Role of Virechana Karma and Yavadi Lepa in the Management of Mukhadushika (Acne Vulgaris) : A Case Study

Abstract

Mukhadushika, also known as Acne vulgaris, is a prevalent skin condition that can have considerable physical and psychological effects, especially in young adults.Acne vulgaris is a chronic inflammatory disorder involving the pilosebaceous follicles on the face and back region. It manifests as blackheads, papules, pustules, and cysts, and can result in scarring after healing.In Ayurvedic texts, a collection of skin diseases is extensively described under Kushtha and Kshudrarogas, with Mukhadushika or Yuvanpidika reflecting symptoms similar to acne vulgaris, such as thorn-like lesions, pain, burning sensation, and discoloration, hard eruptions filled with Meda. Ayurveda classics provide detailed treatment methods, including Shodhana, Shaman chikitsa and various topical preparations.This study is aimed to evaluate the effectiveness of Ayurvedic treatments in treating Mukhadushika.A 26 year old female patient reported to Panchakarma OPD having clinical sign and symptoms of Mukhadushika(Acne vulgaris) like papules , pustules , nodules and cysts over face region. The treatment protocol followed was Shodhana chikitsa by Virechana karma and then application Yavadi lepa for 20 days.The treatment approach of using the combination of Shodhana through Virechana karma, followed by the external application of Yavadi lepa, has demonstrated significant effectiveness in managing Mukhadushika. This combination has been shown to substantially reduce the signs and symptoms associated with the condition.