Best Ayurvedic Remedies for Systemic Sclerosis and Skin

ABSTRACT

Systemic sclerosis is a chronic autoimmune connective tissue disorder where the skin serves as both a mirror and a marker of internal disease. The tightening, thickening, and hardening of the skin not only reflect the pathological process of excessive collagen deposition but also provide the earliest and most visible clues to diagnosis. Beyond being a protective barrier, the skin becomes a clinical canvas that reveals disease activity, severity, and progression. Its involvement distinguishes systemic sclerosis from other rheumatologic conditions, linking cutaneous changes to deeper vascular and visceral complications, thereby making the skin central to both recognition and management of the disease.

INTRODUCTION

Systemic sclerosis is a chronic autoimmune connective tissue disorder where the skin serves as both a mirror and a marker of internal disease. The tightening, thickening, and hardening of the skin not only reflect the pathological process of excessive collagen deposition but also provide the earliest and most visible clues to diagnosis. Beyond being a protective barrier, the skin becomes a clinical canvas that reveals disease activity, severity, and progression. Its involvement distinguishes systemic sclerosis from other rheumatologic conditions, linking cutaneous changes to deeper vascular and visceral complications, thereby making the skin central to both recognition and management of the disease.

CAUSES OF SYSTEMIC SCLEROSIS

• Genetic Predisposition:  While not directly inherited, they make individuals more prone to autoimmune reactions affecting skin, lungs, and kidneys.
• Immune System Dysfunction: The immune system mistakenly attacks healthy tissues, producing autoantibodies.
• Vascular Abnormalities: Endothelial injury in small blood vessels reduces blood flow, causing ischemia. This vascular dysfunction can lead to Raynaud’s phenomenon.
• Excess Collagen Production: Overactive fibroblasts deposit excessive collagen in the skin and internal organs, resulting in skin thickening, stiff joints, lung fibrosis, and gastrointestinal dysmotility.
• Environmental Triggers: Exposure to chemicals  or viral infections can trigger disease onset in genetically predisposed individuals, particularly affecting lungs and skin.
• Oxidative Stress: Free radical accumulation damages cells and tissues, promoting fibrosis in the skin, heart, and lungs.

SYMPTOMS OF SYSTEMIC SCLEROSIS

• Skin Thickening and Hardening (Dermal Fibrosis)
• Raynaud’s Phenomenon (Vascular Dysfunction)
• Swelling of Fingers (Edema)
• Joint Stiffness and Pain (Musculoskeletal System)
• Difficulty Swallowing and Acid Reflux (Gastrointestinal Tract)
• Shortness of Breath (Pulmonary Involvement)
• Heart Problems (Cardiac System)
• Kidney Issues (Renal Involvement)
• Fatigue and Weakness (Systemic Effect)
• Skin Discoloration (Cutaneous Changes)
• Nailfold Changes (Microvascular Damage)

DIAGNOSIS OF SYSTEMIC SCLEROSIS

• Physical Examination (Skin): Assessing skin thickening, tightness, and texture changes to detect cutaneous involvement.
• Medical History (Systemic Clues): Reviewing symptoms like Raynaud’s phenomenon, fatigue, digestive problems, and joint stiffness for early systemic signs.
• Blood Tests (Immune System): Detecting autoantibodies
• Nailfold Capillaroscopy (Vascular System): Examining small blood vessels at fingernails to identify microvascular damage.
• Imaging Tests (Lungs): Chest X-ray or high-resolution CT to evaluate lung fibrosis and interstitial lung disease.
• Pulmonary Function Tests (Lungs): Measuring lung capacity and airflow to detect restrictive lung disease or pulmonary hypertension.
• Echocardiography (Heart): Assessing heart function and pulmonary artery pressure to identify cardiac involvement.
• Gastrointestinal Studies (Digestive System): Barium swallow or endoscopy to detect esophageal fibrosis or motility disturbances.
• Kidney Function Tests (Renal System): Monitoring serum creatinine, urine, and blood pressure to identify early renal complications.
• Skin Biopsy (Skin & Connective Tissue): Confirms fibrosis or dermal thickening when diagnosis is uncertain.

TREATMENT OF SYSTEMATIC SCLEROSIS

• Immunosuppressive Medications
• Anti-inflammatory Therapy
• Vasodilators
• Antifibrotic Agents
• Physical Therapy
• Moisturizers, protective measures
• For Gastrointestinal Management: Proton pump inhibitors, prokinetic agents, and dietary modifications ease acid reflux and digestive issues.
• For Pulmonary Therapy: Oxygen support and pulmonary hypertension medications help maintain lung function.
• For Cardiac Care: Monitoring and medications for arrhythmias, heart failure, or high blood pressure as needed.
• For Kidney Protection: Close monitoring and early treatment of hypertension or renal crisis to prevent kidney damage.

AYURVEDIC OVERVIEW OF SYSTEMATIC SCLEROSIS

In Ayurveda, systemic sclerosis can be understood as a Vata kapha predominant disorder with involvement of Rakta(blood tissue) and Mamsa dhatus(muscle tissue), leading to fibrosis, skin thickening, joint stiffness, and organ involvement. This is a  condition where vitiated Vata causes rigidity and loss of skin elasticity, while Kapha contributes to fibrosis and induration. The vata dosha get vitiated by various factors leading to aam(undigested food converted into toxin) formation which  further leads to Strotodushti and finally into Aggravation of vata dosha which is responsible for Soshna of Mamsa Dhatu (muscle tissue) and kapha dosha.

1. Dosha Involvement

Sclerosis primarily involves Vata and Kapha Doshas with secondary Pitta imbalance:

• Vata – Responsible for tissue rigidity, stiffness, fibrosis, and joint contractures.
• Kapha – Leads to excessive accumulation, thickening, and hardening of connective tissues.
• Pitta – When aggravated, contributes to inflammation, redness, and vascular involvement.

2. Dhatu (Tissue) Affection

• Rakta Dhatu (Blood)
• Mamsa Dhatu (Muscle)
• Snayu and Sandhi (Tendons & Joints)
• Medas Dhatu (Fat tissue)

3. Srotas (Channels) Involvement

• Rasa-Rakta Srotas: Circulatory system involvement causing vascular compromise, pallor, and Raynaud-like phenomena.
• Mamsa-Snayu Srotas: Leads to tissue fibrosis, loss of elasticity, and muscular stiffness.

4. Pathogenic Sequence (Samprapti)

• Aggravation of Vata-Kapha → Stagnation in Rasa-Rakta → Dhatu Mala Dushti → Fibrosis & Rigidity. Chronicity leads to Srotorodha (blockage of channels) and Kleda accumulation, resulting in progressive tissue hardening.

Acharya Charaka emphasizes that Vata imbalance in Rasavaha and Mamsavaha strotas leads to contraction, stiffness, and reduced tissue nourishment, which aligns with skin tightening and joint rigidity observed in systemic sclerosis.

Herbal management focuses on Vata reducing and Kapha pacifying, Rasayana and strotoshodhaka herbs to improve circulation, reduce fibrosis, and restore tissue nourishment.

• Ashwagandha (Withania somnifera) is useful for strengthening Mamsa and reducing Vata-induced stiffness.
• Guggul (Commiphora mukul) helps in breaking down fibrotic deposits and improving circulation.
• Guduchi (Tinospora cordifolia) acts as an immunomodulator, reducing inflammation and supporting organ function.
• Manjishtha (Rubia cordifolia) purifies Rakta and improves microcirculation, aiding in skin health.
• Shatavari (Asparagus racemosus) nourishes tissues and supports systemic immunity.

LIFESTYLE AND DIETARY MANAGEMENT FOR SYSTEMIC SCLEROSIS

Foods to Eat

1. Fresh Fruits and Vegetables: Rich in antioxidants to reduce oxidative stress and inflammation.
2. Whole Grains: Oats and brown rice support digestion and provide steady energy.
3. Healthy Fats: Nuts, seeds, olive oil, and flaxseeds nourish the skin and support joint flexibility.
4. Hydrating Foods: Cucumbers, melons, and soups maintain tissue hydration and help with skin elasticity.
5. Spices and Herbs: Turmeric, ginger, and garlic act as natural anti-inflammatory agents.

Foods to Avoid

1. Processed and Fried Foods
2. Excess Salt
3. Spicy and Acidic Foods
4. Carbonated Beverages
5 Red Meat in Excess
6. Cold or Raw Foods in Excess
7. Alcohol and Caffeine in Excess

HYDRATION

Adequate hydration is essential in systemic sclerosis to maintain skin elasticity and support tissue flexibility. Drinking warm water and herbal teas helps improve circulation and digestion. Proper fluid intake also aids in preventing dryness and reduces the risk of vascular complications.

LIFESTYLE MANAGEMENT

1. Regular Gentle Exercise
2. Protect from Cold
3. Stress Management
4. Skin Care Routine
5. Adequate Sleep
6. Monitor Organ Health

YOGA POSES

1. Tadasana (Mountain Pose)
2. Vrikshasana (Tree Pose)
3. Bhujangasana (Cobra Pose)
4. Marjariasana-Bitilasana (Cat-Cow Pose)

Pranayama (Breathing Exercises)

1. Anulom Vilom (Alternate Nostril Breathing)
2. Bhramari (Humming Bee Breath)
3. Kapalabhati (Skull Shining Breath – mild version)
4. Shavasana (Corpse Pose)

HERBAL REMEDIES FOR SYSTEMATIC SCLEROSIS BY PLANET AYURVEDA

Planet Ayurveda is a pioneering name in the world of herbal medicine, celebrated for its dedication to producing pure, classical Ayurvedic formulations that bring the wisdom of ancient Ayurveda to modern healthcare. In systemic sclerosis, Planet Ayurveda’s remedies are especially valuable as they reduce inflammation, enhance circulation, nourish the skin, and improve joint flexibility. Planet Ayurveda truly exemplifies the glory of Ayurveda, providing trustworthy, time-tested solutions for complex conditions while emphasizing safety, purity, and holistic healing. It provides a Sclero Care Pack specifically for Systematic Sclerosis patients.

PRODUCT NAME

1. Ashwagandha capsules
2. Boswellia curcumin
3. Gotu kola capsules
4. Sanjivani Vati
5. Gandhak Rasayan
6. Sinhnaad Guggul

SCLERO CARE PACK

PRODUCT DESCRIPTION

1. Ashwagandha capsules

AshwagandhaCapsules are a pure Ayurvedic formulation by Planet Ayurveda, designed to harness the therapeutic potential of Ashwagandha (Withania somnifera), a powerful herb. These capsules contain standardized extract of Ashwagandha root, ensuring consistent potency and efficacy. Ashwagandha is renowned in classical Ayurveda for its Vata-pacifying and Rasayana properties, which help in strengthening the body, reducing stress, and promoting overall vitality. It works by modulating the immune system, supporting the body’s natural defense mechanisms, and balancing Vata and Kapha doshas.

Dosage: 1 Capsule twice daily with warm water.

2. Boswellia-Curcumin

Boswellia Curcumin Capsules are a classical Ayurvedic formulation combining the potent herbs Boswellia serrata and Curcuma longa (Turmeric) to provide natural anti-inflammatory and joint-supportive benefits. Boswellia, known as Shallaki, is traditionally used to reduce inflammation, improve blood circulation, and support joint and connective tissue health. Curcumin, the active component of turmeric, is a powerful antioxidant and anti-inflammatory agent that helps modulate immune response and prevent tissue damage. This combination works synergistically to reduce inflammation, inhibit pro-inflammatory enzymes, and protect cartilage and connective tissues from degenerative changes.

Dosage: 2 Capsules twice daily with warm water.

3. Gotu kola Capsules

Gotu kola Capsules are a pure Ayurvedic formulation containing the herb Gotukola (Centella asiatica), revered in classical texts for its Rasayana and Vata-Kapha balancing properties. Gotukola is traditionally used to rejuvenate tissues, improve circulation, and enhance cognitive and nervous system functions. It is rich in bioactive compounds like triterpenoids, flavonoids, and saponins, which contribute to its therapeutic effect. Gotukola works by promoting tissue regeneration, improving microcirculation, and supporting detoxification, while also exhibiting anti-inflammatory and antioxidant effects.

Dosage: 2 Capsules twice daily with warm water .

4. Sanjivani Vati

Is a classical Ayurvedic formulation designed to rejuvenate the body and support tissue health. It contains key ingredients like Gandhak (Purified Sulfur), Shilajit (Asphaltum punjabianum), Rasna (Pluchea lanceolata), Ashwagandha (Withania somnifera), and Vidanga (Embelia ribes). Gandhak detoxifies Rakta and Mamsa Dhatu, reducing inflammation and fibrosis. Shilajit promotes tissue regeneration and vitality, while Rasna and Ashwagandha provide anti-inflammatory, adaptogenic, and Vata-Pitta balancing effects. Vidanga aids digestion and prevents toxin accumulation.

Dosage: 2 Tablets twice daily with warm water.

5. Gandhak Rasayan

Is a classical Ayurvedic formulation primarily based on Purified Sulphur (Shuddha Gandhak), prepared according to ancient Ayurvedic principles. This herbomineral preparation is renowned for its Rasayana (rejuvenating), Shothahara (anti-inflammatory), and Kushthaghna (skin-protective) properties. Gandhak Rasayan works by detoxifying the body, balancing Pitta and Kapha doshas, and improving microcirculation, thereby enhancing tissue nourishment and skin health. Its bioactive sulphur components exhibit antimicrobial, antioxidant, and anti-inflammatory effects, supporting natural immunity and protecting connective tissues. 

Dosage: 2 Tablets Twice daily with warm water.

6. Sinhnaad guggul

Is a classical Ayurvedic formulation that combines Guggul (Commiphora mukul), Shilajit (Asphaltum punjabianum), and other potent herbs to support musculoskeletal health, detoxification, and joint flexibility. Traditionally, it is recognized for its Vata-Kapha pacifying, anti-inflammatory, and Rasayana properties, making it valuable in managing chronic inflammatory and connective tissue disorders. This formulation works by reducing inflammation, improving blood circulation, and enhancing tissue metabolism. Guggul helps in breaking down fibrotic deposits and maintaining joint mobility, while Shilajit nourishes Dhatus, supports immunity, and aids in overall rejuvenation. 

Dosage: 2 Tablets Twice daily with warm water.

CONCLUSION

In the above discussion, we have comprehensively covered its causes, including autoimmune responses, genetic predisposition, and environmental triggers, along with the symptoms such as skin thickening, joint stiffness, Raynaud’s phenomenon, and internal organ involvement. The complexity of this disease requires a multidimensional approach, and here Ayurveda offers valuable insights. Ayurvedic management emphasizes balancing the aggravated Vata and Kapha doshas, improving circulation, enhancing digestion, and reducing inflammation through classical formulations, herbal remedies, Panchakarma therapies, and lifestyle modifications. Thus, integrating Ayurvedic management with modern care provides a holistic way to address both symptoms and root causes, helping patients achieve long-term relief and better health outcomes. 

FAQ

Q1. What is the life expectancy of a Systematic sclerosis patient?

Life expectancy in systemic sclerosis depends on its type and severity. Limited cutaneous forms usually allow near-normal survival, while diffuse or systemic involvement may shorten lifespan due to lung, kidney, or heart complications. With early diagnosis and modern treatment, many patients live 10–20 years or more after onset.

Q2. What is the first symptom of systemic sclerosis?

The first symptom of systemic sclerosis is usually Raynaud’s phenomenon, where fingers or toes change color in response to cold or stress.

Q3. What is the most successful treatment of Systematic sclerosis in Ayurveda?

The most successful management includes Panchakarma therapies (Abhyanga, Swedana, Virechana, Basti) along with herbal formulations like Guggulu preparations, Ashwagandha, Shunthi, and Triphala.Rasayana therapy (rejuvenation) is also emphasized to improve immunity, slow progression, and enhance quality of life.

Q4. What is the difference between scleroderma and systemic sclerosis?

Scleroderma is a general term describing skin hardening and tightening due to excess collagen.Systemic sclerosis is a more severe, autoimmune form of scleroderma that affects not only the skin but also internal organs.Scleroderma may remain limited to the skin, while systemic sclerosis involves lungs, kidneys, heart, and blood vessels.Thus, all systemic sclerosis is scleroderma, but not all scleroderma is systemic sclerosis.

Q5. What to avoid in systemic sclerosis?

Systemic sclerosis, avoid cold exposure, stress, and smoking, as these worsen Raynaud’s and circulation.Limit alcohol, caffeine, and very spicy foods that can trigger acidity and vascular issues.Reduce excess salt and processed foods to protect heart, kidneys, and overall immunity.

Q6. At what age systemic sclerosis starts?

Systemic sclerosis usually begins between the ages of 30 and 50 years, though it can appear earlier or later.It is more common in women, especially during their middle years.Childhood onset is very rare compared to adult cases.

Q7. Is it possible to live a normal life with systemic sclerosis?

Yes, it is possible to live a near-normal life with systemic sclerosis if managed early and properly. Limited forms usually progress slowly and respond well to treatment. Regular checkups and lifestyle care help maintain long-term quality of life.