In Ayurveda, acne (known as *Yauvan Pidika*) is viewed as an imbalance of the *doshas*, primarily involving **Pitta** (fire/heat) and **Kapha** (earth/water), often aggravated by **Vata** (air) in some cases. Excess Pitta manifests as inflammation, redness, and pus, while Kapha imbalance leads to oily skin, clogging, and cystic formations. The root cause is often linked to digestive toxins (*Ama*) and impure blood (*Rakta dhatu dushti*). ### Core Treatment Principles: 1. **Internal Purification (Shodhana):** This is crucial. Gentle detoxification (*Panchakarma* therapies like *Virechana*/purging) may be recommended under guidance to eliminate toxins from the blood and digestive tract. 2. **Dietary & Lifestyle Changes (Pathya):** * **Pitta-Pacifying Diet:** Avoid spicy, sour, fried, and fermented foods. Reduce excess salt, tomatoes, and citrus. Emphasize cooling foods like cucumber, bitter gourd, sweet fruits, and leafy greens. * **Kapha-Reducing Diet:** Minimize dairy, especially curd, oily foods, sweets, and processed items. Prefer light, warm, and easily digestible meals. * **General Rules:** Drink plenty of warm water throughout the day. Maintain regular meal times and ensure proper digestion. 3. **Herbal Remedies (Aushadhi):** * **Internal:** Herbs like **Neem** (blood purifier), **Manjistha** (skin detox), **Giloy** (immunity), **Triphala** (gentle detox and digestion), and **Sariva** are commonly prescribed. * **External:** **Sandalwood** (*Chandana*), **Turmeric** (*Haridra*), **Neem**, and **Aloe Vera** paste are applied for their cooling, antibacterial, and healing properties. **Kumkumadi Tailam** is a renowned medicated oil. 4. **Daily Routines (Dinacharya):** * Gentle cleansing of the face with herbal powders like *Multani Mitti* (Fuller’s earth) or besan. * Adequate sleep and stress management through yoga, *Pranayama* (breathing exercises like *Sheetali*), and meditation.