The causes for Yavana Pidaka according to Ayurveda are consumption of spicy and greasy food, stress, hormonal changes, and allergy due to various soaps, lotions, etc. Due to the above causative factors, boils like that of the spines of the Shalmali plant (Bombax ceiba) appear on the face of young people caused by vitiation of Kapha, Vata, and Rakta. They are known as Mukhadushika. The signs and symptoms of Mukhadushika are eruption on the face which looks like the thorn of the Shalmali plant, pain, eruption which is thick and hard, and filled with pus.