
Acne Inversa, or Hidradenitis Suppurativa, is a chronic inflammatory disorder of the skin that causes recurrent, painful nodules and abscesses, often in areas where the skin folds — such as the underarms, groin, buttocks, and breasts. It reflects a deep internal imbalance rather than a mere skin infection. In Ayurveda, this condition corresponds to Granthi and Vidradhi roga — arising from aggravated Pitta and Kapha doshas, obstruction in Srotas (channels), and the accumulation of Ama (toxins) that fuel chronic inflammation.
When Agni (digestive fire) becomes weak, metabolic toxins begin to accumulate in deeper tissues. Pitta aggravation inflames these tissues, while Kapha causes stagnation, resulting in blocked follicles and pus-filled nodules that resist healing. Over time, this creates an environment of chronic infection, scarring, and emotional distress.
Acharya Charaka in Charaka Samhita, Sutra Sthana, 20/11 states:
“Pitta-Kapha prakopascha granthi-vikarasya karanam” — The aggravation of Pitta and Kapha doshas is the primary cause of glandular and nodular disorders.
This classical reference explains the root Ayurvedic mechanism behind Acne Inversa — where chronic Kapha accumulation combines with inflammatory Pitta to produce deep, painful swellings and abscesses under the skin.
At EliteAyurveda, we go beyond surface-level symptom management and focus on complete internal correction. Our Acne Inversa reversal program is a multi-phase protocol aimed at restoring metabolic health, clearing inflammatory toxins, and repairing skin tissue at the cellular level.
EliteAyurveda’s Acne Inversa treatment is designed to heal from the root — not by suppressing symptoms but by transforming the underlying internal environment that allows the condition to persist.
At EliteAyurveda, we treat Acne Inversa as a reflection of deeper metabolic and immune dysfunction — not as a mere skin condition. By restoring internal balance, clearing Ama, and rejuvenating skin tissues naturally, we help your body heal itself from within. Experience true transformation through Ayurveda — where every protocol is pure, personalized, and purpose-driven.
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“The ayurvedic approach of disease looks for the root cause and not merely the symptoms. The basic principles of Ayurveda consider an individual human a specific identity and hence his treatment giving importance to the treatment of the patient rather than the treatment of the disease.”
“Since Ayurveda focuses on the root-cause of the disease, it effectively reduces the risk of severe health complications arising out of the untreated underlying cause. Patients who complete their Ayurveda treatment have a reduced risk of health complications later.”
"Heal your body naturally with 5000-year-old knowledge of Ayurveda and Modern Science. From its authenticity, structured approach and personalisation play a very important role in complementing the effect of medicines as well as sustaining the benefit of treatment after the medicines have ended."
Acne Inversa, also known as Hidradenitis Suppurativa, is a chronic inflammatory skin disorder that affects the hair follicles and sweat glands. It presents as painful, deep-seated lumps in areas where skin rubs together — such as the armpits, groin, buttocks, and under the breasts. Over time, these nodules may rupture, form tunnels beneath the skin, and leave behind scars. Ayurveda recognizes Acne Inversa as a systemic inflammatory condition linked to deranged metabolism, poor detoxification, and immune imbalance — not merely a skin disease.
At EliteAyurveda, the treatment of Acne Inversa (Hidradenitis Suppurativa) is designed to heal the body from the inside out — by addressing the root causes rather than managing superficial symptoms.
The core focus lies in correcting dosha imbalance, clearing blocked channels (Srotas), and rejuvenating the skin and immune system through a structured, phase-wise protocol.
Our treatment includes:
In addition, patients receive detailed guidance on diet, emotional health, and lifestyle corrections — to balance metabolism, regulate hormones, and prevent recurrence. This integrative approach ensures sustained healing and long-term remission.
In conventional medicine, Acne Inversa is understood as a chronic inflammation of hair follicles triggered by follicular blockage and bacterial overgrowth. Ayurveda interprets these same processes through the lens of Srotorodha (channel obstruction), Ama accumulation, and Pitta-Kapha aggravation leading to suppuration and tissue destruction.
Modern and Ayurvedic factors that contribute to the condition include:
From an Ayurvedic standpoint, these are triggered or aggravated by:
Hidradenitis Suppurativa progresses through three clinical stages, known as Hurley Stages:
Ayurveda customizes treatment intensity based on the stage — from Shamana (pacification) therapy in early stages to deeper Shodhana (detoxification and rejuvenation) therapies in chronic, advanced conditions.
At EliteAyurveda, diagnosis of Acne Inversa involves a comprehensive assessment of both external and internal factors. Our Ayurvedic physicians evaluate:
This deep-rooted assessment allows us to craft a personalized reversal plan that goes beyond treating the skin — it aims to rejuvenate the immune system, normalize metabolism, and restore harmony between body and mind.
Our treatment for Acne Inversa (Hidradenitis Suppurativa) is a personalized, root-cause-based program designed to reverse inflammation and heal from within. Here are some of the most common questions patients ask before starting their recovery journey with us.
Acne Inversa, also known as Hidradenitis Suppurativa (HS), is a chronic inflammatory skin condition characterized by recurrent, painful nodules, abscesses, and tunnels (sinus tracts), mainly in body folds like armpits, groin, and buttocks. It occurs when the immune system attacks hair follicles and sweat glands, causing deep inflammation and scarring.
In Ayurveda, Acne Inversa is correlated with “Dushta Vrana” and “Kotha,” conditions arising due to deep-seated vitiation of Pitta and Kapha doshas along with accumulation of Ama (metabolic toxins). This imbalance leads to clogged Srotas (micro-channels), impaired Rakta dhatu (blood tissue), and chronic inflammation beneath the skin.
Early signs include small, painful lumps under the skin that resemble boils or pimples. Over time, these can rupture, discharge pus, and form interconnected tunnels and scars. Common areas affected include armpits, groin, inner thighs, and buttocks. In Ayurveda, this marks the stage where Pitta-Kapha aggravation obstructs local circulation and tissue metabolism.
Modern science attributes Acne Inversa to immune dysfunction, hormonal imbalance, genetics, and lifestyle factors. Ayurveda identifies deeper causes such as impaired Agni (digestive fire), Ama accumulation, stress, and suppression of natural urges—leading to chronic inflammation and doshic imbalance in skin and subcutaneous tissues.
Unlike regular acne, which affects surface oil glands, Acne Inversa develops much deeper in the skin, around sweat and hair follicle units in friction areas. It is more inflammatory, painful, and chronic—often accompanied by pus discharge, sinus tracts, and scarring. Ayurveda classifies it as a deeper manifestation of Pitta-Kapha imbalance rather than surface-level Pitta aggravation alone.
Flare-ups are often triggered by heat, stress, hormonal changes, certain foods (like spicy or fried items), tight clothing, friction, and poor gut health. In Ayurvedic terms, anything that aggravates Pitta or Kapha—such as irregular sleep, excessive sweating, or junk food—can provoke inflammation and new lesion formation.
Yes. Ayurvedic treatment at EliteAyurveda focuses on reversing the disease from its root—detoxifying the system, restoring metabolic balance, and healing tissues. While modern medicine controls symptoms temporarily, Ayurveda eliminates the root imbalance (Ama and dosha vitiation), leading to long-term remission and sustainable recovery.
The treatment is multi-phase—starting with Ama-pachana (toxin digestion), followed by Srotas shodhana (channel cleansing), dosha balancing through personalized herbal formulations, and external therapies to reduce inflammation and promote healing. Diet, lifestyle, and stress regulation form an integral part of the plan for sustainable recovery.
Most patients notice a reduction in pain, discharge, and swelling within the first few weeks. Long-term remission and skin repair depend on chronicity and tissue depth, usually requiring 3 to 6 months of personalized therapy for deep cleansing and tissue regeneration.
Yes. Hormonal fluctuations, especially involving androgens and insulin resistance, can worsen HS. Ayurveda sees this as disturbance in Pitta and Meda dhatu, leading to excessive heat, inflammation, and blocked channels. Balancing hormones through diet, stress management, and dosha correction is key to control.
Absolutely. Chronic stress activates the Pitta and Vata doshas, causing hormonal and immune dysregulation. This triggers inflammation, pain, and delayed healing. Ayurveda integrates mind-body therapies like meditation and pranic breathing to calm the system and restore internal balance.
Acne Inversa is not contagious. However, a genetic predisposition is seen in many patients. Ayurveda acknowledges inherited doshic tendencies (Prakriti-based susceptibilities), which can manifest as skin disorders when triggered by lifestyle and diet imbalances.
Yes. Diet is a major factor. Foods that increase Ama or aggravate Pitta-Kapha—like dairy, sugar, fried, and processed foods—can worsen symptoms. Ayurveda emphasizes anti-inflammatory, easily digestible foods with cooling and detoxifying herbs for sustained improvement.
Yes. Gentle hygiene, loose clothing, stress management, balanced sleep, and regular detox routines help prevent flare-ups. Ayurveda also recommends avoiding heat exposure, alcohol, and late-night activities that disturb dosha equilibrium.
Acne Inversa often causes emotional distress due to pain, odor, and scarring. Many patients develop anxiety, depression, or social withdrawal. EliteAyurveda’s approach includes emotional detox and psychological balance as part of total healing to restore confidence and quality of life.
In AI, inflammation triggers hair follicle and sweat gland blockages, leading to painful nodules, abscesses, and tunnels under the skin. This chronic inflammation is driven by immune system dysfunction and genetic factors. Inflammation activates pain receptors, causing the characteristic pain and discomfort. Managing inflammation through medical treatments and a multidisciplinary approach is key to AI management.
Biologics are a recent pharmaceutical innovation for treating autoimmune diseases like psoriasis and AI. Biologics are modified forms of natural proteins derived from human cells. They help the body create a defense against AI by targeting immune system components that induce inflammation. Severe side effects include heart failure and autoimmune problems. Furthermore, biologics may increase the risk of infection and lymphoma. Our Ayurveda herbal medicines do not cause any side effects, and we maintain the highest quality from harvest to preparation and packaging. We avoid the use of preservatives and prepare proprietary combinations personalized based on individual prakriti and other factors for the best efficacy and results.
Yes. Many of our patients transition from conventional medicines under guided supervision. We design your Ayurvedic plan in parallel, focusing on detoxification and gradual reduction of dependency while maintaining symptom stability and safety.
FOR PATIENTS RESIDING IN INDIA
Treatment charges vary depending on the severity and duration of the condition. The treatment includes herbal combinations prepared based on individual Prakruti and Vikruti analysis. Charges may also vary if external therapy is included as part of the overall treatment.
FOR PATIENTS RESIDING OUT OF INDIA
Treatment charges vary depending on the severity and duration of the condition. The treatment includes herbal combinations prepared based on individual Prakruti and Vikruti analysis. Charges may vary based on the stage or severity of the condition. Depending on the country, the selection of required herbs and the format of preparation may vary.
For more information, visit our International Patients page.
To get started with Ayurvedic treatment for AI at Elite Ayurveda, you can book a consultation with our experienced practitioners. The consultation can be conducted online or offline, and our team will create a personalized treatment plan based on your specific needs and health condition. Contact us today to begin your journey towards holistic healing and improved skin health.
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