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Seeking Help for Persistent Eczema and Related Symptoms
Skin and Hair Disorders
Question #44990
148 days ago
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Seeking Help for Persistent Eczema and Related Symptoms - #44990

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Good morning Doctor. Avantika Bhattacharya here ( 49 yrs ) .Suffering from very itchy scaly eczema on both sides of both ankles since 2023. Initially diagnosed as Psoriasis but later skin biopsy confirmed eczema or atopic dermatitis. On steroids... Deprobate es plus & Diavobet( topical application). Omnacortil 40 mg 1x 5 days. Taken kenocort injection last December. Sometimes on Predo syrup for 10 days. No improvement, rather it has increased. Also getting cold cough sinus related headaches. Please help 🙏

How long have you been experiencing the itchy scaly eczema?:

- More than 6 months

Have you noticed any specific triggers for your eczema flare-ups?:

- No specific triggers

How would you describe your overall skin condition?:

- Very dry and flaky
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Doctors' responses

Don’t worry take Arogya vardini vati 1tab bd, Pancha tiktha ghrita Guggulu 1tab bd, Gandhak rasayana 1tab bd,vibha ointment Externally apply and avoid alcohol, spicy, wetness

Dr RC BAMS MS

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Namaste​‍​‌‍​‍‌​‍​‌‍​‍‌ Avantika ji, I can understand your concern Eczema can be very annoying when it is a long time and you have to use steroids, injections, and repeated suppressive treatments, but it still gets worse but dont worry we are here to help you out 😊

✅ CURRENT SKIN CONDITION

➡️ Extremely dry and flaky – requires internal + external unctuousness ➡️ Itchy & scaly from 2023 – deep, chronic ➡️ Topical steroids are not working – suggests the need for Shodhana

✅ AYURVEDIC TREATMENT PLAN

✅ SHODHANA (Detox + Srotoshodhana) (This is a light detox that you may perform at home) All these activities can be done at home, and they are safe.

👉 Morning Detox Drink Warm water + 1 tsp Triphala powder + 1 tsp Aloe vera juice Take it daily on an empty stomach.

👉 Once-a-week gentle Virechana (home-based) 2 tsp castor oil + warm milk at bedtime once a week Works to remove Pitta & Ama from the skin channels.

👉 Sinus Steam & Kapha Control

Regular steaming 5–7 mins every evening It helps in headache relief, nasal blockage, & the irritation in postnasal area.

✅ INTERNAL MEDICATION (They are safe, non-steroidal, & skin-healing)

1.Gandhak Rasayana – 2 tabs twice daily after food Extremely helpful in stubborn cases of eczema, itchy skin, dermatitis.

2. Arogyavardhini Vati – 1 tab twice daily Helps to get rid of Ama, improves liver metabolism, very necessary in chronic skin diseases.

3 Mahatiktaka Ghrita – 1 teaspoon on empty stomach Perfect for dry, scaly, long-lasting skin disorders.

4.Haridrakhandam – 1 teaspoon with warm water twice daily Helps to ease itching, allergies, cold–cough, and swelling.

✅ EXTERNAL APPLICATIONS (Steroid-Free Healing)

-Nalpamaradi Taila + Coconut oil mixture Apply on the affected area 30 minutes before bath.

-After bath Apply Kumkumadi Tailam + Aloe vera gel for calming & barrier repairing.

-During extreme flare-ups Apply Purified Shataputi Sutika Lepa Very potent for Vata–Kapha dermatitis.

✅ DIET AND LIFESTYLE PLAN

❌ Foods to avoid (very important)

Curd Milk + fruits combination Stored / fermented food Oily, deep-fried items Maida, bakery items Excess tea/coffee Cold drinks, cold water Peanuts, brinjal, tomatoes (increase itching)

✔️ Foods to include

Always warm water Green moong dal Lauki, tori, parval, leafy veggies Turmeric + black pepper in food Cow ghee (1–2 tsp/day) – very good for skin dryiny Soaked raisins & almonds Only fresh home-cooked food

✅LIFESTYLE ADVICE

✔️ For itching

Wrap the area with a warm towel for 2–3 minutes Do not scratch Keep skin moisturized with oil

✔️ For sinuses/cough Gargling with hot water once a day Do not sleep in AC Keep your feet warm at night

Sleep Go to bed by 10:30 PM Do not use screens 1 hr before sleep

✅SEROID DEPENDENCE

We will lessen the steroid need step by step by strengthening:

– Skin barrier – Immunity – Gut–skin axis – Vata–Kapha balance

Do NOT stop topical steroids suddenly – the risk of flare is very high.

Long-standing eczema Avantika ji does get better but it requires proper Vata–Kapha balancing and detoxification.

Wishing you a good health😊

Warm Regards – Dr Snehal ​‍​‌‍​‍‌​‍​‌‍​‍‌Vidhate

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Take arogyavardhani vati 2 bd Take haridra khunt 5 gm tds Apply mahatikta ghurth and take 5 ml empty stomch at morning

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Doctor has prepared a treatment plan for you
Arogyavardhini Ras - Dhootapapeshwar
AVP Mahakallyanaka Gritham - Arya Vaidya Pharmacy
AVP Haridrakhandam - Arya Vaidya Pharmacy
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Dear Avantika Don’t worry Ayurved treatment helpyou to recover from Atopic eczema Avoid sour, fermented and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap.G.T 2-0-2 Tab.Protekt 2-0-2 Tab.Manjistha 2-0-2 Cutis cream for local application Follow up after 2 weeks.

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You can start on Kayakalpa vati 1-0-1 Kaishore guggulu 1-0-1 Neem capsule 1-0-1 Mahamanjistadi aristha 20 ml -0-20 ml with water Kayakalpa taila - ext appn Avoid spicy sour fermented foods

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Internal Medicines- 1 Mahamanjishthadi Kwath – 20 ml + 60 ml warm water morning empty stomach 2 Kaishor Guggulu – 2 tab morning + 2 tab night after food 3 Gandhak Rasayan – 250 mg morning + night with water 4 Arogyavardhini Vati – 1 tab morning + 1 tab night after food 5 Haridrakhandam – 10 gm morning + 10 gm night with warm milk/water

Local Application on Ankles (twice daily) Morning Wash with Triphala + Neem water → apply Nimbadi Taila OR Bakuchi + Karanja Taila mixed 1:1 Night Wash → thick layer Jatyadi Ghrita + Panchatikta Ghrita (1:1) → cover with cotton cloth overnight

For Recurrent Cold-Cough-Sinus 1 Sitopaladi Churna + Talisadi Churna (1:1) – 3 gm + honey → 3 times daily 2 Steam with 4–5 Tulsi leaves + pinch rock salt → twice daily

Diet – 100 % Follow Give only Moong khichdi + ghee Thin buttermilk with roasted jeera Pomegranate, coconut water

Avoid completely Curd, non-veg, egg, peanuts, sesame, brinjal, tomato, bakery, excessive salt, cold drinks

Lifestyle Wear only cotton socks & clothes No wool directly on skin No hot-water bath on legs Sleep 10 PM – 6 AM Steroid Tapering (do under dermatologist supervision)

Regards Dr Gursimran Jeet Singh MD Panchakarma

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DNT WORRY ITS TOTALLY CURABLE THROUGH AYURVEDA.PLEASE FOLLOW MEDICATION:-

DIVYA DERMAGHRIT TAB SEA BUCKTHORN CAP=1-1 TAB BEFORE MEAL TWICE DAILY…

KAISHORE GUGULU AROGYAWARDNI VATI PANCHTIKT GHRIT GUGULU=1-1-1 TAB AFTER MEAL THRICE DAILY…

KAYAKALP OIL ADVANCE = FOR LOCAL APPLICATION…

DNT TAKE SWEETS/OILY/JUNK FOOD

REGULAR DO YOGA AND PRANAYAM

REGARDS

DR ATUL PAINULI PATANJALI YOGPEETH

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1.Guduchi ghan vati 2 tab twice daily with water after meals 2.Arogyavrdhini vati 2 tab twice daily with water after meals 3.Neem capsules 1 cap twice daily with water after meals 4.Mahamajisthadi kwath 20 ml with 20 ml water twice daily after meals 5.Haridra khand 1 tsp with warm milk empty stomach in the morning 6.Shadbindu taila- 2 drops in each nostril twice daily

🧘 Lifestyle & Diet - Avoid sour, salty, fermented foods (pickle, curd, cheese) that aggravate eczema. - Favor bitter and astringent foods (greens, barley, moong dal). - Practice Anulom-Vilom pranayama daily for sinus and headache relief. - Keep bowels clear; Triphala at night (1–2 g with warm water) helps detox.

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Your symptoms show long standing inflammation, dryness inside the skin layers weak digestion and low immunity… Take Gandhaka rasayan Arogyavardini vati Twice daily after food Mahamanjistadi kadha 15 ml twice daily with water Haridra khanda 1/2 tsp after meals Nimbadi cream- ext appn Apply warm sesame oil while body on alt days before bath Sithophaladi churna 1/2 tsp with honey Steam inhalation Avoid - curd milk with sugar bakery items tomato potato peanuts non veg cold drinks ice creams tea coffee packaged food

Include ghee in diet warm water moong dal rice apple papaya pear lauki tinda pumpkin carrot

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Start with Panchatiktaka Guggulu Tab 1 bd before food Kaishora Guggulu Tab 2 bd after food Mahamanjishtadi kwatham 20 ml twice a day after food Application of Prapundarikadi tailam over scalp thrice a week Avoid junk and more spicy food

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Eczema is often linked with dosha imbalances, typically Vata and Kapha. Managing this condition can be approached holistically through Ayurveda. Immediate relief aims at alleviating the itching and inflammation. Start with applying coconut oil mixed with a pinch of turmeric, as it’s soothing and anti-inflammatory. Do this twice daily, ensuring the area is clean before application.

Improving your lifestyle and diet can aid in reducing symptoms long-term. Try including more warm, cooked meals in your daily intake to balance Vata. Kitchari, made from mung beans and rice, is a nutritious choice that supports digestion. Avoid processed foods, cold beverages, and foods that increase Pitta like spicy, sour, and salty items which may aggravate skin conditions. Drinking warm water with ginger or cumin seed infusion through the day can enhance digestion and reduce Vata.

Manage stress through practices like yoga and pranayama as stress can worsen eczema. Bhramari pranayama may help in calming the senses. Make sure you practice in a quiet environment for 10 minutes a day. Brahmi or Ashwagandha supplements can support the nervous system and reduce stress. Consult with a local Ayurvedic practitioner for personalized dosage.

Address sinus and headaches by inhaling steam with a few drops of eucalyptus oil twice daily. Tulsi and ginger tea consumed in moderation can alleviate cold symptoms. However, ensure that these practices are not contradictory to any existing medications.

It’s essential to carefully evaluate your current corticosteroid and medication intake, under medical supervision. Eczema often requires continuous management rather than immediate cure, thus working with a health care professional experienced in both Ayurveda and your current treatments would be beneficial.

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HELLO,

Eczema- is called vicharchika in Ayurveda It’s a type of kushta (skin disorder) that mainly involves vata and Kapha doshas, sometimes also pitta when there’s redness, burning, or oozing

AYURVEDIC VIEW -VATA DOSHA causes dryness, scaling, roughness, and cracks -KAPHA DOSHA causes thickening, itching, and stickiness -PITTA DOSHA causes redness , burning, and oozing

When these doshas get disturbed by wrong diet, stress, lack of sleep, or poor digestion, they mix with the blood and settle in the skin That leads to the symptoms your grandson experiences - dry, itching, inflamed patches on arms, neck and back

FOR SINUS RELATED MIGRAINE

Pain on the right cheek bone + heaviness around ear suggests -kapha accumulation in sinuses -secondary vata aggravation -> headache -possible pitta involvement if throbbing/heat Often, chronic skin disease + sinus issues share gut imbalance + immune hypersensitivity

TREATMENT GOALS -remove toxins from the body -purify blood -balance the doshas -heal the skin and strengthen immunity -improve digestion and metabolism

INTERNAL MEDICATIONS

1) KHADIRARISHTA= 20 ml twice daily after meals with warm water =excellent blood purifier, reduces itching and rashes

2) MANJISTHADI KAHSAYA= 20 ml twice daily before meals with warm water =detoxifies skin and improves complexion

3) GANDHAK RASAYANA= 1 tab twice daily after meals =acts as Rasayana,a boosts immunity, prevents infection

4) AROGYAVARDHINI VATI= 1 tab twice daily after meals = regulates liver and digestion, essential skin health

5) SARIVADI VATI= 1 tab twice daily after meals =cooling and soothing balances pitta and rakta

6) SOOTSEKHAR RAS (if dryness is severe)= 1 tab twice daily with ghee after meals =reduces vata, calm itching, and improves digestion

FOR SINUS RELATED MIGRAIN

A) TO REDUCE KAPHA ACCUMULATION IN SINUSES -TRIKATU CHURNA= 1/4 tsp with honey twice daily before meals

-SHITOPALADI CHURNA= 1/2 tsp with warm water twice daily after meal

B) TO REDUCE HEADACHE -PATHYADI KWATHA= 15ml twice daily after meals =classical formulation for chronic headaches

C) IF MIGRAINES ARE TRIGGERED B WEATHER OR COLD EXPOSURE -RASONADI VATI= 1 tab twice daily very effective =fpr kapha dominant sinus headahces

DURATION= 8-12 weeks

EXTERNAL TREATMENT

CLEANSING -use lukewarm water infused with Neem leaves or triphala powder = cleanses, prevents infection, and reduces itching

TOPICAL APPLICATIONS -Coconut oil + few drops of neem oil= apply gently twice daily- soothes dryness, antibacterial

-JATYADI TAILA= apply on sores on cracks- speeds wound healing, reduces infection

-KAILAS JEEVAN OR ALOE VERA GEL=for mild itching or redness- cooling and mositurizing

-KUMKUMADI TAILA (night)= if skin becomes too dark or patchy= improves texture and tone

Avoid steroid creams or perfumed lotions, as they can worsen dryness over time

DIET AND LIFESTYLE -warm, freshly cooked food with a little ghee -green leafy vegetables boiled/spiced lightly -fruits=pomegranate, apple, papaya, amla -whole grains= rice, wheat, millets -herbal teas with tulsi, guduchi , or licorice -adequate water intake warm water preferred

AVOID -curd, cheese, panner, and other dairy especially at night -fried, oily, and spicy foods -sour foods- vinegar, pickles, citrus in excess -junk foods, bakery items, soft drinks -late night sleep ,irregular eating -excessive stress or overthinknig increases vata

YOGA ASANAS -bhujangasana= improves blood flow to skin -ardha matysnedrasana= enhances digestion -tadasana and vrikshasana= stabilises vata -pawanmuktasana= relieves bloating, aids detox

PRANAYAM -Anulom vilom= balances all doshas -Bhramari= calms the mind and reduces itching related to stress -Sheetali/sheetkari= cooling, helps pitta related burning or redness

HOME REMEDIES -Neem and turmeric paste- apply on itchy areas 1-2 times/week -anti septic, anti inflamatory -Coconut water with camphor tiny pinch- for night application- relieves itching and dryness -Aloe vera pulp + sandalwood powder - apply as a mask- cools and soothes skin -Drink turmeric. milk 1/4 tsp turmeric in warm milk nightly- supports internal cleansing -Bath with oatmeal or green gram powder- natural cleanser for sensitive skin

Eczema is a chronic but reversible condition. Ayurveda treats is holistically- by cleansing toxins, nourishing skin and restoring internal harmony The key lies in -consistency with herbal medicines -proper diet and regular lifestyle -avoiding known triggers -keeping a cam, stress free mind

Once the doshas are balanced and digestion is strong, skin regains its natural softness and glow- with fewer flare ups

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Hello Avantika, For skin problem: Start with Mahamanjistadi kadha 15 ml twice daily after food with water Neem ghanvati 1-0-1 after food with water Kishore guggul 1-0-1 after food with water Avoid wrong food combinations like milk with salty foods/citrus fruits/ nonveg food / curds For cold cough sinus related headaches: Tribhuvankirti Ras 1-0-1 after food with water Giloy ghanvati 1-0-1 after food with water Avoid sugary foods, citrus fruits, cold drink icecream. Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice. Steam inhalation twice daily with 1-2 drops of eucalyptus oil.

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Apply Karanj oil on affected skin area. Follow up after 1 month

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