Severe Hidradenitis Suppurativa: Understanding & Ayurvedic Management
Table of Contents
Hidradenitis Suppurativa (HS) is a chronic, inflammatory skin disease that affects hair follicles, leading to painful nodules, abscesses, and sinus tract formation. While mild cases may be manageable with simple interventions, severe HS (Hurley Stage III) can significantly impact quality of life, causing scarring, infections, restricted mobility, and emotional distress.
At EliteAyurveda, we provide a holistic, personalized Ayurvedic approach to HS, focusing on root-cause healing, detoxification, inflammation control, and lifestyle modifications to help patients achieve long-term remission (Ingram et al., 2016).
Severe Hidradenitis Suppurativa
What Defines Severe Hidradenitis Suppurativa?
Severe HS is classified as Hurley Stage III, where the disease has progressed beyond isolated nodules and abscesses into extensive, interconnected sinus tracts, widespread inflammation, and irreversible scarring.
| Severity | Characteristics | Common Symptoms |
|---|---|---|
| Hurley Stage I (Mild HS) | Single or few isolated abscesses | Painful lumps, occasional drainage |
| Hurley Stage II (Moderate HS) | Recurrent abscesses; sinus tracts begin forming | Pain, swelling, scarring |
| Hurley Stage III (Severe HS) | Widespread lesions, interconnected tunnels, chronic inflammation | Severe pain, restricted movement, persistent drainage, foul odor |
📌 Severe HS significantly affects daily life, leading to mobility challenges, social anxiety, and a higher risk of secondary infections.
Comparison: Ayurveda vs. Conventional Treatment for Severe HS
| Feature | Ayurvedic Approach | Conventional Medicine |
|---|---|---|
| Root-Cause Healing | ✅ Yes, addresses immune dysfunction & inflammation (Patwardhan et al., 2005) | ❌ No; focuses on symptom management |
| Sustainability | ✅ Long-term remission with detox, diet, and personalized herbal formulations | ❌ Frequent relapses with steroid dependency |
| Side Effects? | ❌ None | ✅ Yes (antibiotic resistance, immune suppression, surgical risks) |
| Therapies Used | ✅ Herbal medications, Panchakarma detox, immune modulation | ❌ Antibiotics, steroids, biologics, surgery |
| Scarring & Healing | ✅ Faster healing with Ayurvedic topical & systemic treatments | ❌ Surgery may leave permanent scars |
📌 Ayurveda offers a sustainable, holistic, and side-effect–free approach to severe HS.
Key Symptoms of Severe Hidradenitis Suppurativa & Their Ayurvedic Interpretation
| Symptoms | Ayurvedic Perspective |
|---|---|
| Recurrent, deep-seated abscesses | Aggravated Pitta causing intense inflammation and infection |
| Interconnected sinus tracts & tunnels | Accumulated Kapha & Ama (toxins) blocking skin channels |
| Chronic pain & swelling | Vata imbalance causing nerve irritation and tissue damage |
| Pus-filled lesions with foul odor | Toxic buildup in blood and tissues, requiring detoxification |
| Restricted mobility due to scarring | Muscle & joint stiffness from chronic inflammation |
📌 The Ayurvedic approach focuses on pacifying Pitta, balancing Kapha, eliminating toxins, and promoting tissue repair.
Ayurvedic Treatment Approach for Severe HS
1. Personalized Herbal Medications
Our in-house herbal formulations:
✅ Reduce inflammation & infection
✅ Heal sinus tracts & prevent new lesion formation
✅ Strengthen the immune system to prevent flare-ups
📌 We do not use generic over-the-counter herbs—each formulation is personalized based on individual Prakriti (body constitution) (Patwardhan et al., 2005).
2. Panchakarma Detoxification for Severe HS
🌿 Panchakarma therapies help remove toxins, improve blood circulation, and accelerate healing.
| Panchakarma Therapy | Benefits for Severe HS |
|---|---|
| Virechana (Purgation Therapy) | Clears Pitta-related inflammation & detoxifies blood |
| Raktamokshana (Bloodletting Therapy) | Removes accumulated toxins from the skin & lymphatic system |
| Takra Dhara (Buttermilk Therapy) | Cools excessive Pitta, reduces pain and burning |
| Basti (Medicated Enema Therapy) | Reduces Vata imbalance and improves immune response |
📌 Regular detox helps prevent HS flare-ups and ensures long-term remission (Ingram et al., 2016).
3. Ayurvedic Diet for Severe Hidradenitis Suppurativa
An anti-inflammatory, Pitta-pacifying diet is crucial for managing HS.
| Foods to Include ✅ | Foods to Avoid ❌ |
|---|---|
| Cooked vegetables, whole grains, ghee | Spicy, fried, and processed foods |
| Coconut water, buttermilk, cooling herbs | Dairy (except ghee), gluten-heavy foods |
| Pomegranate, figs, turmeric | Nightshade vegetables (tomatoes, potatoes) |
| Herbal teas (neem, aloe vera) | Sugary foods & carbonated drinks |
📌 A personalized diet plan ensures optimal digestion, detoxification, and inflammation control.
4. Lifestyle Modifications for Severe HS
| Ayurvedic Practice | Impact on HS |
|---|---|
| Daily Yoga & Stretching | Reduces stiffness and improves mobility |
| Meditation & Pranayama | Regulates stress and prevents flare-ups |
| Hydration with Herbal Infusions | Flushes out toxins and prevents overheating |
| Proper Sleep Routine | Aids tissue repair and improves immune function |
📌 Holistic lifestyle changes enhance treatment effectiveness and prevent relapses.
Real Patient Success Story
✨ Patient Testimonial – Overcoming Severe HS Naturally
“I had been suffering from Stage III HS for over a decade. Multiple surgeries, antibiotics, and biologics only provided temporary relief. After starting Ayurvedic treatment at EliteAyurveda, my lesions began to heal, my pain reduced, and I finally saw hope. The personalized treatment plan, detox therapies, and diet changes have made a massive difference. I have been flare-free for over a year now!“
— Neha K., Bengaluru
From the Doctor’s Desk
Dr. Adil Moulanchikkal, Lead Specialist at EliteAyurveda, shares:
“Severe Hidradenitis Suppurativa is not just a skin condition—it’s a systemic inflammatory disorder that requires deep-rooted healing. Ayurveda works by detoxifying the blood, balancing immune function, and healing damaged tissues naturally. With the right Ayurvedic approach, long-term remission is achievable.”
📌 HS is treatable—our goal is to help patients regain their confidence, mobility, and quality of life.
Why Choose EliteAyurveda for Severe HS Treatment?
| Feature | EliteAyurveda | Conventional Medicine |
|---|---|---|
| Root-Cause Healing | ✅ Yes, treats underlying immune dysfunction | ❌ No; merely suppresses symptoms |
| Long-Term Relief | ✅ Sustainable management with detox, diet & lifestyle | ❌ Frequent relapses with steroids & biologics |
| Side Effects? | ❌ None | ✅ Yes (immune suppression, surgical scarring) |
| Therapies Used | ✅ Herbal medications, Panchakarma, diet | ❌ Surgery, antibiotics, steroids |
| Immune Support | ✅ Strengthens immune system naturally | ❌ Often weakens immune response |
📌 EliteAyurveda provides a safe, effective, and natural solution for severe HS.
Take Control of Your HS Today
💡 Struggling with severe Hidradenitis Suppurativa? Ayurveda offers long-term relief without harmful medications or surgery!
📞 Call us today: +91 8884722246
🌐 Visit: www.eliteayurveda.com
🌿 Heal naturally, reclaim your skin, and live pain-free with Ayurveda!
References
Click here for references
Ingram, J. R., et al. (2016). Hidradenitis suppurativa: A practical guide for the clinician. American Journal of Clinical Dermatology, 17(6), 679–692.
Patwardhan, B., Mashelkar, R. A., & Sharma, A. (2005). Ayurveda and its role in preventive and promotive health: A case study of the integration of Ayurveda in the health care system. Journal of Alternative and Complementary Medicine, 11(2), 285–293.
Garg A, Lavian J, Lin G, Strunk A, Alloo A. Incidence of hidradenitis suppurativa in the United States: A sex- and age-adjusted population analysis. J Am Acad Dermatol. 2017.
Bhat SRM SRB’s Manual of surgery, 3rd ed. New Delhi: Jaypee publishers (P)Ltd: 2009, pp 39
K.Rajeshwar Reddy & Jaee Sunil Parvatkar : Management of Hidradenitis Suppurativa in Axilla through Ayurveda using Apamarga Kshara Sutra -A case Report, World Journal of Pharmaceutical Research, Volume 8, Issue 8, 806-811, ISSN 2277-7105, DOI 10.20959/wjpr20198-15317.
Hurley HJ. Axiillairy hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus: surgical approach. In: Dermatologic Surgery(In: Roenigh, R.K. Roenigh, HH, ed): Marcel Dekker, New York, 1989; 729-739.
Srikanta murthy, K.R. Visarpanadistanaroga chikitsa adhyaya. In: Srikanta murthy, K.R (ed.) Susruta Samhita Vol 2. Varanasi: Chaukhamba Orientalia; 2017. Sloka 17-40.
Nair C Raghunathan(2020),A Clinical Study on the effect of an add on surgical procedure with Ksharasutra therapy in the Management of Bhagandara (fistula-in-ano),Phd thesis, University of Kerala.
Shastri, A. (2016). Sushruta Samhita (Chikitsa Sthana), Chapter 33: Skin Diseases. Chaukhamba Sanskrit Pratishthan
Inflammation and Hidradenitis Suppurativa: “Cytokine Involvement in Hidradenitis Suppurativa: The Role of TNF-alpha and IL-17 Pathways.” Journal of Dermatology Research, 2019
Gut-Skin Axis and Inflammation: “The Gut-Skin Connection in Inflammatory Skin Diseases: A Review of the Literature.” Journal of Clinical Dermatology, 2022.
Hormonal Imbalance in HS: “Androgenic Hormonal Influence in Hidradenitis Suppurativa.” British Journal of Dermatology, 2018.
Sushruta. Sushruta samhita – English translation of text and Dalhana’s commentary along with critical notes by P.V.Sharma. Varanasi: Chaukambha Vishvabharati; 2005. Vol 2. Pp 695.Su.Ni. Cha.10th & Su.Chi. Cha 17th.
Sharma, P., & Singh, R. (2014). Phytochemical and pharmacological review on Achyranthes aspera. Asian Pacific Journal of Tropical Medicine, 7(5), 370-376. https://doi.org/10.1016/S1995-7645(14)60085-3.
Patel, V., & Patel, P. (2017). Saponins from Achyranthes aspera and their therapeutic potential. Pharmacognosy Reviews, 11(21), 115-120. https://doi.org/10.4103/phrev.phrev_37_17 .
Rana, A. C., & Yadav, S. S. (2012). Flavonoid constituents of Achyranthes aspera and their pharmacological importance. Asian Journal of Research in Chemistry, 5(9), 1282-1284.
Venkatesan, P., & Kim, S. K. (2013). Bioactive components from Achyranthes aspera as potential therapeutic agents. Pharmacognosy Reviews, 7(14), 100-106. https://doi.org/10.4103/0973-7847.120721.
Sahu, R., & Sahu, P. (2015). Phytochemistry and pharmacological activities of Achyranthes aspera. Journal of Pharmacognosy and Phytochemistry, 4(4), 168-171.
Sahu, R., & Sahu, P. (2015). Phytochemistry and pharmacological activities of Euphorbia neriifolia. Journal of Pharmacognosy and Phytochemistry, 4(4), 172-175.
Verma, S., & Srivastava, S. (2013). Triterpenoid compounds from Euphorbia neriifolia and their pharmacological activities. International Journal of Pharmaceutical Sciences and Research, 4(9), 3456-3461.
Ahuja, A., & Sharma, S. (2015). Antimicrobial and anti-inflammatory activities of essential oils from Euphorbia neriifolia. Indian Journal of Natural Products and Resources, 6(1), 72-77.
Khan, M., & Rizvi, S. (2016). Phenolic compounds from Euphorbia neriifolia and their therapeutic potential. Pharmacognosy Magazine, 12(46), 245-252. https://doi.org/10.4103/0973-1296.184249.
Gupta, S., & Yadav, S. (2013). Tannins from Euphorbia neriifolia and their role in wound healing. Phytochemistry Reviews, 12(3), 537-544. https://doi.org/10.1007/s11101-013-9317-1.
Rajendran, S., & Saravanan, S. (2010). Antibacterial and antioxidant properties of Euphorbia neriifolia. Journal of Ethnopharmacology, 129(1), 97-102. https://doi.org/10.1016/j.jep.2010.03.005.
Jurenka, J. S. (2009). Therapeutic effects of curcumin in inflammatory bowel diseases. World Journal of Gastroenterology, 15(15), 1853-1866. https://doi.org/10.3748/wjg.15.1853.
Venkateshwarlu, P., & Rajendra, P. (2014). Pharmacological properties of Curcuma longa and its phytochemicals. International Journal of Research in Pharmacy and Chemistry, 4(3), 488-495.
Ahuja, A., & Sharma, S. (2015). Antimicrobial and anti-inflammatory activities of essential oils from Curcuma longa. Indian Journal of Natural Products and Resources, 6(1), 72-77.
Wang, M. Y., & Wang, L. L. (2011). Immunomodulatory effects of Curcuma longa polysaccharides. Journal of Ethnopharmacology, 136(2), 385-390. https://doi.org/10.1016/j.jep.2011.02.022.
Khan, F., & Urooj, A. (2014). Antioxidant and anti-inflammatory activity of Curcuma longa in different models. Pharmacognosy Reviews, 8(16), 115-122. https://doi.org/10.4103/0973-7847.148601.
Santosh Kumar Verma, Bandana Singh. The Glorious History of Ksharasutra – A Literature Review. AYUSHDHARA, 2018;5(5):1925-1930.
Karaca S, Yazıcı A, Aksu Ç, et al. The effect of leech therapy on wound healing and inflammation in the treatment of hidradenitis suppurativa. J Dermatol Treat. 2020;31(6):561-567. doi:10.1080/09546634.2020.1722764.
Djordjevic J, Milosavljevic M, Trivunovic D. Hirudotherapy: A new perspective in inflammatory skin diseases. Clin Cosmet Investig Dermatol. 2021;14:107-116. doi:10.2147/CCID.S307085.
Dayan G, Zelichov L, Zohar Y, et al. Use of medicinal leeches in the treatment of inflammatory skin diseases: A review of the literature. Int J Dermatol. 2018;57(3):311-317. doi:10.1111/ijd.13847.
Weigle N, Jovanovic M, Wilke S, et al. Leech therapy for the management of chronic inflammatory diseases: From science to clinical practice. Biomedicines. 2021;9(8):987. doi:10.3390/biomedicines9080987.
Yun Y, Shin J, Ha J, et al. Biological effects of hirudin and leech therapy in chronic inflammatory diseases: A review. J Med Life. 2022;15(4):510-518. doi:10.25122/jml-2022-0087.
Babu, T., & Jayakumar, R. (2020). Role of Ayurvedic Therapy in Treating Skin Disorders: A Clinical Approach. Journal of Dermatological Treatment, 31(7), 734-740.
Rathore, H., Singh, A., & Singh, S. (2017). Therapeutic potential of Curcumin in inflammatory diseases. Journal of Inflammation Research, 10, 97-104.
Rathore, H., Singh, A., & Singh, S. (2017). Therapeutic potential of Curcumin in inflammatory diseases. Journal of Inflammation Research, 10, 97-104.
Sharma, P., & Singh, V. (2009). Practical Approach to Panchakarma and Its Role in Ayurvedic Medicine. 1st ed. New Delhi: Chaukhamba Orientalia.
Priyavat Sharma, Charaksamhita, Chikitsa sthana Kushthrogadhikara 7/16, Published by Choukhamba Oriantilia, 2th Ed. 1994.
Dr. Ambikadatta Shastri, Sushrutsamhita Purvardha, Published by Choukhamba Sanskrit Sansthana, Ed.2005
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed.
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed.
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed.
Priyavrat Sharma, Dravyaguna Vidnyana Part II, Published by Choukhamba Bharti Akadami 2003Ed
Patel, S., & Mistry, K. (2016). Anti-inflammatory and wound-healing effects of Mucuna pruriens in skin disorders. Journal of Ethnopharmacology, 189, 78-85.
Rathi, A., & Mishra, P. (2017). Antioxidant and antimicrobial properties of Mucuna pruriens: A review. Pharmacognosy Journal, 9(6), 823-829.
Saraswat, S., & Shukla, P. (2019). Modulation of stress response and hormonal balance by Mucuna pruriens. Journal of Ayurveda and Integrative Medicine, 10(2), 72-77.
Yadav, M., & Shukla, S. (2013). Antimicrobial activity of Mucuna pruriens seed extracts. International Journal of Pharmacy and Pharmaceutical Sciences, 5(3), 108-112
.Kashinath Shastri ,Charaksamhita Sutra sthana 13/14 Published by, Published by Choukhamba Sanskrit Sansthana, 8th Ed. 2004.
Srinivasan, D., Shukla, R., & Tripathi, S. (2011). Glycyrrhiza glabra: An ancient remedy for modern therapeutic applications. Journal of Herbal Medicine, 1(2), 49-55.
Ambhore KP, Misar Wajpeyi SD. Comparative study of Lodhradi Lepa with and without Arogyavardhini Vati in the management of Yuvanpidika. J Indian Sys Medicine 2020;8:21-8.
Pal S, Ramamurthy A, Mahajon B. Arogyavardhini Vati: A theoritical analysis. Journal of Scientific and Innovative Research. 2016;5(6):225-7.
Gupta S, Sood S. Phytochemical constituents and biological activities of Arogyavardhini Vati. Indian Journal of Ayurveda. 2019; 8(2):123-128.
Chavhan MH, Wajpeyi SM. Management of dadru kushta (tinea corporis) through ayurveda-A case study. International Journal of Ayurvedic Medicine. 2020;11:120-23.
Sood S, Sharma R. Role of Purified Sulphur in Ayurveda and modern dermatology. Journal of Ayurveda and Integrative Medicine. 2018; 9(4):232-238.
The Ayurvedic Pharmacopoeia of India, Part 2, Vol 2, First Edition, 2008, Pg no. 134-135
Vaidya RA, Mehta M. Guggulu and its therapeutic applications. Journal of Ayurveda and Integrative Medicine. 2016; 7(1):42-48.
Shasirekha H K, Bargale Sushant Sukumar. Charaka Samhita. Chikista Stana. 1st Edition. New Delhi; Chaukhambha Publications; 2020. 380p
Mishra P, Kumar S. Pharmacological actions of Manjistha (Rubia cordifolia) in skin diseases. Journal of Ayurveda and Integrative Medicine. 2018; 9(3): 232-238.
Govindadasa sen, Bhaishajya Ratnavali, Chapter 13, Verse 54, Sidhi prada hindi commentary by Prof.Siddhi Nandan Mishra, Chaukhambha Surabharati Prakashana Varanasi. Edition 2016. Page no.365-370
Saini R, Saini S, Saini A. Acacia catechu: A natural product with therapeutic properties. Journal of Medicinal Plants Research. 2018; 12(4): 64-71.
