Background - Mukhdushika (Acne vulgaris) is burning issue among young generation. It gives inferiority complex in social life. There are lots of medicines for acne vulgaris but the results are not upto the mark. Our aim is to combat with Mukhdushika with simple herbal formulation. Randomised controlled trial is preferred for the study.
 Methods – Aim: To evaluate efficacy of combination of Lodhradilep and Khadirashtak kwath in management of Mukhdushika.
 Objectives:
 
 To study the Nidanpanchak of Mukhdushika as described in Ayurveda samhita
 To study the effect of combination of Lodhradi lep and Khadirashtak kwath. 
 
 Randomized control trial was conducted in two arms, Group A (Lodhradi lep) and Group B (Lodhradi lep with Khadirashtak kwath). 30 patients were selected randomly and Lodhradi lep was given for group A. 30 patients were selected randomly and Lodhradi lep with Khadirashtak kwath was given for group B.
 Result – The group B shown significant result in all the signs and symptoms.
 Discussion – The Z value was significant in all the objective criteria which shows Group B was more effective than group A in treating Mukhdushika.
 Keywords – Acne vulgaris, Kshudrarog, Khadirashtak kwath, Lep, Lodhradi lep, Mukhdushika