From an Ayurvedic perspective, nodular cystic acne like yours can often be traced to an imbalance in the doshas, particularly Kapha and Pitta. The recurring nature of your acne around your menstrual cycle suggests a possible hormonal component, which also ties into Pitta imbalances. Additionally, the presence of black hair on your chest hints at some hormonal imbalance.
1. Internal Balance: Focus on balancing the doshas through diet and lifestyle. Eating a Pitta-friendly diet might help. Try to avoid spicy, oily, or excessively sour foods, as these may aggravate Pitta. Focus on cooling, hydrating foods like cucumber, watermelon, and leafy greens.
2. Herbal Remedies: Ayurvedic herbs such as Neem (Azadirachta indica) and Turmeric (Curcuma longa) have anti-inflammatory properties and can be beneficial. Neem can be taken as a supplement or in tea, and turmeric can be mixed with warm water or taken as a part of meals for its purifying effects.
3. Daily Routine: Your routine can have a huge impact. Try waking up early (before 6 a.m.) and doing breathing exercises (Pranayama) which help in calming Pitta. Practice yoga regularly as it can begin to restore balance.
4. Topical Application: You might want to consider giving Ayurvedic facial packs a try. Mix sandalwood powder with a bit of rose water to form a paste, and apply to affected areas twice a week. It helps not only in reducing inflammation but also in soothing the skin.
5. Consultation with Ayurvedic Practitioner: To get a more personalized approach, consider visiting an Ayurvedic practitioner. They can help determine your specific dosha imbalances and suggest more targeted remedies.
While home and natural remedies help, it is essential to get a comprehensive hormonal evaluation done considering the other symptoms like underdeveloped breast and hair. If your dermat recommends isotretinoin, weigh its benefits with Ayurvedic approach.
