Cuochuang

Acne, commonly known as acne, acne and acne, was called facial sore and wine thorn in ancient Chinese medicine. It is a common and frequently-occurring disease in dermatology. According to scholars' statistics, 95% of men and 85% of women have acne in adolescence to varying degrees. So it is appropriate for everyone to call it "acne". Acne (acne) is a chronic skin disease that occurs in sebaceous glands of hair follicles, mostly in areas rich in sebaceous glands such as head, face, neck, chest and back. The main clinical manifestations of acne are blackheads, hoary heads, inflammatory papules, pustules, nodules and cysts, which are easy to form pigmentation, large pores and even scar-like damage. It affects the appearance, and in severe cases, it can lead to disfigurement, causing great psychological pressure and mental pain to young people. Early detection and treatment of this disease is very important. Timely and standardized diagnosis and treatment can avoid or reduce skin damage.

I. Reasons

The cause of acne (whelk) is clear, which is caused by anaerobic propionibacterium acne infection, but it is a multifactorial disease. Traditional Chinese medicine believes that the face, nose, chest and back belong to the lungs, and this disease is mostly caused by wind-heat blocking the skin through the lung meridian; Or because of overeating, fat and spicy, spleen and stomach accumulate heat, damp and heat are endogenous, and the surface is fumigated; Or because the body is young, the blood is vigorous, the yang heat is rising, the cold is resisted, and the skin is depressed. In addition, the blockage of hair follicle mouth caused by external cosmetics is an important cause of this disease. Modern medicine believes that this disease is the result of many factors. The first is endocrine in the body: mainly the increase of androgen secretion level, which promotes sebum secretion to be active and increase. The blockage of sebaceous gland openings in hair follicles is an important factor in the pathogenesis. In the case of hair follicle occlusion, Propionibacterium acnes proliferates in large quantities, leading to inflammation and forming the most basic damaging inflammatory papules of acne. In sebaceous glands with blocked hair follicles, a large number of sebum and pus cells destroy the structure of sebaceous glands in hair follicles, forming nodules, cysts and powder tumors, and finally destroying the skin and even forming scars.

<1> The location and age of the cause of acne

Acne is a common disease in dermatology outpatient department, and its prone age is between12 and 25 years old, but it first occurs at 10 ~ 13 or 30 years old. Often occurs in the face, chest, back and other parts with more sebaceous glands. Its clinical manifestations vary widely, including whitehead acne, blackhead acne, papules, pustules, cysts and so on.

< 2 > there are three main factors in the formation of acne:

Hyperkeratosis of sebaceous duct.

Increased sebum secretion.

Bacteria play a role and cause an inflammatory reaction.

< 3 > acne can be affected by the following factors:

Endocrine: Patients can often notice that the lesions get worse before menstruation.

Foods: such as peanuts, chocolate and fried foods can worsen some patients.

Emotion: such as nervousness, anxiety, lack of sleep, etc.

Climate: Sunlight exposure and high humidity will worsen the condition of some patients.

Chemicals: such as oral or topical accessory renal cortical hormone, some cosmetics, industrial oil, PCBs, some anti-tuberculosis drugs, etc. , may cause acne.

Genetic factors, etc.

< 4 > acne treatment instructions

The treatment of acne is mainly divided into topical drugs and oral drugs;

For mild patients, topical medicine can be used.

For patients with moderate or above, both external medicine and internal medicine should be given. Generally, the course of oral medication takes several weeks to half a year, depending on the severity of the disease.

You know, acne can't be cured in a hurry. There may be no obvious progress in the first few days, but most patients can get better after a few days. During the treatment, take the medicine patiently according to the doctor's instructions. Most people have the experience of acne, and the degree of acne is mild and serious. Don't take it lightly, let nature take its course, resulting in scars all over your face. We suggest that if you have acne problems, you should consult a doctor for guidance and treatment. After all, it is human nature to love beauty. Properly treated, acne can minimize sequelae, and the earlier the treatment, the better the effect.

As long as you start treatment, we are sure that your acne will get better, but please remember that the treatment response of acne is very slow, mild acne will get better in a few weeks, moderate acne needs 1 ~ 2 months, and severe acne needs 1 ~ 3 months, so you must report your illness regularly.

After treatment, acne may still recur because of not paying attention to eating habits or living habits. At this time, another course of treatment is needed. Because of the quick recovery of mild acne treatment, the early treatment effect is faster and better.

〈5〉 Acne will get better sooner or later, so why treat it?

With the decline of skin oil, the degree of acne will naturally be reduced. When you get older, your skin will slowly turn from oil to dryness, which is why the older you get, the less acne you get. There are two reasons why I actively encourage patients to receive treatment: First, acne is much longer, which often affects the appearance, and patients will have emotional troubles when facing the masses. Especially those teenagers who have the greatest pressure on their homework are really "internal troubles and foreign invasion"! Second, if it grows too seriously, it will stop acne, leaving dents, vasodilation or melanin spots, which will once again cause the psychological burden of patients. If you want to treat scars at this time, the medical expenses of the operation are several times that of the initial medical expenses. Then, why not spend the least money and the most economical time to help yourself "get vaccinated"?

〈6〉 Stages and characteristics of acne

1, mild acne: 85% of acne is mild acne, which is small in size and small in quantity. If you take good care of it, acne won't grow. After the inflammation subsides, there will generally be no sequelae such as scars.

2. Moderate acne: 65,438+00% patients with acne belong to moderate acne, which is large in size and large in number, and is easy to form abscess, causing pus spots on the top of acne. After mild tenderness, if the infection subsides, there is generally no scar left.

3, severe acne: 2 ~ 3% of acne patients belong to severe acne, large volume, large number, wide distribution, lasting course of disease, severe tenderness, such as poor care, it is easy to leave scars, pits and other sequelae.

〈7〉 Will losing weight affect acne?

There are many ways to lose weight, from dieting, meal replacement, exercise, medicine, fat pushing, slimming tea to acupuncture and so on. If you use the diet method of controlling food, it is easy to cause nutritional imbalance and even disease! At this point, it is easy to promote the growth of acne. So many people have not lost much weight during weight loss, but their skin has changed! When vitamin A is deficient, skin keratinization is not smooth, which is easy to cause small acne and rough skin, and acne is like mushrooms after rain; Lack of vitamin C will affect the healing of acne scars. Only when the nutrition is balanced and sufficient can we have healthy skin.

Second, the clinical manifestations are:

1. The basic damage is a follicular papule with a black spot in the center, which is called blackhead acne; The surrounding color is red, there are white fat plugs squeezed out by rice grains, and there are small pimples with blackheads and grayish white, which are called white-headed acne. If there is inflammation, acne is red, and small pustules appear at the top, which can affect the appearance at this time. After the ulcer heals, it can leave temporary pigmentation or slightly sunken scars, and it can form some forms of damage such as nodules, abscesses, cysts and scars, and even multiple sinuses and scars can be formed after the ulcer. In severe cases, the face is orange. Clinically, one or two kinds of damage are more obvious, often accompanied by oily seborrhea and seborrheic dermatitis on the head and face. At this time, the face is greasy and shiny, and patches of erythema can appear, and it is covered with oil scabs, which will not heal all the year round.

2. The most common part of the disease is the face, and it can also be seen in the upper part of the chest and back, scapula, chest, neck and buttocks. Consciously, it can be slightly itchy or painful, and the course of the disease is lingering, often one after another, and new rashes are constantly secondary, and some can be delayed for several years or more than ten years.

3. Aggregative acne has a long course, which is more common in men. Common skin lesions such as papules, nodules, cysts, abscesses, sinuses and scars are mixed together. This kind of acne is widely distributed.

We already know about acne, and your troubles will be eliminated after dialectical treatment in our center.

Third, the characteristics of traditional Chinese medicine in treating acne:

Young people pay great attention to face problems, especially young girls. What about falling in love and looking for a job? It has a lot to do with good image. As a boy, who likes to find a girl with a "bunker" face Ha ha!

Not only young people, but also many middle-aged women also treat acne. I think the issue of face is a concern of all women. Regarding the related problems of acne treatment, patients often go to the hospital in disorder, and it is easy to enter the misunderstanding of seeking medical treatment. Spending money is a trivial matter, and more importantly, it hurts the body and appearance. Many patients are prone to fall into the misunderstanding of acne treatment. Below I will briefly introduce the diagnosis and treatment of acne by Chinese medicine. Acne vulgaris is a chronic inflammatory disease of sebaceous glands in hair follicles, characterized by acne, papules, pustules, nodules, cysts and scars, often accompanied by seborrhea, which mostly occurs in young men and women aged 15~35. Traditional Chinese medicine has a good effect on acne. But on the basis of syndrome differentiation and treatment, oral drugs should be combined with external drugs. Generally, I prescribe Chinese medicine for patients to take orally and prepare Chinese medicine for external use. Traditional Chinese medicine pays great attention to syndrome differentiation and treatment, so every client's formula is different, just like a tailor making clothes. In the treatment of acne, there are many misunderstandings: when it comes to acne, it is considered as "fire poison" and cold drugs are used at will. I have a client who treats acne and blindly uses cold medicine. Finally, the acne was not cured, but the stomach had a "stomach cold" problem. In fact, according to the theory of traditional Chinese medicine, although the syndrome types of acne are mostly fire poison, there are also many spleen deficiency, yang deficiency and yin deficiency. I once treated a high school girl, mainly with warm Chinese medicine for invigorating spleen and benefiting qi, and the effect was very good. She has also used traditional Chinese medicine for clearing away heat and toxic materials, but the acne can't grow any longer. It seems that TCM treatment based on syndrome differentiation is really important. Just focus on local medication. Many drug manufacturers have introduced Chinese patent medicines to treat acne, claiming how effective they are. Yes, with these drugs, acne will go down quickly (perhaps with hormones), but once the drug is stopped, it will grow back immediately. I have encountered many such situations in clinic. And these so-called "specific drugs" are expensive! In fact, in the treatment of acne in traditional Chinese medicine, the overall concept is very advantageous. Local treatment only treats the symptoms, not the root cause, and the fundamental problem has not been solved. No wonder new acne will grow soon. Therefore, when I prepare a Chinese medicine mask for my customers, I usually ask for oral Chinese medicine for overall conditioning.

But seeing my customers healthier, more beautiful and better life! I am very happy!

4. Why are acne patients often accompanied by constipation?

According to a large number of clinical observations, most acne patients have different degrees of constipation, dry stool or uncomfortable defecation and other accompanying symptoms. Toxins stored in the body are the root cause of acne. If the digestive tract is not smooth and the stool is not smooth, the toxin will stay in the body and be reabsorbed by the body. After being reabsorbed by the body, the toxin will be distributed to the skin, and acne will appear on the steamed face. At the same time, this toxin will hinder the qi movement of the human body, affect the operation of qi and blood, and lead to endocrine disorders, thus further aggravating acne and lingering. The compound prescription can expel toxins from the body, regulate the qi movement of the body, make the qi movement rise and fall normally, make the qi and blood flow unobstructed, and make the endocrine normal, and tightly buckle the cause of acne, so the therapeutic effect on acne is very obvious. Therefore, it also disproves the correctness of explaining the pathogenesis of acne with the theory of "poison"

5. Is acne a growth in adolescence?

Acne usually grows on the face, especially the sebum belt around the forehead, nose and mouth. But this kind of sebum belt is not only found on the face, but also on the back and chest, so some people will also get acne on their backs. The acne on the back is often overlooked and even itchy and festering, so pay special attention. Acne used to be considered as a symbol of youth, but now it may appear from the age of 15 until menopause. In fact, the age of acne has two stages: one is adolescence and the other is about 40 years old. In addition, frequent acne also has genetic factors. If parents have such troubles, their children may inherit this constitution.

6. Why do you get acne on your chest and back?

The number of sebaceous glands in the chest and back is second only to that in the face. Therefore, although some people are lucky to have no acne on their faces, the acne on their chests and backs makes people afraid to wear low-cut clothes with a bare back. The treatment of acne on the face is the same as acne on the face. According to the severity, drugs should be used externally or added orally. At the same time, fruit acid can also be used to change the skin, improve pore blockage, acne scars and pigmentation. Pay attention to the permeability of clothes, avoid sweating too much, and help prevent acne from getting worse.

Seven, pregnancy and acne

During pregnancy, under the influence of hormones, the secretion of sebaceous glands in the skin will increase, which is a normal physiological phenomenon. Most pregnant women only feel that their faces become oily and their noses become bigger. However, on the faces of a few mothers, even on the chest and back, annoying acne will occur due to pore blockage and bacterial reproduction.

Here are seven suggestions for expectant mothers with acne:

(1), keep your face and body clean. Wash your face with facial cleanser suitable for your skin. When washing your face, gently massage the affected area to facilitate smooth pores.

(2) Pay attention to diet, eat more fruits and vegetables, and eat less fried, high-calorie and spicy food. During pregnancy, mothers with severe acne should not eat greasy food during confinement.

(3) Improper products for external use may cause acne or aggravate acne. It is often seen that expectant mothers are wearing thick foundation and layers of concealer to cover up the acne on their faces. In fact, doing so will only make the pores blocked more seriously, which is not good for acne.

(4) Keep a happy mood and get enough sleep. The more nervous and annoying, the longer the acne.

(5), don't squeeze acne, lest the bacteria on your hands cause secondary infection, or leave a permanent pit.

(6) Take the drugs, skin care products and cosmetics currently in use to the dermatologist for a look, so that the doctor can judge whether it is related to acne.

(7), timely treatment according to the doctor's advice, can be properly controlled.

Eight, the common types of acne

Acne is a chronic inflammatory disease with sebaceous gland structure of hair follicle. Traditional Chinese medicine believes that acne is mostly caused by excessive heat in the lung meridian, or damp heat in the spleen and stomach, plus eating greasy food, or by poor mood, endocrine disorder, toxic blood heat and stagnation of facial dampness. Only by distinguishing the various types of acne can we achieve symptomatic treatment.

This type of lung heat and blood heat is more common in acne and papular acne, and it is a lighter type of acne. It is characterized by black and white acne, red papules with hair follicles and rashes the size of rice grains to mung beans. Patients are susceptible to exogenous wind-heat accompanied by dry throat, dry stool, red tongue, yellow fur and rapid pulse.

Damp-heat type of spleen and stomach is more common in papular type and pustular type acne. Because patients tend to eat greasy and sweet food, spleen and stomach accumulate dampness and generate heat, and damp heat rises. It is characterized by red papules and purulent papules, often accompanied by abdominal distension, poor diet, normal or dry stools, etc. The tongue is red, the coating is white or yellow, and the pulse is smooth.

The damp-heat type of liver and gallbladder is more common in pustules, cysts and acne aggregation. Multi-factor body liver meridian has heat, plus eating spicy and greasy products, which leads to damp heat in the liver and gallbladder, which is steamed from the face. It is characterized by red papules and pustules, bitter taste, easy use, red face, red tongue, yellow greasy fur and strong pulse.

Heat-toxic acne is more common in pustular acne and polymeric acne. Most of them are caused by eating spicy food or feeling the evil of damp heat, which leads to internal fire poison, hot poison on the face and fumigation. It is characterized by bright red and dense, mostly purulent papules, excessive thirst, dry throat and sore throat, yellow stool, red tongue, yellow fur and rapid pulse.

This type of blood stasis and phlegm coagulation is more common in nodular acne and aggregated acne. Patients with severe wet phlegm, qi stagnation and blood stasis, phlegm and blood stasis cementation caused by heat toxin, dark red skin lesions, hard or soft and elastic. The tongue is red or dark red, with petechiae or ecchymosis at the edge, and a string or astringent pulse.

The causes of acne are different and there are many symptoms. Therefore, if you have acne, you must not scribble. You must find a doctor for treatment to be completely cured.

Nine, the formation and treatment of acne marks

First of all, prevention is the priority. Except for proper treatment and care, don't squeeze yourself during redness and inflammation. Most of the serious acne marks are related to their random squeezing. Disinfection of skin and finger equipment, unprofessional technology, incorrect judgment of acne degree. . . Squeezing acne can easily hurt the dermis, leaving pits and spots that can't be eliminated for life.

Pit: once the dermis is injured by improper extrusion, the skin pit formed is actually a slight scar and is permanent. Don't expect skin care products to help you fill these loopholes.

Acne marks: usually there will be dark red or reddish acne marks after acne is calmed down. After a few days, you will find that the color is getting darker and darker, turning black or dark brown, and then you will panic. At this time, the pigment has precipitated into the dermis, and it is difficult for any skin care product to completely remove these scars.

Both acne marks and scars are products of acne, and their causes are clarified. Under the premise of acne, many friends are busy looking for all kinds of secret tricks to get rid of acne marks, and constantly practicing on their faces is even more harmful to the already fragile facial environment. Sometimes it will cause more acne regeneration or skin damage.