Start with Panchtiktagrit guggul 2 -0-2 after food with water Tablet Liv-52 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water. Triphala tablet 0-0-2 at bedtime with warm water. Apply Karanj oil on affected skin area twice daily. Avoid eggs, seafood, sour food, fermented foods. Do pranayam lom -vilom bhastrika bhamri 5-10mins twice daily.
HELLO
ECZEMA THAT HAS BEEN PRESENT FOR MANY YEARS AND FLARES UP PERIODICALLY INDICATES A DEEP SEATED INTERNAL IMBALANCE RATHER THAN A PURELY SKIN LEVEL PROBLEM WHEN SUCH A CONDITION SUDDENLY BECOMES MORE SEVERE WITH INTENSE ITCHING AND SPREADING TO ARMS AND HANDS IT USUALLY MEANS THAT THE INTERNAL HEAT TOXIC LOAD AND IMMUNE REACTIVITY HAVE INCREASED
EVEN IF NO OBVIOUS EXTERNAL TRIGGER IS IDENTIFIED THIS TYPE OF FLARE UP CAN HAPPEN DUE TO GRADUAL INTERNAL ACCUMULATION OF IMPURITIES LONG TERM SUPPRESSION WITH ONLY TOPICAL CREAMS OR NATURAL FLUCTUATION OF THE BODY RESPONSE TOPICAL APPLICATIONS OFTEN CONTROL SYMPTOMS TEMPORARILY BUT DO NOT ADDRESS THE ROOT CAUSE WHICH IS WHY THE CONDITION KEEPS RETURNING
FROM AN AYURVEDIC PERSPECTIVE THIS CONDITION CAN BE EFFECTIVELY CONTROLLED AND BROUGHT INTO LONG TERM REMISSION WHEN TREATED SYSTEMATICALLY THE AIM IS TO CALM INTERNAL INFLAMMATION PURIFY THE BLOOD AND STABILIZE THE SKIN RESPONSE
INTERNAL MEDICINES YOU CAN TAKE
MAHATIKTA GHRITA ONE TEASPOON ONCE DAILY ON EMPTY STOMACH WITH WARM WATER
GANDHAKA RASAYANA ONE TABLET TWICE DAILY AFTER FOOD
KHADIRARISHTA 15 ML TWICE DAILY AFTER FOOD WITH EQUAL QUANTITY OF WATER
FOR LOCAL APPLICATION NIMBA TAILA OR MAHATIKTA TAILA APPLY A THIN LAYER OVER AFFECTED AREAS TWICE DAILY
WITH CONSISTENT INTERNAL TREATMENT THE INTENSITY OF ITCHING REDNESS AND SPREAD CAN BE BROUGHT UNDER CONTROL AND THE FREQUENCY OF FLARE UPS CAN BE SIGNIFICANTLY REDUCED
Hello Thanks for opening up about your struggles. Living with eczema for years—especially when your hands flare up out of nowhere and itch like crazy—sounds exhausting. It messes with daily life and can really wear you down. But dont worry we are here to help you out 😊
AYURVEDIC UNDERSTANDING
In Ayurveda, eczema lines up with something called Vicharchika (a chronic skin issue). From what you’ve shared, here’s what’s probably going on:
- You’ve had this for ages, so the problem runs deep in your system. - The way it keeps coming back? That’s usually because the root causes weren’t fully cleared out before. - The itching and sudden flare-ups point to your Pitta and Kapha being out of balance, plus some issues with the blood (Rakta). - Since your hands and fingers are hit hardest, Vata is likely involved too, making things stick around longer.
Even if you can’t spot an exact trigger, flares happen. Why? Toxins build up, foods clash with your body, the seasons shift, stress ramps up, your gut and skin get out of sync, or you’ve used steroid creams for too long and now your skin rebounds.
Can You Actually Get Rid of Eczema?
Ayurveda sees chronic eczema as something you can manage long-term. It’s not incurable. If you deal with the real reasons behind it—detox, settle things down, and stick to the right foods—flare-ups can get much less intense, and you can keep itching in check.
Ayurvedic Treatment Plan
1. Internal Medicines These help clean the blood, steady your immunity, and calm the itch.
- Gandhaka Rasayana 1-0-1 after food Purifies your blood, cuts down itching and inflammation, and helps your skin fight back. Especially good for stubborn, long-term cases.
- Mahamanjishthadi Kwatha 15ml-0-15ml +45 ml water A strong blood purifier. It soothes redness, burning, and helps stop flares from coming back.
- Haridra Khanda 1 tap with warm water after breakfast Great for controlling itching and allergic skin reactions. Also helps balance your gut and skin.
- Kaishore Guggulu 1-0-1 after food Works well for chronic, inflamed skin. Clears out deep-seated toxins, so it’s useful if your eczema keeps returning.
- Triphala Churna ½ tsp with warm water at bed time Gets rid of toxins, supports digestion, and makes sure those toxins don’t come back to haunt your skin.
EXTERNAL CARE
- Mahamarichyadi Taila
These oils bring down itching and scaling, fight off germs, and ease inflammation. Just put on a thin layer once a day.
- washing with lukewarm water.
Hot water just fires up the itching and throws your Pitta off.
DIET AND LIFESTYLE MODIFICATION
❌Avoid:
- Fermented foods - Anything sour, spicy, or fried - Bakery stuff - Curd at night - Alcohol and seafood - Reheated oils
Go for:
- Simple, fresh-cooked meals - Bitter veggies (like lauki, tori, karela) - Rice and moong dal - Sip warm water through the day
A few lifestyle changes
- Don’t scratch (it only makes things worse and ups your risk of infection) - Keep your nails short - Wear only cotton clothes - Skip chemical soaps and detergents
Panchakarma—Highly Recommended
With eczema that’s been around for 10 years, pills and creams usually aren’t enough. Panchakarma (Ayurvedic detox treatments) make a real difference. The top choices:
- Virechana (to detoxify Pitta and the blood) - Raktamokshana (bloodletting, but only in special cases)
Panchakarma can cut down how often you flare, help your meds work better, and even get you into long-term remission.
If things suddenly got worse after years, it usually means the eczema has gone deeper—maybe because it was pushed down with creams before. Now it needs a more thorough, inside-out fix. Don’t lose hope. Ayurveda can really help you get control, as long as you treat the whole picture.
Warm regards, Dr Snehal Vidhate
HELLO,
Eczema is a chronic inflammatory skin condition that causes itching, redness, dryness, scaling and sometimes oozing. In Ayurveda, eczema is called Vicharchika or Kshdra kustha, and it happen due to imbalance of the body energies (dosha)- mainly
-Pitta dosha= causes redness, burning sensation, intense itching, inflammation
-Vata dosha= causes dryness, cracking, scaling, roughness
-Kapha dosha (sometimes)= can cause thickened skin, oozing, or sticky discharge
WHY YOUR FLARE UP IS HAPPENING Even if you have chronic eczema, sudden flare-ups can occur due to
-Internal factors= accumulation of toxins (ama), imbalance in digestive fire (agni), stress, weak immunity
-External factors= harsh soaps, detergents, friction, extreme temperatures, exposure to allergens (dust, chemicals, pollen)
CHRONICITY= Eczema can’t always be completely “cured” but can be effectively controlled, reducing frequency , intensity, and severity of flare ups
TREATMENT GOALS
1) ACUTE GOAL (during flare ups) -reduce itching, redness, swelling, oozing -cool the skin and pacify pitta -prevent secondary infection
2) CHRONIC/ LONG-TERM GOAL -balance vata and pitta to prevent recurrence -detoxify the body and improve digestion and immunity -strengthen skin barrier and overall skin health
INTERNAL TREATMENT
A) DETOX AND BLOOD PURIFICATION
1) NEEM CAPSULES= 500mg in morning with warm water =anti inflammatory, immune modulating
2) GUDUCHI GHAN VATI= 2 tabs twice daily after meals =improves immunity and detoxifies pitta
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) SARIVADI VATI= 1 tab twice daily after meals =cooling and soothing balances pitta and rakta
5) TRIPHALA CHURNA= 1 tsp with warm water at night =gentle bowel cleansing, supports skin health
B) ANTI-INFLAMMATORY SUPPORT
-HARIDRAKHANDA= 1 tsp wtith milk twice daily
-ALOE VERA JUICE (internal cooling)= 1-2 tsp/day
DURATION= 4-6 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
-Neem + turmeric paste= apply 1-2 times daily, cooling, anti inflammatory, antibacterial
-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 oil 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
BATH THERAPIES -Add neem, Mnajistha, or Turmeric decoction to lukewarm water and soak affected areas for 10-15 min -avoid hot water, soaps, and chemical detergents
LIFESTYLE MODIFICATIONS
1) ENVIRONMENT -keep skin cool, avoid excessive sun -use cotton gloves for hands to prevent scratching at night -wear soft, breathable clothes
2) STRES MANAGEMENT -stress can trigger flare ups -practice meditation, deep breathing, and positive routines
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
Thank you for reaching out and sharing your long standing skin concern I understand how exhausting and frustrating it can be to live with eczema for so many years and then suddenly experience a severe flare with intense itching especially on the hands and arms
Based on what you have described this flare up is not just a surface skin issue but a reflection of internal imbalance that has gradually built up over time In chronic eczema the blood immune response digestion and stress handling capacity of the body all play a role Even when there is no clear external trigger internal heat toxin accumulation reduced skin immunity and long term use of topical creams can suddenly express as a severe episode
Eczema can be properly controlled and brought into a stable dormant phase when treatment is taken internally along with correct external care and lifestyle discipline The aim is to calm inflammation purify the blood reduce itching strengthen skin tissues and prevent repeated flares rather than only suppressing symptoms
For internal support neem capsule one capsule twice daily after food helps in blood purification and reduces itching and inflammation
Kayakalpa vati one tablet twice daily after food supports skin healing and improves tissue regeneration Mahamanjistadi aristha fifteen ml twice daily after meals mixed with equal quantity of water helps cleanse the blood and reduces chronic skin inflammation
For external application Kayakalpa taila should be applied over the affected areas twice daily preferably after bathing and before sleep
Avoid steroid based creams during this phase unless absolutely required
Avoid spicy fried fermented and packaged foods Reduce sugar tea coffee and bakery items Take simple freshly cooked food keep hydration adequate avoid harsh soaps frequent washing and scratching Stress management and proper sleep are also important for long term control
✔️ Do’s: ✔️ Millet roti Buttermilk (daily include in your meal) Moong dal (green and yellow both are ok) All fruit vegetables Leafy vegetables (except methi and dil)
🧘♀️ Yogasan : 🧘♀️
1. Bhujangasana (Cobra Pose) 2. Dhanurasana (Bow Pose) 3. Ardha Matsyendrasana (Half Lord of the Fishes Pose) 4. Paschimottanasana (Seated Forward Fold) 5. Halasana (Plow Pose) 6. Sarvangasana (Shoulder Stand Pose) 7. Matsyasana (Fish Pose) 8. Supta Matsyendrasana (Reclined Spinal Twist) 9. Surya Namaskar 10. Malasan (Squats Pose)
🧘♀️ Pranayam : 🧘♀️ 1. Anulo Vilom 2. Bhramari 3. Kapalbhati 4. Shitali 5. Sitkari
❌ Donot’s: ❌ Tea Coffee Addictions Dals (except moong) Sour Packed food Processed food Achar (pickles) Papad Fried food Avoid dairy completely Non veg products
💊 Medication: 💊
Tab. Live 52 DS 1 tab twice a day before food. Tab. Arogyavardhini Vati 2 tabs twice a day before food. Cap. Marvin 2 caps twice a day before food. Syp. Mahamanjisthadi tailam 2 tsp twice a day before food.
Tab. Gandharva Haritaki 2 tabs at night with one glass hot water.
Gandhak Dhruti oil 3-4 drops on the skin light massage
Common causes can be seasonal dryness, stress, dietary slip (hidden dairy/gluten/junk), over-use/irritation from previous topicals, or immune shift (post-infection/allergy).
It cannot be always cured permanently (chronic autoimmune tendency), but can be properly controlled
Medicines 1 Kaishore Guggulu – 2 tablets morning + 2 tablets night after food 2 Gandhak Rasayan – 250 mg morning + night with water 3 Manjisthadi Kwath – 20 ml + 60 ml warm water morning empty stomach 4 Haridrakhand – 5–10 gm night with warm water
Topical (twice daily) Wash with Triphala water (soak 1 tsp Triphala overnight and strain) Apply Jatyadi Ghrita + Panchatikta Ghrita , thin layer (heals cracks, reduces itching & redness)
Diet & Triggers Give daily: moong khichdi + ghee, pomegranate, coconut water, cooked bottle gourd Avoid completely: dairy (milk/curd/cheese), gluten (wheat/roti), spicy/sour, fried, junk, nightshades (tomato/brinjal) No hot showers, lukewarm only, pat dry gently
Lifestyle Avoid scratching (use cotton gloves at night if needed) Moisturize immediately after bath Sleep 10 PM – 6 AM
Regards Dr Gursimran Jeet Singh MD Panchakarma
