Abstract

MANAGEMENT OF NODULOCYSTIC ACNE USING JALAUKAVACHARANA: A CASE STUDY

Saheeda Beegam M. T.*, Lincy Das A. P., Gopikrishna S.

Abstract

Background: Cystic acne is a severe, inflammatory variant of acne vulgaris that commonly affects adolescents and young adults, often resulting in pain, cosmetic disfigurement, and permanent scarring. Despite the widespread use of antibiotics and topical retinoids, recurrence and treatment resistance remain as challenges. Ayurveda offers holistic and sustainable therapeutic approaches with minimal side effects, particularly valuable in chronic dermatological conditions. Acne vulgaris significantly impacts self-esteem and social interactions, further emphasizing the need for effective and safe treatment options. In Ayurveda it can be correlated with Youvana pitaka. Aim: To evaluate the clinical efficacy of Jalaukavacharaṇa (leech therapy) combined with minimal Ayurvedic internal medication in the management of nodulocystic acne. Materials and Methods: A 22-year-old female was presented with nodulocystic acne and treated with Jalaukavacharana at outpatient department level with minimum internal medicines and the severity was assessed using GAGS (Global acne grading system), Cardiff Acne Disability Index (CADI) and Investigator’s Global Assessment (IGA) score. Result: The result obtained suggests that leech therapy is safe and effective in dermatological manifestations like cystic acne.

Keywords: Cystic acne, Youvana pitaka, Jalaukavacharana, GAGS, CADI.