For addressing dark circles and melasma in the Siddha-Ayurvedic tradition, it’s important to look at potential pitta imbalances affecting the skin. Begin by applying a paste of sandalwood and rose water to the affected areas. This should be done daily, ideally in the evening, leaving it on for about 20 minutes before rinsing with lukewarm water. Additionally, consider incorporating neem and turmeric in your diet, as they are known to purify the blood and may help in improving skin health. Drinking adequate water throughout the day also aids in maintaining clear and hydrated skin.
Regarding rheumatoid arthritis, there are a few strategies within Ayurveda that may support your existing medical regimen. You can try applying warm castor oil on the affected joints, massaging gently to improve circulation without overstraining. Practicing gentle yoga focusing on flexibility can often be beneficial, but you’ve to be mindful not to stress the joints.
Diet-wise, consider prioritizing foods that pacify vata dosha, like warm, cooked vegetables, whole grains, and good fats such as ghee. Avoid cold, dry, or overly processed foods which can aggravate vata further. Herbal formulations like Ashwagandha or Guggulu may support joint health, but it’s critical to discuss any plans with your healthcare provider first given your current medication regime.
Keep communication open with your doctor, particularly with your ongoing medications methotrexate and tofacitinib involvement. These are integral to your treatment, and complementing them safely with Ayurvedic practices requires careful coordination. Take a balanced approach, and observe any changes closely, keeping medical professionals informed of all therapies you’re using together.



