Integrative Ayurvedic Intervention in Acne Nodularis: A Clinical Case Study

Abstract

Background: Nodulocystic acne is a severe, chronic form of acne vulgaris characterized by painful, inflamed nodules that are often resistant to conventional therapy. Ayurvedic medicine offers an integrative approach targeting systemic imbalance through personalized herbal formulations.

Objective: To evaluate the effectiveness of Ayurvedic treatment in managing a case of pimple nodularis in a young adult male.

Case Presentation: A 20-year-old male presented with painful nodular acne on the face, unresponsive to prior allopathic treatment. Based on Ayurvedic assessment, a phased regimen of internal and external therapies was administered over three months. Key interventions included Phalatrikadi Kwatha, Manjisthadi Kwatha, Triphala Guggulu, and herbal pastes.

Results: Marked clinical improvement was observed with reduction in nodules, inflammation, and post-inflammatory hyper pigmentation. Hematological parameters, including leukocyte count and ESR, normalized, indicating reduced systemic inflammation.

Conclusion: Ayurvedic therapy may offer a safe, effective alternative for managing severe acne with systemic involvement.