First, acne Western medical treatment methods.
1, pay attention to regulating the function of the digestive tract, eat less animal fats, sweets and stimulating food, to commonly wash the affected area with warm water, sulfur or other degreasing and anti-inflammatory soap.
2, do not pick or squeeze acne with your hands, do not use greasy cosmetics and corticosteroids.
3.Bromine and iodine drugs are prohibited.
4.Explain clearly to the patient that acne is a common phenomenon resulting from endocrine changes in adolescence, mainly due to changes in sex hormones. Treatment can reduce the lesions, but it is difficult to completely subside, and with endocrine changes can periodically aggravate or reduce.
5, internal therapy, you can take the compound acne Likely to remove scars and marks drug.
Broad-spectrum antibiotics can control inflammation, infection-based antibiotics should be preferred, with tetracyclines being the best. Tetracycline may inhibit Propionibacterium acnes and the inhibitory effect on leukocyte chemotaxis, and can cause a significant decrease in the concentration of free fatty acids in sebum. Tetracycline can be used in small doses and long courses, starting with 0.25g 4 times a day for one month, and then decreasing by 0.25g every 2 weeks to 0.25g daily for another month. The dosage and duration of erythromycin is the same as that of tetracycline. In cases where other antibiotics are ineffective, methomycin (dimethylaminotetracycline) 50mg twice a day can be used, and then reduced to 50mg once a day after 2-3 weeks. Clindamycin (Clindamycin) is the best replacement for tetracycline and is indicated for those with heavy inflammation or resistance to tetracycline. It can cause side effects such as severe diarrhea and pseudomembranous colitis, so it is only used for patients with heavy dermatitis and no intestinal disease.
Second, sex hormones can not be routinely applied.
1.Ethylene estradiol
Severe patients can use ethylene estradiol 1mg, taken internally once a day for 10 days as a course of treatment. If female patients use it, they should start using it 5 days after their menstruation. For female patients with premenstrual exacerbation, they can take ethylene estradiol 0.25-0.5mg daily for two to three weeks after the start of menstruation. it is prohibited for those with embolic diseases, hemiplegia, liver diseases, and abnormal uterine bleeding.
2. Chorionic gonadotropin has also been applied to female patients once a week, 500 to 1000 U intramuscularly, not within 5 to 10 days before menstruation.
3.Progesterone
For female patients with severe disease and aggravation before menstruation, progesterone 10mg can be injected intramuscularly 10 days before menstruation and 5mg again 5 days before menstruation.
4.Anti-androgens
Anti-androgen treatment can reduce the content of free fatty acids on the skin surface and decrease the number of bacteria on the skin surface, thus stopping or/and reducing the inflammatory reactions in and around the hair follicles to different degrees and achieving therapeutic effects.
Corticosteroids themselves can cause acneic damage. For severe cystic acne and coalescent acne, small doses can reduce the inflammatory response, but they are only temporarily effective, and many side effects can occur with long-term application, so they are generally not used as much as possible. Prednisone 10mg is commonly used 2 to 3 times a day, and the dose is gradually reduced after it is effective, and the time should not be too long, and attention should be paid to its side effects. At present, it is mostly advocated to combine with female hormones or anti-androgens for better effect.
Retinoic acid inhibits stagnant hyperkeratosis, prevents new obstruction and inflammation formation, reduces sebum secretion and acne formation, and is effective for nodular and cystic lesions. 13-cis retinoic acid 1~2mg/kg, divided into two doses, for 2~3 weeks, if a second course of treatment is needed, it should be repeated after 8 weeks of discontinuation. Skin lesions may continue to improve after discontinuation of the drug, but there is dry skin, labyrinthitis, gastrointestinal symptoms, and teratogenicity. Patients of pregnant age should use contraception during and for six months after stopping the medication.
Third, acne Chinese medicine treatment methods
In clinical practice, TCM classifies acne into: damp-heat syndrome, internal toxicity and blood-heat syndrome, and blood deficiency and wind-dryness syndrome. TCM suggests that damp-heat syndrome: the general oily, papular type suggests that antibacterial is the mainstay and can be used with Chinese medicine. Patients with acne should avoid alcohol, coffee, spicy stimulating and fried foods, and eat a light diet with more fruits and vegetables. Durian, mango, longan, lychee and other hot fruits should be eaten sparingly to avoid “adding fuel to the fire”. Patients can eat more mung beans, winter melon, lotus seeds, bitter gourd and other detoxifying foods to clear heat and dampness.
Blood deficiency and wind dryness: Blood deficiency and wind dryness should pay attention to liver fire, in the diet as light as possible, eat more green vegetables, celery, carrots, must pay attention to avoid face smoking and alcohol, colleagues can use some drugs to regulate the blood and Qi, itching, moisten dryness, clear heat and dampness into the repair of skin lesions for treatment, such as skin lotion acne Ling pure Chinese medicine effect is remarkable. Keep your mood relaxed, do not be constipated, etc. Most importantly, patients with allergies should try not to contact allergens.
1. Pulmonary heat acne should be treated by clearing lung heat
Acne caused by lung heat is mostly caused by the presence of lung heat and the induction of wind, so that the lung heat cannot be drained out. The rash is mostly around the nose, but can also be seen on the forehead, with occasional blackheads and acne, accompanied by dryness of the mouth and nose, dry stools, yellow moss, red tongue, and a number of pulses. The above method should be used. It should be treated with Diabai San (mulberry peel, ground bark, japonica rice, licorice) combined with Loquat Qing Lung Drink (ginseng, loquat leaf, Huang Lian, Huang Bai, mulberry peel, licorice).
2.Acne caused by blood-heat should be treated by cooling the blood and clearing heat.
Blood-heat acne is mostly caused by internal injury of the emotions, stagnation of the qi, and heat in the camp blood over time. The facial papules are more frequent in the mouth, nose and between the two eyebrows, and the facial flushing is obvious, while in women there is an increase in papules before and after menstruation, with red tongue and fine pulse. When using the above method. The treatment is based on the combination of five flowers (Safflower, Rose, Cockscomb, Wild Chrysanthemum, and Lingxiao Flower) and peach and red four-item soup (Peach kernel, Safflower, Angelica, Radix et Rhizoma, Radix Paeoniae, and Rhizoma Chuanxiong).
3. For acne caused by stomach heat, it is appropriate to use the method of clearing the stomach and intestines.
Stomach heat acne is mostly caused by poor diet, excessive consumption of fatty and sweet things, making the intestines and stomach dry, the accumulation of heat in the middle jiao, depressed in the facial skin. The symptoms of facial papules, like corn, can squeeze out white-powder-like oily substance, interspersed with blackheads and pimples, mostly around the mouth, but also on the back and forehead, and often accompanied by dry mouth and bad breath, eating more, dry tongue, like cold drinks, constipation, and a sunken and strong pulse. It is most suitable for the above method. The treatment with the addition of Qing Stomach San (Huang Lian, Sheng Ma, Angelica, Sheng Di, Dan Pi, Gypsum) is very effective.
4.Acne caused by heat toxicity, it is appropriate to use the method of clearing heat and detoxification
This kind of acne is mostly caused by heat in the lungs and stomach, and then by external poisonous evil, heat and poison in the facial skin. The symptoms are scattered papules on the face, mainly small pustules, often surrounded by a halo of redness, self-conscious pain, in severe cases, can be fire red swelling pain, accompanied by fever, red tongue, dry coating, solid pulse, etc.. When the above method of treatment. With five flavors of disinfectant drink (honeysuckle, wild chrysanthemum, dandelion, purple flowers, purple-backed asparagus ) in and out with the symptoms, its effectiveness is very.
5.Dampness and blood stasis cause acne, it is appropriate to use the method of removing dampness and stasis
This type of acne is mostly caused by dampness in the skin, and then by external toxins that cause dampness and toxicity to coalesce and block the meridians and channels, resulting in disharmony of qi and blood. In addition to papules and pustules, nodules and cysts are often the main symptoms, and the skin is more oily. The most appropriate method. The treatment of acne with the addition and subtraction of dampness and detoxification soup (Fu Ling, Coix Seed, Dioscorea, Che Qian Zi, Soybean Yellow Roll, Ze Di, Pan Lan Gen, Red Peony) will be effective.
IV. Common Chinese medicines for acne
Chinese medicine mainly adopts the method of clearing heat and dispelling wind, cooling blood and relieving dampness.
For internal use, 9 grams of loquat leaves, 9 grams of mulberry skin, 9 grams of bitter ginseng, 12 grams of red herbs, 10 grams of dandan bark, 9 grams of chrysanthemum flowers and 9 grams of raw herbs can be used in a daily decoction. For dry stools, add 6-10 grams of wine army at discretion; for nodular cysts, add 10 grams of mother-of-pearl and 6 grams of lingxiaohua at discretion. External treatment can be applied to the affected area with tea every night and washed off during the day.
Five, Chinese medicine for acne formula
Young people’s youth development, face prone to “acne”, can be cured, the method is; permanent flowers, pick a handful of fresh permanent flowers, night before going to bed with warm water to wash the face, take a few permanent flowers, hands rubbed until water, repeatedly coated in the affected area, rub until no water, and then go to bed, the next morning to wash the face, the same method for three days. After three days, the acne will disappear naturally after a week.
Sixth, Chinese herbal remedies for acne
Chinese medicine tips silver almonds, cut into slices, wash the affected area with warm water every night before bed (do not use soap, soap), take the silver almond slices repeatedly rub the affected area, while wiping off the used part. Each time with 1 to 2 capsules, generally 7 to 10 times to see results.
Fresh cherry branches and leaves, fresh peach tree branches and leaves 50 grams each, fresh acacia branches and leaves, fresh willow branches and leaves 40 grams each, fresh pig bitter bile 2 to 3. Chop all kinds of branches and leaves, add water and decoction, add pig bitter bile juice, and fumigate the affected area. Use 1 pig bitter bile per dose 2 to 3 times daily.
Add 15 grams each of loquat leaves, Xia Gu Cao and Mulberry Bark, 10 grams each of Yin Yin Hua, Lian Qiao and Scutellaria, 50 grams of seafoam, and 7 grams of raw licorice. Decoct 2 times with water, mix the liquid and take in 2 divided doses, 1 dose daily. Salvia miltiorrhiza 100g. Grind into fine powder and take 3 grams internally 3 times a day. Generally 2 weeks to improve, about 6 to 8 weeks acne reduction. The amount can be gradually reduced to 3 grams once a day. Sulfur and Chuanjun, equal parts each, are finely powdered, mixed with water and applied to the affected area. Apply 2 to 3 times daily. 10 grams of alum, 5 grams each of sulfur and rhubarb, 3 grams each of Huang Lian and Huang Bai. Soak 100 ml of cold boiled water for 1 day and night. Shake the solution well every night before going to bed and apply to the affected area.