COMPREHENSIVE AYURVEDIC APPROACH IN THE MANAGEMENT OF MUKHADUSHIKA (ACNE VULGARIS): A CASE REPORT

Abstract

BACKGROUND: Mukhadushika is a naturally occurring disorder (Swabhavaja), primarily involving Shukra Dhatu (reproductive tissue) and its Mala (sebum), characterized by eruptions on the face, neck, and upper body. It corresponds to Acne Vulgaris in modern dermatology, which affects nearly 90% of adolescents and often leads to psychological distress. Conventional management includes topical and systemic medications that may produce recurrence or side effects. Ayurveda offers a holistic approach through Shodhana (purificatory therapy) and Shamana chikitsa (palliative therapy) to eliminate the root cause and restore Doshik balance.

AIM: To evaluate the clinical efficacy of a comprehensive Ayurvedic treatment protocol in the management of Mukhadushika (Acne Vulgaris).

CASE DESCRIPTION: A 17-year-old female presented with multiple inflammatory papules and pustules over the face for four years, unresponsive to prior modern treatments. The patient underwent Sadhyo Virechana (therapeutic purgation) with Nimbamritadi Eranda Taila (100 ml), followed by Raktamokshana (bloodletting therapy)with Jalaukavacharana (Leech therapy) in three sittings at seven-day intervals, and Shamana Aushadhi including Chandraprabha Vati, Kaishora Guggulu, and Shodhak Syrup for 30 days. Counseling was also given to address psychological distress.

RESULTS: After completion of therapy, there was approximately 90% reduction in active lesions, with minimal post-acne scarring and complete relief from pain, erythema, and inflammation. The patient reported significant improvement in self-confidence and social interactions, with no recurrence was observed during the two-month follow-up.

CONCLUSION: An integrated Ayurvedic approach combining Shodhana and Shamana therapies can provide effective, safe, and sustainable results in Mukhadushika (Acne Vulgaris).

CLINICAL SIGNIFICANCE: This case highlights that classical Ayurvedic management not only achieves symptomatic relief but also enhances psychological well-being and prevents recurrence, making it a valuable alternative to conventional acne therapy.