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Long-term Scalp Psoriasis Management
Skin and Hair Disorders
Question #49735
60 days ago
534

Long-term Scalp Psoriasis Management - #49735

Client_6f34ba
$3.51

Hello. I have had psoriasis on my scalp for almost 20 years. I have done a panchakarma twice, as recently as two weeks ago. I am currently taking Gandakha rasayna and Kaishor guggulu, and mathathikthakam ghee in the morning. What are some medications you recommend

How would you describe the severity of your psoriasis?:

- Moderate, noticeable scaling

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

- Dietary changes

What is your current diet like?:

- Balanced, with plenty of fruits and vegetables
Question is closed
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Doctors' responses

Psoriasis on the scalp for many years usually indicates a deep rooted inflammatory and immune imbalance and it is good that you have already undergone panchakarma and are regularly taking gandakha rasayana kaishor guggulu and mahatiktakam ghee as these medicines work at the level of blood purification inflammation control and skin nourishment and they should be continued if digestion and tolerance are good If scaling and itching are still moderate additional support can be given to regulate immunity and calm skin inflammation Guduchi capsule one twice daily or a mild guduchi decoction can be added Neem capsule once daily after food can help if dietary triggers cause flare ups Manjistha capsule once daily is useful to support blood circulation and reduce chronic skin congestion For local scalp care avoid harsh medicated shampoos and frequent washing Gentle oiling with neem oil or coconut oil infused with neem or bhringraj two to three times a week before head wash can reduce dryness and scaling After washing allow the scalp to dry naturally and avoid scratching Dietary discipline remains very important Even small deviations can trigger symptoms Avoid curd at night sour fermented food excess salt spicy oily items and packaged food Emphasize warm cooked meals vegetables bitter greens adequate hydration and regular meal timings Long standing psoriasis improves slowly and consistency over months is needed rather than frequent change of medicines

4862 answered questions
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Doctor has prepared a treatment plan for you
Kaishore Guggulu - Dabur
Kottakkal Gandhaka Rasayanam (14)
Sitaram Mahatiktakam Kashaya - Sitaram Ayurveda
+4 more medications
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THANK YOU FOR SHARING YOUR HISTORY IN DETAIL HAVING SCALP PSORIASIS FOR ALMOST TWENTY YEARS MAKES THIS A CHRONIC AND DEEP ROOTED CONDITION AND IT IS GOOD THAT YOU HAVE ALREADY DONE PANCHAKARMA AND ARE TAKING CLASSICAL MEDICINES YOU ARE ALREADY ON THE CORRECT LINE OF TREATMENT AND NOTHING YOU HAVE MENTIONED IS WRONG OR INAPPROPRIATE AFTER RECENT PANCHAKARMA THE BODY AND SKIN REMAIN SENSITIVE FOR SOME TIME SO THE MAIN GOAL NOW IS STABILIZATION AND PREVENTION OF FLARE UPS RATHER THAN CHANGING TOO MANY MEDICINES GANDHAK RASAYAN HELPS IN CONTROLLING SCALING AND CHRONIC INFLAMMATION KAISHOR GUGGULU SUPPORTS BLOOD PURIFICATION AND REDUCES THE INTERNAL TENDENCY FOR RECURRENCE AND MAHATIKTA GHRITA WORKS DEEPLY ON LONG STANDING SKIN DISORDERS AND SHOULD BE CONTINUED REGULARLY FOR A FEW MONTHS FOR BEST RESULTS FOR SCALP PSORIASIS EXTERNAL CARE IS VERY IMPORTANT REGULAR OIL APPLICATION ON THE SCALP BEFORE WASHING HELPS SOFTEN SCALES REDUCE ITCHING AND PREVENT EXCESS DRYNESS AVOID VERY HOT WATER FREQUENT HAIR WASHING AND STRONG SHAMPOOS AS THEY CAN WORSEN SCALING EVEN WHEN INTERNAL MEDICINES ARE WORKING STRESS AND IRREGULAR SLEEP CAN ALSO TRIGGER FLARES SO DAILY ROUTINE PLAYS A BIG ROLE SINCE YOU HAVE NOTICED DIETARY TRIGGERS IT IS IMPORTANT TO MAINTAIN CONSISTENCY EVEN WITH A BALANCED DIET CERTAIN FOODS LIKE FERMENTED ITEMS VERY SPICY OR OILY FOOD EXCESS CURD BAKERY ITEMS AND IRREGULAR MEAL TIMINGS CAN AGGRAVATE PSORIASIS DIGESTIVE STABILITY IS KEY BECAUSE SKIN FLARES OFTEN START FROM INTERNAL IMBALANCE RATHER THAN THE SCALP ITSELF IN LONG STANDING PSORIASIS COMPLETE PERMANENT CURE IS UNCOMMON BUT LONG PERIODS OF CONTROL WITH MINIMAL SCALING AND ITCHING ARE VERY MUCH ACHIEVABLE WITH STEADY TREATMENT DISCIPLINE AND PATIENCE SINCE YOU HAVE JUST COMPLETED PANCHAKARMA THIS IS THE PHASE TO CONSOLIDATE HEALING AND NOT EXPECT INSTANT RESULTS WITH REGULAR FOLLOW UP MOST PATIENTS SEE GRADUAL BUT LASTING IMPROVEMENT

13587 answered questions
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Doctor has prepared a treatment plan for you
Kottakkal Mahatiktaka Ghritam
Gandhak Rasayan - Dhootapapeshwar
Kaishore Guggulu - Dabur
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Current treatment is solid. ✓Recommended Additions (start today – 60–90 days) Jatyadi Ghrita or Mahamarichyadi Taila – apply thin layer on scalp at night and leave overnight or 2–3 hours → wash with mild herbal shampoo (Triphala / Neem-based) in morning This is the most important missing piece for scalp psoriasis , heals scaling & itching fast. Haridrakhand – 5–10 gm at night with warm water (strong anti-allergic, reduces new flare-ups from dietary triggers) Arogyavardhini Vati – 1 tablet morning after breakfast (boosts liver detox & clears deeper Ama/Pitta – very helpful when internal treatment plateaus) ✓Diet – strict for next 4–6 weeks (this is key) Continue fruits/veg = but strictly avoid nightshades (tomato, brinjal, potato, capsicum, chilli), fermented food, curd at night, seafood, excessive citrus Eat daily: pomegranate, amla, bottle gourd (lauki), bitter gourd (karela), moong dal khichdi + 1–2 tsp ghee, thin buttermilk + roasted jeera No cold drinks, no leftovers, no late dinner (finish by 7 pm) ✓Daily Must-Do Warm sesame oil scalp massage 5–10 min before Jatyadi Ghrita (softens scales) 10 min Anulom-Vilom pranayama daily (reduces stress-triggered flares) Avoid scratching use soft comb only Regards Dr Gursimran Jeet Singh MD Panchakarma

1817 answered questions
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Doctor has prepared a treatment plan for you
Kottakkal Jatyadi Ghritam
Arogyavardhini Gutika Ras - Dabur
Haridrakhand (Vrihat) - Dabur
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Don’t worry along with Mahamanjsiadhi gana vati 1tab bd AF Artisor ointment Externally apply Raktashodhak vati 1tab bd AF Avoid oily spicy food meat alcohol smoking u ll get results Dr RC BAMS MS

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- as you are doing everything in your case , I am recommending you some medicines but alsong with that follow sun exposure, for atleast 10-15 min, because it softens plaques and enhances absorption of the medicated oil. Internal medicine - -Gandhaka Rasayana: 250 mg, twice daily after food -Kaishor Guggulu: 2 tablets, twice daily after food -Mathathikthakam Ghrita: 1 tsp, morning on empty stomach -Manjishtha tab 1 tab with warm water twice daily after meal for blood purification Optional: Avipattikar Churna 1 tsp at night if digestion is irregular -External Therapy: Khadira or Neem oil: Warm 1–2 tsp, massage gently into scalp, leave 1–3 hours, 2–3 times/week Herbal shampoo: Mild wash after oil (Shikakai/Reetha/Amla/Neem), 2–3 times/week Sun exposure: 5–10 minutes on clean scalp, morning or late afternoon (avoid midday sun) Diet: Favor cooling, Pitta-pacifying foods: cucumber, coriander, coconut water, leafy greens Avoid oily, spicy, processed foods -Lifestyle: Gentle scalp massage, avoid scratching Maintain hydration and regular bowel habits Stress management: yoga, meditation, or pranayama -Follow-Up: Reassess in 6–8 weeks; consider Panchakarma (Virechana) every 6–12 months if chronic

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Avoid oily, spicy and processed foods. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cutisora oil for local application. Tab.Cutisora 2-0-2 Tab Arogya vardhini 2-0-2 Cap.Brahmi 1-0-1 Follow up after 4weeks.

13295 answered questions
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Hello I get how frustrating it is dealing with scalp psoriasis for so long. It’s good that you’ve been doing Panchakarma and taking meds. Ayurvedic concern – Scalp psoriasis for 20 years – Scaling is medium – Just had Panchakarma (2 weeks ago) – Taking Gandhak Rasayan, Kaishor Guggulu, Mahatikta Ghrita – Diet seems to set off flare-ups What’s Happening According to Ayurveda You’ve got: Ekakushtha + Rakta Dushti + Pitta-Kapha acting up Scalp psoriasis isn’t just a skin thing – there’s: – Blood issues – Immune system being too sensitive – Liver feeling hot – Pitta hanging around in your skin too long Panchakarma helped clear out junk. Now, we need to rebuild and get your immune system on track. INTERNAL MEDICATION You’re already on some good stuff. Add these to keep things steady: 1. Mahamanjishthadi Kwath Mix 15 ml with 15 ml warm water. Have it after lunch and dinner. It’s a great blood cleanser for psoriasis. It stops new patches from forming. 2. Arogyavardhini Vati Take 1 tablet twice a day after you eat. – Fixes your liver – Lowers flare-ups –Helps clear out fats and junk 3. Khadirarishta Mix 15 ml with the same amount of water after dinner. It keeps your skin chill and stops itching and scaling. Keep Taking These – Gandhak Rasayan – Kaishor Guggulu – Mahatikta Ghrita These are key for psoriasis. EXTERNAL CARE (Super Important) Mix Neelibhringadi Taila + Karanj Taila (50:50) Gently massage it into your scalp at night. Wash it out in the morning with herbal shampoo. This will: – Shrink patches – Stop hair from falling out – Stop itching DIET PLANAVOID – Curd – Pickles – Tomato – Brinjal – Foods that are not fresh. – Baked goods – Alcohol – Paneer – Too many sour fruits ✅INCLUDE – Bitter veggies – Lauki, tori, pumpkin – Rice, moong dal – Fresh Buttermilk – Ghee LIFESTYLE CHANGE – Get to bed before 11 pm – No napping during the day – Watch your stress – big time – Light yoga, nothing too intense You can live a normal life despite Psoriasis with Ayurveda. Your Panchakarma set the stage – now stick with the Rasayana plan above. Wishing you calm, healthy skin and a clear mind. Warm Regards Dr Snehal Vidhate

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ALSO ADD: 1.Arogyavardhini vati 2 tab twice daily with water after meals 2.Neem capsules 1 cap twice daily with water after meals 3.Panchatikta ghrita guggulu 2 tab twice daily with water after meals (instead of mahatikthkam ghrita) 4.Mahamajisthadi kwath 20 ml with 20 ml water twice daily after meals 🧴 External Therapies - Medicated oils: *Nalpamaradi Taila, Mahamanjishthadi Taila, or Karanjadi Tail

11748 answered questions
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Hello, Scalp psoriasis is a chronic skin condition caused by a misdirected immune response that makes skin cells grow too fast and accumulate in the scalp. This leads to -itchy, red, inflamed skin -thick , white or silvery scales -sticky discharge (in severe or infected cases) -burning or stinging sensation -hairfall due to constant itching and inflammation IS IT CONTAGIOUS? No, psoriasis is not contagious- it does not spread from one person to another In Ayurveda, this condition resembles Eka Kushtha, a type of chronic skin disease involving -vata and Kapha dosha imbalance -rakta dhatu duushti (blood impurity) -accumulation of ama(toxins) ROOT CAUSES IN AYURVEDA -improper digestion-> toxins(ama) -excessive oily/salty/ sour foods -mental stress -suppression of natural urges -irregular eating and sleeping patterns TREATMENT GOAL -reduce inflammation and itching -eliminate toxins (ama) and purify the blood -balance vata and kapha doshas -rejuvinate skin and hair follicles -prevent recurrence INTERNAL MEDICATIONS These works from within to purify blood, remove toxins, and improve skin health 1) KAISHOR GUGGULU= 2 tabs twice daily after meals with warm water =blood purifier, anti-inflammatory, balances pitta-kapha 2) AROGYAVARDHINI VATI= 2 tabs twice daily after meals with warm water =liver detox, improves digestion, clears skin eruptions 3) MAHATIKTAKA GHRITA= 1 tsp in warm water in morning empty stomach =corrects deep tissue impurities . enhances skin immunity 4) GANDHAKA RASAYANA= 1 tab twice daily after meals =natural sulphur, heals skin and reduces itching and infection 5) PANCHATIKTA KASHAYA= 40 ml twice daily before meals with water =bitter decoction to purify blood, reduce plaques TYPICALLY CONTINUE THIS FOR 6-12 WEEKS EXTERNAL TREATMENTS these help to soften scales, reduce infection and relieve itching OILS(apply 30-60 minutes before bath) -NEELIBRINGADI TAILA= strengthens hair, reduces itching -DURVADI TAILA= especially helpful if there’s sticky fluid or oozing -Warm a little oil, apply on scalp, massage gently. leave for 30-60 mins, then wash off with herbal shampoo HERBAL SHAMPOOS 1) SASLIC DS= removes thick flakes 2) SCALPE + SHAMPOO= antifungal, reduces infection 3) TRICHUP HERBAL ANTI-DANDRUFF SHAMPOO= gentle daily use- option Use medicated shampoos twice weekly. herbal shampoo on other days if needed HOME REMEDIES 1) ALOE VERA GEL= fresh aloe applied directly to the scalp soothes and cool 2) NEEM PASTE= mix neem powder with water, apply for 30 mins before washing 3) TURMERIC MILK= 1/2 tsp turmeric + warm milk at bedtime improves skin from within 4) COCONUT OIL + CAMPHOR= soothes severe itching for dry scalp only don’t use if sticky or discharge is present DIET SHOULD BE FOLLOWED diet is half the treatment in Ayurveda, AVOID -sour curd, pickles, cheese -fermented foods- idli,dosa -seafood especially shellfish -tomato, brinjal, spinach-heating in nature -cold drinks, ice creams -excess salt, jaggery, refined sugar -reheating food EAT MORE -warm, freshly cooked meals -moong dal, rice, bottle gourd, pumpkin -bitter vegetables= neem, karela, methi -whole wheat or millet based rotis -ghee in small amounts- improves digestion and skin YOGA AND PRANAYAM These help balance stress, which worsens psoriasis YOGA ASANA -shashankasana -bhujangasana -sarvangasana -paschimottanasana PRANAYAM -nadi sodhana -sheetali pranayam -bhramari PRACTICE 20-30 MINS DAILY, especially in morning INVESTIGATIONS TO RULE OUT UNDERLYING ISSUES 1) CBC, ESR= check for signs of inflammation 2) VITAMIN D,B12= deficiency may worsen symptoms 3) LIVER FUNCTION TEST= if long term medications is planned 4) SKIN BIPSY= if diagnosis is ulclear 5) FUNGAL CULTURE= if discharge is yellow/green(possible infection) PANCHAKARMA THERAPIES(In clinic-detox) for chronic or resistant cases, consider -VIRECHANA= purgation to cleans pitta and toxins -TAKRADHARA= buttermilk poured on scalp-soothes itching -RAKTAMOKSHANA= bloodletting (leech therapy) for stubborn plaques -SHIROLEPAM= medicated paste applied to scalp FINALLY 1) CONSISTENCY IS KEY= ayurvedic treatment takes time but it cures deeply 2) DON’T SUPPRESS NATURAL URGES= like bowel movement, urination or tears 3) STAY AWAY FROM STRESS= emotional triggers can worsen skin conditions 4) STICK TO EARLY DINNERS, REGULAR SLEEP, and minimal mobile use before bedtime 5) AVOID CHEMICAL HAIR PRODUCTS= use herbal/natural alternativs 6) TRIM NAILS- to avoid damage from scratching DO FOLLOW CONSISTENTLY FOR 6-12 WEEKS HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

12734 answered questions
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Start with Panchtiktagrit guggul 2-0-2 after food with water Aarogyavardhini 1-0-1 after food with water Kamdudharas 1-0-1 after food with water Apply psorolin oil on affected area on the scalp daily, and wash with mild herbal shampoo. Avoid wrong combination of food like milk with salty foods, citrus fruits, nonveg food, curd, Do pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins twice daily Avoid direct Sun rays exposure use hat or use umbrella when going out during the day.

13329 answered questions
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