day to help calm the skin and reduce inflammation. Ensure that the gel is pure, preferably straight from the plant, to avoid any added chemicals.

Incorporate a herbal formulation such as a paste made from sandalwood (Chandana) and turmeric (Haridra). Mix equal parts of sandalwood powder and turmeric with a little water to create a paste. Apply this mixture to the black patches and let it sit for 20-30 minutes before gently rinsing off. Perform this once a day.

Internally, to pacify Pitta, include more cooling foods like cucumbers, melons, and green leafy vegetables. Reduce or avoid Pitta-aggravating foods such as spicy dishes, tomatoes, and sour fruits. Keeping hydrated with water, coconut water, buttermilk, or herbal teas like coriander or fennel can help detoxify the system.

Regularly practicing Pranayama, especially Sheetali or Sheetkari, can help cool down the body internally. Do it in the morning, about 15-20 minutes daily, to manage systemic heat.

However, due to the persistent nature of your condition and lack of improvement with previous medications, I urge consulting an Ayurvedic practitioner for a thorough evaluation. They can offer detailed guidance aligned with your prakriti (constitution) and the current state of doshas. Persisting symptoms could also indicate an underlying imbalance needing a more intensive treatment plan. Consider seeking immediate attention if symptoms worsen or if you develop any new systemic issues.