Your experience with persistent acne and the effects of clindamycin phosphate gel highlight important aspects of both skin health and internal imbalances, particularly in relation to Ayurveda. The dryness you feel around your mouth and cheeks is a common reaction to topical antibiotics, while the oiliness on your forehead and nose indicates a possible imbalance in your body's doshas, especially affecting the Pitta and Kapha. It's noteworthy that your acne worsens before your menstrual cycle, aligning with hormonal fluctuations that can trigger deeper breakouts, particularly in the chin and jawline areas. From an Ayurvedic standpoint, acne is often linked to imbalances in digestion (Agni), which can lead to the accumulation of toxins (Ama) and thus manifest as skin issues. To address acne naturally, it's crucial to focus on both external and internal treatments. Start by modifying your diet: reduce or eliminate spicy and fried foods, dairy, and excessive caffeine, as these can exacerbate Pitta and Kapha. Instead, incorporate cooling foods like cucumbers, leafy greens, and antioxidant-rich fruits like berries. Drinking warm water infused with turmeric and ginger can also enhance digestion and help clear toxins. For hormonal regulation, herbs like Ashwagandha, Shatavari, and Turmeric can be beneficial. Ashwagandha is particularly good for balancing hormones and reducing stress, which can aggravate acne. Consider taking these herbs in capsule form or as teas, ideally guided by an Ayurvedic practitioner. In terms of skincare, using natural ingredients like neem oil or tea tree oil can help with healing and reduce active acne. For dark spots, consider a face pack of sandalwood powder mixed with rose water; apply it two to three times a week to help lighten hyperpigmentation. Aloe vera gel is also excellent for calming the skin and should be applied daily to soothe irritation. Be sure to maintain a consistent skincare routine with gentle cleansing, and avoid harsh exfoliants that may further irritate your skin. It’s essential to nourish your skin from within by supporting your digestion and hormone balance through diet and herbal remedies. Lastly, monitoring your stress levels with practices like yoga and meditation can also help in managing acne holistically. If the condition persists or worsens, consider a thorough evaluation by an Ayurvedic physician to establish a personalized plan that addresses your unique constitution and any underlying imbalances. With commitment, Ayurveda can offer a comprehensive approach to not only healing your skin but also nurturing your overall health.