Fire acupuncture is a traditional treatment method in Chinese medicine. It is used to treat acne by rapidly piercing the acne lesions with a red-hot needle tip, which is still very effective. In clinical practice, for severe acne such as nodular cystic acne, the use of fire acupuncture has very good results. Then for acne, or even inflammatory papules, treatment with fire acupuncture is also very effective and can be used with confidence. However, when it comes to fire acupuncture treatment, it is recommended that the treatment must be done in the dermatology department of a regular professional hospital to ensure the safety of the treatment. At the same time, fire acupuncture treatment is also a method that can be combined with oral and topical medications, with red and blue light irradiation treatment when necessary.