This pattern (cheeks, chin, jawline flare in hot months) suggests Pitta–Kapha acne with oil blockage and hormonal sensitivity. Needs internal blood purification + external cleansing regularly. Ayurvedic treatment Internal medicines Manjistha churna 3 g twice daily with warm water after food Neem capsule or neem churna 1 capsule twice daily after food or 2 g powder Khadirarishta 15 ml + 15 ml water twice daily after food Guduchi (Giloy) tablet 1 tablet twice daily after food External treatment Neem face wash or multani mitti pack Daily or alternate days Kumkumadi taila Very thin application at night only on affected areas (avoid heavy use) Steam face once weekly Followed by gentle cleansing of blackheads (do not squeeze aggressively) Diet control Avoid milk with sugar, fried foods, junk food, chocolate Reduce spicy and fermented foods Increase bitter vegetables, fruits, coconut water
Ayurvedic Treatment Take Neem capsule – 1 cap twice daily with warm water Take Manjistha churna – 2 g twice daily with warm water or milk Take Arogyavardhini vati – 1 tablet twice daily with warm water Take Chandraprabha vati – 2 tablets twice daily with warm water Take Triphala churna – 3 g at night with warm water **External Care ** Apply Kumkumadi taila at night on acne scars and comedones with gentle massage. Apply Aloe vera gel twice daily on the face (cooling and soothing effect). Use a Neem face pack once a week (reduces oiliness and bacterial growth). Diet & Lifestyle (Statement Form) Eat moong dal, bottle gourd, ridge gourd, green leafy vegetables, coriander water, and seasonal fruits. Avoid fried/oily food, spicy/sour items, dairy, cold drinks, and excess sugar. Drink warm water regularly and take herbal teas (coriander, fennel). Practice daily walking and yoga, especially pranayama like Anulom‑Vilom and Sheetali. Maintain regular sleep and avoid staying up late at night.