Long standing Pimples

A 22 y/o Female patient complaints of persistent pimples over face since 10 years. Present all over the face, especially cheeks. They increase during menstruation. Skin type-normal to dry, sweaty Menstrual history- Regular. Menarche at age of 12- 7days bleeding initially Over time, bleeding has reduced to 3 days. Family history- Both parents had severe pimples in youth. Past history - Had spotting of blood on the 15th day of cycle. Past medications- Homeopathic medications taken for pimple and spotting Allopathic- REtinol tablets & ointment of salicylic acid and benzoyl peroxide Ayurvedic- Patoladi kashaya, Panchatikthaka kashya, Sharibadyasava + Punarnavasava,Khadirarishta= Draksharishta Bowel-Sometimes constipated Pulse - 90/min All else normal

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? ACNE VULGARIS WITH.. POST ACNE SCARS.. AZITHROMYCIN.. CLINDAMYCIN ADAPALENE.. PEELING WITH EXPERTS OPINION..

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Advice to take more drinking water and vegetables , avoid junk food , sunlight and to stay up far into the night RX Hepar sulphur 1 M monthly × 3 dose Kali Brom 30 TDs Berberis Aq Q external use only at night

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Avoid junk food. Advice to take more water Diet is imp. Mahamanjishthadi kashay+khadirarishth +sarivadi asav mix with s Equal quantity of water Gandhak rasayan 1BD Raktamokshan is effective - leech therapy Clean face with normal water frequently

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Purodill syp 10ml before meal b.d. 6 months Skinnle b.d. Clindamycin 300mg od one month Face clean with aloevera Acne face cream himalaya for local applications

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Pimplex tablets 2 tds Berberis Aquafolium local application Avoid oily and spicy food

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Berberis aquifolium Q Pulsatilla 200

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Nat mur or Kali bichrom according to constitution

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Patolkaturohinyaadi ks Araghvadhaadi ks Manibhadra avleha Kaishire guggul Eladi tail for local application Strict pathya-apathya should be followed

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Bellodonna 30 Berbereis aqui Q Astreis rubens 30

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Hepar sulph1m/3dose once in 15 days Ars.iod.30 tds for 15 days

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