Mukhadushikais one of the commonest diseases noticed in day today clinical practice, characterized by Shalmali kantaka vata (thorn like) eruptions on the face. It is seen more as a cosmetic point of view than a medical one. In Samhitas it finds its place under the heading of Kshudra rogas which are considered as minor diseases. But in exceptional cases like Mukhadushika, these can produce a marked cosmetic disability and gives rise to much mental distress. On the basis of clinical features it can be compared with Acne vulgaris, a chronic inflammatory condition of the pilosebaceous follicles on the face. It is characterized by the development of comedones (Black heads), papules, pustules and cysts which may resolve to leave pitted scars. Modern medicine has failed at some or more extent to complete eradication of this disease. The classics have mainly mentioned the shodhana Chikitsa like virechana, vamana, nasya and Lepa for this disease. Clinical observation has shown the effect of sadyovirechana and Arjunatwak lepa in the management of Mukhadushika. A case report of 22-year old female who presented with red, tender acne over the cheeks, chin and chestassociated with severe pain and burning sensation has been presented here. 

Keywords: Mukhadushika; Arjunatwaklepa; Sadyovirechana; Acne Vulgaris.