Ask Ayurveda

FREE! Ask Ayurvedic Doctors 24/7

Get expert answers from certified doctors anytime

Fast responses
1000+ verified doctors
/
/
/
Persistent nodules like acne/ pimples
Cosmetology
Question #33613
259 days ago
1,239

Persistent nodules like acne/ pimples - #33613

Rane
$3.51

I have been having nodules type acne that aren't going away. It has been more than 3 weeks now and they are mostly on my cheeks and jawline and a few at the back of my ear. I have tried topical treatment but it didn't help much. Can Purim tablets by Himalaya and/ or Mahamanjisthadi kadha help?

Age: 32
Question is closed
Writing an explanation of your symptoms through Ayurveda...
Analyzing through Ayurvedic framework0%

Doctors' responses

Dear Rane Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Drink sufficient quantity of water. Tab. Neem 2-0-2 Tab. Septillin 2-0-2 Follow up after 2weeks.

13388 answered questions
39% best answers
Doctor has prepared a treatment plan for you
Aluretic Tablets - Alarsin
Neem Tablets - Himalaya
Accepted response

0 replies

HELLO RANE , Acne , pimples and other skin issues might be due to- 1. Pitta aggravation 2. Oily skin type 3. Intake of oily or junk food 4. Not taking proper care of your skin 5. Use of chemical loaded products 6. Chronic constipation Treatment - 1. Neem ghanvati 1-0-1 after meal 2. Mahamanjisthadi kwath 30ml with 30 ml water twice a day after meal 3. Apply Aloe vera gel after cleaning the face with rosewater 4. Apply kumkumadi tel before bedtime

Follow these - 1. Adequate amount of water 2. Eat antioxidant rich food like amla, beans, green tea, spinach etc 3. Clean your towel and pillowcase every week 4. Avoid using makeup or some chemical product especially before sleeping. 5. Stress management -Through meditation, walking, journaling etc.

Yoga - 1. Anulom vilom 2. Sheetali 3. Sheetkari

Follow these to get better skin. REVIEW AFTER 1 MONTH. Take care Regards, DR. ANUPRIYA

832 answered questions
64% best answers
Doctor has prepared a treatment plan for you
Planet Ayurveda Aloe Vitals Capsule
AVP Kumkumadi Tailam (Oil) - Arya Vaidya Pharmacy
Maha Manjishtadi Khada - Dhootapapeshwar
+1 more medications
Accepted response

0 replies

Yes Purim , Mahamanjistadi kadha will help But since you have nodule type acne you should take Khadirarist 10ml twice daily after food with water Kishore guggul 1-0-1 after food with water Kamdudharas 1-0-1 after food with water Avoid processed spicy street foods. Apply Divya kanti lep mix with rose water apply on acne areas keep for 10 minutes and wash with clean water.

13655 answered questions
30% best answers
Doctor has prepared a treatment plan for you
Purim Tablets - Himalaya
SDM Kadirarista - SDM Ayurveda Pharmacy
SDM Kaishora Guggulu DS - SDM Ayurveda Pharmacy
+1 more medications
Accepted response

0 replies

Neem cap 1-0-1 Mahamanjistadi aristha-10-0-10 ml Khadira aristha-10-0-10 ml with equal water Avoid spicy sour fermented foods Keep yourself hydrated Apply Alovera gel

4951 answered questions
37% best answers

0 replies

Neemghan vati Kaishore guggulu Giloyghan vati- One tablet twice daily after food with warm water Mahamanjistadi kadha 10 ML twice daily after food with water Kantilepa -mix with rose water and apply over, face weekly twice Avoid oily spicy foods

13602 answered questions
29% best answers

0 replies

Avoid out side junk food and non veg take arogya vardini vati 1tab bd, mahamanjsiadhi gana vati 1tab bd,sundari kalp 20ml bd, kukumadhitail external application enough

15880 answered questions
33% best answers

0 replies

HELLO RANE,

This means -Pitta agrravation= heat, redness, inflammation, pus -Kapha aggravation= stickiness, clogged pores, white pus -Rakta dhatu dushti= recurring acne, poor healing - Agnimandya (weak digestion)= certain food don’t digest fully, creating ama (toxins) that circulate in the blood and show up as pimples

So the root issues is internal imbalance, not just skin surface dirt, That’s why soap or face wash alone isn’t solving it.

TREATMENT GOALS -correct digestion and metabolism(agni)= stop toxins from forming -purify blood= reduce pus and new breakouts - balance pitta + kapha= control oiliness and inflammation -heals scars and improve complexion -support long term skin health with diet, lifestyle, and stress control

PHASE WISE TREATMENT PLAN

PHASE 1= DETOX AND AMA PACHANA (first 5 days)

-Chitrakadi Vati= 2 tabs twice daily after meals

-Hingwastaka churna = 1/2 tsp with ghee before meals

On 6th day morning empty stomach 6 am take 50 gm of Trivrut leha with milk After this you will observe loose stools for 10-15 times , this will detox your whole body and remove excess pitta and kapha during procedure until loose motions stops kindly dont take any food just have lukewarm water

After motions stop completely have light digestible food like khichdi, rice gruel only for that day

this procedure is called virechana= removes excess pitta from liver, intestines, and blood

FROM 7TH DAY START PHASE 2 MEDICINES

1) NIMBA GHAN VATI= 500mg twice daily after meals -purifies blood, antimicrobial

2) GANDHAK RASAYANA= 2 tabs twice daily after meals =detoxifies skin, reduces pus, enhances healing

3) MANJISTHADI KASHAYA= 20 ml with equal water twice daily before meals =cleanses blood, reduces scars

4) ARIGYAVARDHINI VATI= 1 tab twice daily after meals =balances liver, digestion, pitta

5) KHADIRARISHTA= 15ml with water after meals for long term detox

DURATION= 3 months minimum with consistency

PHASE 3= EXTERNAL CARE

1) FACE CLEANSING= wash with lukewarm water only, avoid harsh soaps

2) PASTE APPLICATION -Neem + Turmeric + Multani mitti paste weekly for pimples -Aloe vera gel (fresh) at night to cool and heal -Kumkumadi Taila at night on scars only-> for dullness and pigmenttion

=Keeps pores open, kills bacteria naturally supports healing without chemicals

PHASE 4= Lifestyle and Diet -Sleep= 10-11pm bedtime, 7-8 hrs sleep. Late night worsens pitta

-Avoid= daytime sleeping, junk for, fried/oily excess rice, dairy especially curd at night, non-veg, excess sugar, aerated drinks

FAVOUR -barley, wheat, millet instead of rice -green leafy vegetables, bitter gourd, bottle gourd, cucumber -fruits= amla , pomegranate , papaya -Spices= coriander, cumin, turmeric, fennel

HYDRATION -drink warm water or coriander water; avoid iced/cold drinks

PHASE 5= YOGA AND PRANAYAM

YOGA ASANAS -sarvangasana -matsyasana -bhujangasana =improves circulation and hormonal balance

PRANAYAM -Sheetali/sheetkri= cools pitta -Anulom vilom= balances doshas, reduces stress

WHY= stress and hormonal imbalance are major triggers to young adults

HOME REMEDIES -Apply paste of neem leaves or turmeric + sandalwood on pimples -Drink amla juice 20 ml daily= natural blood puriifier -Use honey + cinnamon paste as a spot application occasionally -Steam inhalation once a week with neem leaves in water-> open pores, clears toxins

-Pimples that last this long aren’t just " skin deep". They’re signal from inside- your digestion, blood and ifestyle -Ayurveda doesn’t just dr pimples; it corrects the root -Expect improvement in 6-12 weeks with consistent treatment, but scars may take longer time to fade like 3-6 months -Be patient and regular. Avoid picking/sqeeuzing pimples- that’s why the hols/scars are forming

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

13233 answered questions
27% best answers

0 replies

Hello Rane, I can understand your concern regarding nodular acne. Nodular acne is deeper, more stubborn, and often related to internal imbalances (hormonal, digestive, or blood-related) rather than just surface issues.But dont worry we are here to help you out

Since your acne has lasted for more than 3 weeks and is not improving with topical applications, an internal correction is definitely needed along with external care.

✅ Can Purim Tablets Help?

Yes ✅

Purim tablets (Himalaya): Have Neem + Turmeric. They purify the blood, reduce inflammation, and support skin healing. Usually safe at 1–2 tablets twice daily after meals (short-term use).

✅ Can Mahamanjisthadi Kadha Help? Yes ✅

Mahamanjisthadi Kadha: A classical Ayurvedic formulation for Rakta shodhana (blood purification). Very effective in chronic skin issues, acne, pigmentation.

Usual dosage: 15–20 ml diluted with equal water, twice daily after meals.

👉 Both Purim and Mahamanjisthadi can be taken together

✅SUPPORTIVE HOME REMEDIES

Warm water with 1 tsp Triphala at night – helps detox & keeps bowel clear.

Coriander seed water (soak overnight, drink in morning) – cooling for Pitta.

Face application: Apply paste of sandalwood + rose water or neem paste locally on nodules.

Avoid over-washing; use a gentle herbal cleanser (neem, tulsi).

✅DIET AND LIFESTYLE TIPS

Avoid spicy, oily, fried foods, excess tea/coffee, alcohol.

Favor fresh fruits (pomegranate, grapes, apple, watermelon) & vegetables.

Include turmeric, coriander, fennel, and cumin in cooking.

Manage stress (yoga, pranayama) since stress often worsens nodular acne.

Yes, both Purim tablets and Mahamanjisthadi Kadha can help in your case by purifying blood and reducing inflammation. Support them with a Pitta–Kapha friendly diet, regular bowel cleansing, and gentle skincare.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

12033 answered questions
28% best answers

0 replies

Don’t worry Rx Kaishor guggulu 1-0-1 Manjishtha kwath 15 ml Twice a day Sootsekhar ras 1-0-1

Avoid spicy and oily food Stay hydrated

1005 answered questions
25% best answers

0 replies

yes, you should go with both along with them add: acnovin ointment kaishore guggulu 2 tab twice daily with water

✅ Do’s for Acne Healing - Cleanse with herbal infusions: Use neem, manjistha, or rose water to gently cleanse without stripping oils. - Apply cooling masks: Use multani mitti + rose water, sandalwood + aloe vera, or turmeric + honey 2–3 times a week. - Stay hydrated: Sip coriander-fennel-cumin water throughout the day to balance Pitta and detox gently. - Eat skin-friendly foods: Include ghee, amla, pomegranate, coconut water, and steamed greens. - Use non-comedogenic oils: Dab kumkumadi taila or jojoba oil at night if dryness persists. - Practice Sheetali pranayama: Cools internal heat and supports hormonal balance. - Sleep early: Aim for 9:30–10:00 PM to support liver detox and skin repair.

🚫 Don’ts That Worsen Acne - ❌ Avoid spicy, sour, fermented, and oily foods—they aggravate Pitta and clog pores. - ❌ Don’t touch or pick acne—this spreads bacteria and worsens scarring. - ❌ Skip harsh scrubs or alcohol-based toners—they strip protective oils and inflame skin. - ❌ Avoid dairy (especially processed) if acne is hormonal or cystic. - ❌ Don’t use synthetic makeup or heavy creams—opt for herbal or breathable products.

12159 answered questions
27% best answers

0 replies

Nodules type acne can be really persist having both deep-rooted causes, often related to dosha imbalances, particularly in the Pitta and Kapha. Your concerns about persistent acne can indeed be approached with classical Ayurvedic interventions. Purim tablets and Mahamanjisthadi Kadha both have potential benefits.

Purim tablets by Himalaya are primarily focused on blood purification, which according to Ayurveda can help balance Pitta that often contribute to skin issues. However, before starting, it’s important to assess your current Pitta levels since these tablets also increase Vata. Typically, two tablets twice a day after meals can be recommended but, also its better to take it under supervision of an Ayurvedic practitioner.

Mahamanjisthadi Kadha is a beneficial polyherbal formulation for skin disorders. Known for combating skin inflammation, it may help in reducing acne nodules effectively. A common dosage is about 2-3 teaspoons twice daily mixed with equal parts of water, taken on an empty stomach. Again, it’s advisable to adjust dosages based on individual needs and after consulting a specialist.

Aside from herbal support, addressing your lifestyle and diet is crucial. Favor a Pitta-pacifying diet which includes cooling fruits like melons, cereals like, barley, and green vegetables. Avoid spicy, oily, or processed food that can aggravate Pitta. Drink boiled water cooled back to room temperature throughout the day instead of just cold water (good for digestion).

Engage in regular exercise that isn’t too strenuous; a gentle yoga routine and sufficient hydration will maintain your skin health. Nonetheless, if symptoms persist or worsen, consider consulting with a healthcare provider to avert any underlying serious conditions.

10660 answered questions
28% best answers

0 replies

About our doctors

Only qualified ayurvedic doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.


How to treat dark spots on my face after stopping steroid cream for 6 months?
How to treat dull skin with wrinkles and dryness on my face?
How to treat scar tissue from appendicitis surgery to prevent regeneration?
How to remove dark circles and small bumps under my eyes and on the sides of my nose?
What can I do about flat and sagging breast tissue after breastfeeding and plasma donation?
Is it safe to mix turmeric with eladi choornam for my skin?
How to treat hair fall and gray hair with Bhigraj oil?
How can I permanently remove my beard?
How to reduce facial hair growth after stopping Tanxmic tablets?
How can I treat melasma on my face from 15 years ago?
Can Bhringraj oil turn my white hair black at 26 years old?
What products can I use for brightening and reducing dullness on my combination skin?
What to do for white beard hair at 27 years old?
How to treat dark spots on my face that have spread over 2 years?
How to treat hyperpigmentation and dark circles after a year of Ayurvedic medicine?
How to lighten my son's dark skin and improve his complexion?
How to treat black inner thighs and underarms with PCOS using Ayurveda?
Can I mix my hair oil with flaxseed gel for better benefits or will it reduce their effectiveness?
How to remove tan at home after vacation?
Inquiry About Ayurvedic Facial Massage Techniques
What are the side effects of using Garnier hair dye and are there any alternatives without side effects?
How to reduce skin tanning and decrease melanin production with Antoxid-HC or Glutathione?
How to make natural black hair dye at home for mild psoriasis and grey hair?
Seeking Ayurvedic Remedies for Anti-Aging and Glowing Skin
How to use Kolarakku powder for acne-prone skin on my face?
How can I remove freckles and dark spots from my face?
How to treat neck wrinkles in a 75-year-old with no other facial lines?
How can I manage excessive chin hair at 29 years old?
What is the best Ayurvedic treatment for xanthelasma in a healthy 43-year-old woman?
How to use Kumkumadi face oil and night gel for my 65-year-old skin?
How to treat stretch marks on my tummy and underarms after three years of delivery?
How to treat 1 month old acne marks for clear glowing skin?
How can I treat my dark circles under my eyes?
What is the best Ayurvedic face wash for skin whitening?
How to brighten my face and reduce pigmentation around my mouth and dark circles?
Seeking Treatment for Premature White Hair
How to reverse premature greying of hair at 18 with home remedies?
How to treat black spots on face and neck after hysterectomy and hernia surgery?
How to Achieve Glowing and Bright Skin with Nalpamaradi Coconut Oil Balm?
Can I apply indigo powder to my hair the day after using henna?
What are some Ayurvedic remedies for premature white hair in my beard at age 40?
How to treat very dry and frizzy hair and dry flaky skin in senior women?
What are the treatment options for male pattern hair loss in Ayurveda?
Seeking Ayurvedic Advice for Hair Care
How to treat chicken pox scars on my face after a month?
How to stop breast sagging and regain elasticity with massage and castor oil?
How to improve skin health naturally with Ayurvedic tonics for a glowing complexion?
How to treat facial pigmentation and oily skin with Ayurveda after 1.5 years of trying products?
How to reduce skin tan and decrease melanin production with antioxidants like Antoxid-HC or Glutathione?
How to use Lomasathana Thailam oil for permanent hair removal?
How to reverse gray hair and can sesame seeds help?
Best Oils for Acne Scarring and Uneven Skin Tone
What to do if my father's beard and hair are turning white?
How to Use Nalpamaradi Coconut Oil Balm for Skin Brightening
How to achieve glowing and clear skin with Ayurvedic tonics and tips?
Advice on Treating Open Pores and Skin Issues
How to remove thick hair from my chin and upper lip permanently?
How to use Kolarakku powder on my face and what to mix it with?
Ayurvedic Approach to Skin Cleansing
Can I take Bhringraj internally for hair growth after my hair was damaged by a hairdresser?
How to grow a fuller beard like Virat Kohli without shaving?
How to treat freckles with Ayurveda at age 35 after trying allopathy?
How to treat facial pigmentation and uneven skin tone in a 30-year-old woman?
How to permanently remove unwanted facial hair using Ayurvedic treatments?
Best Fairness Cream for Dark Skin in Men
Can I Naturally Restore My Grey Hair to Black?
Is Lomasathana Thailam Safe for Regular Facial Use?
How to permanently fade freckles on my face, especially on my nose, mouth, cheeks, chin, and forehead?
How to treat darkening skin on my face that has worsened over the last two to three years?
How can I achieve clear and glowing skin while addressing my myopia?
Seeking Solutions for Melasma and Skin Sensitivity
How to make a homemade lip oil for brightening and hydrating dry lips?
What Ayurvedic tonics can improve skin health and give a natural glow?
What herbal hair color is best for sensitive skin at 41 years old?
How to treat a receding hairline and prominent forehead without spending much money?
Can I use Nagarjuna Neelibringadi hair oil during my 6 weeks of pregnancy?
How to use Kolarakku powder for acne-prone skin on my face?
Can premature greying of hair be reversed at 24, and is Neelbhringadi oil effective for it?
How to remove skin issues on the upper eyelids with Ayurvedic cream without surgery or side effects?
How to treat white beard hair at 27 years old?
What to do for brittle nails that break easily and don't grow well?
How to lighten my 5-year-old daughter's complexion naturally?
How can I achieve clear, glowing skin naturally?
What is the best conditioner for rough and damaged hair after using Patanjali Kesh Kanti Neem and Aloe Vera shampoo?
Is it safe to use Narasimha for grey hair and hair volume issues in a 28-year-old female?
What Ayurvedic mixture can I use to grow long, thick, and healthy African short 4c hair?
How to treat deep pits on cheeks caused by PCOD after using Threedosha Glow Mode for 3 months?
Can Ayurveda cure melasma in a 29-year-old male who has had it for 4 years?
Is it safe for a 10-year-old to use rice water on their hair, and can it cause hair breakage?
Can I use Himalaya Baby Shampoo to make a natural shampoo with Reetha and how long can I store it?
What Ayurvedic treatments can help with facial pigmentation and uneven skin tone for a 30-year-old woman?
How to treat loose skin and white hair at 38 years old?
How to reduce forehead size naturally and treat serious hair fall without surgery?
Best Fairness Cream for Men
How to prevent white hair at 32 years old and what are the causes and treatments?
How to reduce chin hair growth after threading? Will ghee help?
Premature Grey Hair at 32: Seeking Solutions
How to treat pigmented dark circles and facial pigmentation in a 25-year-old woman?
What Ayurvedic treatments can help with facial pigmentation and uneven skin tone for a 30-year-old woman?
How to naturally turn grey hair back to black and prevent greying permanently with Ayurvedic remedies?

Doctors online

Latest reviews

Oakley
48 minutes ago
Thanks for your detailed reply! Super helpful and definitely put my mind at ease. Appreciate the clear step-by-step advice. 😊
Thanks for your detailed reply! Super helpful and definitely put my mind at ease. Appreciate the clear step-by-step advice. 😊
Yara
48 minutes ago
Really appreciate the clear advice, especially about the herbal treatments. Finally understanding my symptoms better and the action steps are super helpful. Thanks!
Really appreciate the clear advice, especially about the herbal treatments. Finally understanding my symptoms better and the action steps are super helpful. Thanks!
Valerie
48 minutes ago
This advice really straightened things out for me. Breaking down the meds & diet in such clear steps. Starting to feel better, thx!
This advice really straightened things out for me. Breaking down the meds & diet in such clear steps. Starting to feel better, thx!
Miles
48 minutes ago
Thanks a ton for the detailed advice! Your explanation about digestion and the steps to restore balance is super helpful! Really appreciate it. 😊
Thanks a ton for the detailed advice! Your explanation about digestion and the steps to restore balance is super helpful! Really appreciate it. 😊