CONCEPTUAL AND AYURVEDIC MANAGEMENT APPROACH IN YUVANPIDIKA W.S.R. TO ACNE VULGARIS

No description of the disease is present in Ayurvedic text CharakSamhita but Acharya Sushrut in SushrutSamhita has described the disease under KṣhudraRoga chapter.In Ayurveda vitiation of Vata, Kapha and Rakta are etiological factor that give rise to Yuvanpidika.And form Shalmali thorns like lesion over face. Although described in short, symptoms resemble very closely with the modern Acne vulgaris description. Regarding the treatment, Abhyanga, Vaman, Nasya, Raktamokṣan are indicated for the management of the disease. Various Lepan drugs are also mentioned in different Ayurvedic texts for treatment.

Acne vulgaris is one of the most prevalent skin disorders found in adolescent age group around the world and manifest itself as comedones (comedonal acne), papulopustular (papulopustular acne) or nodules and cysts (nodulo cystic acne and acne conglobata) pitted depressed or hypertrophic scars may follow all types but especially nodulocystic acne and Acne conglobata. It can be correlated with Yuvanpidika in Ayurveda. It is also called as Tarunyapitika&Mukhdushika. No description of the disease is present in Ayurvedic text CharakSamhita but Acharya Sushrut in SushrutSamhita has described the disease under KṣhudraRoga chapter.In Ayurveda vitiation of Vata, Kapha and Rakta are etiological factor that give rise to Yuvanpidika.And form Shalmali thorns like lesion over face. Although described in short, symptoms resemble very closely with the modern Acne vulgaris description. Regarding the treatment, Abhyanga, Vaman, Nasya, Raktamokṣan are indicated for the management of the disease. Various Lepan drugs are also mentioned in different Ayurvedic texts for treatment.

…………………………………………………………………………………………………….... Introduction:-
Acne is a common chronic inflammatory condition of skin with significant cutaneous and psychological disease burden. 1 Acne affects both males and females, although males tend to have more with onset of puberty. Across the globe, acne affects 80% of individuals between pubescence and 30 years of age. Many research studies have reported acne in 79-95% in the age group of 16-18 years. In India, research studies have reported acne in 50.60% of boys and 38.13%of girls in the age group of 12-17 years. 2 Acne vulgaris, a chronic inflammatory disorder in adolescents consists of the pilosebaceous follicles, characterized by comedones, papules, pustules, cysts, nodules and often scars, chiefly on face, necketc. 3 It is a skin condition that occurs due to the clogging of oil glands of the skin. 4 Acne vulgaris mostly affects the areas of skin with the densest population of sebaceous follicles these areas include the face, the upper part of the chest, and the back. 5 The cause of acne is unknown. It is presumed to be activated by androgens in genetically predisposed individuals. 6 387 According to Ayurveda the Shalmali thorn like eruptions on the face of adolescents, due to vitiation of Kapha, Vata and Rakta are known as "Yuvanpidika" or "Tarunyapitika" or Mukhadushika. 7 These Pidikas destroy the beauty of the face and cause disfigurement of the face therefore they are also called as "Mukhadushika". 8 In Ayurveda, mainly two types of Chikitsa (treatments) have been used to treat acne i.e.,Shodhana (purification of body) and Shamana (conservative treatment by oral and topical medicines). Shodhana includes Vaman and Nasya, whereas Shamana includes Lepa, Upanah and Kshara application. In this study the etiology, pathogenesis, and management of acne vulgaris has elaborated and discuss with special reference to Yuvaanpidika.Yuvanpidika word itself says that it is Pitika-Utpatti in Tarunyaawasta due to some hormonal changes. Up to some limit it is normal but in excess it becomes a reason for depression in a person.

Aims And Objectives:-
-To elaborate, evaluate and discuss the aetiology, symptoms and Ayurvedic method of Yuvanpidika (Acne Vulgaris).
-To evaluate, elaborate and discuss the management of Yuvanpidika(Acne Vulgaris).

Material And Method:-
Material related to Yuvanpidika and Acne Vulgaris is collected from Ayurvedic text and text book of modern medicine respectively. The available commentaries of AyurvedicSamhitas have also referred to collect relevant matter.

Conceptual Study Definition:
According to Acharya Sushrut, boils like spine of Shalmali appears on the face of youthful person caused by Kapha, Vata and Rakta. They are known as Mukhadushika(Acne vulgaris). They are also known as Yuvanpidika. 9 It correlates to Acne Vulgaris explained in modern science. According to modern medical science, acne is an inflammation of thepilosebaceous units that occurs most frequently in adolescent age group characterized by development of comedones in forms of papules, pustules, nodules and less commonly cysts.

Conclusion:-
In current era Yuvanpidika is the one of the most burning problem in youngsters. Modern text described Acne vulgaris as a chronic inflammatory disorder of sebaceous follicles characterized by the formation of comedone, papules and pustules, less frequently nodules or cysts. All the Samhitas have pointed out Kapha, Vata, and Rakta as the causative factor of disease. In Ayurveda number of remedies are available with marked success and benefit over conventional modern drugs. The Lepa and Pralepa are described as a ShamanaChikitsa in previous stages of Yuvanpidika while in severe cases ShodhanaChikitsa should be applied. Moreover, the Ayurvedic therapies have long lasting affects with nil side effects.