Ayurveda and Skin Health: A Comprehensive Framework for the Management of Dermatological Disorders

Skin disorders constitute a major segment of global disease burden, affecting millions across all age groups. Chronic conditions such as eczema, psoriasis, acne, vitiligo, and recurrent infections significantly impair quality of life and often resist permanent cure through conventional dermatology. While modern approaches provide symptomatic relief through pharmacological and surgical interventions, recurrence, side effects, and psychosocial impact remain key challenges. Ayurveda, the ancient Indian system of medicine, offers a holistic framework of dermatology (Kushtha Chikitsa) that emphasizes internal balance, detoxification, rejuvenation, and lifestyle correction. This paper presents a comprehensive analysis of Ayurvedic dermatology in the management of skin disorders, correlating classical principles with modern biomedical insights. Textual references from Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya are examined alongside contemporary evidence on phytopharmacology and clinical outcomes. Internal medicines including Manjishtha (Rubia cordifolia), Neem (Azadirachta indica), Haridra (Curcuma longa), and Khadira (Acacia catechu) are explored for their blood-purifying, antimicrobial, and immunomodulatory properties. Panchakarma therapies, Rasayana interventions, and diet-lifestyle regimens are highlighted as key holistic strategies. The paper integrates conceptual models of dosha imbalance, Agni dysfunction, and Ama accumulation with modern concepts of inflammation, immunity, and the gut-skin axis. Evidence from clinical trials, pharmacological studies, and integrative dermatology frameworks supports the relevance of Ayurveda in global skin health. Challenges such as lack of standardization, regulatory acceptance and need for rigorous randomized controlled trials are also discussed. The findings argue that Ayurveda provides a sustainable, patient-centred and scientifically relevant paradigm for integrative dermatology.