Chinese medicine treatment of acne 6.1. Internal treatment should be based on the duration of onset, the shape of the lesions and other different manifestations of the typology, and add and subtract according to the evidence. Chen Guangshan, Department of Dermatology, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine (BCMU), has a red or skin-colored papule or pimple with itching and pain, yellow urine, constipated stool and dry mouth. The prescription is Loquat Qing Lung Drink or Diabai San with addition or subtraction. Damp heat of the spleen and stomach: The lesions are mainly red papules and pustules with pain, oily skin on the face and back of the chest; may be accompanied by bad breath, bitter mouth, dullness, loose stools or constipation, yellow urine; red tongue with yellow greasy coating, slippery pulse or string, equivalent to acne grade II and 丨. The treatment should be to clear heat and dampness, and detoxify the internal organs. For constipation, the Chinese herbal medicines Lianxiao Defeat Poison Pill and Fangfeng Tong Sheng Pill can be used; for loose stools, the Chinese herbal medicines Xiang Lian Pill and Ginseng and Baijiao San can be used. Phlegm and stagnation: The lesions are mainly nodules and cysts, with dark red color and pustules, which do not heal over time. The treatment should be to activate blood circulation and resolve blood stasis, resolve phlegm and disperse knots. The prescription is Hai Zha Yu Hu Tang or Tao Hong Si Wu Tang combined with Er Chen Tang plus or minus. Irregularities in the flushing and the Ren: The lesions are usually found on the forehead, between the eyebrows or on the cheeks, increasing before menstruation and decreasing after menstruation, accompanied by irregular menstruation, irritability before menstruation, breast swelling and pain, and impatience. The treatment should be to reconcile the flushing and the blood, regulate the qi and activate the blood, and the prescription should be Prosperity San or Erxian Tang with Zhi Bai Di Huang Wan plus or minus. 6.2, external treatment and other therapies Chinese medicine wet compress: Amaranthus, Ziziphiopogon, Phellodendron and other water decoction wet compress, 2 times a day, each time 20min, for inflammatory papules, amine blister lesions, play a role in clearing heat and detoxification, reduce inflammation. Chinese medicine mask: upside-down rhubarb, sulfur and other amounts of research fine, water or honey into a thin paste, applied to the lesions, 30 min after the water wash, once a night. Used for inflammatory papules, pustules, nodules and cystic lesions, to break blood stasis and blood circulation, clear heat and disperse nodules. Ear acupuncture point pressure: Take endocrine, subcortical, lung, heart and stomach acupuncture points, use Wang Bu Liu Xing seeds to paste on the acupuncture points, and instruct the patient to lightly press about 1 min per day, and change once every 5 days. Ear-tip puncture and bloodletting: Select the ear-tip acupuncture point or endocrine or subcortical acupuncture point in the ear, and after routine disinfection, puncture the ear-tip acupuncture point with a trigeminal needle, and then squeeze out 6~8 drops of blood stasis at the puncture site. Acupuncture: The main acupoints are Baihui, Shuzhe, Quchi, Dazhi, Hegu, and Lung Yu, and the supporting acupoints are Sibai, Zanzhu, Shimonoseki, Chee Che and points around the skin lesion. Method: The technique is applied in a flat and complementary manner, and the needle is retained for 30 min after acupuncture, once a day. Fire acupuncture: usually select the dorsal points, such as Lung Yu, Diaphragm Yu, Spleen Yu, Stomach Yu, heat, constipation, intestinal Yu, menstrual disorders, and subs. After routine skin disinfection, take the fire acupuncture needle and burn the tip red on an alcohol lamp, then quickly pierce each point directly, 3 times per point, once every other day. Cupping: the points are mostly Lung Yu, Dazhi point, Spleen Yu, Stomach Yu, Large Intestine Yu, Diaphragm Yu, Kidney Yu, etc. Each time to take 4-6 dorsal points, three prong needles pierce the skin, and then cupping in the puncture site, leaving the jar for 10-15 min, once every 3 days, 10 times for a course of treatment.