Can Ayurveda and Functional Medicine Offer a Cure for Hidradenitis Suppurativa?
Table of Contents
Hidradenitis Suppurativa (HS) is a chronic, inflammatory skin disorder characterized by painful nodules, abscesses, and sinus tract formation. Conventional treatments often rely on antibiotics, steroids, and biologics, which primarily focus on symptom management rather than root-cause healing.
In contrast, Ayurveda and Functional Medicine offer a holistic, long-term approach that seeks to address the underlying causes of HS—reducing flare-ups, managing inflammation, and promoting sustainable remission.
At EliteAyurveda, we specialize in root-cause treatment through personalized Ayurvedic therapies, combined with insights from Functional Medicine to create a comprehensive healing plan (Ingram et al., 2016).

Can Ayurveda and Functional Medicine Offer a Cure for Hidradenitis Suppurativa?
Understanding the Limitations of Conventional HS Treatments
While conventional medicine provides symptom relief, it does not target the root cause of HS.
Comparison of Conventional vs. Holistic Approaches
Aspect | Conventional Medicine (Biologics, Antibiotics, Steroids) | Ayurveda & Functional Medicine |
---|---|---|
Root-Cause Healing | ❌ No; targets symptoms only | ✅ Yes; addresses immune dysfunction & detoxification (Patwardhan et al., 2005) |
Sustainability | ❌ Relapses common after stopping treatment | ✅ Long-term remission possible |
Side Effects? | ✅ Yes (immune suppression, infections, liver toxicity) | ❌ None |
Mode of Treatment | ❌ Injectables; lifelong treatment | ✅ Herbal medications, detox, diet, lifestyle |
Effectiveness on Flares | ✅ Quick symptom relief | ✅ Prevents future flares naturally |
Cost & Accessibility | ❌ Expensive; requires continuous use | ✅ Affordable; supports long-term healing |
📌 While allopathy focuses on immune suppression, Ayurveda and Functional Medicine emphasize immune regulation, detoxification, and gut-skin health for natural healing.
How Ayurveda and Functional Medicine Complement Each Other for HS Treatment
Both Ayurveda and Functional Medicine share a root-cause approach that prioritizes gut health, detoxification, and immune balance.
Healing Principle | Ayurveda | Functional Medicine |
---|---|---|
Inflammation Management | Balances Pitta dosha (reducing chronic inflammation) | Uses anti-inflammatory foods, supplements, and gut healing protocols |
Gut-Skin Axis Restoration | Improves Agni (digestive fire); removes Ama (toxins) | Focuses on microbiome health and repair of gut permeability (leaky gut) |
Detoxification | Panchakarma therapies like Virechana & Raktamokshana | Liver detox, heavy metal removal, and supporting detox pathways |
Immune Regulation | Balances Vata, Pitta, and Kapha to modulate immune response | Identifies immune triggers via food sensitivity testing |
Personalized Diet | Dosha-based nutrition (e.g., Kapha-Pitta balance) | Anti-inflammatory diets (e.g., AIP, Mediterranean, low-glycemic) |
📌 By combining these two sciences, HS patients can experience profound healing rather than merely temporary relief.
The Ayurvedic Perspective on HS – Understanding the Root Cause
In Ayurveda, HS is categorized under “Shotha” (inflammation) and “Dushta Vrana” (chronic wounds), which result from:
✅ Imbalanced Pitta & Kapha doshas → Excess heat and blocked sweat glands
✅ Toxin accumulation (Ama) → Poor gut health leading to systemic inflammation
✅ Poor lymphatic drainage → Accumulation of waste, forming abscesses
✅ Weakened immune response → Chronic flare-ups and slow healing
How Ayurveda Addresses These Root Causes
Ayurvedic Approach | HS Symptom Targeted | Healing Mechanism |
---|---|---|
Pitta Pacification | Reduces inflammation and pus formation | Cools excess heat to prevent recurrent abscesses |
Kapha Detoxification | Clears sinus tracts and prevents blockage | Enhances lymphatic flow to reduce flare frequency |
Raktamokshana (Blood Purification) | Enhances wound healing and prevents scarring | Detoxifies blood to remove deep-seated toxins |
Gut Healing | Prevents Ama buildup and strengthens digestion | Corrects dysbiosis (imbalanced gut bacteria) to improve systemic health |
📌 Unlike conventional medicine, which suppresses symptoms, Ayurveda corrects systemic imbalances to prevent future HS flare-ups.
How Functional Medicine Enhances HS Treatment
Functional Medicine identifies triggers for HS through:
✔️ Food Sensitivity Testing to eliminate inflammatory foods
✔️ Gut Microbiome Analysis to correct bacterial imbalances
✔️ Hormonal Panel Testing to regulate androgen-related HS flares
✔️ Toxin Load Assessment to remove heavy metal toxicity
Top Functional Medicine Strategies for HS Healing
Functional Medicine Focus | Impact on HS | Healing Strategy |
---|---|---|
Gut Microbiome Repair | Prevents flare-ups; improves digestion | Probiotics, fermented foods, and gut-healing protocols |
Blood Sugar Regulation | Prevents insulin spikes that trigger HS flares | Low-glycemic, anti-inflammatory diet |
Liver Detoxification | Improves detox pathways; prevents toxin buildup | Milk thistle, N-acetylcysteine (NAC), and functional detox therapies |
Stress Management | Reduces the inflammatory stress response | Meditation, adaptogens, and nervous system balance strategies |
📌 Functional Medicine ensures a targeted, science-based approach to correcting immune dysfunction in HS.
Personalized Ayurvedic & Functional Medicine Plan for HS Patients
1. Herbal Medications (Customized Formulations)
🌿 Our proprietary Ayurvedic medications are designed to:
✅ Reduce inflammation and abscess formation
✅ Balance the gut microbiome and prevent infections
✅ Promote skin repair and modulate immune function
📌 Each formula is tailored to your unique constitution (Prakriti).
2. Ayurvedic Detox Therapies (Panchakarma)
🌿 Panchakarma therapies help remove toxins, reduce inflammation, and accelerate healing.
Therapy | Purpose in HS Treatment |
---|---|
Virechana (Purgation Therapy) | Removes excess Pitta; detoxifies blood |
Raktamokshana (Bloodletting Therapy) | Clears deep-seated toxins from the lymphatic system |
Takra Dhara (Buttermilk Therapy) | Reduces heat and prevents pus formation |
Basti (Medicated Enema Therapy) | Restores gut microbiome and supports immune regulation |
📌 Regular detoxification is key to preventing toxin buildup that fuels chronic HS inflammation (Ingram et al., 2016).
3. Functional Medicine Diet & Lifestyle Plan
Foods to Include ✅ | Foods to Avoid ❌ |
---|---|
Leafy greens, whole grains, ghee | Spicy, fried, and processed foods |
Anti-inflammatory fruits (berries, pomegranate) | Dairy (except ghee), gluten, and refined sugars |
Probiotic-rich foods (fermented vegetables, kefir) | Red meat, alcohol, and nightshades |
Herbal teas (neem, aloe vera, chamomile) | Artificial sweeteners & processed oils |
📌 A gut-friendly, anti-inflammatory diet can significantly reduce HS symptoms and prevent relapses.
4. Lifestyle Modifications for HS Management
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 boosts immune function |
📌 A holistic lifestyle approach enhances treatment effectiveness and supports long-term healing.
Real Patient Success Story – Overcoming Severe HS Naturally
“I struggled with HS for years, relying on antibiotics and biologics that only provided temporary relief. After switching to Ayurveda and Functional Medicine at EliteAyurveda, my flare-ups reduced drastically. The detox therapies, personalized herbal medications, and gut-healing diet have transformed my skin and overall health!”
— Anjali K., Bengaluru
From the Doctor’s Desk – Dr. Adil Moulanchikkal
“HS is not just a skin condition—it’s a systemic inflammatory disease. Ayurveda and Functional Medicine together offer a transformative approach by healing the gut, balancing immunity, and detoxifying the body. Our patients experience long-term remission without the dependency on conventional drugs.”
📌 By combining these two approaches, HS patients can experience profound, lasting healing.
Take Control of Your HS Naturally
💡 Struggling with HS? Ayurveda and Functional Medicine offer sustainable healing without biologics!
📞 Call us today: +91 8884722246
🌐 Visit: www.eliteayurveda.com
🌿 Heal naturally, prevent flare-ups, and restore skin health!
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.