Concept
Acne is a common skin disease that causes inflammation of the sebaceous glands or hair follicles on the human skin, and localized lesions produce prickly papules that can squeeze out white or milky white rice-like powder. According to Chinese medicine, there are three types of acne: lung meridian wind-heat type, phlegm-heat type, and punch-anywhere type, each with different symptoms. If the pimples are small and red, they are usually of the lung-heat type; if the pimples are red and swollen and have pus heads, they are mostly of the phlegm-heat type; if the pimples appear or worsen around the time of a woman’s menstrual cycle, they are of the punch-perfect type.” In addition, Luo Guangpu introduced, these three types of acne, each good season. In the summer, phlegm-heat pimples are more common; in the autumn and winter, they are mostly lung meridian wind-heat type pimples; and the unregulated type has no obvious season, but is only related to women’s menstruation.
Etiology]
The onset of acne is mainly related to androgens and increased sebum, hyperkeratosis of the hair follicle sebaceous glands, Propionibacterium acnes infection and secondary inflammation, and in some cases, genetics, immunity, endocrine disorders, emotions and diet.
After puberty, the production of androgens increases or the levels of androgens and estrogens become imbalanced. Increased androgen levels can increase the size of sebaceous glands and increase sebum production. These bacteria (especially Propionibacterium acnes) can hydrolyze the triglycerides in sebum and produce free fatty acids that proliferate and hyperkeratinate at the openings of the sebaceous glands of the hair follicles, which obstruct the sebum secretion channels and cause poor excretion. When sebum and keratin clumps accumulate at the mouth of the hair follicle, acne is formed. In addition, some low molecular peptides produced by Propionibacterium acnes can chemotactic neutrophils, and the hydrolytic enzymes produced by the latter can also cause damage to the hair follicle wall and rupture.
Diagnostic criteria
It occurs mostly in young men and women aged 15-30, with lesions mainly on the face and chest and back. The initial basic damage is acne, with no obvious inflammation. The acne is a small nodule with a pinhead size, and the “blackheads” are located at the tip of the open follicle opening and can be squeezed out as hard fat plugs. Small, palpable nodules without “blackheads” are called “whiteheads” or “closed acne”. As the disease progresses, various inflammatory lesions and sequelae may develop, including red papules, pustules, inflammatory nodules, cysts, abscesses, sinus tracts, and scarring. Patients often have multiple rashes present at the same time, but one may predominate. The disease has no obvious self-reported symptoms. Heavy inflammatory lesions can cause discomfort, pain and tenderness, which can be diagnosed based on features such as obstructing grooming.
【Symptoms
The hair follicles secrete excessive oil. However, acne is not seborrheic dermatitis. Blackheads and whiteheads: both are non-inflammatory and caused by excessive sebum. The former is black due to the presence of openings, and the surface oil is oxidized by air; the latter has no openings, so the sebum remains white papular knot sequelae: scars (depressions, furrows, chickenpox-like); pigmentation.
【Chinese medicine treatment
Female patients start to take the medicine after menstrual ovulation, 15 doses until the cessation of menstruation, for 3 consecutive menstrual cycles, male patients take 20d, with a week break, for 3 consecutive cycles as a course of treatment.
Recipe: Scutellaria baicalensis 15g, Radix et Rhizoma forsythiae 12g, Radix cypress 6g, Radix chrysanthemum 9g, Radix paeoniae 6g, Radix Platycodon grandiflorum 10g, Radix angelicae 6g, Radix salviae 20g, Radix et Rhizoma spp. 10g, Radix salviae 10g, Radix glycyrrhiza 6g. If the nodular cysts do not subside for a long time, add Radix astragali 15g. Take orally twice in the morning and evening.
Prepared Chinese medicine
1. Angelica Bitter Ginseng Pill: Mainly for the treatment of acne with clinical manifestations of nodules and cysts, which are mainly of the damp and stagnant type.
2. Compound Pearl Dark Sore Tablets: Strong detoxifying and cooling effect on blood, and also nourishing Yin. It is suitable for young patients with a strong constitution and a burning heart fire, with flushing, congestion, greasy patches on the face, and more inflammatory papules and pustules, and is mostly used for patients with Grade III acne.
3.Golden Flower Anti-Acne Pill: It is mainly used for patients with acne of degree II who have heat in the lungs and stomach, with papules, pimples and a few pustules accompanied by constipation and yellow urine, dry mouth and sore throat.
4.Clear heat and dark sores tablets: good at clearing upper jiao heat toxins, but the detoxifying effect is better than the cooling effect of blood. It is mainly used to treat acne of degree III with pustules as the main contempt.
5.Laxative and anti-acne gel: It is mainly for patients with acne of degree I or II who have a small number of dark red papules and are unable to pass stool.
6.Yin Qiao Jie Toxin Pill: It is mainly used in the early stage of acne, with itchy skin lesions, wind-heat attacking the upper jiao, thirst, dry throat, sore throat and other evidence.
7.Gonglao De-Fire Tablets: Used for treating acne in middle-aged women, mainly papules, mostly acne of degree I and II; more suitable for those with menopausal symptoms such as hot flashes, spontaneous sweating, heartburn and insomnia.
8.Yiqing capsule is mainly used to treat facial acne caused by inflammation of stomach fire. It is mainly used for patients with acne caused by inflammation of the stomach and red rashes and pustules around the mouth, but it is the same as Angelica Bitter Ginseng Pills and must be used in combination with other drugs.
Western medicine treatment]
Cosmetics and ointments containing oil are prohibited.
Therapeutic drugs are available in both oral and topical dosage forms.
Salicylic acid and azelaic acid: mainly used for exfoliation.
Benzoyl Peroxide (benzoyl peroxide): It is an oxidizing agent with strong bactericidal power and no resistance problem.
Topical t-Retinotin (commonly known as A acid): induces sebaceous gland atrophy, bactericidal and anti-inflammatory effects in a trio. It has the strongest effect and is the last line of treatment, and should not be used easily unless it is a last resort.
Topical antibiotics (antibiotic therapy).
【medicinal dietary treatment
1.Mung bean and barley soup
Main ingredients: 25 grams of mung beans, 25 grams of barley .
Supplementary ingredients: hawthorn 10 grams.
Efficacy: drink as tea. 3-5 times a day, suitable for oily skin.
2, mung bean and kelp soup
Ingredients: 30 grams of mung beans, 30 grams of kelp, 30 grams of barley.
Supplementary ingredients: the right amount of rock sugar.
Effect: This soup has the effect of clearing heat, dehumidification, itching, etc.
3, garlic hyacinth boiled carp
Ingredients: 1 carp with 250 grams, 3 heads of garlic, 15 grams of water hyacinth.
How to use: eat fish and drink soup, 1 dose daily for several days.
Effects: Detoxify and reduce swelling, stop bleeding and promote muscle growth, suitable for acne patients.
4.Mung bean and wisdom soup
Ingredients: 80 grams each of barley and mung beans, 10 grams of honey.
Production: mung beans, barley, wash, put into a pot, add an appropriate amount of water, stewed over moderate heat until cooked, simmer for a few minutes.
Usage: Mix in honey and drink while hot.
Efficacy: clear heat to quench thirst, soft skin hard knots, can treat acne, seborrheic dermatitis, skin warts.
Diet taboos]
1 advisable: diet should be light, while rich in nutrients.
2 avoid: eat less spicy food: such as chili, onion, garlic, etc.. This kind of food is hot, easy to fire after eating.
Eat less greasy food: such as animal oil, vegetable oil, etc.. This kind of food can produce a lot of heat, make the internal heat aggravated. Therefore, must avoid eating such as lard, cream, fatty meat, pig brain, pig liver, etc.
Can not eat fishy hair things: such as sea eel, sea shrimp, sea crab, scallops, etc.. Fishy things can often cause allergies and aggravate the disease, often make the sebaceous glands of chronic inflammation to expand and difficult to get rid of.
No tonic: Most of the tonic is a hot product, and after the tonic, the internal heat is aggravated, making it easier to induce acne.
Eat less high-sugar foods: such as white sugar, icing sugar, brown sugar, glucose, chocolate, ice cream, etc. When the human body eats foods high in sugar, the body’s metabolism will be exuberant and sebaceous glands will secrete more, thus causing acne to appear continuously.
Less exposure to stimulating foods: such as cigarettes, alcohol and strong tea, etc.
[Care and Regimen
Acne and residual symptoms can subside naturally as long as good habits are maintained for a period of time (one to two months), and you should exercise to burn off excess fat, avoid high-calorie foods, especially those containing more oil, and wash your face with warm water at least once or twice a day to wash away the oil on the skin surface.