Acne Issue intense pigmentation and acne scars - #26153

hello pournami N Nambiar, At your age (20), the skin is going through hormonal sensitivity, and when that combines with internal heat, poor digestion, or unsuitable skin care, it often shows up as persistent acne, itching, pigmentation, and scarring especially on cheeks, jawline, and back. This is not just a skin-level issue, it is happening due to an imbalance of Pitta dosha and Rakta dhatu dushti (vitiation of blood and heat channels). With the right internal cleansing and external care, it can be fully brought under control and the scars will also fade gradually. 1. Internal Medicines (6–8 weeks) These are safe classical Ayurvedic formulations: Sarivadyasava – 15 ml + 15 ml water after lunch and dinner Manjisthadi Kashayam – 15 ml + 45 ml warm water before food, twice daily Kaishora Guggulu – 2 tablets twice daily after food Gandhaka Rasayana – 1 tablet twice at bedtime Arogyavardhini Vati – 1 tablet twice daily (if digestion is sluggish or tongue is coated) 2. External Applications Face Cleanser (daily): Mix Triphala powder + Neem powder with rose water – apply for 5 mins and wash. Face Pack (3 times/week): Multani Mitti + Manjistha powder + Mulethi powder + rose water – apply, leave for 15 mins, rinse gently. Helps dry active acne and lighten spots. Nalpamaradi Taila or Kumkumadi Taila on dark spots (not over active pimples). Take warm, homecooked meals. Include lauki, turmeric, coriander, moong dal, green leafy vegetables. Drink turmeric water or fennel-coriander-jeera water boiled and cooled. Soaked raisins (5–7) + 2 dates + 3 soaked almonds every morning. Oily, fried, bakery items, chocolates, curd, sugar, junk food Cold drinks, late nights, sleeping during the day Picking or touching acne Wash your face only 2–3 times/day with lukewarm water. Change pillow cover every 3 days. Avoid stress and late-night screen exposure. Do Sheetali Pranayama and Anulom Vilom for 10 mins daily (helps heat and skin) Investigations (if not done recently): CBC Vitamin D3, B12 Fasting insulin Hormonal panel (if acne worsens around periods) If followed regularly, results will start showing in 3–4 weeks. Be patient healing acne the right way will also prevent future breakouts and scarring. If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika