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Dr. Vikram Chauhan - MD (Ayurveda)

Tuesday, April 9, 2019

Ayurvedic treatment of Hidradenitis suppurativa

Hidradenitis suppurativa is a chronic and rare skin condition which present itself in the form of painful, small lumps under the skin which results in scarring. These lumps usually occur in place of sweat glands near the hair follicle. Areas which rub together usually is the place for this rare skin disease like near buttocks, groin, armpit, and breasts. These lumps develop, breaks, open resulting in a tunnel-like formation under the skin. Hidradenitis suppurativa usually develop after puberty and worsen with all the passing time. It also affects daily life and emotional well-being of the patient. Hence, early intervention is necessary. Advanced cases of this skin disease can result in depression and scarring.

hidradenitis suppurativa


Hidradenitis suppurativa affects the areas which are full of sweat glands like groin and armpits. This skin condition also affects the areas which rub together like buttocks, inner thighs, and breasts. It may be present in a single area or may include a number of areas of the body. Some of the common sign and symptoms are seen in this skin condition are:

  • Blackheads in small pitted areas, usually in pairs.
  • Bumps usually enlarge and break to open, pus drains out.
  • Drained pus have a foul smell.
  • Burning and itching in the bumps.
  • Bumps appear in the areas which gets rub into each other.
  • Lumps are painful.
  • Lumps become harder with time, becomes enlarged and inflamed.
  • For many years these lumps persist on their place, converting into the scar and then again showing up.
  • With passing time tunnels develop under the skin in these lumps.
  • If healing occurs in few cases then it is very slow and pus keeps on draining.

Hidradenitis suppurativa commonly starts after puberty and can occur up to 40 years of age. It starts as a single bump which is painful and hard. This bump keeps lurking there for weeks and months. When it finally heals, that too very slowly leaves a scar behind and comes up again. In some cases, over time disease becomes worse and covers many areas of the body. In a few cases, these lumps can get infected resulting in secondary infection.


The exact cause of this rare skin disease is unknown but the blocked hair follicles are the identified reason for the lump formation. Some of the associated factors are:

  • Obesity and smoking have been found to be strongly associated with Hidradenitis suppurativa. These two factors worsen the condition of the patient.
  • As Hidradenitis suppurativa occurs commonly after puberty and up to menopause. Hence, this shows that the role of sex hormones is also main cause in the pathogenesis of it.
  • People prone to acne and suffering from hirsutism are also at the risk of having Hidradenitis suppurativa.
  • People with Crohn's disease may get affected to it usually near the anal area or groin region.
  • It is a noninfectious skin disease and commonly linked to poor hygienic conditions.
  • The familial tendency is also part of Hidradenitis suppurativa.
  • Women are more prone to this skin disease than men.


As said earlier, early intervention and proper treatment are very necessary otherwise it can lead to many diseases like:

  • Bacterial infection can occur in the leaking lumps.
  • Healing of the lump occurs but leaves a scar, pit, or dark color patch.
  • When affecting thighs and armpits, scarred areas can be painful and may limit the movements of the patient.
  • As at the site of Hidradenitis suppurativa, there are many lymph nodes and scarring at that place may cause hindrance to the drainage of the lymph resulting in swelling of the affected area.
  • Due to the foul-smelling pus drainage the patient feels embarrassed and become reluctant to go out in public places resulting in depression or sadness.
  • In advanced cases of Hidradenitis, suppurativa patient may develop cancer, i.e. squamous cell carcinoma.


There is no specific or exact way to diagnose this disease. Complete case history may reveal the case of Hidradenitis suppurativa. There are no laboratory tests which can help to diagnose it. But the culture of the pus may show the absence of any bacteria, ruling out any of the bacterial infection.


In the conventional system of medicine there is no specific or permanent treatment of Hidradenitis suppurativa. Usually, antibiotics, injections of steroids and hormonal therapy is suggested.


According to Ayurveda Hidradenitis suppurativa is inverse acne that is an autoimmune disease which occurs due to the vitiation of Pitta and Kapha dosha and Rakta dosha. This aggravation of the doshas and vitiation of blood occur in the people who have incompatible diet, people with no fixed timings of having meals, heavy food intake, excessive smoking, and alcohol consumption.

Reference - Charak samhita, chikitsa sthanam, Kusht chikitsadhaya 7, shloka no. 9 and 10

Meaning - Due to all the said reasons Vata, Pitta and Kapha dosha gets aggravated and vitiates blood and muscle tissues. So there are 7 groups of things which get vitiate and causes skin disease. Due to the vitiation of these seven things 18 types of skin diseases occur. There is always involvement of more than one dosha.


I recommend this blend of a very effective group of herbal remedies which specifically target this disease pathogenesis and treat it successfully.

1. Curcumin Capsules

Curcumin is the active component of turmeric which is responsible for anti-inflammatory, antioxidant and analgesic properties of turmeric. Curcumin capsules are prepared from standardized extract of Curcumin which helps to relieve inflammation and initiate the healing in the body.

Dosage- 2 capsules twice daily after meals with plain water.

2. Radiant Skin, Hair, Nails Formula

These capsules are made from standardized extracts of various amazing herbs like manjishtha (Rubia cordifolia), Pittpapda (Fumaria officinalis), etc. which works to annihilate any kind of ailment of skin, hair and nails. In this disease it treats the damaged skin cells and promote growth of new cells.

Dosage- 2 capsules twice daily after meals with plain water.

3. Gandhak Rasayan

These tablets are prepared from extract of purified sulphur (Shuddh gandhak). It helps to keep the skin hydrated and treats various skin diseases by eliminating the toxins from the body.

Dosage- 2 tabs twice daily after meals with plain water.

4. Kaishore Guggul

These herbal tablets are made from extracts of various herbs like Amalaki (Emblica officinalis), Bibhatki (Terminalia bellerica), Haritaki (Terminalia chebula) etc. which works together to boost up the immunity of the body and relieve inflammation.

Dosage- 2 tabs thrice daily after meals with plain water.

5. Manjishtha Capsules

These capsules are prepared from standardized extracts of Rubia cordifolia (Manjishtha) which contains anti-inflammatory, and antioxidant properties, relieves inflammation and also increases the growth of new cells.

Dosage- 2 caps twice daily after meals.

A Mixture of following sachets, make into 60 sachets and consume them for 1 month

  1. Praval Pishti - 5gm
  2. RasManikya - 2gm
  3. Rajat bhasma - 5gm
  4. Akik pishti - 5gm
  5. Swarna makshik Bhasma - 10gm
  6. Giloy satva - 10gm
  7. Kamdudha ras - 5gm
  8. Swarn Gairik - 5gm
  9. Akik pishti - 10gm
  10. Jahar mohra pishti - 5gm
  11. Navrattan kalpamrit ras - 2gm

A Mixture of all these made into 60 sachets and consume 1 sachet twice daily with syrup; Dermoplan syrup, Mahamanjishthadi kwath and Syp. Khadirarishtha


  • Avoid milk, milk products, and sour fruits.
  • Consume fresh fruits and vegetables.
  • In case of children give half of this dose.

Contact my assistant to provide you the costing / ordering and delivery information at - or call at +91-172-5214030

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