Western medical treatment for acne
1, pay attention to regulating the function of the digestive tract, eat less animal fats, sweets and irritating foods, and wash the affected area with warm water, sulfur or other degreasing and anti-inflammatory soaps frequently.
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 severe dermatitis and no intestinal disease.
Sex hormones cannot 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 used by female patients, it should be started 5 days after menstruation. For female patients with premenstrual aggravation, ethylene estradiol 0.25-0.5mg can be taken daily for two to three weeks after the start of menstruation. it is prohibited for those with embolic disease, hemiplegia, liver disease, and abnormal uterine bleeding.
2). Chorionic hormone (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: In severe cases and in female patients with premenstrual exacerbation, progesterone 10mg can be injected intramuscularly 10 days before menstruation and another 5mg 5 days before menstruation.
Anti-androgen: 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 reaction in and around the hair follicles to varying degrees and achieving therapeutic effects.
1), Ampicillin: 20mg each time, 3 times daily.
2), Ketofurazole: 200mg daily, change to 100mg daily after one month of dosing.
3) Cimetidine: 400mg per dose, 3 times a day, changed to 200mg per dose, 3 times a day after one month.
The above three drugs are effective in treating female acne.
4).Compound norethindrone: 1 tablet per day for 4 weeks for men and 0.625mg for 22 days for women on the 5th day of menstruation.
5) Methocarbamol Oral 0.2g, 3 times a day. Take it before meals, 4 weeks as a course of treatment. It is believed to have anti-androgenic effect, blocking the binding of dihydrotestosterone to hair follicle receptors, inhibiting sebum discharge and reducing inflammation.
Corticosteroids: Can cause acneic damage by itself. For severe cystic acne and convergent acne, small doses can reduce the inflammatory response, but they are only temporarily effective, and many side effects will 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 be combined with female hormones or anti-androgens for better effect.
Retinoic acid: Inhibit stagnant hyperkeratosis, prevent new obstruction and inflammation formation, reduce sebum secretion and acne formation, good for nodular and cystic lesions. 13-cis retinoic acid 1~2mg/kg, divided into two doses for 2~3 weeks, if the second course of treatment should be stopped after 8 weeks and repeated. Skin lesions may continue to improve after discontinuation of the drug, but there is dry skin, labyrinthitis, gastrointestinal symptoms, and teratogenicity. Pregnant-age patients should use contraception during and for six months after discontinuation of the drug.
Aminophenyl sulfone (DDS): may have anti-inflammatory effect, suitable for cystic and nodular damage, 50mg orally twice daily for 1 to 2 months, should pay attention to hematological system, liver damage side effects.
Zinc preparations: have inhibitory effect on follicular keratinization or inflammation, zinc gluconate 70mg, 3 times daily for 4 weeks, or zinc sulfate 0.2g, 2 to 3 times daily for 4 to 12 weeks, with gastrointestinal side effects.
Vitamins.
1), vitamin B2, B6 and vitamin B complex.
2), Vitamin A 150,000 U per day for 4 to 8 weeks.
3), Vitamin A 150,000 U per day and Vitamin E 50 mg per day for 4 to 8 weeks.
6.Topical treatment
The purpose of treatment is anti-inflammatory, antiseptic, de-fatting, removing excessive oil and grease from the skin surface, removing pore blockage to make the sebum outflow smoothly. Keep the skin clean and control the infection. You can wash your face with hot water and soap 1 to 3 times a day, better with the medicinal soap containing sulfur.
Antibiotic drugs: 1% chlorine tincture (chloramphenicol + salicylic acid), 2% erythromycin alcohol, 1% jessamine solution, etc.
Benzoyl peroxide: It has bactericidal, keratin exfoliation and dissolving effects, inhibits sebum secretion and reduces free fatty acids. However, a few patients have reactions to benzoyl peroxide topical application, which can produce contact dermatitis. Therefore, before using the drug to make a patch test, no reaction then, the experiment proved that the use of 3.5% benzoyl peroxide lotion, cream and other preparations are more effective, external application 1 to 2 times a day.
Retinoic acid: keratin exfoliation, such as 0.05% to 0.1% retinoic acid cream or solution, external application 1 to 2 times a day. Note that if local irritation reactive erythema, flaking, etc., should be suspended for 1 to 2 days, and then continue to use, or from a low concentration until the skin tolerated, can be used for 1 to 2 months.
White lotion (zinc sulfate 4.5, potassium sulfur-containing 4.0, rose water or water added to 100) reduces sebum, inhibits infection, and expands the mouth of hair follicles to facilitate sebum discharge. 1 to 2 times a day.
7, physical therapy: mask there are two kinds of herbal masks and inverted film, before doing both first clean skin, then apply medicine, spray, massage so that physical therapy, massage, medicine into one, the interaction to achieve the purpose of treatment and beauty.
1), Chinese medicine mask: the mask powder with a small amount of honey, water to make a paste, and then applied to the face, while coated with a spray side Chinese medicine massage techniques follow the direction of the acupuncture points and blood circulation massage.
2), inverted film mask: add different drugs in the matrix to make a variety of creams, and then apply the cream to the face, while applying the spray side massage for several minutes, with skimmed cotton will be covered with eyes, nose, mouth and beard part, and then the plaster into a thin paste with water, immediately applied to the face, pay attention to reveal the nostrils and mouth, wait for the plaster from soft to hard to hot, from hot to cool slowly, you can take the plaster off.
Intra-dermal injection: Inject 0.05~1ml (each ml contains 10mg) of de-inflammatory pine suspension mixed with saline into severe nodule and cyst damage, once a week, can be done 3~4 times in a row.
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-dry syndrome. TCM suggests that damp-heat syndrome: general oily, papular type is recommended to suppress bacteria can be used with herbs. 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.
A. Acne caused by lung heat should be treated by clearing lung heat
Acne caused by lung heat is mostly caused by the presence of persistent heat in the lungs 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 fur, red tongue, and a number of pulses. The above method should be used. It is advisable to use Diabai San (mulberry peel, ground bark, japonica rice, licorice) combined with Loquat Clear Lung Drink (ginseng, loquat leaf, Huang Lian, Huang Bai, mulberry peel, licorice) to treat this condition.
Blood-heat acne 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 mostly between the nose and mouth and the two eyebrows, and the facial flushing is obvious, while in women there is an increase in papules before and after menstruation, the tongue is red, and the pulse is fine. When using the above method. The treatment is based on the combination of five flowers (safflower, rosebuds, cockscomb, wild chrysanthemum, and lingxiaohua) and peach and red four things soup (peach kernel, safflower, angelica, raw earth, red peony, and chuanxiong) with a reduction.
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, and the heat and poison are combined 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 the five disinfectant drink (honeysuckle, wild chrysanthemum, dandelion, purple flowers, purple-backed asparagus ) with the symptoms in and out, its effectiveness is very.
Fifth, 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.
Common Traditional 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 used upside down san, every night with tea water transfer after applying the affected area, wash off during the day. White peony 3 grams, fine spice 3 grams, Tongcao 2 grams, peach kernel 3 grams, plus two broken dates. Every day at 7:00 a.m. and 4:00 p.m. boiling water to take, eight doses of a course of treatment. Serve until the acne or stool discharged as effective, and then continue to adhere to the day of light and clean. There is no need to boil the medicine, just put it into a plastic travel cup (the kind with a strainer at the mouth) and take it with boiling water.
Chinese herbal formulas for acne
[Formula 1]: 15 grams each of zhebei mum, white fenugreek, chrysanthemum leaves, antiphlogistic, dahurica, talcum, and 10 grams of saponaria. The six flavors are finely ground, and the soap horn is steamed to remove the fascia, and the same medicine is pounded into pills and rubbed on the face in the morning and evening. This formula dispels wind and clears heat, and is suitable for acne and freckles.
[Formula 2]: 20 grams of adzuki beans, 6 grams of pseudostellaria, 3 grams of ephedra, 10 grams of silver flower, 8 grams of zedoary, 15 grams of poria, 8 grams of psyllium, 15 grams of shenhu, 3 grams of safflower and 6 grams of licorice. Decoction for tea, 1 day 1 dose, and wash the affected area with the liquid, 1 time in the morning and 1 time in the evening. This formula is suitable for acne because of its ability to eliminate sores.
Carrot juice to eliminate acne Take 1000 grams of carrot, wash and press the juice, 8 peach leaves decoction juice 400 ml, pour into the carrot juice, wash your face with this method, wash your face three times a day, one dose a day, adhere to wash three days, acne can be eliminated. The bubble permanent flower cure “acne”.
Young people’s youth development, face prone to “acne”, can be cured, the method is; permanent flowers, pick a handful of fresh permanent flowers, before going to bed at night to wash your face with warm water, take a few permanent flowers, hands rubbed to water, repeatedly coated in the affected part, rub to no water, and then go to bed, the next morning wash your face, the same method even with After three days, the acne will disappear naturally after a week.
Chinese herbal remedies for acne
Chinese medicine suggests the appropriate amount of silver almonds, cut into slices, wash the affected area with warm water every night before going to bed (do not use soap, soap), take the silver almond slices repeatedly rub the affected area, while rubbing 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.