Acne is a multifactorial disease, the pathogenesis of which is still not fully understood. Modern medicine believes that abnormalities in the secretion of sex hormones and their regulation of the sebaceous glands, abnormal keratinization of the sebaceous glands, microorganisms in the hair follicles, inflammatory damage and immune response, genetic factors, and psychological factors are all involved in the pathogenesis of acne. Among them, the relationship between sex hormone levels and the occurrence of acne is particularly close. In addition to body acupuncture, auricular acupuncture, acupuncture cupping, acupuncture point bloodletting, and buried threads, acupuncture treatment for acne regulates the hormone levels in the body and inhibits the overproduction of sebaceous glands in the hair follicles. For localized whiteheads and blackheads acne, fire acupuncture has its own peculiar effects. When applied, the needle is cauterized on the fire until it turns white, punctured to the base of the acne, pressed to drain the pus, and wiped with a 75% alcohol cotton ball until the pus is drained from the eye of the needle. For localized papules and hyperpigmentation, peripuncture and flash irrigation can be used. The number of needles taken depends on the size of the pigmentation, the color depth and the patient’s ability to accept, in principle, it is appropriate to have more needles. For some medium-sized and heavy cystic acne, fire needling can be combined with peri-pricking and multi-point pricking to exclude the contents. Fire acupuncture combines the effects of moxibustion and moxibustion, and has both local effects such as dispersing nodules, astringent sores, and draining pus, and systemic effects such as clearing heat, removing dampness, and clearing ligaments. Surrounding acupuncture method is to take the lesion as the center, to carry out a layer or multiple layers of encircling multi-needle acupuncture, in order to treat the lesion is relatively limited, the boundary is relatively clear a needle acupuncture method. It can unblock the meridians and improve the blood circulation around the lesions, while the shallow acupuncture can also play an immune response to local inflammation, and together with flash irrigation, improve the microcirculation of the skin, which can play an anti-inflammatory, eliminate stasis, remove marks, and recede spots. Chinese medicine is a holistic approach, and the treatment of acne often reflects the holistic concept of Chinese medicine. Localized treatment can only treat the symptoms, while whole-body regulation can achieve both the symptoms and the root cause of acne. The above is only a brief description of the local acupuncture treatment, for reference only.