”Acne” is the common name for acne, which is also known as “facial pimples”, “pulmonary wind acne” and “wine pimples” in Chinese medicine. Modern medicine believes that the cause of acne is endocrine imbalance and excessive secretion of androgens. Most Chinese doctors believe that acne is located in the lungs, and the pathogenesis includes blood heat in the lung meridians and damp heat in the spleen and stomach. For example, in the book “The Authentic Book of Surgery”, it is said that “lung wind, acne and rosacea are of the same kind, acne belongs to the lung and rosacea belongs to the spleen. Another example is the “Medical Jinguan? Surgical Heart Method” said: “lung wind acne, this disease by the lung blood heat and become, every hair on the face of the nose, the broken pimples, shaped like millet crumbs, red swelling pain, broken out of white powder juice. Day long are into white flakes, it is appropriate to take internal loquat clearing lung drink, external application of inverted powder, slowly from the work also.” Chinese medicine clinical treatment every heat, dampness, cooling the blood and other methods. However, after years of clinical verification, the author believes that the fire in the heart and gallbladder meridians is the main reason for the formation of this disease. The heart contains the ruling fire, and the bile meridian contains the phase fire, and the two fires need to go down and hide in the kidney to warm the abdomen and waist and feet. If there are irregularities in work and rest, such as staying up late, irregular diet, and anxiety due to invisible pressure in the heart, and even strain on the spleen and stomach, and liver and gallbladder stagnation, there is poor drainage of qi and blood, stagnation of middle qi, and upward rebellion of stomach qi. Acne is lingering and difficult to treat. Acupuncture has advantages in treating acne, including the papular, pustular, and persistent types. The method is as follows: Use a 0.5-inch milli-needle to stab shallowly in the center of the affected papules and herpes scattered in the center, stabbing into about two minutes, body needles choose Hegu, Sanyinjiao, Taichong, flattening and flattening the drainage, retaining the needles for 30 minutes, making the herpes bleed a little better after taking the needles. At the same time, if you take Huanglian Agaricus soup with the addition of half asia and geranium. Supplemented with more fruits, sleep on time before 11 pm, do not eat spicy and oily food, etc., generally after 3 months to 6 months of treatment, most patients are satisfied with the results. Case example Patient Lv, female, 30 years old, sought medical advice for many years because of recurrent facial acne, and had used topical western medicine to eliminate acne to no avail. She had been treated with topical acne medication for many years and had failed to get rid of acne. She saw clusters of red papules on both cheeks, forehead and chin, which were higher than the skin, with red and swollen herpes. This is a case of heat stagnation in the lung and stomach meridians, reaching the head and face and stagnation of dampness and cold in the lower jiao. The treatment should be to clear the upper heat and warm the damp-cold in the lower Jiao at the same time. In the center of the affected papule and herpes, the shallow stabbing is scattered and the stabbing is about two minutes. Shen Dao acupuncture cupping, Tianshu, Qihai, Zhongbei acupuncture irradiation infrared, while taking the above herbs, a total of 1 month treatment, the patient facial papules significantly smaller, with the skin flat, the rash red receding, close to healing and diarrhea healed. Scattered pricking of the affected skin can play the role of draining heat and swelling, activating blood circulation and eliminating blood stasis, regulating meridian qi, improving skin microcirculation and promoting lipid metabolism of hair follicles. The blood pricking method has the effect of expelling bad blood, eliminating turbid Qi, opening the meridians and regulating blood Qi, which can change the pathological changes in the meridians where Qi and blood are not running smoothly, thus achieving the purpose of adjusting the functions of the internal organs, meridians and Qi and blood. The Nei Jing says: “If the disease is in the veins, regulate the blood; if the disease is in the blood, regulate the luo”, and records the use of blood pricking to treat infectious skin diseases. The Sanyinjiao point is the meeting point of the spleen, liver, and kidney meridians and has the effects of clearing heat and dampness, nourishing the kidney and regulating the liver, moving qi, and draining the lower jiao. The Hegu point and Shen Dao bloodletting point are good at moving Qi and draining lung heat; the Taichong point can dredge the liver and move Qi; and the Foot San Li can rotate Zhong Zhou and draw Qi fire downward. The combination of the above points has a good regulatory effect on endocrine.