I think I have to write, because this can be helpful some of you. I wrote last April how I started using homemade chili cream on my face (subtybe 1 rosacea):

https://rosaceagroup.org/The_Rosacea...070#post333070

I noticed fairly rapid reduction in flushings. I got burning feeling for a couple of weeks when I went to the sauna and when I exercised intensively, but suprisingly it didn’t caused any redness, I was actually quite pale even in sauna.
After about two weeks chili with sauna or exercise has not caused a burning feeling. So tolerate increased. My conclusion is that chili (capsaicin) affect some receptors in a way that prevents vascular expansion. Read ”warm room theory”:

https://rosaceagroup.org/The_Rosacea...ide-Y-Flushing

Since April, flushings has not been a particularly big problem for me. I've mainly forgotten whole disease. Under a year ago this would been only unrealistic fantasia. I flushed regularly for 10 years all kind of situations and all the time.
Sometimes I get feeling my face is very red, but when I see myself in the mirror I always see my face colour is normal or only slightly red. All this has greatly reduced my stress levels, which of course further increases the positive effects.
It's hard to say will this work same way others, but I think I cannot be the only one who benefits.

I have also used chili to improve digestion (it can be helpful even for ibs). Notice: capsaicin is also pain reducer in hospitals.

So, I use about half teaspoon fine chili powder and I mix it with about 15g face cream. I use cream of eczema. I get suitable colour adding little bit this:

https://fi.iherb.com/pr/p/65440

In my face this cream is invisible and very light. I do not feel it all.

I have had lot of gut problems (leaky gut, sibo, ibs) and taking care of these has also very central role. For about one month I have comply sibo-ibs diet and I finished all dairy and all grains (also rice, millet etc.). This has helped my acid reflux and I think it’s helpful also manner of rosacea.

But I underscore chili cream was the biggest change case of rosacea flushings.

It's quite ironic that ten years I looking for cooling cream and the answer is chili based face cream