Swollen acne with hard lumps on the face is usually a symptom of cystic acne, which needs to go to the hospital in time. The treatment mainly includes oral medication, topical medication, phototherapy and daily care. 1. Oral medication: Oral medication for cystic acne mainly includes retinoids and antibiotics, and retinoids include viaminate capsules and isotretinoin soft capsules. Antibiotics are mainly doxycycline tablets, minocycline and so on. 2. Topical medication: mainly bactericidal and antikeratinization, you can use fusidic acid cream, adapalene gel, retinoic acid cream, etc.. Cystic acne is prone to scarring or marking, and can be treated with topical medications such as sodium heparin sodium allantoin gel or mucopolysaccharide polysulfate cream when it begins to subside. For severe nodular or cystic acne, intradermal steroid injections may be used. 3. Phototherapy: Use LED blue light or red light to treat mild to moderate lesions; photodynamic therapy (PDT) with topical 5-aminolevulinic acid (ALA) to enrich the sebaceous units of the hair follicles, plus red light for severe acne. 4. Daily care: cystic acne patients should usually pay attention to early to bed and early to rise without staying up late, eat less spicy and greasy food, do not drink alcohol, do not squeeze the acne. The above medications and surgeries need to be consulted with a professional dermatologist before treatment and treated under the doctor’s guidance.