Persistent nodules like acne/ pimples - #33613

Neem cap 1-0-1 Mahamanjistadi aristha-10-0-10 ml Khadira aristha-10-0-10 ml with equal water Avoid spicy sour fermented foods Keep yourself hydrated Apply Alovera gel

Neemghan vati Kaishore guggulu Giloyghan vati- One tablet twice daily after food with warm water Mahamanjistadi kadha 10 ML twice daily after food with water Kantilepa -mix with rose water and apply over, face weekly twice Avoid oily spicy foods

Avoid out side junk food and non veg take arogya vardini vati 1tab bd, mahamanjsiadhi gana vati 1tab bd,sundari kalp 20ml bd, kukumadhitail external application enough

HELLO RANE,

This means -Pitta agrravation= heat, redness, inflammation, pus -Kapha aggravation= stickiness, clogged pores, white pus -Rakta dhatu dushti= recurring acne, poor healing - Agnimandya (weak digestion)= certain food don’t digest fully, creating ama (toxins) that circulate in the blood and show up as pimples

So the root issues is internal imbalance, not just skin surface dirt, That’s why soap or face wash alone isn’t solving it.

TREATMENT GOALS -correct digestion and metabolism(agni)= stop toxins from forming -purify blood= reduce pus and new breakouts - balance pitta + kapha= control oiliness and inflammation -heals scars and improve complexion -support long term skin health with diet, lifestyle, and stress control

PHASE WISE TREATMENT PLAN

PHASE 1= DETOX AND AMA PACHANA (first 5 days)

-Chitrakadi Vati= 2 tabs twice daily after meals

-Hingwastaka churna = 1/2 tsp with ghee before meals

On 6th day morning empty stomach 6 am take 50 gm of Trivrut leha with milk After this you will observe loose stools for 10-15 times , this will detox your whole body and remove excess pitta and kapha during procedure until loose motions stops kindly dont take any food just have lukewarm water

After motions stop completely have light digestible food like khichdi, rice gruel only for that day

this procedure is called virechana= removes excess pitta from liver, intestines, and blood

FROM 7TH DAY START PHASE 2 MEDICINES

1) NIMBA GHAN VATI= 500mg twice daily after meals -purifies blood, antimicrobial

2) GANDHAK RASAYANA= 2 tabs twice daily after meals =detoxifies skin, reduces pus, enhances healing

3) MANJISTHADI KASHAYA= 20 ml with equal water twice daily before meals =cleanses blood, reduces scars

4) ARIGYAVARDHINI VATI= 1 tab twice daily after meals =balances liver, digestion, pitta

5) KHADIRARISHTA= 15ml with water after meals for long term detox

DURATION= 3 months minimum with consistency

PHASE 3= EXTERNAL CARE

1) FACE CLEANSING= wash with lukewarm water only, avoid harsh soaps

2) PASTE APPLICATION -Neem + Turmeric + Multani mitti paste weekly for pimples -Aloe vera gel (fresh) at night to cool and heal -Kumkumadi Taila at night on scars only-> for dullness and pigmenttion

=Keeps pores open, kills bacteria naturally supports healing without chemicals

PHASE 4= Lifestyle and Diet -Sleep= 10-11pm bedtime, 7-8 hrs sleep. Late night worsens pitta

-Avoid= daytime sleeping, junk for, fried/oily excess rice, dairy especially curd at night, non-veg, excess sugar, aerated drinks

FAVOUR -barley, wheat, millet instead of rice -green leafy vegetables, bitter gourd, bottle gourd, cucumber -fruits= amla , pomegranate , papaya -Spices= coriander, cumin, turmeric, fennel

HYDRATION -drink warm water or coriander water; avoid iced/cold drinks

PHASE 5= YOGA AND PRANAYAM

YOGA ASANAS -sarvangasana -matsyasana -bhujangasana =improves circulation and hormonal balance

PRANAYAM -Sheetali/sheetkri= cools pitta -Anulom vilom= balances doshas, reduces stress

WHY= stress and hormonal imbalance are major triggers to young adults

HOME REMEDIES -Apply paste of neem leaves or turmeric + sandalwood on pimples -Drink amla juice 20 ml daily= natural blood puriifier -Use honey + cinnamon paste as a spot application occasionally -Steam inhalation once a week with neem leaves in water-> open pores, clears toxins

-Pimples that last this long aren’t just " skin deep". They’re signal from inside- your digestion, blood and ifestyle -Ayurveda doesn’t just dr pimples; it corrects the root -Expect improvement in 6-12 weeks with consistent treatment, but scars may take longer time to fade like 3-6 months -Be patient and regular. Avoid picking/sqeeuzing pimples- that’s why the hols/scars are forming

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Hello Rane, I can understand your concern regarding nodular acne. Nodular acne is deeper, more stubborn, and often related to internal imbalances (hormonal, digestive, or blood-related) rather than just surface issues.But dont worry we are here to help you out

Since your acne has lasted for more than 3 weeks and is not improving with topical applications, an internal correction is definitely needed along with external care.

✅ Can Purim Tablets Help?

Yes ✅

Purim tablets (Himalaya): Have Neem + Turmeric. They purify the blood, reduce inflammation, and support skin healing. Usually safe at 1–2 tablets twice daily after meals (short-term use).

✅ Can Mahamanjisthadi Kadha Help? Yes ✅

Mahamanjisthadi Kadha: A classical Ayurvedic formulation for Rakta shodhana (blood purification). Very effective in chronic skin issues, acne, pigmentation.

Usual dosage: 15–20 ml diluted with equal water, twice daily after meals.

👉 Both Purim and Mahamanjisthadi can be taken together

✅SUPPORTIVE HOME REMEDIES

Warm water with 1 tsp Triphala at night – helps detox & keeps bowel clear.

Coriander seed water (soak overnight, drink in morning) – cooling for Pitta.

Face application: Apply paste of sandalwood + rose water or neem paste locally on nodules.

Avoid over-washing; use a gentle herbal cleanser (neem, tulsi).

✅DIET AND LIFESTYLE TIPS

Avoid spicy, oily, fried foods, excess tea/coffee, alcohol.

Favor fresh fruits (pomegranate, grapes, apple, watermelon) & vegetables.

Include turmeric, coriander, fennel, and cumin in cooking.

Manage stress (yoga, pranayama) since stress often worsens nodular acne.

Yes, both Purim tablets and Mahamanjisthadi Kadha can help in your case by purifying blood and reducing inflammation. Support them with a Pitta–Kapha friendly diet, regular bowel cleansing, and gentle skincare.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

Don’t worry Rx Kaishor guggulu 1-0-1 Manjishtha kwath 15 ml Twice a day Sootsekhar ras 1-0-1

Avoid spicy and oily food Stay hydrated

yes, you should go with both along with them add: acnovin ointment kaishore guggulu 2 tab twice daily with water

✅ Do’s for Acne Healing - Cleanse with herbal infusions: Use neem, manjistha, or rose water to gently cleanse without stripping oils. - Apply cooling masks: Use multani mitti + rose water, sandalwood + aloe vera, or turmeric + honey 2–3 times a week. - Stay hydrated: Sip coriander-fennel-cumin water throughout the day to balance Pitta and detox gently. - Eat skin-friendly foods: Include ghee, amla, pomegranate, coconut water, and steamed greens. - Use non-comedogenic oils: Dab kumkumadi taila or jojoba oil at night if dryness persists. - Practice Sheetali pranayama: Cools internal heat and supports hormonal balance. - Sleep early: Aim for 9:30–10:00 PM to support liver detox and skin repair.

🚫 Don’ts That Worsen Acne - ❌ Avoid spicy, sour, fermented, and oily foods—they aggravate Pitta and clog pores. - ❌ Don’t touch or pick acne—this spreads bacteria and worsens scarring. - ❌ Skip harsh scrubs or alcohol-based toners—they strip protective oils and inflame skin. - ❌ Avoid dairy (especially processed) if acne is hormonal or cystic. - ❌ Don’t use synthetic makeup or heavy creams—opt for herbal or breathable products.

Nodules type acne can be really persist having both deep-rooted causes, often related to dosha imbalances, particularly in the Pitta and Kapha. Your concerns about persistent acne can indeed be approached with classical Ayurvedic interventions. Purim tablets and Mahamanjisthadi Kadha both have potential benefits.

Purim tablets by Himalaya are primarily focused on blood purification, which according to Ayurveda can help balance Pitta that often contribute to skin issues. However, before starting, it’s important to assess your current Pitta levels since these tablets also increase Vata. Typically, two tablets twice a day after meals can be recommended but, also its better to take it under supervision of an Ayurvedic practitioner.

Mahamanjisthadi Kadha is a beneficial polyherbal formulation for skin disorders. Known for combating skin inflammation, it may help in reducing acne nodules effectively. A common dosage is about 2-3 teaspoons twice daily mixed with equal parts of water, taken on an empty stomach. Again, it’s advisable to adjust dosages based on individual needs and after consulting a specialist.

Aside from herbal support, addressing your lifestyle and diet is crucial. Favor a Pitta-pacifying diet which includes cooling fruits like melons, cereals like, barley, and green vegetables. Avoid spicy, oily, or processed food that can aggravate Pitta. Drink boiled water cooled back to room temperature throughout the day instead of just cold water (good for digestion).

Engage in regular exercise that isn’t too strenuous; a gentle yoga routine and sufficient hydration will maintain your skin health. Nonetheless, if symptoms persist or worsen, consider consulting with a healthcare provider to avert any underlying serious conditions.