** . Apart from anemia, diet and emotional stress are also important. PS. check with laboratory regarding type of anemia and correct it accordingly, s 1. since there is recurrence of condition thus one has to check with general physician regarding examination and hormone levels. PS. irregular intestinal movements or digestive tract problem (constipation) ?? [Acne is believed to have a very close relation to the stomach] 2. Initially consult with a dermatologist regarding removal from cosmetic point of view or if they are causing psychological tension/worry. PS. tetralysal [lymecyline] is used to treat acne, as it is active against the bacteria associated with acne, Propionebacterium acnes, but on stopping the drug flare up is common adverse effect of the drug. 3. most importantly use a good sunscreen for sun protection which will prevent the uneven tone [according to skin color]. 4. stay hydrated and eat a healthy diet [fresh fruits and vegetables], avoid oily/deep fried food,Sugar (in any form), caffeine,cheese, oily-spicy-dry-fried food, chocolates,cakes,iodized salt, soft drinks. 5. It is best to consult your dermatologist before deciding on which soap or face wash to use because he or she can guide you better. PS. . In the mean time just wash your face with Besan and Luke warm water (best natural bleaching agent),removing excess sebum and dead skin cells, likewise Neem,acts as a deep cleanser. 6. because skin & nervous system has a common Embrylogical origin, thus treatment will be based on/directed as Psychosomatic Treatment 7. Natural medicine [prescription drugs] available are: Maha Thiktakam kashayam, Patoladi kashayam, Maha Thiktaka Gritam, Guggulu Thiktaka kashayam / Gritam, Saptasaram kashayam, Khadira Arishtam, Kumari Asavam Sarivadi Asavam / Arishtam, Avipattikar Churna, Haridra Khanda, Chandanadi Lepa, Multani Mitti. 8. Do have a consultation with your attending Doctor [preferably Dermatologist] for baseline investigations and necessary conclusion.