Acne vulgaris (the common acne) is very common malady of teenagers involving predominantly the face. Although many efforts have been tried to combat with this disease but still it exists as a troublesome problem in society. Modern science deals it mostly with a symptomatic approach. The disease requires correct and efficient long-term management, which produces social and psychological upset.

Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous units and characterized by formation of comedones (blackheads & whiteheads), papules, nodules, pustules, cysts, abscesses and scars. Four major factors are involved in the pathogenesis of acne though all the factors may not be present in one patient. They are –

•  Increased sebum production –This can be due to increased levels of androgens or their active metabolites. Sebum disintegrates into free fatty acids, which are irritating
•  Abnormal microbial flora – Increased levels of propionibacterium acne contribute to inflammation and irritation. But acne is not infectious
•  Follicular wall and sebaceous duct hyperkeratinization – leads to blockage of retention of sebum
•  Inflammation – Contribution of all these factors leads to the classical clinical features of acne.

Acne is common in both sexes after puberty. It is more severe in males. It is polymorphic disease involving mainly the face. Other seborrhoeic areas of body like back, chest and shoulders are involved in severe cases.

Emotional stress is known to aggravate acne. Sweating also aggravates them. Premenstrual flare up is known to occur in females but diet has not been proved to have any effect on acne. Familial predisposition is known.

Grading of acne:

In Ayurveda, it is called Youvana Pidaka. Youvana means youth and Pidaka means a skin eruption.

The other Ayurvedic names are – Tarunya pidaka (same meaning), Mukha dooshika (which causes harm to the beauty of face),Padmini kantaka (because of thorn like nature of acne) etc.

Causes of allergic rhinitis as per Ayurveda

Ayurved points out following reasons for the manifestation of Youvana pidaka

•  Age –teenagers are more prone to develop acne
•  Cosmetics – Over usage of cosmetics direct impact on facial skin
•  Disease – Hormonal disorders can increase the severity of acne problems in girls
•  Drugs – Acne can develop as a result of using certain drugs. (tranquilizers, antibiotics, oral contraceptives, and steroids)
•  Personal hygieneStrong soaps, hard scrubbing, and pricking at pimples can make acne worse
•  Stress and anxiety –leading to metabolism imbalance and toxins
•  Environment – Exposure to polluted environment & sweating can also make the condition worse
•  Gender – Boys are more likely to develop acne and tend to have more serious cases than girls
•  Hormonal changes – Acne can flare up during menstruation, pregnancy, and menopause
•  Dietjunk food, Fatty & oily foods can make affect acne. Excess intake of non vegetarian food
•  Night awakening –leads to normal body rhythm imbalance, stress metabolism imbalance, leading to toxins and acne
•  Physiological changes – taking place during adolescence attributed to hormonal imbalance
•  Even pregnancy related hormone fluctuation leads to pimples
•  Family history

Ayurved treats acne by balancing doshas by adopting the modified diet and life styles, herbal tablets, massaging face regularly with herbal creams and packs. Also it helps one has to find constructive ways to let off steam and express their emotions regularly in a calm, honest way which can also be cited as one of the reason for acne.

DrGarje Ayurved Acne Treatment includes

•  Detoxification by Panchakarma therapy – Vaman,Virechan,Jaluakacharvan
•  Ayurved Herbal Medicines
•  Ayurved Aahar Vihar Management

Results: 3 to 4 Weeks