Hidradenitis Suppurativa (Hurley Stage 3) is a chronic inflammatory condition. At this stage, it cannot be fully reversed, but it can be controlled and flare-ups can be reduced with the right treatment, diet, and lifestyle.
Diet plays a very important role in controlling inflammation and infections.
❌Foods to avoid (very important): Milk, curd, cheese, butter Fried food, fast food, bakery items Sugar, sweets, chocolates, cold drinks Very spicy, sour, fermented food
✔️Foods to prefer: Freshly cooked, light home food Vegetables like bottle gourd, ridge gourd, pumpkin Bitter vegetables if tolerated Simple dals, rice, chapati Warm water through the day
Lifestyle tips: Avoid tight clothes and friction in affected areas Keep the skin clean and dry Avoid excessive sweating Manage stress and get adequate sleep
Ayurveda can help reduce inflammation, improve digestion, and support wound healing. Also getting a personalised watch for the wounds will help much better.
💊Supportive medicines💊
Tab. Krumikuthar Ras 2 tabs twice a day before food Tab. Gandhak Rasayan 2 tabs twice a day before food Tab. Manspachak Vati 2 tabs twice a day before food
Syp. Sarivadhyasav 3 tsp twice a day after food
Jatyadi Tailam Local Application
As you are interested stage 3 combined medication should be done. A dermatologist consultation along with rakta purification can be done.
By ayurvedic medicine you can control the condition, inflammation can be reduced, flares can become less frequent,.
If you smoke, stop smoking. Excess weight increases friction and inflammation. Reduce 5-10% weight loss reduce flares.
Avoid highly processed food Reduce carbs and avoid sugar Dairy can also trigger the condition so avoid it.
Include vegetables and fruits in diet. Include omega3 fatty acid foods - fish, egg, flax seeds, nuts etc
Wear loose and breathable clothing. Intake enough water. Regular time for sleep and food intake.
1. Thiktaka kashaya 10 ml+ 45ml lukewarm water twice daily before food. 2. Krimighna vati 1 -1-1 after food. 3. Vilwadi gulika 1-0-1 after food. Took these medicines for 2 weeks. Follow up after that.
Take care, Dr. Shaniba
HP for Ayurvedic treatment available Go for ksharasutra terapy u ll get results
Along with take Pancha tiktha ghrita Guggulu 1tab bd, gandhak rasayanam 1tab bd, Arogya vardini vati 1tab bd, mahamanjsiadhi gana vati 1tab bd, swadista virechana churnam 1tsp with lukewarm water u ll get results
Dr RC BAMS MS Ayurvedic Proctologist, ksharasutra terapy
Hlo,
I’m glad you asked this clearly. Hurley stage 3 Hidradenitis Suppurativa (HS) is a chronic inflammatory disease, and I want to be honest yet hopeful with you: 👉 HS cannot be “reversed” completely at stage 3, but 👉 it CAN be controlled, put into long-term remission, pain reduced, drainage minimized, and progression stopped with the right combination of treatment + lifestyle discipline.
I’ll explain this in a clear, practical way so you know exactly what to do. Understanding Your Condition (Brief)
- Hurley Stage 3 means: Recurrent painful nodules & abscesses Sinus tracts (tunnels under skin) Scarring Chronic inflammation (not infection alone) This is not due to poor hygiene and not contagious.
1️⃣ MEDICAL MANAGEMENT (Very Important at Stage 3) You must stay connected to a dermatologist. Ayurveda or lifestyle alone is not sufficient at this stage.
A. Allopathic / Dermatology Options Depending on severity, doctors may use: 1. Long-term antibiotics (anti-inflammatory action) Doxycycline / Minocycline Clindamycin + Rifampicin (combination)
2. Hormonal therapy (especially helpful in women) Spironolactone Oral contraceptives (if suitable)
3. Biologic therapy (MOST effective for Stage 3) Adalimumab (Humira) – FDA approved for HS Helps reduce flares, pain, and new tunnels
4. Surgical management Deroofing of sinus tracts Laser surgery (Nd:YAG laser) Wide excision in severe areas
⚠️ Surgery is not failure — it is often disease-modifying in stage 3.
2️⃣ LIFESTYLE CHANGES (ABSOLUTELY CRITICAL) These changes directly reduce inflammation and flares. A. Diet – Non-Negotiable Avoid these STRICTLY: ❌ Sugar ❌ Refined carbs (white bread, maida) ❌ Dairy (milk, cheese, paneer, whey protein) ❌ Bakery, junk food ❌ Fried food ❌ Brewer’s yeast (beer, some breads)
Eat MORE of: ✅ Vegetables (especially green & bitter) ✅ Fruits (berries, apple, papaya) ✅ Whole grains (millets, oats) ✅ Omega-3 rich foods (flaxseed, chia, walnuts) ✅ Turmeric + black pepper ✅ Ginger
📌 Many HS patients improve significantly after dairy & sugar elimination.
B. Weight & Friction Control If overweight → even 5–10% weight loss helps Avoid tight clothes Cotton, loose clothing only Reduce sweating & friction in affected areas
C. Smoking / Tobacco 🚫 STOP COMPLETELY (if applicable) Smoking is one of the strongest HS triggers, even passive exposure.
3️⃣ LOCAL CARE (Daily Routine) Clean affected areas with gentle, non-fragrant cleanser Avoid harsh scrubs Use antiseptic wash (chlorhexidine or benzoyl peroxide wash 2–3x/week) Warm compresses for pain DO NOT squeeze lesions
4️⃣ AYURVEDIC / NATURAL SUPPORT (Adjunct – Not Replacement) These help reduce inflammation, improve immunity & healing, but not alone at stage 3.
Ayurveda at Stage 3 works as supportive + disease-controlling therapy, not a standalone cure. This prescription aims to: Reduce inflammation & pus formation Dry active discharge Prevent new boils & sinus progression Improve skin healing & immunity Support long-term remission along with dermatology care
🌿 AYURVEDIC PRESCRIPTION (ADULT) 1️⃣ INTERNAL MEDICINES 1. Kaishore Guggulu 👉 Main anti-inflammatory & blood purifier Dose: 2 tablets (250 mg each) Frequency: Twice daily Timing: After meals With: Warm water Duration: 3–6 months ✔ Helps chronic abscess, sinus tracts, scarring
2. Mahamanjisthadi Kwath 👉 Best for chronic skin inflammation & pus disorders Dose: 15 ml decoction Frequency: Twice daily Dilution: Mix with 15 ml warm water Timing: Empty stomach (morning & evening) Duration: 3 months
3. Gandhak Rasayan 👉 Essential for recurrent boils, infection control, skin healing Dose: 2 tablets Frequency: Twice daily Timing: After meals With: Warm water or milk substitute (almond milk) Duration: 2–3 months
4. Triphala Churna 👉 Gut detox + inflammation reduction (very important) Dose: 1 teaspoon Timing: Night before bed With: Warm water Duration: Long-term (safe)
5. Haridra (Curcumin) Capsule (standardized extract preferred) 👉 Strong anti-inflammatory Dose: 500 mg capsule Frequency: Twice daily Timing: After meals Duration: 3 months
2️⃣ EXTERNAL APPLICATION (VERY IMPORTANT) 1. Panchvalkal Kwath Wash Boil Panchvalkal powder to make decoction Wash affected areas once daily Let it air dry (do not wipe harshly) ✔ Reduces discharge, odor, infection
2. Jatyadi Taila Apply thin layer on open/draining lesions Once daily at night Continue until healing
3️⃣ DIET – STRICT (NON-NEGOTIABLE) ❌ COMPLETELY AVOID: Milk, curd, paneer, cheese Sugar, jaggery, sweets Maida, bakery items Fried & junk food Soy, whey protein Alcohol, smoking (if applicable)
✅ ALLOWED: Warm cooked food Bitter vegetables (karela, neem leaves if tolerated) Bottle gourd, ridge gourd Moong dal Turmeric + black pepper Plenty of warm water
4️⃣ LIFESTYLE RULES Loose cotton clothes only Avoid sweating & friction No squeezing of lesions Daily gentle walking Stress reduction (HS worsens with stress)
5️⃣ IMPORTANT CAUTIONS 🚫 Do NOT stop dermatology medicines suddenly 🚫 Avoid random antibiotics with Ayurvedic meds 🚫 Avoid self-adding new herbs ✔ Liver function test every 3–4 months if on long-term Guggulu
6️⃣ EXPECTED RESULTS (REALISTIC) 4–6 weeks: Less pain, discharge reduces 2–3 months: Fewer new boils Long term: Better remission control ❌ Sinus tracts already formed will not disappear with medicine alone — surgery/deroofing is often needed for permanent relief.
Tq
HIDRADENITIS SUPPURATIVA HURLEY STAGE -3 MEANS THE CONDITION HAS BECOME CHRONIC WITH DEEP INFLAMMATION RECURRENT PAINFUL SWELLINGS SINUS TRACTS AND SCARRING, THIS HAPPENS WHEN INTERNAL TOXIC LOAD, HORMONAL IMBALANCE AND HEAT IN THE BLOOD AND SKIN HAVE BEEN PRESENT FOR A LONG TIME AND THE BODY IS UNABLE TO DRAIN WASTE PROPERLY ,SO THE DISEASE COMES OUT THROUGH THE SKIN IN THE FORM OF BOILS ,DISCHARGE AND NON HEALING LESIONS. THIS CONDITION CAN BE CONTROLLED AND BROUGHT INTO STABLE STATE WITH DISCIPLINED LONG TERM MANAGEMENT BUT IT REQUIRES PATIENCE,CONSISTENCY AND STRICT LIFESTYLE CORRECTION. COMPLETE REVERSAL IN ADVANCED STAGE IS DIFFICULT BUT PAIN FREQUENCY OF FLARES DISCHARGE AND SPREAD CAN BE SIGNIFICANTLY REDUCED.
MEDICINES MAHAMANJISHTHADI KWATH 15 ML WITH EQUAL WARM WATER TWICE DAILY BEFORE FOOD
AAROGYAVARDHINI VATI 2 TABLETS TWICE DAILY AFTER FOOD
GANDHAK RASAYAN 1 TABLET TWICE DAILY AFTER FOOD
TRIPHALA CHURNA ONE TEASPOON WITH WARM WATER AT NIGHT KHAADIRARISHTA 20 ML TWICE DAILY ADTER MEALS
LOCAL APPLICATION USE NIMBA TAILA OR JATYADI TAILA ON CLEAN DRY SKIN TWICE DAILY
DIET STRICTLY AVOID DAIRY FRIED FOOD JUNK FOOD BAKERY ITEMS SUGAR WHITE FLOUR MEAT EGGS ALCOHOL AND SMOKING AVOID TOMATO BRINJAL POTATO CURD CHEESE AND ALL FERMENTED FOOD EAT SIMPLE HOME COOKED FRESH FOOD INCLUDE BITTER VEGETABLES LIKE BOTTLE GOURD RIDGE GOURD PUMPKIN SNAKE GOURD USE OLD RICE MILLETS MOONG DAL AND COOKED VEGETABLES DRINK WARM WATER THROUGH THE DAY AVOID OVER EATING AND LATE NIGHT MEALS
LIFESTYLE MAINTAIN STRICT HYGIENE OF AFFECTED AREAS KEEP THEM DRY AND CLEAN AVOID TIGHT CLOTHING SYNTHETIC FABRICS AND EXCESS SWEATING WEAR LOOSE COTTON CLOTHES DO NOT SQUEEZE OR PRESS LESIONS MANAGE STRESS SLEEP EARLY AND WAKE EARLY DAILY WALK OR EXERCISE BUT AVOID EXCESSIVE SWEATING
REGULAR FOLLOW UP AND ADJUSTMENT OF MEDICINES BASED ON RESPONSE IS VERY IMPORTANT
Hidradenitis suppurativa at hurley stage three is a chronic deep seated inflammatory condition and control is possible but it requires consistency and internal correction
Since you are dealing with it for more than two years , this suggests long standing internal heat ,toxin load,immune imbalance and blockage in sweat and hair follicle channels.
The first goal is to calm inflammation prevent new flare ups,and allow old tracts to dry and heal gradually.
include mahatikta kashaya 15 ml twice daily with water regularly as they purify blood and reduce pus formation
Gandhak rasayana 1 tab twice daily after food with warm water help in infection control and long term skin healing neem capsules1 capsule twice daily after food with warm water for blood purification and immune balance
Triphala churna at night with warm water to prevent constipation and internal toxin accumulation
External care with cleansing of affected areas using warm neem decoction or a mild herbal wash avoid harsh soaps scrubbing squeezing or frequent touching of lesions.
Wear loose breathable cotton clothing avoid friction and prolonged moisture in affected areas
Lifestyle correction is important avoid smoking if present excess sugar dairy junk food yeast containing foods spicy oily and fermented foods
Prefer home cooked meals bitter vegetables green leafy vegetables bottle gourd pumpkin and adequate hydration
Manage stress through rest breathing exercises good sleep and maintaining healthy body weight
Reversal at stage three means reducing frequency severity pain discharge and preventing new sinus formation complete cure is slow but many patients achieve long term remission with disciplined treatment and lifestyle so do not lose hope consistency is the key
Hiradenitis suppurativa at stage 3 is difficult to reverse and show complete cure. Ayurvedic medicine will help reduce progress and reduce symptoms. Start with Kishore guggul 1-0-1 Triphala guggul 1-0-1 Aarogyavardhini 1-0-1 Krumikuthar ras 1-0-1 All after food with water Wash with neem kwath and Triphala kwath alternately and apply jatyadi oil on affected area 2-3 times daily Avoid processed, fast foods, street foods, junk food, sugary foods. Sour fermented foods. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily. Include fresh seasonal fruits and vegetables in your diet daily.
HELLO,
Hidradenitis suppurative is not just a skin disease. It is a deep rooted inflammatory disorder of sweat glands, blood, fat tissue and skin muscles
In Hurley stage 3, the disease has -long standing inflammation -repeated boils and abscesses -pus discharge -tunnel like tracts under the skin (sinus tracts) -scarring and thickened skin
This tells us that the disease has gone deep into the body tissues
According to Ayurveda, your condition develops due to long term balance inside the body, not just because of external infection
MAIN AYURVEDIC CAUSES
1) POOR DIGESTION -food is not digested properly -toxic waste forms
2) VITIATION OF DOSHA -Pitta-> heat, inflammation, pain, pus -Kapha-> thick discharge, blockage, chronicity -Rakta (blood)-> repeated boils, non-healing wounds
3) AFFECTED TISSUES -rakta (blood) -mamsa (muscle/skin tissue) -meda (fat)
4) BLOCKED SWEAT AND BLOOD CHANNELS -swedavaha srotas - sweat -raktavaha srotas- blood
Because of all this, boils keep coming again and again
CAN THIS CONDITION BE REVERSED? Honest truth -Hurley stage 3 cannot be reversed fully -but it CAN be controlled -Pain, discharge, infection, and flare-ups can be reduced significantly -long term remission (months to years) is achievable
TREATMENT GOALS -improve digestion and remove toxins -cool down inflammation -clean impure blood -heal wound and sinus tracts -prevent new boils -improve immunity and quality of life
INTERNAL MEDICATIONS
A) DIESTIVE AND DETOX MEDICINES
1) TRIKATU CHURNA= 1/2 tsp twice daily before meals with warm water for 4 weeks =improves digestion, reduces toxins
2) AROGYAVARDHINI VATI = 1 tab twice daily after meals for 3 months = liver detox, blood purification, reduces inflammation
B) BLOOD PURIFICATION MEDICINES
3) MAHAMANJISTHADI KASHAYA= 20 ml + equal warm water twice daily before meals for 3 months = deep blood purification, reduces pus formation
4) KHADIRASRISHTA= 15ml with equal water after meals twice daily for 3 months =chronic skin disease, itching, discharge
C) ANTI INFLAMMATORY AND WOUND HEALING MEDICINES
5) GANDHAK RASAYANA= 1 tab twice daily after meals for 3 months = improves skin healing, reduces infection
6) KAISHOR GUGGULU= 2 tabs twice daily after meals for 3 months =pitta-kapha balance, chronic abscess healing
7) TRIPHALA GUGULU= 2 tabs twice daily after meals for 3 months =cleas sinus tracts, improvs wound healing
EXTERNAL TREATMENT- VERY IMPORTANT
A) WASHING/CLEANING Triphala or Panchavalkala kashaya -use lukewarm -wash affected area once or twice daily =cleans wound, reduces infection
B) LOCAL APPLICATION If pus is PRESENT -do not apply oil -only wash and keep dry
If pus has REDUCED -Jatyadi taila= apply lightly once daily -Nimbadi taila= if itching/infection present
=faster healing, reduces scarring
DIET -green vegetables- bottle gourd, ridge gourd -bitter foods- neem, karela -old rice, barley, jowar -moong dal -turmeric -warm water
AVOID -milk and dairy products -sugar and sweets -bakery items -red meat -fried foods -junk food -alcohol and smoking
Even small dietary mistakes can cause flare-ups
LIFESTYLE CHANGES -maintain health weight -avoid tight clothing -wear loose cotton clothes -avoid shaving affected areas -keep area dry -avoid sweating -do not squeeze boils
YOGA AND PRANAYAM Helps reduce inflammation and stress
-Anulom vilom -Sheetali and Sheetkari -Bhramari -Gentle stretching
AVOID -excessive sweating yoga -hot environment
HOME REMEDIES -neem water wash -Turmeric + warm water internally -Aloe vera gel externally only if no pus
-HS stage 3 needs long term discipline -do not expect overnight results -Ayurveda works slow but deep -Mental stress worsens disease - stay calm Consistency=control
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
