How to manage pimples and nightfall issues? - #49450

Complaint: Nightfall (daily), Pimples (6+ months) Diet: Mixed Diagnosis (Ayurvedic perspective): Vata-Pitta imbalance (Nightfall → Vata, Pimples → Pitta) Possible Dhatukshaya (seminal tissue depletion) -Treatment Plan: 1. Internal Medicine (Oral): -Ashwagandha Churna: 3 gm before bed with milk, 45 days -Shilajit: 250 mg with warm water, 45 days -Triphala Churna: 3 gm at night with warm water, 30 days -Gokshura Churna: 3 gm in morning with milk, 45 days 2. External Application: -Neem & Tulsi Face Pack: 2–3 times/week for pimples -Sandalwood + Rose Water Paste: Apply at night for cooling and Pitta balance 3. Lifestyle & Diet: Avoid excessive masturbation Sleep by 10–11 pm Reduce oily, spicy, junk food; increase milk, almonds, walnuts Daily mild exercise or yoga, pranayama 4. Panchakarma / Optional: Abhyanga (oil massage) with Bala or Ksheerabala Oil 3–4 times/week Shirodhara if stress/anxiety is high Follow-up: Every 30 days to monitor skin and nightfall frequency.