What to do for recurring facial acne that keeps coming back for 3 years in an 18-year-old? - #54776

Yauvan pidika (acne) Aushadhi (dose) Khadirarishta: 15–20 ml + equal pani, din mein 2 baar, khane ke baad Gandhak Rasayan: 250 mg, din mein 2 baar, khane ke baad Kaishore Guggulu: 1 tablet, din mein 2–3 baar, khane ke baad Triphala Churna: 3–5 g, raat ko garam pani ke saath Bahya upay Neem–haldi paste: 20 min, roz ya alternate day Kumkumadi tail (light): raat ko halka lagaye (oily skin ho to kam matra) Aahar-vihar Tel, fried, spicy, bakery, cold drinks avoid Pani zyada, fruits (amla, papaya), hari sabzi Constipation na hone de, late night avoid

painful, recurrent pimples for 3+ years starting at age 18 with swelling and food triggers—suggests a clear Pitta + Rakta (blood) imbalance with possible hormonal influence, which is very common in late adolescence. This condition is usually due to: Excess Pitta (heat) in the body Impure blood (Rakta dushti) Weak digestion leading to toxin (Ama) formation Food triggers increasing internal heat (spicy, oily, junk foods) That is why pimples heal and reappear repeatedly. Ayurvedic management approach 1. Internal purification (most important): Neem (blood purifier, antibacterial) Manjistha (cleanses skin and blood) Amla (cooling, Pitta balance) 2. Diet correction: Avoid spicy, fried, oily, fast foods Reduce sugar and dairy (if it worsens acne) Increase cooling foods: cucumber, coconut water, fruits 3. Skin care (external): Neem-based face wash Multani mitti pack 2–3 times/week Do not squeeze pimples (prevents scarring) 4. Lifestyle: Proper sleep (very important for hormonal acne) Daily sweating/exercise (helps toxin removal) Stress control (pranayama like Anulom Vilom)