E-ISSN:2456-3110

Case Report

Acne Vulgaris

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 11 NOVEMBER
Publisherwww.maharshicharaka.in

Efficacy of Kustumburadi Lepa in Mukhadushika (Acne Vulgaris): A Case Study

Badonya D1*, Acharya P2, SN Tiwari3, Pande P4
DOI:10.21760/jaims.9.11.52

1* Deepam Badonya, Post Graduate Scholar, Dept of Samhita Siddhant, Govt Auto Ayurveda College, Rewa, Madhya Pradesh, India.

2 Pravanjan Acharya, Professor HOD, Dept of Samhita Siddhant, Govt Auto Ayurveda College, Rewa, Madhya Pradesh, India.

3 SN Tiwari, Associate Professor, Dept of Samhita Siddhant, Govt Auto Ayurveda College, Rewa, Madhya Pradesh, India.

4 Pulsi Pande, Assistant Professor, Dept of Samhita Siddhant, DeptGovt Auto Ayurveda College, Rewa, Madhya Pradesh, India.

Background: Mukhadushika, commonly known as Acne Vulgaris, is a skin condition that significantly affects individuals during adolescence and early adulthood. This clinical study evaluates the effect of Kustumburadi Lepa in the management of Mukhadushika, focusing on various symptoms such as pain (Ruja), hardness (Ghana), burning sensation (Daha), itching (Kandu), and the overall lesion count.[1]

Objectives: To assess the effectiveness of Kustumburadi Lepa in reducing the clinical symptoms of Mukhadushika.

Methods: A single subject, a 21-year-old female student, was treated with Kustumburadi Lepa for 21 days. Clinical evaluations were conducted before and after treatment for symptom improvement.

Results: Significant improvement was observed in the reduction of symptoms such as pain, hardness, and burning sensation. The patient showed a decrease in the overall grade of acne lesions from grade 3 to grade 1, along with complete resolution of associated symptoms.

Conclusion: Kustumburadi Lepa proves to be  an effective treatment for Mukhadushika, offering substantial relief from clinical symptoms with minimal side effects.

Keywords: Mukhadushika, Acne Vulgaris, Kustumburadi Lepa, Ayurvedic Treatment, Skin Disorders, Case Report.

Corresponding Author How to Cite this Article To Browse
Deepam Badonya, Post Graduate Scholar, Dept of Samhita Siddhant, Govt Auto Ayurveda College, Rewa, Madhya Pradesh, India.
Email: 		Badonya D, Acharya P, SN Tiwari, Pande P, Efficacy of Kustumburadi Lepa in Mukhadushika (Acne Vulgaris): A Case Study. J Ayu Int Med Sci. 2024;9(11):350-353.
Available From
https://jaims.in/jaims/article/view/3820

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-10-17 2024-10-27 2024-11-7 2024-11-17 2024-11-25
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Yes 13.26

© 2024by Badonya D, Acharya P, SN Tiwari, Pande Pand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2024;9(11)350
Download PDFBack To ArticleIntroductionAimCase ReportMaterials and MethodsObservation and ResultsDiscussionConclusionReferences
Deepam B et al. Efficacy of Kustumburadi Lepa in Mukhadushika (Acne Vulgaris)

Introduction

Mukhadushika (Acne Vulgaris) is described in Ayurveda as a result of aggravated Kapha and Vata Dosha, along with vitiation of Rakta and Medo Dhatu.[2]

Modern dermatology identifies acne vulgaris as a multifactorial disease involving excessive sebum production, follicular hyperkeratinization, and microbial colonization. This case study highlights the potential of Kustumburadi Lepa, a classical Ayurvedic topical preparation, in managing Mukhadushika effectively without adverse effects. Mukhadhushika is also known as Yuvanapidaka or Tarunyapidak.[3]

It is exclusively seen in juvenile and adolescents. The prevalence of acne vulgaris is 80%-90% in adolescence.[4]

Aim

To evaluate the clinical efficacy of Kustumburadi Lepa in managing Mukhadushika (Acne Vulgaris) through a single case study.

Case Report

OPD No.: 14336

Date of Admission: 27-04-2024

Date of Completion: 17-05-2024

Follow-Up Date: 01-06-2024

Patient Details:

  • Age/Sex: >20 years / Female
  • Religion: Hindu
  • Occupation: Undergraduate student, Government Auto Ayurveda College, Rewa

History of Present Illness:

The patient had been suffering from acne for the past 2 years, with complaints of Pidika (pimples), Ruja (pain), Kandu (itching), and Daha (burning sensation) for the past 1 month. The lesions were primarily inflammatory papules with mild discharge and swelling.

Associated Symptoms

  • Srava (discharge): Present
  • Sotha (swelling): Present
  • Paka (inflammation): Present
  • Vranavasthu (ulceration): Present

History of Past Illness: No significant medical history.

Personal History

  • Agni: Sama
  • Kostha: Madhya
  • Diet: Mixed (frequent junk and oily foods), Adhyashana (overeating)
  • Day Sleep (Divaswapna): >2 hours
  • Nidra (Sleep): Prabhuta (excessive)
  • Bowel Movements: Regular and satisfactory
  • Addiction: None
  • Hygiene Practices: Face washing once daily, no soap use

Nidana (Etiological Factors)

Aharaja Nidana

  • Madhura Rasa - dominant diet
  • Tikshna Guna - Pradhan foods
  • Oily and junk foods
  • Satmya-Viparita Ahara (incompatible diet)

Viharaja Nidana

  • Vegadharana (suppression of natural urges)

Manasika Nidana: Not applicable

Samprapti (Pathogenesis)

Due to improper Ahara and Vihara Doshas get aggravated and cause the disease like Mukhadushika. The detailed Samprapti of Mukhadushika is explained in figure-1

Samprapti Ghatak (Pathological Components)

  • Dosha: Pitta-dominant Tridosha
  • Dushya: Rasa, Rakta, Meda, Sweda
  • Ama: Present due to Jatharagni Mandya
  • Srotas: Rasa, Rakta, Meda Vaha
  • Agni: Impairment of Jatharagni and Dhatwagni
  • Rogamarga: Abhyantara
  • Udbhavastana: Amashaya
  • Vyaktastana: Mukha

J Ayu Int Med Sci 2024;9(11)351
Deepam B et al. Efficacy of Kustumburadi Lepa in Mukhadushika (Acne Vulgaris)

jaims_3820_01.JPG
Figure 1: Samprapti of Mukhadushika (Acne)

Materials and Methods

Treatment given

  • Drug: Kustumburadi Lepa[5]
  • Route: External application
  • Dose: As required
  • Duration: 21 days
  • Follow-Up: 15 days

Observation and Results

After 21 days of treatment and a 15-day follow-up:

SymptomBefore TreatmentAfter TreatmentFollow-Up
Shalmali Kantak PidikaGrade 2Grade 0Grade 0
Ruja (Pain)Grade 3Grade 1Grade 1
Ghan (Hardness)Grade 2Grade 0Grade 0
Kandu (Itching)Grade 1Grade 0Grade 0
Daha (Burning)Grade 1Grade 0Grade 0

Pathya-Apathya

Pathya

  • Cover your face with clean cloth while exposer to dust and smoky areas.
  • Take steam inhalation through mouth two times a day with plain water
  • Intake of lukewarm water for the whole day as a routine

Apathtya

  • Avoid spicy food, bread, bakery items, ice cream, cold drinks, chocolates, fast food, fermented food items, and any colour-chemical-containing items.
  • Avoid tea and coffee.

Discussion

The case study demonstrates the efficacy of Kustumburadi Lepa in managing Mukhadushika (Acne Vulgaris). The herbal preparation effectively addressed the primary symptoms while improving the patient's quality of life. The follow-up results confirmed the sustainability of therapeutic benefits. The formulation's Raktashodhaka (blood purifier), Shothahara (anti-inflammatory), and Vranaropana (wound-healing) properties played a significant role in achieving these outcomes. However, the study's single-patient focus and lack of a control group highlight the need for larger-scale trials to validate these findings.

Conclusion

Kustumburadi Lepa is a safe and effective Ayurvedic formulation for treating Mukhadushika. It provides significant symptomatic relief and sustained improvement during follow-up. Further studies are recommended to generalize these findings across diverse populations.

Declaration of the Patient

The patient consented to participate in the study, and all procedures were conducted ethically. The patient's privacy and confidentiality have been maintained.

jaims_3820_02.JPG
Figure 2: Before treatment


J Ayu Int Med Sci 2024;9(11)352
Deepam B et al. Efficacy of Kustumburadi Lepa in Mukhadushika (Acne Vulgaris)

jaims_3820_03.JPG
Figure 3: After 15 days

jaims_3820_04.JPG
Figure 4: After 21 days

References

1. Sudarshan Shastri, Madhavanidanam -2 of Madhavakara with Madhukosha commentary by Vijayrakshita & shrikanthadatta, Kshudraroga nidanam adhyaya, reprinted2005, published by Choukhamba Sanskrit Sansthan Varanasi, page no. 176

2. Mishra B. Bhavaprakasha Vidyotini Tika. Madhya Khanda 61/31. Chaukhambha Sanskrit Sansthana, Varanasi; 11th edition, 2004.

3. Acharya YT. Sushruta Samhita. Nidanasthana 13/39 Choukhambha Publication Varanasi; 2005.

4. Fauci AS, Braunwald E, Kasper DL. Alterations in the skin acne vulgaris. In: Harrison's Principles of Internal Medicine. 15th edition, vol 1. p. 314.

5. Acharya Sushruta, Sushruta Samhita with the Nibandhasangraha commentary of Shri Dalhana Acharya and the Nyayachandrika panjika of Shri Gayadasacharya, edited by Vaidya Yadavji Trikamji Acharya, Chaukhamba Surabharati prakashan, Varanasi; 2003, Chikitsa Sthana 20/37

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J Ayu Int Med Sci 2024;9(11)353