Brief Answer: Dietary & Ayurveda Management Detailed Answer: Dear XXXXXXX Thanks for contacting Ayurveda with your health concern and following points are worth mentioning 1. Is/was this discoloration due to Menopause effect, some skin condition or any underlying disease [especially Lupus]? 2. Did you notice any environmental (pollution) or health concern (vitamin deficiency/height) regarding the same? 3. frequent constipation and bloating either signifies IBS [irritable bowel syndrome], or under active thyroid or low hemoglobin [have you check with relevant examination and investigations] 4. Because Skin & Nervous system has a common Embryological origin (thus acting as an initiating or aggravating factor), thus treatment will be directed as "Psychosomatic Treatment" 5. Take diet rich in protein, iron, folic acid, brown rice, orange, green vegetables, wheat, barley, green gram, lemon, turmeric, bitter gourd, garlic, pomegranate, nutmeg, bitter and sweet (not sour) food, dry ginger, khadira, black pepper, long pepper, old clarified butter, honey, light exercise, massage, boiled and filtered water to drink, tea, coffee (not after meals or during periods of fasting). Avoid raw fruits, raw radish, too much oily food, over eating, brinjal, tomatoes, soap [only glycerine soap], jaggery,coffee,sour and sweet food,oil,curd,newly harvested cereals, incompatible foods, food with heavy, unctuous and cold properties,sesame,salt,black gram, milk,lisora,makoya, day sleeping, mental stress, excessive exercise. .vitamin e-rich food: spinach, almond oil, sweet potato, sunflower seeds, and wheat germs are good for the skin problems. .scalp should be dandruff free. .taking bath in sea water is very good for the skin treatment, similarly at home taking bath in Epsom salt or oatmeal containing water is also good. .because skin infection of any type is precipitated by stress and disturbed immune system, hence medicines like Shankhpushpi, Sarpagandha, Brahmi, alongwith Suvarn Parpati ,Ashwagandha,Shatavri, as Immuno modulators can be given after consulting Ayurveda Physician there. iv. In Ayurveda I usually approach the disease as specified . twacha [skin] is updhatu [sub division] of rakta [blood],thus rakta shodhaka drugs blood purifiers] also to be given. .twacha is considered as shakha [branch] in place of rasa dhatu [plasma], hence disorder of ras dhatu also reflect disorder of twacha. .Pitta and rakta has asrayasrayee sambhandha, thus virechana(nitya) is the best shodhana karma. .treatment should be directed towards the samprapti [pathogenesis] which is common to all Kshudra rogas [minor diesease] i.e. "Saptako dravya sangraha". .lastly look out for associated symtoms: krimi [worms], shotha [inflammation], virrudhaahra [incompatible foods] Home Remedies: 1. Wash your face with Besan and warm water soon after coming from outside as it is the best natural Bleaching Agent. 2. Paste of Rakta XXXXXXX Churnam, Haridra Churnam, Honey and Milk. Apply it as a face pack at least for 7 days, you will see good improvement. 3. split orange lentils (masoor dal) flour pack ( gives glow to skin) Ingredients:-split orange lentils flour, milk, ghee Method of preparation:-prepare a paste by mixing the flour with ghee and milk .apply this as face pack. This enhances the glow of skin. 4. sandal wood powder pack (rejuvenates skin) Ingredients:-sandal wood powder, turmeric powder, milk Method of preparation:-mix all the ingredients to form a paste. Apply this as face pack. This rejuvenates the skin 5. Powder of Masoordal+ haridra churan+ Kesar + XXXXXXX water+ milk should be applied, then add 3-4 drops of "Kumkumadi oil" to this pack. 6. Ask for prescription medicines like: Avipattikara churan, nimbadi churna, gandhak rasayana, XXXXXXX bhasma, manjishthadi ghan vati ,mahamanjishthadi kwath for atleast 3 months Hope I've given due consideration in taking up your case, any suggestions are welcome. Dr. Munish Naimittika

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