Acne is a common skin disease of adolescence. At the beginning, the rash is mostly the size of a pinhead or sesame seed and is mostly dark red or bright red in color, with a black head at the top gradually, and white powder slag can be squeezed out, some of which can leave depressed scars. As a common skin disease that affects beauty, acne has many individual differences, but no unified treatment plan has been formed yet, so it is crucial to choose the right treatment for different patients. Case example: The patient, male, 26 years old, was first diagnosed on May 1, 2021, with scattered red and swollen pustules on the cheek, which had been occurring intermittently for more than 5 years. He had been treated with various means with poor results. He had a history of eating spicy and irritating food, but in the last six months he had a regular diet, had a good sleep, and had no other complaints. He has a history of high uric acid, blood uric acid: 480 umol/L. The Chinese medicine diagnosis is wind-heat in the lung meridian, and the main treatment is to clear the lung and cool the blood. The formula used: Xianfang Livestrong Drink Lianxiao 10 Angelica Sinensis 20 White Peony 10 Chen Pi 10 Vinegar Trigonella 10 Vinegar Curcuma 10 Tian Tianfen 10 Angelica dahurica 12 Dandelion 30 Xuan Shen 10 Cornus 10 Coix Seed 30 Che Qian Zi 10 Press: The patient’s medical history shows that the patient has been eating spicy and oily food for many years, which over time has produced dampness and heat, stagnating the skin and fumigating damp heat. In addition, during puberty, the vitality of the body is strong, and the blood is getting hotter and hotter. This formula has been called “the holy medicine of sores and ulcers and the first formula of surgery” by previous generations and is suitable for all kinds of sores and swellings with Yang evidence and physical reality. When used properly, “the pus will disappear before it is formed, and those that have become will collapse”. The treatment plan is individualized according to the patient’s specific symptoms. In order to prevent frankincense and myrrh from injuring the spleen and hindering the stomach, frankincense and myrrh were removed and replaced by curcuma longa and trigon, which together with angelica to invigorate the blood and chenpi to move the qi to relieve swelling and pain, were used as ministerial medicines. The sores and ulcers are mostly detained between the skin couples, so the pungent Angelica dahurica is used to clear the stagnation and disperse the knots, so that the heat and toxicity can be relieved from the outside; dandelion, psyllium, cornus, and coix seeds clear heat and detoxify diuresis, with the evil way out, so that the damp heat and toxicity can come out from the stool; the combination of all the medicines can help clear heat and detoxify, subdue swelling and ulcerate firmness, invigorate blood and relieve pain. The patient was treated with the herbal soup for 28 days, and her facial acne disappeared and all symptoms were relieved. The clinical evidence of acne is complex, so it is not necessary to discuss all of them. In addition, acne has an obvious self-healing nature, so if mild acne does not affect the aesthetics, no treatment is necessary. However, for moderate to severe acne, it affects the aesthetics and brings great psychological pressure, so it must be treated in a timely manner.