Acne vulgaris, commonly known as pimples, is a chronic inflammatory skin disease of the sebaceous units of the hair follicles. Clinical manifestations are characterized by polymorphic lesions such as acne, papules, pustules, and nodules that occur on the face. The occurrence of acne is closely related to factors such as excessive sebum production, blockage of follicular sebaceous ducts, bacterial infection and inflammatory response. Overproduction of androgens: This is the most important cause. Especially in adolescent men and women, excessive androgen secretion is the main reason for the formation of acne. Androgens can directly stimulate the increase of sebaceous glands, promote the keratinization of hair follicles, block pores and cause inflammation, resulting in acne. 1, daily care Once or twice a day, wash your face with warm water to cleanse the skin, avoid squeezing or scratching the lesions with your hands. Avoid using oily cosmetics, powder cosmetics, ointments and creams containing glucocorticoids. Eat a light diet, avoid spicy and greasy seafood and hair. Regular life, regular rest and rest. (1) The main manifestations are: acne at the beginning, redness, swelling, pain, facial itching, dry mouth, yellow urine, dry stool, red tongue with yellow coating, and floating pulse. Treatment: To cool the lung and blood, loquat and lung clearing drink is commonly used, with herbs such as loquat leaf, mulberry bark, Zhi Mu, scutellaria, silver flower, red peony, raw earth, raw gypsum and raw licorice. (2) Heat toxicity type (equivalent to pustular acne) is mainly manifested by inflammatory papules and pustules, with pustules mostly on the top of the papules, surrounded by a red halo, constipation, red tongue with yellow coating and dryness, and a counted pulse. (3) Spleen and stomach damp heat type (equivalent to papule type or pustule type) main manifestations: frequent acne attacks, can squeeze out yellow-white rice-like fat plugs, or pus, face out of the oil bright, accompanied by bad breath and bitterness, appetite is good and bad, stool The tongue is red with a yellowish coating and the pulse is stringy. Treatment: The main treatment is to clear heat and dampness, and the commonly used formula is Scutellaria pinnatifida. (4) The main manifestations of liver stagnation and qi stagnation type: rash distributed on the face and chest and back, accompanied by chest tightness, swelling and pain in the ribs, and boredom. Treatment: It is recommended to soothe the liver and disperse Qi. Medicines include Chai Hu, Citrus Aurantium, Radix Paeoniae, Radix Paeoniae Alba, Radix et Rhizoma Glycyrrhizae, Radix Aromaticus, Dampi, Gardenia, Forsythia, Xia Ku Cao. The above types should be added and subtracted according to the symptoms: for itchy skin, add Bai Xian Pi, Bitter Ginseng, Cicada; for seborrhea overflow, add Coix Seed, Tiger Balm, Raw Hawthorn; for constipation, add Chuan Jun, Dandelion, Grass Cassia, etc.; for menstrual disorders in women, add Angelica, Salvia, etc. (5) Irregularities in the flushing of the body: The main symptoms are irregular menstruation, distension and pain in the abdomen, or an increase in the rash and aggravation of menstruation, with a red tongue and a stringent pulse. In the case of Yin deficiency, it is often accompanied by lumbar pain, irritable heat in the five hearts, dry mouth and thirst. For Yang deficiency, it is common to have unheated limbs, cold fear, white face, pale lips, cold pain in the abdomen during menstruation, reduced by heat, dull tongue, white fur, tooth marks, and sunken pulse. This type is common in patients with onset after puberty. Before the onset of menstruation, menstrual blood is full and easily provoked by liver qi, and the surplus of qi is fire, which is inflammatory and refines fluid into phlegm, forming acne. The kidneys are the main sealers of the body. A disorder of the liver and kidneys can lead to menstrual disorders, endocrine disorders and acne. If the patient has generalized symptoms such as fever in the heart of the hands and feet, night sweats, etc., it is due to kidney yin deficiency and deficiency fire, so the treatment is to nourish yin and lower the fire. Because the liver and kidney are of the same origin, the treatment should take into account each other, nourishing kidney yin without forgetting to clear liver fire, warming kidney yang while warming liver yang. For yin deficiency, Zhi Bai Di Huang Wan is commonly used, while for yang deficiency, Gui Lu Tonic Kidney Pill is used. Chinese medicine has good efficacy in the treatment of acne. I have applied Chinese medicine to treat 85 cases of this disease, with an efficiency of 100% and a cure rate of over 90%. Experienced formula of Three Herbs Soup: Xia Gu Cao, Severance Herb, Snake Tongue Herb, Burdock, Cat’s Claw Herb, etc.