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How to treat painful pimples and hyperpigmentation on combination skin?
Skin and Hair Disorders
Consultation #54017
128 days ago
683

How to treat painful pimples and hyperpigmentation on combination skin? - #54017

Client_8dbfd0
$3

I am facing so many problems like big big painful pimples and some are small small pimples on my forehead near to nose area and near to eyebrows and in chins. My skin type is combinationskin skin . My concerns are reaccurance of new acne and dark spots and hiper pigmentation removal. Can suggest me a best skin care routine and products.

How long have you been experiencing these pimples?:

- More than 6 months

How would you describe the severity of your acne?:

- Moderate — frequent breakouts

Have you noticed any specific triggers for your acne?:

- No clear trigger

How is your current skincare routine?:

- Basic — cleansing and moisturizing

Do you have any other skin concerns besides acne?:

- None

How often do you experience new breakouts?:

- Daily

Have you used any treatments for pigmentation before?:

- No, this is the first time seeking help

Doctors' responses

Dr. Sara Garg
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

your symptoms (recurrent acne on forehead, nose, chin with dark spots) are mainly due to Pitta–Kapha imbalance. Pitta increase → inflammation, painful red pimples, burning, pigmentation Kapha increase → oily skin, clogged pores, whiteheads/recurring acne ----Acne occurs due to “Rakta & Pitta dushti with Kapha blockage in srotas (skin channels)”, often worsened by: Spicy, oily, junk food Stress & irregular sleep Excess heat in body Improper digestion (Agnimandya) –Internal Medicines (Aimil) 1) Aimil Purodil Tablet – 1 tab BD after food 2) Aimil Purodil Syrup – 2 tsp BD after food 3) tab trifla 1 tab at night – External Application 4) Aimil Purodil Gel – apply thin layer on affected area BD — Pathya (Diet Advice) Avoid: spicy, oily, fermented food, junk food Increase: amla, coconut water, green vegetables Drink plenty of water — Lifestyle Early sleep (before 11 pm) Avoid stress, sweating, face touching Maintain facial hygiene — for 1 month then review


0 replies
Dr. Nayan Wale
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

●Method for making the paste Ingredients: Yashtimadhu powder - 1/2 teaspoon; Pure almond oil - 3-4 drops; Raw milk - as needed. Mix all three ingredients to form a smooth, semi-liquid paste. This consistency helps it spread evenly on the skin.•How to Use - Cleanse face with plain water. Apply a thin layer of the paste. Let it dry for 15-20 minutes. Wash gently. 2-3 times a week is sufficient. Excessive use can tire the skin.•Almond Oil Milk Scientific Basis Licorice: Glabridin and Liquiritin regulate melanin production, reduce tyrosinase activity, and soothe inflammation. Vitamin E, Oleic Linoleic Acid, strengthens the skin barrier and prevents moisture loss. Increases absorption of active ingredients. Natural Lactic Acid (AHA) gently removes dead skin cells, smooths texture, and promotes brightness without irritation. ●Drink 1 | Amla Honey Water Ingredients • Amla powder - 1 teaspoon • Pure honey - 1 teaspoon • Lukewarm water - 1 glass •Method of consumption Mix amla in lukewarm water. When the water cools slightly, add honey and drink it on an empty stomach in the morning.•How this formula works • Amla purifies the blood, reducing bile • Madhu Mang purifies the micro-channels. When the blood is clean, the skin automatically becomes clear.Drink 1 When is it suitable? Suitable when: • Pigmentation • Frequent breakouts • Skin looks oily and dull Drink 1 When is it suitable? Suitable when: • Pigmentation • Frequent breakouts • Skin looks oily and dull ●Drink 2 | Licorice-Manjistha Purification Decoction Now the second formula which directly affects blood, bile, and inflammation. Ingredients • Licorice powder - 1/2 teaspoon • Manjistha powder - 1/2 teaspoon • Turmeric - 1 teaspoon • Cinnamon - a small piece (or a pinch of powder) • Water - 1 glassCorrect Method of Preparation 1. Mix all ingredients with water. 2. Bring to a boil over low heat. 3. When 1 glass remains, strain. 4. When it cools slightly, add a teaspoon of pure honey. Consumption: Never add honey to hot decoction in the morning on an empty stomach or at night before bed. ●Take above mentioned medication


0 replies
Dr. Fabin John Maliyeakkal
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

* 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


0 replies
Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

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.


0 replies
Dr. Kirti Yadav
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

Managing painful pimples and hyperpigmentation on combination skin requires a dual approach: purifying the blood from within and balancing oil production on the surface. Since you have painful, “big” pimples (likely indicating high Pitta and Kapha), your treatment should focus on cooling and detoxifying. “Take the prescribed medications consistently medications consistently for 7-8 weeks and you will see results , ayurveda takes time because it works on root cause, so that your problem never come up again . “ Dos:- Cleanse Twice: Wash your face after coming from outdoors to remove pollutants. Hydrate: Drink at least 2–3 liters of water to flush toxins. Fresh Diet: Include cooling foods like cucumber, pomegranate, and leafy greens. Sleep: Ensure 7–8 hours of rest to allow skin cell regeneration. Donts:- Avoid Spicy/Fried Food: These aggravate Pitta, leading to painful, red acne. Don’t Pop Pimples: This leads to deep scarring and permanent hyperpigmentation. Limit Dairy & Sugar: High intake of milk and refined sugar can trigger Kapha (clogged pores). Avoid Harsh Chemicals: Skip alcohol-based toners that strip your skin’s natural oils.


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

To manage your big painful pimples and dark spot we have to balance by clearing the force reducing inflammation and evening out the skin tone without overdrying 👇👇👇👇👇👇👇👇👇👇👇 1) Maha Manjishtadi Kwatham- 15ml liquid with 45ml lukewarm water twice daily, 30 mins before food. 2) Guggulutiktaka Ghritam capsule- 1- capsules twice daily after food. 3) Lepa Gutika - mixed with Rose water Apply on painful pimples at night; wash after 30 mins. 4) Kumkumadi Tailam- 2-3 drops massaged gently on damp skin at night 5) Eladi Choornam- Mix with water to form a paste; use as a gentle soap-free face wash. 👇👇👇👇👇👇👇👇👇 Strictly avoid heating or burning food like spicy pickle fermented food curd Idli Dosa deep fried snacks and excessive caffein Focus on cooling food include leafy green vegetable bottle guard pomegranate cucumber carrot etc Drink water is stored in copper vessel throughout the day Ensure seven to eight hour of sound sleep Avoid touching your skin with your hands frequently Wash your face immediately after sweating or coming home from outside 👇👇👇👇👇👇👇👇 since you found acne is concentrated near the forehead and eyebrows check if you have dandruff If dandruff present use👇👇👇👇👇👇 Dhurdhura patradi Tailam- on your hair scalp


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

✔️ Do’s: ✔️ Stay Hydrated. Drink buttermilk. Limit dairy intake. Home cooked meal that is a balanced diet. Clean eating is a key to good skin. Stress free lifestyle. Stress increases cortisol levels which inturn is seen on the skin. ❌ Dont’s: ❌ Oily and spicy food. Processed & preserved food. Packed and ready to eat items. Pickles & papad Dried fish Curd Too many skin care products loaded with chemicals. 💊 Medication: 💊 Cap. Marvin 2 caps twice a day before food. Tab. Gandhak Rasayan 1 tab twice a day after fiod Syp. Sarivadhyasav 2 tsp twice a day after food. Kumkumadi tailam 2-3 drops light massage on the pigmented area


0 replies
Dr. Shashank Aggarwal
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
4.99

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)


0 replies
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
128 days ago
5

avoid spicy food and milk and milk produts do nasya with cow ghee 2 drop each nostril 2 times day take tab manjistha 2-0-2 tab livtone 2-0-2 tab gandharasyan 2-0-2 tab triphala 0-0-2 after food take cow ghee 5 ml at mornnig empty stomch wash face with natural alover 3 times day take 4 lit water daily


0 replies
Dr. Maitri Bhavesh Kumar Acharya
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

Hello, Your patter (painful big pimples + small forehead bumps+ dark spots+ combination skin) in Ayurveda usually points to pitta (inflammation , redness, makrs) + kapha (oily clogging, recurring acne) with some ama (toxins from digestion) involvement. so we treat inside + outside + routine Internal management 1) Neem capsules= 1 cap twice daily after meals =supports skin purification, reduces acne tendency 2) Mahatiktakam kashaya tablets= 2 tabs twice daily after meals =classical support for pitta skin issues 3) Triphala tablets= 2 tabs at night with warm water =supports digestion +detox (helps prevent new breakouts) 4) Sarivadyasava= 15ml + warm water twice daily after meals =best for skin problems Daily skin care routine Morning -gentle face wash (avoid harsh scrubbing) -apply light moiturizer (non oily) -use sunscreen (very important for pigmentation) Night -cleanse properly remove dirt/oil -spot care for active acne (dont sqeeuze) Weekly 3 times/week -face pack using neem + turmeric powder with warm water apply thin layer Diet big impact on acne Avoid= fried food, excess sugar, bakery junk -reduce= very spicy, oily food Include -warm home food -green vegetables -plenty of water If digestion is off-> acne will keep coming back Lifestyle -don’t touch/pick pimples-> prevents dark spots -proper sleep (late nights worsen acne) -manage stress (hormonal acne link) When to expect results? -2-4 weeks= fewer new pimples -6-8 weeks= reduced inflammation -2-3 months= pigmentation starts improving Painful cystic acne + pigmentation may sometimes need hormonal check like PCOD, stress hormones Avoid using too many products at once Do follow Hope this might be helpful Thank you


0 replies
Dr. Surya Bhagwati
Bachelor of Ayurvedic Medicine and Surgery
128 days ago
5

Start with Khadirarist 10ml twice daily after food with water, will help as blood purifier. Alsactil tablet 1-0-1 after food with water, will cool your system and prevent heat formation. Mix eladi choornam with water make paste and apply on hyperpigmentation area leave for 10mins and wash with clean water, do this twice weekly. Triphala tablet 0-0-2 at bedtime with warm water will help clean your intestine. Avoid processed foods, fast foods, sugary foods. Avoid direct Sun rays exposure use hat or use umbrella when going out during the day.


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
127 days ago
5

You have active acne + post-acne pigmentation, mainly due to pitta + hormonal + oil imbalance. Focus on controlling acne first, then pigmentation. Simple daily routine: Morning: Gentle face wash (2 times daily only) Apply light, non-oily moisturizer Use sunscreen (very important for pigmentation) Night: Face wash Apply aloe vera gel (thin layer) Weekly care: Multani mitti + rose water pack (2 times/week) Avoid scrubbing (it worsens pimples) Diet rules: Avoid excess oily, fried, sugary foods Reduce dairy if acne increases Drink enough water Include fruits like papaya, pomegranate At home: Neem water face rinse (occasionally) Do not touch or squeeze pimples Ayurvedic medicines: Gandhak Rasayan – 1 tablet twice daily after food Mahamanjishtadi kwath – 15 ml + equal water, twice daily after food Avipattikar tablet – 1 tablet at night (for pitta control) Duration: Minimum 6–8 weeks for visible improvement Pigmentation may take 2–3 months Important: If you control new acne → dark spots will gradually fade Consistency is key, avoid changing products frequently Take care and feel free to contact me anytime for any of your health needs.


0 replies

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