🔺CASE STUDY : NO 58 🔺PART NO : NO 1 🔺 MUKHADOOSHIKA (ACNE VULGARIS) 🔺 NIDANA (CAUSATIVE FACTORS) -Excessive intake of Abhishyandi ahara (oily, heavy foods) -Excess consumption of guru, snigdha, madhura food -Atisevana of milk and dairy -Improper cleansing of face -Hormonal changes (especially in adolescence) -Psychological stress (manasika nidana) -Sedentary lifestyle and junk food( Reference (Ashtanga Hridaya, Uttara Tantra) Ah, Uttara Tantra 32/2 Sushruta Samhita, Kshudra Roga Nidana 🔺 PURVARUPA (PRODROMAL SYMPTOMS) -Slight burning and itching on -facial skin -Greasy or oily skin -Mild swelling -Appearance of blackheads or whiteheads 🔺 LAKSHANA (SYMPTOMS) -Small, hard papules on the face, resembling thorn of silk cotton tree (Shalmali kantaka) -Mostly appears on face, forehead, chin, and nose -Accompanied by pain, itching, and sometimes pus formation -Discoloration or hyperpigmentation -May cause scarring if untreated Reference: (Ashtanga Hridaya Uttara Tantra 32/2) 🔺SYSTEMIC EXAMINATION 📌 General Examination: -Check for signs of anemia, fatigue -BMI – to assess obesity or malnutrition -Sebaceous gland activity – oily skin, scalp -Distribution of lesions: Face, chest, back, shoulders *Type of lesions: -Comedones (blackheads, whiteheads) -Papules, pustules, nodules, cysts -Scarring: Ice pick, boxcar, or hypertrophic scars -Pigmentation or post-inflammatory changes 📌 Endocrine System (especially in females): -Signs of hormonal imbalance: -Hirsutism (excess facial/body hair) -Menstrual irregularities -Deepening of voice -Polycystic Ovary Syndrome (PCOS) signs 📌Gastrointestinal System: -Signs of Agnimandya (digestive disturbance) like: -Constipation, indigestion -Bloating, acid reflux 📌 Psychological Evaluation: -Acne may cause emotional stress, anxiety, or low self-esteem -Ask about stress, sleep pattern, depression symptoms 🔺 LABORATORY INVESTIGATIONS 📌 Hormonal Profile (in women): *Testosterone (Total and Free) *DHEA-S (Dehydroepiandrosterone sulfate) *LH/FSH ratio *Prolactin *Estrogen and Progesterone *Thyroid function test (T3, T4, TSH) 📌Blood Sugar Levels: *Fasting Blood Sugar (FBS) Insulin levels or HOMA-IR (for insulin resistance) * Ultrasound Pelvis (in females): To rule out Polycystic Ovary Syndrome (PCOS) * Skin Swab or Culture (rare cases):If lesions are infected – test for Propionibacterium acnes 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB