Persistent teenage acne can often be attributed to imbalances in the doshas—primarily pitta and kapha, which can lead to skin inflammation and oil overproduction. You’ll want to first address any underlying dietary and lifestyle factors. Since your son enjoys sweet treats sometimes, it would be beneficial to reduce foods that aggravate pitta, such as spicy, oily, and overly sweet foods. Encourage cooling foods like cucumbers and melons, which can help pacify pitta.
In terms of daily practices, having your son drink warm water with a tablespoon of fresh lemon juice each morning can help improve digestion, as a strong digestive fire (agni) is crucial for healthy skin. Applying a face mask made of sandalwood powder mixed with rosewater once or twice a week could help soothe the skin and reduce inflammation.
You mentioned facials and cleansers haven’t worked well, so you might consider cleansing the face with chickpea flour (besan) instead. It’s gentle and can help balance the skin’s natural oils. Mix a small amount with water or milk to make a paste and gently scrub the face before rinsing off.
If back acne is also troubling, regular full-body oil massage (abhyanga) with neem oil can help detoxify and cleanse the skin. Neem is known for its antibacterial properties and can assist in clearing breakouts. After applying the oil, let it sit for about 15-20 minutes before taking a warm shower.
Additionally, incorporating herbs like turmeric can be helpful. Taking half a teaspoon of turmeric in warm milk might aid in calming systemic inflammation. Discuss this with a healthcare provider, ideally someone familiar with Ayurvedic practices, to ensure it blends well with any ongoing treatment or lifestyle.
For severe or therapy-resistant acne, directly consulting a Siddha-Ayurvedic practitioner can ensure a more thorough and personalized understanding of the prakriti and dosha balance. If symptoms worsen significantly, or if there’s any indication of secondary infection, seeking immediate medical advice is critical.


