Liver fire and acne can be taken orally with tonics, or applied externally with Upside-Down Paste, Jin Huang Cream, etc. You can also choose acupuncture, puncture cupping and other methods. The manifestations of liver fire and acne include greasy skin on face, chest and back, redness, swelling and pain of acne, emotional irritability, bad breath, constipation, yellow urine, red tongue, yellow moss, and stringy pulse. The methods of treatment are as follows: 1. Oral prescription with the effect of clearing heat and diarrhea (removing heat and fire from the body) and detoxification. For example: Yin Chen Artemisia Tang, gentian liver detoxification soup, etc. The adverse effects and contraindications of these two drugs are not clear. 2. External treatment, excessive acne can be applied externally. If there is abscess, you can apply Jin Huang Cream externally. 3. Acupuncture, you can choose Da Shi, He Gu, Si Bai, Ta Chong, cheek car and other points. 4. Acupuncture and cupping, take the large vertebrae point and the lung point, use three-pronged needles to puncture and release blood, and cupping for 3 minutes. If you need to use internal and external medicines, please go to the hospital and use them under the guidance of professional doctors. Acupuncture and puncture cupping need to be operated by a professional Chinese medicine practitioner.