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A 28-year-old female patient, presented with a three-month history of papules, pustules, redness, black spots, and overall dull skin on her forehead. She had tried Ayurvedic medicines for 15 days followed by  Allopathic treatment for 10 days. But the symptoms persisted and so she opted for a second ayurvedic consultation. She consulted Dr Sushma, for better ayurvedic management. Based on clinical evaluation, the biomedical diagnosis was made as Acne vulgaris and the Ayurvedic diagnosis as Mukhadooshika. The line of treatment followed was to pacify the dushta rakta and pitta. Tvacya and dipana dravyas were included to address the condition. After 1 month- Papules healed, Redness absent, Dull skin on forehead- resolved. After 2 months- Black spots only a mild presentation persisted. After 3 months, there was complete relief from symptoms.

This case report demonstrates the successful standalone ayurvedic management of acne vulgaris, who did not get satisfactory response with conventional medicines.