A female, 32 years old. History: 3 years ago, she started to have light red papules on her front, sometimes with pustules, and her face was greasy, sometimes light and sometimes heavy. 2 years ago, the color of the papules turned red, increased, partly fused, white bean curd-like material could be squeezed out, pustules were obvious, and leucorrhea appeared in large amount and slightly yellow, she had used Tanshinone, skin relaxation, and memantine, etc., but the effect was not obvious, and she visited the clinic because the upper symptoms were aggravated. Diagnosis: slightly thin body type, dark yellow face, irritability, bitter mouth, constipation, leucorrhea with yellow color and high volume (self-reported); red tongue, thin yellow coating, string pulse. Examination: dark red papules the size of green beans on the chin and cheeks, interspersed with blackheads and pustules (papulopustular rash) on some of them, and several dark red hard nodules on the cheeks with an oily surface. Diagnosis: Acne vulgaris. Differentiation: Yin deficiency with internal heat and damp-heat accumulation. Treatment: Clearing damp-heat in the lung and stomach, cooling the blood and detoxifying the toxins, softening the hard nodules and dispersing them. Prescription: Radix et Rhizoma chasteberry 20g, Radix aristolochiae 20g, Radix et Rhizoma groundnut 10g, Radix chai hu 10g, Radix scutellariae 10g, Radix forsythiae 30g, Radix dandelion 20g, Radix paeoniae 10g, Radix tanpi 10g, Radix plantain 20g, Semen coix 30g. 7 doses, one dose daily with water. Localized pustules were treated with fire acupuncture. Second diagnosis: the color of the papules turned lighter, part of it began to subside, leucorrhea decreased, the above added 20 grams of fishy grass, followed by 12 doses. (Because of the obvious reduction of pustules did not do fire acupuncture treatment again). Third diagnosis: most of the skin lesions flattened, oily discharge reduced, basically no leucorrhea, the front remove plantain, add salvia 10 grams, followed by 12 doses. Fourth diagnosis: The lesions basically subsided, leaving only pigmentation, and was clinically cured. Body: There are many types of acne, and the etiology of different types of acne is different. Adult women with acne on the jaw (chin) have their own special characteristics, _.1 Special manifestations: (1) The age is mostly around 30 years old women, and some patients do not have acne in adolescence. _. (2) Performance: Acne tends to grow on the jaw (chin), with few or no other parts of the face, and recurrent episodes. _. (3) Often have gynecological disorders such as abnormal leucorrhea and menstrual disorders. _. (4) Often have the following symptoms: facial fever; insomnia, irritability, constipation, yellow urine, vulvar itching, leucorrhea in large amounts, yellowish and smelly; Therefore, there are different treatments: from the TCM point of view, it is mostly due to internal dampness and heat, fumigating the skin on the basis of the yin deficiency constitution. The treatment principle is to nourish yin, tonify the kidneys, clear heat and dampness, cool the blood and invigorate the blood. At the same time with acupuncture (fire acupuncture or bloodletting therapy), 4 weeks for a course of treatment, after 1 to 3 courses of treatment, most can be cured.