Hidradenitis Suppurativa (HS) is a chronic, relapsing skin condition that typically begins with small, painful nodules and may progress to deep, tunneling lesions and permanent scarring. Clinically, HS is categorized into three stages, known as the Hurley Stages, which help in understanding disease severity and guiding treatment decisions.
From an Ayurvedic perspective, these stages correspond to increasing levels of dosha imbalance, toxin (ama) accumulation, tissue damage (dhatu dushti), and blocked metabolic pathways (srotorodha). At EliteAyurveda, we treat HS at every stage with a tailored, root-cause approach aimed at halting progression, healing damaged tissues, and restoring systemic balance.
Clinical Stages of Hidradenitis Suppurativa
🔬 The Three Clinical Stages of HS (Hurley Stages)
Stage I: Early Stage (Mild HS)
Symptoms: Painful solitary nodules or abscesses, no sinus tracts or scarring
Location: Typically axillae, groin, under breasts
Frequency: Sporadic episodes
Conventional View: Often mistaken for boils or folliculitis
Ayurvedic Viewpoint:
Initial imbalance of Pitta and Kapha doshas in the Swedavaha Srotas (sweat ducts)
Mild ama accumulation obstructs local channels
Inflammation is still superficial; systemic toxicity minimal
Ayurvedic Approach:
Ama pachana (toxin digestion) to prevent deep tissue involvement
Pitta-Kapha balancing through internal herbs and lepas
Dietary and lifestyle regulation to eliminate early triggers
Stage II: Moderate HS (Recurring Abscesses)
Symptoms: Repeated nodules, abscesses, and early sinus tract formation
Scarring: Mild to moderate
Spread: Begins involving multiple adjacent regions
Disability: Severe pain, foul discharge, restricted movement
Conventional Outlook: Often considered surgical; biologics prescribed
Ayurvedic Viewpoint:
Long-standing Tridoshic vitiation with Mamsa (muscle) and Meda (fat tissue) dushti
Chronic ama buildup causes tissue degeneration and fibrosis
Ojas depletion, leading to weak tissue immunity and delayed healing
Often associated with hormonal imbalances, gut disorders, and stress-related dosha aggravation
Ayurvedic Approach:
Deep systemic detoxification using multi-phase Panchakarma
Srotoshodhana (channel cleansing) and Mamsa dhatu rejuvenation
Long-term Rasayana therapy to repair scarred tissues and immune dysfunction
Endocrine rebalancing in cases of PCOS, thyroid issues, or metabolic syndrome
Personalized external treatments for healing sinus tracts and preventing secondary infections
🧬 Ayurvedic Understanding of Disease Progression
Hurley Stage
Ayurvedic Perspective
Dominant Dosha
Tissue Involvement
Stage I
Surface-level inflammation
Pitta-Kapha
Sweda + Rakta Dhatu
Stage II
Recurrent, deeper abscesses
Tridosha
Rakta + Mamsa Dhatu
Stage III
Chronic sinus tracts, scarring
Tridosha + Vata
Mamsa + Meda + Ojas depletion
🌿 Personalized Herbal Formulations at EliteAyurveda
Our herbal protocols are designed individually for each stage:
Anti-inflammatory and toxin-clearing in early stages
Immune-regulating and blood-cleansing in stage II
Deep tissue rejuvenating and hormone-balancing in stage III
Note: Specific herbs are not disclosed to prevent misuse or self-medication.
🔄 Preventing Progression from Stage I to III
✅ Early Ayurvedic Intervention Helps:
Reverse lesions before sinus tracts form
Detoxify channels and stop recurrence
Strengthen immunity to prevent future flares
Avoid antibiotics, steroids, or surgical dependency
🧘♀️ Lifestyle Corrections to Support Healing
Avoid suppression of natural urges (sweat, bowel)
Maintain regular sleep, warm oil massage, and stress-reducing practices
Eat a Kapha-Pitta pacifying diet—light, warm, non-greasy
Avoid tight clothes, deodorants, and excessive heat
📍 Ayurvedic Success in All Three Stages
At EliteAyurveda, we’ve seen full remission in patients across all stages—even those advised surgery or lifelong biologics. With a deep-rooted, personalized approach, we restore skin integrity, prevent relapse, and bring back confidence in patients struggling with long-term HS.
📞 Begin Your Healing Journey Today
If you’re living with any stage of HS, don’t wait for it to worsen. Our Ayurvedic specialists are ready to evaluate your condition and design a personalized, stage-appropriate treatment plan.
🔹 Book your consultation now with Dr. Adil Moulanchikkal 🔹 Website: www.eliteayurveda.com 🔹 Phone: +91 88847 22246
Rediscover skin health, comfort, and a life free from HS flares—naturally and holistically.
