Tarunya Pitika ( Pimples) skin disorder is called the curse of youth as 50 to 60% of youths between the ages of 13 to 26 are affected by this skin disorder. Due to this lack of personality is felt along with the confidence is also reduced so this disorder gives physical and mental hardship to the youth. Due to TV shows, movies, beauty contests, the sweet dream of fresh and smooth skin and beautiful looks is in the minds of all the youth, especially the young women, but for many, this dream is far away and unfulfilled. The main reason for this skin disorder is the rising hormones of this age, aggravated Kapha-Vata-Rakta Dosha and wrong diet.
This skin disorder causes painful or painless pimples and pustules on the face, which are mild in some individuals and severe in others. Generally youth between the ages of 13 and 26 are more affected by this disorder, so it is called Tarunyapithika or Mukhadushika.
Due to the strong hormones and Kapha etc. defects in the skin of the face, excessive amount of oily secretion is produced in the facial skin ( Sebaceous glands ) and sweat glands and the skin becomes oily. A favorable environment is created for the growth of bacteria. The increased bacteria increases the size of the gland and closes its mouth (Pilosebaceous duct) and as a result pimples appear on the face. Along with diet, cosmetics, environment, mental stress, menstruation and periods also play a role in increasing acne. Also, people of pitta nature are more prone to acne.
"Shalmlikantakaprakhya: Kaphamarutshonitai:".
Jayante Pidka Yunan Vaktre ya Mukhadushika:” Sushruta Samhita (N.13/39)
According to Acharya Sushruta, Mukhadushikas are shaped like the thorns of the shalmali (katesabar) plant and due to Kapha-Vata-Rakta doshas, they are more common on the face of young people.
Acne symptoms-
- Eruption of pustules on the face like prickly pears.
-Pain, swelling and inflammation at the site of the blisters and the face becomes dull and black.
-Formation of blackheads or whiteheads in the center of the follicles.
- Discharge of purulent discharge from pustules and disfigurement of face.
Apart from the face, pimples also appear on the neck and back, as well as dandruff and itching in the head.
Acne is classified into 4 grades depending on the severity of acne, with the next grade of acne becoming more difficult to treat.
*Grade 1- 30 or less pimples/ pustules on the face.
*Grade 2- Pimples and pustules with exudative pustules.
*Grade 3- Pimples, pustules and painful pustules as well as formation of small nodules adjacent to old pustules.
*Grade 4- Purulent and painful pustules, swollen and painful nodules, facial pallor and permanent black pustular ulceration on the face.
Acne Causes-
According to Ayurveda, Kapha, Vata and Raktadushiti diet is the cause of this skin disorder which occurs during youth.
- Excessive consumption of salt, acid and alkaline foods. Excessive consumption of abhisyandi foods like kulid, udi, sesame, radish
- Fish, tea-coffee, smoking, eating curd at night, hot food, fermented food, daytime sleep, waking up at night
- Over consumption of stale food, fast food/junk food, fried samosas, vada pav
- Contraindications (e.g. eating milk and fruits together)
- Excessive use of chemical-containing cosmetics
- Menstruation, mental stress, hot-humid environment and pittaprakriti are also favorable reasons for the growth of pitta.
Acne treatment-
According to modern medicine, antibiotics are mainly used, along with Isotretinoin, Benzoyl peroxide, A-vitamins and steroid drugs.
According to Ayurveda, the first thing to do when doing treatment is to avoid all the diet and exercise mentioned in the above reasons.
Also, it is necessary to treat the main doshas of youth, namely Kapha-Vata and Blood, so the Panchakarma of Vamana, Siravedha, Nasya, Jalaukene Raktamokshana and Virechan are performed. Along with Nimb, Gulvel, Patol, Sariva, etc., which reduce Kapha Dosha and Blood Dosha. Herbal decoctions, vati, ghrit are used, and plants like lodhra, vacha, dhanyak, kustha are used to apply on the face. After this, some ointments and oils are used to remove the blemishes on the face.
Pathya- (Care to be taken to prevent puberty)-
- Avoid all foods mentioned in causes of acne.
- To prevent menstruation, take more fiber rich and green vegetables in your diet.
- Wash the face 3 to 4 times a day with herbal soap or utt.
- Drink 3 to 4 liters of water daily.
- Avoid sleeping during the day and get enough sleep (6 to 8 hours) at night.
- Do yoga and exercise every morning. Avoid mental stress and anxiety.
- Umbrella should be used while walking in the sun.
- Also nutrition and proper food should be consumed at proper time.
- -- Dr. Yogesh Shivaji Chavan, M.D.(Ay.) Kerala
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