Understanding Of Yuvana Pidika (Mukhadushika) W.S.R. To Acne Vulgaris And Their Management – A Review

Abstract

Acne vulgaris is chronic inflammation of pilosebaceous follicles, characterized by a  polymorphic eruption of comedones, erythematous papules, pustules and nodules. Acne may manifest as a  symptom of underlying hormonal disturbances and syndromes. It is extremely common, generally starts  during puberty and has been estimated to affect 90% adolescents. It is usually most severe in the late teenage  years but can persist in to the thirties and forties, particularly in females. Androgenic stimulation at puberty  is believed to increase the activity of sebaceous glands and sebum production leading to increased oiliness  of the skin. This is acted upon by the normal flora of the skin especially the Propionibacterium acnes which  produce lipeses to breakdown the oils in the sebaceous secretion and produce large quantities of the free  fatty acids. These fatty acids along with other components of the sebaceous secretion and the bacteria, are  responsible for the producing the acne lesion. In modern medicine corticosteroids are used to treat the Acne  vulgaris which have many side effects. Acne vulgaris is correlated with Yuvana Pidika in Ayurveda. It is  also known as Mukhadushika. Acharyas are mentioned in Ayurvedic text book Mukhalepa, Raktamokshana  and Vamana Karma for treatment of Acne vulgaris which are so effective on acne vulgaris.