ConditionsTwak Roga · Kushta · ത്വക് രോഗം

Chronic Skin Diseases (Twak Roga)

Most chronic skin disease is Pitta-Rakta dushti. Kerala's classical 3-tier protocol — Rakta-Mokshana (blood-letting) where appropriate + internal Aragvadhadi + topical medicated oils — resolves what topical steroids only mask.

All conditions

Dosha involvedpittakapha

Ayurvedic understanding

Classical Ayurveda groups chronic skin disease under Kushta (18 types described in Charaka). Twak (skin) is an extension of Rakta-dhatu — what appears on skin reflects blood-tissue impurity. Pitta excess + Rakta dushti drive most modern eczema, allergic dermatitis, fungal infections. Topical steroids suppress but never resolve — that's why recurrence is the norm. Ayurvedic Shodhana addresses root cause.

Kerala treatments

Virechana (medicated purgation) is the primary Kerala protocol for chronic skin — clears Pitta + Rakta dushti from the gut + blood. Combined with Raktamokshana (controlled venesection) where appropriate, internal Aragvadhadi or Patolakaturohinyadi Kashayam, and topical Karpooradi or Eladi Tailam.

Classical formulations

Selected by Ayurvedic Snehana / Shamana criteria. Always under a verified doctor's supervision — these are not over-the-counter recommendations.

Aragvadhadi Kashayam

आरग्वधादि क्वाथ

Pitta-Rakta cleanse

— Sahasrayogam

Mahatiktaka Ghrita

महातिक्तक घृत

Internal Pitta-Rakta correction

Khadirarishta

खदिरारिष्ट

Skin Rasayana — Kushta-hara

Eladi Tailam

एलादि तैल

Topical for chronic eczema

Lifestyle & Aahar-Vihar

•Eliminate ALL Viruddha Aahara (incompatible foods): fish + milk, hot + cold combinations, fermented + raw.
•No excessive sour (curd, vinegar, pickles), salty (papad, namkeen) for 60 days.
•Cotton clothes only; avoid synthetic in summer.
•Triphala 1 tsp warm water nightly for bowel regularity (constipation worsens skin disease).
•Ghrita Pana (medicated ghee) under physician supervision before Virechana.

Important

This page is a structured Ayurvedic reference for patient education. It is not a substitute for individual clinical evaluation. Self-medication with Ayurvedic herbs and formulations — particularly Rasaushadhis (mineral preparations) — can cause harm without proper supervision. Always consult a verified BAMS doctor before starting treatment.

Related conditions

Psoriasis & Eczema

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