The main cause is the aggravation of the pitta dosha, that may symbolize heat or fire. Pitta dosha manifests in the skin, accumulate in deep tissues like rasa (nutrient plasma), rakta, (blood), mamsa (muscles) and lasika (lymphatic). These toxins cause contamination of deeper tissues, leading to the condition of Yauvanpidika. Because acne is deep-rooted, use of local creams, antibiotics and lotions only masks the symptoms. Thus, specific Ayurvedic treatment is advised which includes right diet, lifestyle and some specialized purification procedures which tackle the disease from its root cause.