🔺CASE STUDY : NO 58 🔺PART NO : NO 2 🔺 MUKHADOOSHIKA (ACNE VULGARIS) 🔺 DIFFERENTIAL DIAGNOSIS *Rosacea *Folliculitis *Perioral Dermatitis *Seborrheic Dermatitis *Milia *Drug-induced Acne *Tubercular Lupus *Keratosis Pilaris 🔺 SAMPRAPTI (PATHOGENESIS) -Dosha: Predominantly Kapha, Vata, and Rakta -Dushya: Rakta, Mamsa, Medas Srotas: Raktavaha and Mamsavaha srotas -Due to nidana, Kapha blocks the srotas, Vata pushes the vitiated Rakta and Meda into the facial area. -This leads to formation of granthis (pustules/papules). 🔺UPASHAYA (ALLEVIATING FACTORS) -Intake of Tikta, Kashaya rasa (bitter, astringent) foods -Mild virechana (purgation) -Use of lepa (herbal pastes) with cooling and detoxifying herbs -Light, dry, and non-greasy diet -Proper facial hygiene 🔺 ANUPASHAYA (AGGRAVATING FACTORS) -Oily, spicy, fried foods -Milk products (especially curd, cheese, ghee) -Stress, late nights, and sleep deprivation -Excessive use of cosmetics or chemical-based skin products -Scratching or popping pimples 🔺 SAMANYA CHIKITSA (GENERAL TREATMENT) 📌 Shodhana (Purification): -Virechana (purgation) with mild herbs like Trivrit, Aragvadha -Raktamokshana (bloodletting) – especially if pustular acne is dominant -Nasya Karma (medication through nostrils) in chronic cases 📌 Shamana (Pacification): -Manjishthadi Kashaya -Guduchyadi Kashaya -Sarivadyasava -Kaishora Guggulu -Arogya Vardhini Vati 🔺 VISHESHA CHIKITSA (SPECIFIC TREATMENT FOR MUKHADOOSHIKA) - Internal Medications: -Raktashodhaka (blood purifiers): -Manjishtha, Sariva, Guduchi -Kaishora Guggulu -Gandhaka Rasayana – reduces inflammation and infection -Arogya Vardhini Vati – for liver and blood purification -External Applications (Lepa / Face Packs): -Multani Mitti + Neem + Turmeric -Khadira Churna + Haridra + Chandana past -Lodhra, Manjishtha, Vacha paste 📌 Dietary and Lifestyle: -Avoid milk products, oily food, and sweets -Include green leafy vegetables, bitter gourd, turmeric -Daily facial wash with neem decoction or triphala water -Maintain mental calmness, reduce stress 📌Neem Form: Tablet, capsule, or decoction Dose:Tablet/Capsule: 500 mg twice daily Decoction (Kashayam): 20–30 ml twice daily 📌 Manjistha (Rubia cordifolia) Form: Powder (Churna) or capsulePowder: 1–3 g twice daily Capsule: 250–500 mg twice daily With: Warm water or honey, after meals 📌Triphala Churna *Form: Powder Dose: 5 g (1 tsp) at bedtime 📌 Khadirarishta *Form: Fermented liquid (Arishta) Dose: 15–25 ml with equal water twice a day after meals 📌Gandhak Rasayan *Form: Tablet Dose: 125–250 mg twice daily 📌Arogya Vardhini Vati *Form: Tablet Dose: 250–500 mg twice daily 📌 Panchtikta Ghrita Guggulu *Form: Tablet Dose: 1–2 tablets twice daily 🛑https://chat.whatsapp.com/KLufxKFrXwbIIAXLxXDqOB