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Dr. Vikram Chauhan - MD (Ayurveda)

Friday, October 3, 2025

Why Ayurveda is best for Atopic Dermatitis ?

Abstract

Beyond being a mere protective barrier, the skin in atopic dermatitis plays a central role as both the battleground and the guardian of immune balance. When this delicate shield is compromised, it sets off immune reactions and environmental sensitivities, underscoring the vital importance of skin integrity in managing and understanding the condition. The abstract shows how the skin’s unique structure and function intertwine with the pathogenesis of atopic dermatitis, telling why preserving skin health is important in controlling this persistent and distressing disease.

Atopic Dermatitis

Introduction

Atopic dermatitis (AD) is a chronic, relapsing inflammatory skin disorder characterized by dry, itchy, and inflamed skin. It often begins in childhood but can affect all ages and is commonly linked with other allergic conditions like asthma and allergic rhinitis. AD arises mainly due to a combination of skin barrier dysfunction and immune system imbalance. The skin’s protective barrier is weakened, because of reduced levels or mutations leading to increased water loss and easier penetration of allergens, irritants, and microbes. This makes the skin dry and vulnerable to irritation. Thus, atopic dermatitis is essentially a disease where compromised skin barrier and immune dysregulation interact, causing persistent itching and inflammation. Maintaining skin integrity is critical in managing AD, as the skin is both the frontline defender and the site of ongoing disease activity.

Causes

  • Genetic Factors: Family history of atopy (eczema, asthma, allergic rhinitis).
  • Skin Barrier Dysfunction: Impaired skin barrier leading to increased water loss
  • Immune System Dysregulation.
  • Environmental Triggers: Exposure to allergens, contact with irritants, climatic factors (dry, cold weather or excessive heat and sweating).
  • Microbial Factors: Altered skin microbiome balance
  • Stress: Emotional or physical stress can exacerbate symptoms
  • Other Factors: Food allergies, hormonal changes

Symptoms

  • Dry, itchy skin
  • Redness
  • Swelling
  • Rash – commonly on the face, neck, hands, elbows, knees, and ankles
  • Thickened or leathery skin from chronic scratching
  • Small, raised bumps that may ooze fluid when scratched
  • Crusting or scaling over affected areas
  • Darkening or lightening of skin
  • Increased skin sensitivity to irritants like soaps
  • Recurrent flare-ups with periods of remission

Diagnosis

1. Detailed Medical History

  • Complete Blood Count (CBC): May show mild eosinophilia
  • Serum IgE Levels: Often elevated in atopic individuals; correlates with severity in some cases
  • Allergen-specific IgE: Identifies specific food or environmental allergens

2. Skin Tests

  • Patch Test: Helps identify contact allergens that may worsen eczema
  • Prick or Scratch Test: Detects immediate hypersensitivity reactions to specific allergens

3. Skin Swabs / Cultures

  • Bacterial Culture: To detect secondary infections, commonly Staphylococcus aureus
  • Fungal Culture: If tinea or yeast infection is suspected

4. Biopsy (Rarely Needed)

  • Helps rule out other dermatological conditions like psoriasis or cutaneous T-cell lymphoma in atypical or resistant cases

Treatment

1. General Skin Care

  • Moisturization – use moisturizers multiple times daily to prevent dryness
  • Avoid triggers – identify and eliminate irritants like harsh soaps and allergens
  • Bathing – use lukewarm water and mild, fragrance-free cleansers

2. Medical Management

  • Corticosteroids – to reduce inflammation during flare-ups
  • Calcineurin inhibitors – for sensitive areas like face and eyelids
  • Antihistamines – to control itching
  • Oral corticosteroids – for severe flare-ups
  • Biologic therapies

3. Infection Control

  • Topical or oral antibiotics – for secondary bacterial infections
  • Antiviral or antifungal treatment – if viral or fungal infection is present

Ayurvedic Overview Of Atopic Dermatitis

In Ayurveda, Atopic Dermatitis closely resembles Vicharchika, a type of Kushtha Roga (skin disorder) described by Acharya Charaka, Sushruta, and Vagbhata. According to Charaka Samhita, Vicharchika is caused by vitiation of Tridosha, predominantly Kapha and Pitta, along with vitiation of Rakta Dhatu (Blood tissue). Improper diet, incompatible food combinations and suppression of natural urges are causative factors. This leads to Ama formation (undigested toxins), blocking microchannels (Srotas), resulting in itching (Kandu), redness (Raga), oozing (Srava), and thickening of skin (Pidaka). Especially showing symptoms like excessive itching, blackish discoloration which oozes out discharge when itched.

Some of the yog mentioned by Acharya Charaka are: Kanakbinduarishta, Triphalasav, Sidhartak snana, Kanaksheeri tail, Tiktshatpal ghrit, Mahatikatk ghrita, etc. Acharya Sushruta describes Vicharchika as characterized by black discoloration, itching, and discharge. Management focuses on Shodhana (purification) through Virechana (purgation) and Raktamokshana (bloodletting), followed by Shamana (pacifying) therapies. Dietary regulation (Pathya-Apathya) is essential—avoiding Pitta-Kapha aggravating foods while including bitter, astringent, and cooling items. Regular external application of medicated oils soothes inflammation. Ayurveda approaches Atopic Dermatitis holistically, aiming at root cause elimination and prevention of recurrence.

Lifestyle And Dietary Management

1. Foods To Add (Pathya)

  • Bitter vegetables – Bitter gourd (Karela), fenugreek leaves (Methi)
  • Astringent foods – Pomegranate, guava, green beans
  • Cooling foods – Cucumber, ash gourd (Petha), bottle gourd (Lauki)
  • Fresh fruits – Apples, pears, papaya
  • Herbal teas – Neem, Manjishtha, and Guduchi
  • Healthy fats – Flaxseed oil, coconut water, soaked almonds

2. Foods To Avoid (Apathya)

  • Spicy, oily, and fried foods – Increases Pitta and Kapha
  • Fermented and sour foods – Pickles, vinegar, curd
  • Processed foods – Chips, fast food
  • Sugary foods – Excess sweets, chocolates
  • Excess salt
  • Citrus fruits – Oranges, lemons
  • Cold & refrigerated foods – Ice creams, cold drinks

3. Hydration

  • Prefer lukewarm or room-temperature water
  • Avoid ice-cold water as it can disturb Agni (digestive fire) and aggravate Kapha

4. Lifestyle Management

  • Daily Routine (Dinacharya)
    • Maintain skin hydration
    • Use lukewarm water
    • Wear breathable clothes
    • Trim nails
    • Gentle cleansing

5. Ayurvedic Lifestyle Measures

  • Regular Abhyanga – Apply medicated oils
  • Avoid Diwaswapna – Prevents Kapha aggravation
  • Follow Ritucharya – Adjust diet and habits according to season
  • Practice Shodhana therapies periodically – Virechana (purgation) and Raktamokshana (bloodletting) under guidance

6. Stress & Mental Health Care

  • Yoga & Meditation
  • Pranayama:
    • Sheetali
    • Anulom Vilom
    • Bhramari for cooling and calming effects
  • Adequate sleep – 7–8 hours

Herbal Remedies For Atopic Dermatitis By Planet Ayurveda

Planet Ayurveda is widely respected for its authentic and effective Ayurvedic treatments, especially in managing chronic skin conditions like Atopic Dermatitis (Vicharchika). By harnessing the power of time-tested herbal formulations such as Neem Capsules, Manjishtha Capsules, Gandhak Rasayan, and Navkarshik Churna, Planet Ayurveda targets the root causes of the disorder—balancing aggravated Pitta and Kapha doshas and purifying the blood. Many patients have found significant relief from itching, redness, dryness, and inflammation through these holistic remedies, which not only soothe symptoms but also help prevent recurrence. Planet Ayurveda’s commitment to classical Ayurvedic principles combined with modern quality standards makes it a trusted choice for those seeking natural and lasting solutions for Atopic Dermatitis.

Planet Ayurveda’s Atopic Dermatitis Care Pack

1. Gleaming Skin, Hair, Nails Formula

Planet Ayurveda’s Gleaming Skin, Hair, Nails Formula is a herbal supplement designed to promote healthy and glowing skin, strong hair, and nails. It contains potent herbs like Manjistha (Rubia cordifolia), which purifies the blood and reduces inflammation; Pit Papda (Fumaria officinalis), which supports liver health and detoxification and many more herbs. In atopic dermatitis, this formula works by detoxifying the body through blood purification and liver support, reducing skin inflammation with cooling herbal effects, and enhancing skin hydration to repair the compromised skin barrier. Together, these actions help alleviate symptoms and promote healthier skin.

Dosage: 1 capsule twice daily with warm water after meals.

2. Navkarshik Churna

Navkarshik Churna by Planet Ayurveda is a classical Ayurvedic herbal powder renowned for its powerful blood-purifying and detoxifying properties. This churna combines potent herbs such as Neem (Azadirachta indica), Manjishtha (Rubia cordifolia), Haridra (Curcuma longa), and Daruharidra, known for their anti-inflammatory, antimicrobial, and antioxidant effects. The mode of action of Navkarshik Churna in Atopic Dermatitis involves deep cleansing of the blood (Rakta Shodhana), removal of toxins (Ama), and regulation of doshas, which helps reduce itching, redness, and skin irritation.

Dosage: 1 tsp twice daily with warm water after a meal.

3. Gandhak Rasayana

Gandhak Rasayana by Planet Ayurveda is a classical Ayurvedic formulation prepared from purified sulphur (Shuddh Gandhak), renowned for its potent detoxifying, antimicrobial, and rejuvenating properties. In Atopic Dermatitis (Vicharchika), it works by pacifying aggravated Pitta and Kapha doshas, purifying the blood (Rakta Shodhana), and enhancing skin immunity. Its sulphur content exhibits natural antibacterial, antifungal, and anti-inflammatory effects, reducing itching, redness, and scaling. Gandhak Rasayana improves microcirculation, supports healthy skin cell regeneration, and promotes wound healing, thereby restoring the skin’s protective barrier.

Dosage: 2 tablets twice daily with warm water after meals.

4. Kustha Rakshas Tel

Kustha Rakshak Tel is a herbal oil blend formulated with skin-healing herbs like Bakuchi (Psoralea corylifolia), Manjistha (Rubia cordifolia), Haridra (Curcuma longa), and Nimba (Azadirachta indica), known for their potent anti-inflammatory, antimicrobial, and blood-purifying properties. The bioactive compounds in Bakuchi and Nimba help fight bacterial and fungal infections, while Haridra reduces inflammatory mediators, easing irritation. Manjistha supports skin detoxification, enhances microcirculation, and promotes healthy pigmentation. Regular massage with Kustha Rakshak Tel nourishes the skin, restores its moisture barrier, and accelerates tissue repair.

Dosage: 3 ml twice daily for local application.

5. Royal Honey Shower Gel

Royal Honey Shower Gel is a gentle, herbal cleansing formulation enriched with pure honey, aloe vera, and natural plant extracts that deeply nourish and protect sensitive skin. In Atopic Dermatitis (Vicharchika), it works by cleansing without stripping the skin’s natural oils, thus maintaining the skin barrier and preventing dryness. Honey acts as a natural humectant, drawing moisture into the skin and keeping it hydrated, while its antibacterial properties help reduce secondary infections often associated with eczema flare-ups. Aloe vera soothes inflammation, reduces redness, and promotes skin healing.

Dosage: Use for bathing.

Conclusion

In the detailed discussion above, we have comprehensively covered its causes, including genetic predisposition, immune system hypersensitivity, environmental triggers, and lifestyle factors, symptoms along with associated complications. Treatment strategies were explored fully alongside this, the importance of preventive care through dietary modifications, stress management, and avoiding known triggers was emphasized. By integrating modern dermatological care with Ayurvedic principles, patients can experience sustained relief, stronger skin immunity, and fewer flare-ups. Ayurveda’s emphasis on balancing the body’s doshas, eliminating toxins, and restoring natural skin health makes it a vital component in managing Atopic Dermatitis. This combined, holistic approach ensures not only the treatment of existing symptoms but also the prevention of future recurrences, leading to improved quality of life for patients.

FAQ

Q1. What is the 3 minute rule for Atopic Dermatitis?

The 3 minute rule for atopic dermatitis means that right after bathing, you should gently pat the skin dry, apply any prescribed medicines, and then seal in moisture with a thick cream or ointment — all within 3 minutes. It helps prevent dryness, itching, and flare-ups.

Q2. Is coconut oil good for atopic dermatitis?

Yes, coconut oil can be helpful in atopic dermatitis because it naturally hydrates the skin and has mild antibacterial properties. Regular gentle application can reduce dryness, soothe itching, and protect against infections, especially when used after bathing.

Q3. Which food triggers atopic dermatitis?

Foods high in allergens like dairy, eggs, nuts, and seafood can worsen atopic dermatitis in some people. Processed, sugary, and artificially flavored foods may also trigger flare-ups. Keeping a simple, fresh, and balanced diet often helps in reducing skin irritation.

Q4. Can I clear dermatitis in 2 days?

Atopic dermatitis cannot be fully cleared in just two days, as it is a chronic condition that needs consistent care. However, flare-ups can be calmed quickly with proper treatment, hydration, and avoiding triggers. Long-term control comes from regular skin care and lifestyle management.

Q5. What is the main cause of Atopic Dermatitis?

The main cause of atopic dermatitis is an overreactive immune system combined with a weak skin barrier. This makes the skin lose moisture easily and become sensitive to irritants and allergens.

Q6. Who is prone to Atopic Dermatitis?

People with a family history of allergies, asthma, or eczema are more prone to atopic dermatitis. It often starts in childhood but can affect adults too. Those with sensitive skin or a tendency to react to environmental triggers are also at higher risk.

Q7. Is Atopic Dermatitis a disability?

Atopic dermatitis is usually not classified as a disability. Severe cases can still impact daily life due to itching, discomfort, and sleep loss. In extreme situations, special support or accommodations may be needed.

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