* Avoid : day sleep non vegetarian food, fried food ice cream curd, oily, spicy food items. Use : use face wash often wash face with warm water. Medicine : 1. manjishtadi kwath - 15ml + 60ml lukewarm water morning and evening 1hr before food 2. kaishora gulgulu gulika 1-0-1 with kwath 3. khadirarishtam 20ml twice daily a/f External : 1. lodhradi choornam +rose water make paste and apply affected area
Hello, Dealing with recurrent acne and post-inflammatory hyperpigmentation on combination skin requires a balance between controlling excess oil and maintaining the skin barrier. In Ayurveda, this condition is typically a Pitta-Kapha imbalance. Pitta manifests as red, painful, inflamed pimples (Rakta Dushti). Kapha manifests as clogged pores and whiteheads. Hyperpigmentation (Vyanga) is seen as an accumulation of “burnt” Pitta in the skin layers. Prescription : 1. Internal Purification (Rakta Prasadaka) Maha Manjishtadi Kwath: 15 ml with 45 ml lukewarm water, twice daily before food. (Purifies blood and treats pigmentation). Khadirarishtam: 20 ml with equal water, twice daily after food. (Specific for chronic acne and skin clearing). 2. Acute Inflammation (Painful Pimples) Guggulutiktaka Ghritam: 1 tsp with warm water on an empty stomach in the morning. (Excellent for deep-seated, painful “big” pimples). 3. External Care (Lepa) Nalpamaradi Keram: Apply on dark spots/pigmented areas 30 minutes before bathing. (Note: Avoid applying on active, pus-filled pimples; use only on spots). Mix Sandalwood powder with a pinch of Turmeric and water; apply only on the painful pimples to cool the inflammation. Cleansing: Use a Salicylic Acid based cleanser once a day (evening) to degrease the forehead and nose (T-zone) without stripping the cheeks. For active pimples: Benzoyl Peroxide (2.5%) as a spot treatment. Azelaic Acid (10-15%). It is unique because it treats both active acne and hyperpigmentation simultaneously. You must use a Gel-based SPF 50 sunscreen. Hyperpigmentation will not fade if the skin is exposed to UV rays.
For your condition (recurrent painful acne + hyperpigmentation on combination skin), Ayurveda sees this as Pitta + Kapha imbalance with Rakta dushti (impure blood). Rx 1. Internal (Shodhan + Balance) Neem + Manjistha tablets (blood purifier) – twice daily after meals Triphala churna – 1 tsp at night with warm water (cleans gut, reduces recurrence) Tab Amypure - 2 tab twice a day after meal Drink warm water + avoid constipation 2. External (Skin care) Morning & evening: Wash face with neem-based mild face wash Apply paste of Multani mitti + rose water + pinch of turmeric (2–3 times/week) Spot treatment: Apply pure aloe vera gel or neem paste on pimples For dark spots: Apply kumkumadi tailam at night (very little, gentle massage) 3. Diet (Very Important) Avoid: oily, spicy, fried, junk, excess sugar, dairy (especially at night) Include: neem leaves (if possible), green vegetables, fruits, coconut water Drink 2–3 liters water daily 4. Lifestyle Sleep on time Avoid touching/picking pimples Manage stress (pranayama like Anulom Vilom)