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How to treat rosacea with herbal remedies when azelaic acid isn't working?
Skin and Hair Disorders
Consultation #53287
141 days ago
813

How to treat rosacea with herbal remedies when azelaic acid isn't working? - #53287

Client_82f111
$3

I have rosacea and I use too many products to treat i also using azeclic acid but koi farak Nahi so please mujhay koi herbal chezay Suggest kar da thx

How long have you been experiencing rosacea symptoms?:

- More than 6 months

What specific symptoms are you experiencing with your rosacea?:

- Itching or burning sensation

How would you describe the severity of your rosacea?:

- Severe — constant redness and discomfort

Have you identified any triggers that worsen your rosacea?:

- No clear triggers

What products or treatments have you used besides azelaic acid?:

- Over-the-counter creams

How is your overall skin health and sensitivity?:

- Oily or acne-prone

How is your lifestyle in terms of diet and stress management?:

- Healthy diet and low stress

Doctors' responses

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
141 days ago
5

Rosacea ko Ayurveda mein Pitta dosha ki problem mana jata hai. Jab Pitta zyada badh jata hai to skin mein redness, burning aur irritation hoti hai. Is liye treatment ka main goal Pitta ko shaant karna hai. — is ke liye aap thandi aur soothing herbal cheezen use karein jaise aloe vera, gulab jal (rose water), aur neem. Tez, garam aur chemical wale products avoid karein. — diet mein bhi thandi cheezen lein (jaise kheera, dahi, nariyal pani) aur spicy, oily aur fried food kam karein. –Rx: 1) Aimil Pharma Lukol Tablets 2 tablets BD after meals 2) Aimil Pharma Safi Syrup 10 ml BD with water 3) Aimil Pharma Aloe Vera Gel (Aimil) Local application BD (thin layer on affected area) 4) Manjishthadi kwath 15 ml twice a day with equal amount of water — Advice: Avoid spicy, fried, hot foods Take cooling diet (cucumber, coconut water) Avoid sun exposure & harsh cosmetics —Follow-up: After 2 weeks


7 replies
Client_82f111
Client
141 days ago

Doctor I am from Pakistan to ya medicine yaha to nhi Mili gi Baki thank you so much simple skincare routine bhe bata da mujhay

Client_82f111
Client
140 days ago

Doctor right now I am using gentle skin cleanser and barrier repair moisturizer and minerals suncream and week ma twice time azeclic acid 15% but isay koi farak Nahi par Raha h actually mujhay stomach Ka problem ha Thora to is wajah oily food cold drink SA Chor dia h 2 year SA Ghar Ka Bana Khana bas to ap baray ma ab Kia Karo mujhay bhot tension h iski thk honay Ka naam nhi la Raha h

Client_82f111
Client
140 days ago

Doctor ya jitni bhe medicine apnay bataya Pakistan ma to ya nhi milti to ab Kia Karo ma

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

Let me to check as per your availability

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

honestly, your routine is already quite good, and the fact that you’re still not improving means: – This is not just a skin problem — it’s internal (gut + inflammation related) which matches what you said about stomach issues. -Your skincare is correct (cleanser + moisturizer + sunscreen) Azelaic acid not working = your rosacea is deeper (internal Pitta issue) Over-treating skin will make it worse - So now focus = gut + soothing + patience — have it 1. Safi (Hamdard) 10 ml at night with water 2. Isabgol (Psyllium husk) 1 tsp at night in water 3. Aloe Vera Juice 20 ml empty stomach morning — for external Continue your cleanser + moisturizer + sunscreen Use fresh aloe vera gel at night (instead of too many creams) Stop experimenting

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

You’re not doing anything wrong — just need right direction + patience

Client_82f111
Client
140 days ago

Thank you doctor ☺️…

Dr. Suchin M
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

Hi Rosaceae issue can be said as pitta prakopa with rakta dushti so start with Manjishtadhi kwatham 20 ml twice a day after food Saribadhyasavam 5 ml with 10 ml of water twice a day after food Chandraprabha vati tab 1-0-1 after food Thank you


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

It is due to aggravation of Pitta and Rakhta dosha in your body Since you are experienceing a burning sensation and severe redness so we will focus on pacifying your burning and blood purification 1) Mahamanjishtadi Kwatham- 15 ml with 45 ml lukewarm water twice daily before food 2) Sukumaram Kashayam- 15 ml with 45 ml lukewarm water twice daily before food 3) Arogyavardhini Vati -1 tablet twice daily after food 4) Guggulutiktaka Ghritam- one teaspoon early morning empty stomach 5) Eladi Keratailam- apply gently 30 minutes before bath 6) Nalpamaradi Keratailam- apply on affected area before bed 👇👇👇👇👇👇👇👇👇👇 Avoid Spices: Green/red chilies, garlic, onion, and excessive ginger. Sour Foods: Curd (especially at night), pickles, vinegar, and citrus fruits. Fermented Items: Idli, dosa, and bakery products. Stimulants: Tea, coffee, and alcohol. Sun Protection: using a cotton scarf or a wide-brimmed hat. Use only lukewarm or room-temperature water for the face. Avoid hot water or steam. Practicing Sheetali Pranayama for 5-10 minutes daily can help reduce systemic heat.


0 replies
Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
139 days ago
5

Hello It sounds like your skin is quite sensitized from using too many products. In Ayurveda, Rosacea is often viewed as a Pitta-Rakta imbalance, where excess heat (Pitta) enters the blood (Rakta), leading to inflammation and redness. ​When Azelaic acid doesn’t yield results, the focus shifts from “scrubbing away” the problem to cooling the internal heat and soothing the external skin barrier. ​ ​The Cause: High Pitta caused by stress, spicy food, or harsh chemicals. ​The Strategy: Stambhana (soothing) and Rakta Prasadana (blood purification). Avoid hot water on the face and keep your skincare routine very minimal. ​ ​1. Winsoria Oil (External Application) ​Why: A very gentle, cooling oil that helps reduce redness and inflammation without harsh chemicals. ​Dose: Apply a few drops gently over the affected area 30 minutes before bathing, then wash off with plain, room-temperature water. ​2. Khadirarishtam (Internal Liquid) ​Why: A classic blood purifier that helps clear the “heat” from the blood which manifests as skin redness. ​Dose: 15ml to 25ml mixed with an equal amount of lukewarm water, twice daily after meals. ​3. Manjishtadi Kwath (Internal Tablet/Liquid) ​Why: Specifically targets skin inflammatory conditions and helps detoxify the liver and blood. ​Dose: If using the tablet (Kashayam Tablet), take 2 tablets twice daily before food. If liquid, 15ml with equal water before food. ​ ​Aloe Vera: Use fresh, pure Aloe Vera gel as a nightly mask. It is naturally cooling. ​Rose Water: Mist your face with pure chilled rose water throughout the day to keep the skin temperature down. ​Neem Water: Wash your face with water boiled with Neem leaves (once cooled) to reduce bacterial activity without irritation.


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
139 days ago
5

?? Do’s: ?? Stay hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Stress free lifestyle ? Dont’s: ? Oily and spicy food. Processed and preserved food. Packed and ready to eat items. Pickles and papad Dried fish Curd ?? Medication: ?? Cap. Mavin 2 caps twice a day before food Syp. Sarivadhyasav 3 tsp twice a day before food Aloevera gel Application daily


0 replies
Dr. Jatin Kumar Sharma
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

Hi Rosaceae pittaj disorder hai…agar aap acid lagaenge toh redness aur badhegi Aap ye medicine lijiye Panchtiktaghrit guggulu -2 BD Avipattkar churna 1 tsp at night Mahamanjistharista-15 ml bd Avoid spicy and oily food 1 month lijiye aapko result milega


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

this kind of rosacea usually happens due to pitta imbalance along with rakta dushti especially when there is constant redness, burning and oily sensitive skin, using too many products can further irritate the skin and worsen the condition since azelaic acid is not helping much, we need to calm the internal heat and reduce skin sensitivity from within rather than only external application i would suggest medicines like mahamanjisthadi kwath or sarivadyasava which can support blood purification and reduce redness when taken with proper digestion, along with gandhak rasayan in mild dose can help in skin soothing externally keep it very simple, avoid using multiple products, you can apply fresh aloe vera gel or rose water with a little sandalwood powder as a gentle soothing pack, do not rub or over cleanse the skin avoid spicy, oily, fermented and very hot foods as they increase pitta, include cooling foods like cucumber, bottle gourd, coconut water and maintain good hydration also avoid direct sun exposure, heat and hot water on face, wash face with normal or slightly cool water only with consistency and minimal skin irritation, the redness and burning can gradually come under control Heartful pranams Dr Raghuveer SN (Ayurvedacharya)


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
140 days ago
5

Hello, Samaj lo seedhi baat= tumhari condition severe rosacea + oily skin + overuse products= skin barrier damage + pitta imbalance (heat in body). Is liye azelaic acid kaam nahi kar raha- Ayurveda approach simple rakhta hai= cooling + detox + soothing Root cause -Rosacea= pitta dosha aggravated + blood toxins -symptoms like burning, redness= internal heat + sensitive skin Iska treatment -cool body -clean blood -repair skin barrier Internal medicines 1) Mahatiktaka ghrita= 1 tsp empty stomach =best for inflammation + chronic skin isses 2) Nimbadi kwath tablet= 1 tab twice daily after meals =best for oily + acne prone rosacea 3) Triphala churna= 1 tsp with warm water at bedtime =digestion + toxin removal External treatment Morning
-face wash= only gentle (no actives) Apply -aloe vera gel (pure)= redness calm -OR sandalwood paste twice daily Aloe + sandalwood= cooling. +anti inflammatory Night routine -face wash gentle -apply= nalpamaradi keram light layer =reduces redness + improves skin tone Weekly 2-3 times Face pack -neem powder + aloe vera gel -or Turmeric + sandalwood + rose water Neem + turmeric reduce redness + bacteria Diet most important Agar diet sahi nahi> kuch kaam nahi karega -cucumber, lauki, karela -coconut water -ghee small amount -fruits sweet type Avoid -spicy, food, fried junk -tea,coffee excess -pickles, citrus excess -hot weather exposure Cooling diet reduces pitta-> rosacea control Important mistakes you are doing -too many products biggest problem -over exfoliation / actives -switching products fast Rule= less is more for rosacea Result timeline -2 weeks= burning kam -4-6 weeks= redness reduce -2-3 months= stable skin Do follow Hope this might be helpful Thank you


0 replies
Dr. Deepika Pandey
Doctor of Medicine in Ayurveda
140 days ago
5

As you have mentioned you reside in Pakistan, simple home remedies can be done for rosacea focusing on cooling and soothing the skin. For external use, cold raw milk with mulethi with chandan powder make a paste, apply gently leave it for 10–15 minutes, then wash with normal water. This helps reduce redness and burning. Fresh aloe vera gel is also very useful. Apply a thin layer at night. It has a cooling and anti-inflammatory effect and helps calm irritated skin. For internal support, coriander (dhania)+ saunf (fennels) water can be taken. Soak 1 teaspoon seeds overnight, boil in the morning, strain and drink. Avoid spicy, fried, and very hot foods, excess tea/coffee, direct sun exposure, and washing face with hot water. Keep the skincare routine minimal and avoid rubbing or scrubbing the skin. Do not use lemon, baking soda, harsh scrubs, or too many products together, as these can worsen rosacea. If symptoms are severe and not improving in 2–3 weeks, then proper medical or Ayurvedic treatment may be required. Consistency with simple remedies and avoiding triggers is the key.


0 replies
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
139 days ago
5

Need personal consultation for better examination and treatment


0 replies

The treatment course was sent to the patient's private messages.


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