What you are experiencing in the form of hidradenitis suppurativa under the arm along with oily scalp acne around nose and dandruff is not separate problems but one internal imbalance expressing in different ways through the skin your body is showing a clear pattern of excess heat and oil along with toxin accumulation which in Ayurveda we understand as pitta kapha aggravation with rakta dushti and ama formation when digestion and metabolism are not functioning optimally toxins start accumulating in the body and instead of getting eliminated they get lodged in skin channels especially in areas like underarms where sweat glands and hair follicles are dense leading to painful swellings pus formation and recurrence along with this the same imbalance reflects as oily skin dandruff and acne so the root cause is internal not just local infection The medicines you are taking like Doxycycline and Isotretinoin help in controlling infection and reducing oil secretion temporarily but they do not correct the underlying imbalance so your decision to shift towards a deeper healing approach is valid but it requires consistency and patience because this condition heals gradually as the internal system gets corrected From an Ayurvedic perspective the focus should be on improving digestion clearing toxins purifying blood and balancing pitta and kapha so that the tendency to form boils reduces from the root you should keep your diet light warm and easy to digest avoid curd cheese fried food bakery items excess sugar non vegetarian heavy meals and cold refrigerated food as these increase both kapha and toxin formation take warm water throughout the day which helps in channel cleansing include simple foods like rice moong dal cooked vegetables bitter foods like neem based preparations and greens which help in blood purification Mahamanjishtadi Kashayam 15 ml mixed with equal quantity of warm water twice after food Amruthaaristha 15 ml with equal water twice daily after food Nimbadi kwath twice daily after food with warm water to reduce Kaishora Guggulu 1 tablet twice daily after food Triphala churna half teaspoon at night with warm water use Neelibhringadi keram apply lightly once or twice a week and wash with mild herbal shampoo avoid heavy oiling For local underarm care keep the area clean dry and free from friction you can apply a paste of turmeric and neem avoid squeezing or pressing the lesions as it worsens the tract formation wear loose cotton clothes to reduce sweating and friction This condition requires around three to six months of consistent treatment to show stable results as the body slowly corrects metabolism and clears accumulated toxins also do not stop isotretinoin suddenly if you are on it taper gradually while starting Ayurvedic medicines to avoid flare up
Hidradenitis suppurativ according to Ayurveda is caused due to weak digestion that builds up toxins in the body, heat , dosha imbalance due to stress, lifestyle. Start with Heposem syrup 10ml twice daily after food with water will improve your digestion. Kanchanar guggul 1-0-1 will help reduce cyst and remove inflammation. Mahamanjistadi kadha 15 ml twice daily after food with 30ml. water will help as a blood purifier., rill help reduce pimples too. Nimbadi kwath tablet 1-0-1 after food with water, will help as Anti bacteria and natural antibiotic. Avipattikar choornam 1tsp twice before food with water Clean affected area twice daily with Neem kwath put 1tsp in a tumbler of warm water and use it to clean affected area. And apply jatyadi oil after cleaning on affected area. Avoid sour fermented foods, Do pranayam lom -vilom bhastrika bhamri kapalbhatti 5-10mins twice daily daily. Apply multani mitti+ besan on face twice weekly keep it for 10 minutes and wash with clean water. Use Dano shampoo to wash hair will reduce dandruff. Avoid direct Sun rays exposure use hat or use umbrella when going out during the day. Some of the medicine recommended are available on this platform, you can buy it at 10% discount, rest you can buy from outside. Follow up after 15 days
• Kanchanar Guggulu (Kanchanaragulgulu Gulika 60 Nos) - Kerala Ayurveda (Kanchanaragulgulu Gulika 60 Nos) — x1 • Nimbadi Kwath Tablet (100 Nos) - Kerala Ayurveda (Nimbadi Kwath Tablet 100 Nos) — x2 • Avipathi Choornam (50 Gm) - Kerala Ayurveda (Avipathi Choornam 50 Gm) — x1 • Nimbadi Kwath (200 Ml) - Kerala Ayurveda (Nimbadi Kwath 200 Ml) — x1 • Mahamanjishtadi Kwath (200 Ml) - Kerala Ayurveda (Mahamanjishtadi Kwath 200 Ml) — x1 • Jathyadi Kera Thailam (100 Ml) - Kerala Ayurveda (Jathyadi Kera Thailam 100 Ml) — x1 • Heposem Syrup (200 Ml) - Kerala Ayurveda (Heposem 200 Ml) — x1
–HS is linked to: Blocked hair follicles + inflammation Hormonal influence (androgens) Immune system overreaction Gut health and lifestyle factors –High stress → worsens inflammation + hormones Oily/spicy diet → increases Pitta + Kapha Weak digestion → toxin buildup Naturally oily skin type → prone to blockage 👉 So yes, your instinct is right: this is an internal issue, not just a skin problem. –treatment protocol – 1. Digestion (2–3 weeks) Jeera water: 1 glass morning Hingwashtak churna: ½ tsp after meals (2× daily) 2. Detox (Ama reduction) (3 weeks) Neem tablets: 1 tab twice daily (empty stomach) Giloy: 500 mg–1 g twice daily Triphala: 1 tsp at night with warm water 3. Main Medicines (2–3 months) Kaishore Guggulu: 2 tabs twice daily after meals Mahamanjishthadi kwath: 15 ml + equal water, twice daily before meals Gandhak Rasayan: 250mg twice daily 4. Maintenance Amla powder: 1 tsp daily Aloe vera juice: 20 ml morning empty stomach
Walk: 20–30 min daily Pranayama: 10 min – Important Continue & taper slowly (don’t stop suddenly): Doxycycline Isotretinoin
Thanks dr. I have one curious question. Isn’t most of them ayurvedic ingredients or formulas warmth by nature and heat to the body.
And i always feel heat in my body. All over head to tow most if the times
Not all Ayurvedic medicines are “heating.” It depends on the herb and the balance of the formula.
Your feeling of “heat from head to toe” + HS (Hidradenitis Suppurativa) + oily skin = high internal heat + inflammation –Morning (empty stomach) Aloe vera juice: 20 ml Amla juice/powder: 1 tsp –Coconut water (3–4 times/week) Drink normal or slightly cool water (not ice cold) Avoid sun exposure + overheating –Add daily: Anulom Vilom (10 min) Bhramari (5 min) –You don’t need more “heating detox” right now You need cooling + gentle detox + stress control
At present as I prescribed u earlier continue with all other medicines except Hingvashtak churn it will be heating for u
Take following medicine along with current medicine 1) Arogyavardhini vati - 2 tab twice a day after food 2) Kaishor guggul - 2 tab twice a day after food 3) gandhak Rasayan - 2 tab twice a day after food 3) Haridra khand - 1 spoon twice a day empty stomach with milk or water 4) mahamanjishtadi keath - 15 ml twice a day after food 5) Jatyadi Oil + Panchvalkal ghrit - mix equal and apply externally. Follow strict diet plan Avoid all sweets, excess sugar and salt, preservatives, packed food, junk food, baked & fermented foods, non veg and milk products.
The conditions you describe pointing towards with vidradhi or Granthi involving kapha and Rakta imbalance and the underline only skin dandruff and indigestion pointing toward the accumulation of toxins and meda involvement As you are 28 year old with HS high stress and diet rich in oily spicy food a focus is to purification and pacification of pitta and kapha 1) maha tiktaka ghrita capsule- 1 cap 30 minutes before breakfast and dinner 2) kanchnar gugglu- 2 tablet after food with warm water 3) triphala gugglu- 2 tablet at bed time with warm water 4) patolakaturohinyadi kwatha -15 mix with 45 ml lukewarm water twice daily 5) pinda thailam / jatyadi thailam- apply locally twice daily after cleaning the area Avoid red chilli fermented food citrus fruit deep fried snacks exercise salt include Karela Parwal moong dal pomegranate and leafy green vegetable switch to luke warm water throughout the day Practice Pranayam daily for 15 minutes use Triphala decoction or Neem Infuse water to wash affected underarm area Switch to lose breathable cotton fabric
1.Guggulu tikta ghrita 1 tsp with warm milk or water empty stomach in the morning 2.Arogyavardhini vati 2 tab twice daily with water after meals 3.Neem capsules 1 cap twice daily with water after meals 4.Mahamanjisthadi kwath 20 ml with 20 ml water twice daily after meals 5.Triphala churna 3/4 tsp at bedtime with warm water External Care---- - Wash underarms with neem decoction or turmeric water. - For scalp: apply neem oil + coconut oil mix twice a week. - For dandruff: apply neem oil twice weekly 3-6 hrs before hairwash. Diet & Lifestyle---- - Avoid oily, spicy, fried foods (they aggravate Kapha-Pitta). - Prefer light, cooling foods: moong dal, lauki, tori, green leafy vegetables. - Take warm water throughout the day to flush toxins. - Reduce milk + curd combination (causes Kapha blockages). - Practice stress management: pranayama (Anulom Vilom, Bhramari), meditation.
Namaste, Looking at your symptoms—hidradenitis suppurativa (HS), oily skin, pimples, dandruff, and indigestion—they are all connected. In Ayurveda, this is mainly due to pitta + kapha imbalance along with ama (toxins) and weak digestion. When digestion is not proper and internal heat increases, the skin becomes oily, inflamed, and prone to infections. That is why you are seeing pimples, dandruff, and HS, especially in areas like the underarms where sweat and friction are more. Your approach is correct—focusing on root cause and internal correction is important for long-term improvement. Start with diet and lifestyle: Avoid spicy, oily, fried food, bakery items, excess non-veg, and sugar. Keep food simple—home-cooked meals, green vegetables, bottle gourd, ridge gourd, bitter gourd, and amla. Sip warm water through the day. Stress plays a big role, so try 10–15 minutes of daily deep breathing or meditation. Simple home care: Keep the underarm area clean and dry. You can gently wash with neem water and apply a thin layer of aloe vera gel to reduce irritation. For scalp: Use a mild neem or tea-tree based shampoo 2–3 times a week. Avoid heavy oiling since your scalp is already oily. Ayurvedic medicines with dose and timing: Arogyavardhini Vati – 1 tablet twice daily after food Mahamanjisthadi Kwath – 15 ml with equal water, twice daily Gandhak Rasayan – 1 tablet once daily Triphala Churna – 1 teaspoon at night These help in improving digestion, reducing inflammation, and supporting skin healing from within. You may start noticing improvement in pimples and dandruff within 3–4 weeks. HS flare-ups usually take longer and need consistent care for a few months. If any swelling becomes painful, with pus or fever, then taking antibiotics as advised by your doctor is important—Ayurveda can be continued as supportive long-term care.
Go for ksharasutra terapy Consulting the ayurvedic surgeon for better examination and treatment
