Wow, sounds like you’ve been through quite a lot with your skin issues. So about Mahamanjisthadi Kashaya, yeah it’s quite populer in Ayurveda for blood purification, and might just be a friendly option for tackling your acne and pigmentation woes. Since your breakouts seem connected to hormonal cycles, this kashaya might indirectly help by balancing your doshas, especially if Pitta is spiking around your menstrual cycle. It’s known to have a cooling and cleansing effect, which can soothe and heal inflamed skin, so that might bring some relief.
Regarding pigmentation, Mahamanjisthadi Kashaya can help, too because Manjistha is used traditionally to support skin clarity and even tone. However, it’s not like a magic wand for scars… be patient. :)
Now on the broader applications, it does indeed promote better liver function, aiding detoxification - a crucial factor for clear skin. By enhancing your liver’s filtering capacity, it may reduce buildup of toxins that sometimes exacerbate acne.
As for consumption, the common practice is to take it on an empty stomach early morning or as directed on an Ayurvedic practitioner’s advice. Generally one part of Kashaya to four(4) parts water, but getting exact dosage from a heathcare provider is important. Visible results can vary - some see changes in a few weeks, others longer.
Diet and lifestyle are biggies here. Favor a Pitta-pacifying diet - think cool, light foods. Steer clear of spicy or greasy stuff. Maintain a good sleep routine, manage stress, and keep hydrated!
On side effects, it’s generally considered safe, but if used for extended periods or in incorrect dosages, it could cause some digestive upset. Moderation, always. If you’re trying it, listen to your body and adjust.
Hope this helps, and remember, talking to a trusted Ayurvedic doc is always a good move!