Hello, You are experiencing severe, persistent acne with daily new breakouts and long-lasting marks, and you also have Lupus (SLE). This makes your case very sensitive. In Ayurveda, this pattern fits Pitta-Rakta dushti with autoimmune involvement, where even normal foods can trigger inflammation. The goal here is calming inflammation, protecting immunity (not overstimulating it), healing skin gently, and preventing scarring.
⚠️ Important note: Ayurveda in your case is supportive and balancing, not aggressive detox. We must avoid strong immune-stimulating or heating medicines, because of Lupus.
🔎 Recommended Investigations (If not done recently – coordinate with your rheumatologist) 1. ESR, CRP – inflammation status 2. ANA profile (baseline monitoring) 3. Vitamin D3 – very important in Lupus & acne 4. Liver Function Test – skin & drug metabolism 5. Ferritin & B12 – deficiencies worsen acne healing
💊 Internal Medicines (All are Lupus-safe, cooling, and non-stimulating) Phase 1 – 21 days (Inflammation control + acne reduction) 1. Mahamanjishtadi Kashayam – 15 ml with equal water, twice daily before food 2. Avipattikar Churna – ½ tsp at bedtime with warm water 3. Guduchi Satva – 250 mg (¼ tsp) once daily in the morning 4. Sarivadyasava – 10 ml with equal water after lunch
Phase 2 – 45 days (Scar control + skin healing) 1. Khadirarishta – 10 ml twice daily after meals 2. Manjistha Capsules – 1 capsule once daily after food 3. Praval Pishti – 125 mg once daily with honey or milk
🌿 External & Skin Care (VERY IMPORTANT) 1. Face application (daily night) – Aloe vera gel + 2 drops Kumkumadi Taila Do not massage hard 2. Weekly face pack (1–2× only) – Sandalwood powder + rose water Soothing, anti-inflammatory 3. Face wash – Mild, non-foaming cleanser only – No scrubs, no peeling, no facials
🚫 Avoid chemical peels, retinoids, frequent salon treatments.
🥗 Diet & Lifestyle (Autoimmune-friendly) ❌ Strictly Avoid 1. Sugar, bakery, chocolate 2. Milk + fruit combinations 3. Fried, spicy, fermented foods 4. Excess tomatoes, brinjal 5. Late nights & stress eating ✅ Include 1. Simple home-cooked meals 2. Rice, moong dal, bottle gourd, ridge gourd 3. Pomegranate, pear, apple 4. Coconut water (room temperature) 5. 1 tsp ghee daily (if digestion allows)
Drink (daily): Coriander seed water (soaked overnight, boiled, cooled)
🧘🏻♀️ Stress & Hormonal Balance 1. Anulom Vilom – 10 minutes 2. Sheetali / Sheetkari – 5 minutes 3. Gentle walking daily 4. Sleep before 10:30 pm
Stress is a major acne trigger in Lupus.
• New pimples reduce in 2–3 weeks • Redness & burning reduce in 10–14 days • Marks fade slowly over 3–4 months • Acne control is gradual but sustainable • Continue treatment for at least 3 months
🚨 Immediately consult your doctor if: • Lupus flare symptoms increase • Joint pain, fever, oral ulcers worsen
✨ With gentle Pitta-Rakta pacification and autoimmune-safe care, even stubborn acne can come under control without triggering Lupus.
With care and honesty, Dr. Sumi MS (Ayu)
Take
Hingwastaka churna 1/2 tsp BD Kayakalpa vati 1 BD Neemghan vati 1 BD Khadira aristha 20 ml BD with water Nalapramadi oil - ext appn Avoid oily spicy sour fermented foods
Because of the lupus skin has become more sensitive and reactive, and When the acne appears with almost everything you eat, it usually means there is internal inflammation along with weak digestion . In autoimmune conditions, even small food triggers, stress, lack of sleep, or sun exposure can cause daily breakouts. This is why there is recurrence of pimples and the marks / scars stay for a long time.
Strong acne treatments , frequent antibiotics, chemical creams, or heavy detox treatments can worsen flare ups in lupus. The goal is first to calm the system, improve digestion, and reduce internal heat, then automatically recurrence of pimples reduces.
You may start taking Gandhak rasayana twice daily after food Neem capsule 1 tab twice daily after food Mahamanjistadi aristha 4 tsp twice daily with equal water Kumkumadi taila just 1 drop apply over the scar area and do massage lightly For digestion Avipattikar churna half teaspoon before meals with warm water can be taken. If bowel movements are not regular, Triphala churna 1 teaspoon at night with warm water
Apply pure aloe vera gel in a thin layer once daily at night. Avoid scrubs, face packs, lemon, turmeric paste, or frequent product changes. Strict sun protection is very important, as sun exposure can worsen both acne marks and lupus skin reactions.
Avoid dairy, sugar, fried food, spicy items, excess nuts, fermented foods, and packaged snacks. Prefer warm, freshly cooked meals and adequate hydration.
Continue your regular lupus treatment and inform your physician about any new supplement if you start. A steady, cautious approach will give the safest results.
Don’t worry take Arogya vardini vati 1tab bd , mahamanjsiadhi gana vati 1tab bd, makaradwaja 1tab bd, Pancha tiktha ghrita Guggulu 1tab bd, kukumadhitail external application enough u ll get results
Dr RC BAMS MS
Hello, I really get the pain of trying to live with a sore and acne prone skin, the marks that keep coming back to haunt you, and the fact that you also have to deal with Lupus. Thank you for being so open and honest.
YOUR CONCERN (Summary)
You are going through: Daily acne flare-ups (4–5 pimples every day) - Acnes caused by almost all foods - Long lasting acne marks - Diagnosed Lupus (SLE) - Possibly high inflammation inside and immune hypersensitivity
Because of such a combination, the chosen treatment should be an extremely gentle and non-aggressive one based on Ayurveda.
AYURVEDIC KNOWLEDGE
The situation, in Ayurveda, is considered as a mixture of:
Pitta + Rakta Dushti →signs of inflammation, redness, acne,markings Ama (toxins) →like food intolerance–reactions Autoimmune involvement → Immunity very unstable (Lupus) Yakrit (liver) & Rasa-Rakta imbalance
👉 Strong detox, blood-letting, or heating medicines are not suitable for you because you have Lupus.
VERY IMPORTANT NOTICE (PLEASE READ)
❌ No reckless detox
❌ Do not take strong herbs such as Manjistha in a large amount, Neem for a long period, or Panchakarma without proper guidance
❌ No fasting or crash diets
✔ Treatment should be cooling, immune-modulating, and nourishing
AYURVEDIC TREATMENT PLAN (SAFE FOR LUPUS)
1. Internal Medicines (Anti-inflammatory & skin healing) (Start gradually, one medicine at a time)
1. Guduchi (Giloy) Satva – 250 mg once daily after breakfast (Most beneficial herb for autoimmune balance, it calms inflammation without suppressing immunity)
2. Avipattikar Churna – ½ tsp at bedtime with warm water (Removes excess Pitta & Ama without being harsh)
3. Mahamanjishthadi Kwath – 10 ml + water of equal quantity once daily after lunch ( Mild blood purification (safe dose))
4. Kamdudha Ras (plain) – 1 tablet once daily after lunch It helps to control heat, redness, and acne flare-ups
Continue for 6 weeks
EXTERNAL SKIN CARE (VERY IMPORTANT)
Do NOT apply chemical exfoliants, retinol, peels Do not wash your face frequently
Safe Ayurvedic Routine Clean your face with water of moderate temperature only
Apply Neem + Lodhra + Rose water paste → Put on 2–3 times/week for 15 minutes
For marks: Kumkumadi Taila – just 2–3 drops at night, 3 times/week
DIET GUIDELINES (MOST CRITICAL PART)
Your acne that reacts to “everything” means that you are food sensitive due to inflammation, not that you are allergic.
STRICTLY AVOID
Dairy (milk, cheese, paneer, whey) Sugar, chocolate, bakery Fried, spicy, fermented food Tomatoes, brinjal, peanuts (which are common triggers of autoimmune acne) Coffee, alcohol
SAFE & HEALING FOODS
Rice, moong dal, lauki, pumpkin, ridge gourd Pomegranate, pear, apple (cooked) Coconut water (3–4×/week) Coriander, fennel tea
👉 Do not experiment with food—this is the best way to stop the immune system from overreacting.
LIFESTYLE & STRESS (VERY IMPORTANT IN LUPUS)
Sleep before 10:30 pm Protect yourself from the sun (UV that worsens Lupus + acne) Practice only gentle yoga No HIIT, no over-exercise
Pranayama Sheetali / Sheetkari – 5 minutes Anulom Vilom – 10 minutes
INVESTIGATIONS TO MONITOR
Kindly ensure that these are regularly monitored:
ESR / CRP ANA profile Vitamin D & B12 Liver function tests
REALISTIC EXPECTATION
– The frequency of acne will be gradually reduced (not overnight) – New pimples will be smaller & painless – The marks will lighten gradually – The main goal is stability, not aggressive clearing (which is very important in Lupus)
You are not bad at following a diet or skincare routine. Your body is just inflamed and over-reactive because of Lupus. With the correct calming and immune-balancing treatment, your skin can get better safely.
Kind regards Dr Snehal Vidhate
1.Paripathadi kwath 20 ml with 20 ml water twice daily after meals 2.Neem capsules 2 cap twice daily with water after meals 3.Triphala churna 1 tsp at bedtime with warm water 4.Acnovin ointment-apply twice daily on acne
🍲 Diet Tips - Favor cooling foods: cucumber, lauki, leafy greens, pomegranate, amla. - Avoid spicy, oily, fried foods — they aggravate Pitta and worsen acne. - Reduce milk + sugar combinations (like sweets, milkshakes). - Drink warm water; avoid cold drinks and excess tea/coffee.
🧘 Lifestyle Tips - Gentle yoga: Shavasana, Anulom Vilom, Sheetali pranayama (cooling). - Manage stress — meditation helps reduce lupus flares and acne. - Sleep 7–8 hours, avoid late nights.
Medicines 1 Kaishore Guggulu: 2 tablets twice daily with warm water (after food). 2 Mahamanjisthadi Kwath: 15ml mixed with 30ml warm water, twice daily (before food). 3 Guduchi Ghan Vati (Giloy): 2 tablets twice daily (after food). 4 Avipattikar Churna: 1 teaspoon at bedtime with warm water.
External Therapy Shatadhauta Ghrita (100 Times Washed Ghee): Apply this cooling cream all over the face 30 minutes before a bath or leave it on as a night cream.
Apply a paste of Neem Powder mixed with Rose Water specifically on active pimples.
Dietary & Lifestyle Advice Strictly avoid Potatoes, Tomatoes, Eggplant, and Bell Peppers. Stop eating Fermented foods (Idli, Dosa, Curd/Yogurt, Cheese, Alcohol).
Sun Protection: Always cover your face or wear a hat when going out to prevent Lupus flare-ups.
Regards Dr Gursimran Jeet Singh MD Panchakarma
Managing acne when living with a chronic condition like Lupus requires a careful balance of treatments and lifestyle choices. From an ayurvedic perspective, acne is often linked to an imbalance in pitta dosha, which governs heat and metabolism. Lupus, an autoimmune condition, can further complicate this, so it’s essential to approach this holistically.
First, focus on a pitta-pacifying diet. This means reducing hot, spicy, oily, and acidic foods, as these can exacerbate inflammation both in acne and Lupus symptoms. Opt for cooling, calming foods: fresh fruits like pomegranates and pears, vegetables like cucumbers and leafy greens, and integrative grains such as barley or quinoa. Aim to stay hydrated with cool, room-temperature, water and teas such as chamomile or peppermint, which are cooling by nature.
Incorporate herbs like neem and turmeric into your routine. Neem has antibacterial properties, while turmeric is a well-known anti-inflammatory. You could consider taking them in powdered form, though it’s prudent to consult with a healthcare practitioner before starting any new herb, especially considering your Lupus.
External applications can also aid the skin’s healing process. Consider using a paste made from sandalwood and rosewater. Apply this gently onto the affected areas, allow it to sit for about 15-20 minutes, then rinse. However, be cautious with new topical applications — do a small patch test first to ensure there’s no reaction.
Lifestyle adjustments can also be potent. Stress management is crucial, as stress can exacerbate both acne and Lupus flare-ups. Engage in calming practices like yoga, pranayama (breathing exercises), or meditation daily. Try to maintain a routine that respects the need for balance within your body and mind.
Remember, while Ayurveda offers potent tools for managing your condition, any new regimen should be discussed with your healthcare provider to ensure it complements your existing Lupus management plan. Your health is a landscape with multiple facets, and each one should be considered carefully to support your overall wellbeing.
Start with Khadirarist 10ml twice daily after food with water Kishore guggul 1-0-1 after food with water Apply kanti lep mix with rose water on face keep for 10 minutes and wash with clean water, do this twice weekly. Apply kumkumadi oil on lupus. Avoid processed fatty spicy sugary foods,
✔️ Do’s: ✔️ Stay Hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Stress free lifestyle Pranayam : ANULOM VILOM, TRATAK, YOG NIDRA, SHAVASAN
❌ Dont’s: ❌ Oily and Spicy food. Processed food. Preserved food. Packed and ready to eat items. Pickles Papad Dried Fish Curd
💊 Medication: 💊
Tab. Arogyavardhini Vati 2 tabs twice a day before food. Tab. Krunikuthar Ras 2 tabs twice a day before food. Cap. Marvin 2 caps twice a day after food
Syp. Mahamanjisthadi 2 tsp twice a day after food.
