About the Disease:
Acne Vulgaris is a common and chronic skin disorder mainly affecting teenagers. It is characterised by blockage of pilosebaceous duct that primarily affects the face, chest and back. It mainly occurs at puberty because of increased sebum production triggered by increased androgen levels.
Human skin has pores (tiny holes) which connect to oil glands located under the skin. The glands are connected to the pores via follicles. The glands produce sebum, an oily liquid. The sebum carries dead skin cells through the follicles to the surface of skin. A small hair grows through the follicle out of skin. Pimples grow when these follicles get blocked, resulting in an accumulation of oil under the skin. It involves both sexes but peak age of severity for males is from the age of 17-19 and for females it is 16-17.
Types of Pimples:
1. Whiteheads: Remain under the skin and are very small.
2. Blackheads: Clearly visible, they are black and appear on the surface of skin. Remember that a blackhead is not caused by dirt.
3. Pastules: Visible on the surface of skin. They are red at their base and have pus at the top.
4. Papules: Visible on the surface of skin. They Small bumps, usually pink.
5. Nobules: Clearly visible on the surface of skin. They are large solid pimples. They are painful and are embedded deep in the skin.
6. Cysts: Clearly visible on the surface of the skin. They are painful and are filled with pus.
Variants of Acne:
1. Acne Conglobate: It is common in men during late puberty and continues into later life. It is sever form of the disease characterised by comedones, papules, pustules, nodules and cysts with many abscesses and sinuses.
2. Acne Fulminants: It is a type of conglobate acne accompanied by fever tachycardia, joint pains and raised ESR.
3. Acne Excorice: Mainly affects young woman and is characterised by self inflicted wounds associated with a psychological or emotional problem.
4. Acne Neonatorum: It occurs in newborns , mostly males around 3 months of age due to either maternal androgens or transplacental stimulation of the infant's adrenals. It may lasts up to 3 years and may be fore runner of severe acne in adolescents. The lesions are often seen on the nose and cheeks.
5. Drug-Induced Acne: It results from treatments with corticosteroids androgenic steroids, lithium, oral contraceptives, antiepileptics and isoniazid.
6. Chloracne: caused by occupational exposure to halogenated hydrocarbons. It presents with many large comedones.
According to Ayurveda: According to ayurveda it is known as Yowan Pidika. Vata and Kapha, the two main Doshas are responsible for this problem. In a healthy human body increased Vata and Kapha affects Rakta Dhatu(Blood) which in its turn leads to impurification of blood and creates this problem.
Acne is believed to have a very close relation to the stomach and therefore, it is believed that excessive salty, sweet, sour, oily and non-vegetarian food cause acne. Stress, chronic Constipation, menstruation and obesity all are believed to contribute to acne.
1. Vaman Therapy
2. Virechan Therapy
3. Raktamokshan Therapy
1. ArogyaVardhini Vati with Manjisthadi Kwath.
2. Triphla Tablet with Lukewarm Water.
3. KhadiraRista with Water after meal.
Yours in Health,
Dr. Vikash Sharma
B.A.M.S. (INT.), PGIMS Rohtak
T. Reg. No. - 2373