Panchakarma procedures according to Vyadhi Avastha in Mukhdushika w.s.r. to Acne Vulgaris

According to Ayurveda, Shalmali thorn like eruption on the face due to vitiation of Kaph Pitta Dosha and Rakt dhatu is known as Mukhdushika, a type of kshudraroga. Youvanpidika is the disease seen in adolescence. Its main clinical features are Pidika, Saruja, Ghana and Medogarbha. Doshik symptoms like Kandu, Snigdhata, Daha, Paka, Sotha, Srava, Vaivarnyata are also seen in this disease. Acne Vulgaris is a long term condition characterized by Seborrhoea, Papules, Pustules, Nodules and possibly scarring. It is similar to Mukhdushika. Generally acne vulgaris is a Kaph-Pitta related disease along with the involvement of Rakta dhatu. It has got the chronic course. Initially there will be Kaphadhika Samsarga. In later stages it may undergo Paka with Pidikasamsarga. The searching zone includes Chikitsa of Mukhdushika, Kshudraroga and Kustha and Pidika Chikitsa. Line of treatment by various Acharyas includes Shodhan, Shaman and Bahiparimarjana Chikitsa. Fine tuning in Mukhdushika: 1) If the lesions of Mukhdushika are showing the Pitta dominant lakshanas and involving superficial layers of skin then Virechan and Raktmoshan, Raspachak and Raktprasadan Yogas should be the choice of treatment. 2) If the lesions are showing Kaph dominant lakshanas and involving deeper layers of skin like Shweta, Tamra etc. that means it has got chronic course then Vaman, Nasya, Raktmoshan along with Mamsa-Meda Pachakyogas should be used. In this article, the Vyadhiavastha is also important and should be discussed while treating the Mukhdushika patient to regain the lost beauty and revive the personality