Etiology, clinical manifestations, TCM syndrome differentiation and treatment of traditional Chinese and western medicine of acne vulgaris: during the development process, the increase of androgen leads to keratinization of sebaceous hair follicle wall and blockage of pores, which leads to poor sebum discharge, thus causing sebaceous hair follicle inflammation, which is also related to propionibacterium acne infection. Traditional Chinese medicine calls it "lung wind acne". Clinical manifestations of acne vulgaris: Huang 1, Department of Dermatology, Guilin Hospital of Traditional Chinese Medicine. Typical lesions are acne at the mouth of hair follicle, including whitehead acne and blackhead acne. The former is a pimple the size of a white needle, and the blackhead acne is that the end of the fat plug is blocked in the hair follicle tube, forming black spots in the enlarged pores, and the fat plug can be squeezed out by pressure. Red papules, pustules and nodules can also be seen, and severe skin lesions can form abscesses, cysts and scars. Clinically, there are mainly one or two kinds of injuries. 2. It is common in forehead, cheek, mandible, upper chest, scapular region, upper back and other places where sebaceous glands are developed. 3. It is more common in young men and women, especially 15~30 years old. The course of this disease is chronic and usually heals itself after development. Traditional Chinese medicine syndrome classification of acne vulgaris: lung and stomach damp-heat syndrome: damage polymorphism, often accompanied by redness, itching, overeating, bad breath, liking cold drinks and dry stool. White or greasy tongue coating and slippery pulse. Treatment of acne vulgaris with combination of traditional Chinese and western medicine: (1) Prevention: avoid squeezing by hand, wash your face with warm water and sulfur soap to remove greasy and blackheads. Eat less fat and sugar, and avoid alcohol and other irritating foods (coffee, cocoa, peppers, etc.). ), live a regular life. (2), Chinese medicine treatment 1, lung and stomach damp-heat syndrome treatment: clearing lung and stomach damp-heat, supplemented by detoxification. Prescription: Shang Qing Fangfeng Decoction or Loquat Qingfei Decoction. 2, or oral Chinese patent medicines such as Wang Ge tablets, Qingkailing capsules and fibrauretine tablets. 3. External use of upside-down lotion and acne mite liquid (cream). 4, traditional Chinese medicine acne spray therapy, traditional Chinese medicine mask therapy and drug therapy. (3) western medicine treatment 1, external use of sulfur lotion, 5% sulfur cream, 5%~ 10% benzoyl peroxide, 0.025%~0. 1% retinoic acid ointment and other preparations. 2. Patients with severe illness can choose to take tetracycline, erythromycin and dimethyltetracycline orally. 3. Female patients with severe illness and patients with polycystic ovary syndrome can take Diane -35 and other drugs containing estrogen and progesterone orally. 4. Patients with serious skin damage such as nodules and cysts can use neomycin dimethyl sulfoxide solvent for external use, and can take isotretinoin (strtnn)20~30mg/ tablet orally in batches; You can also take dapsone (.. S) 100mg three times a week for three months, then reduce it to 200mg per week, and then 100mg per week after the curative effect is consolidated. 5. Plastic surgery can be considered for long-term unhealed abscess and sinus. View original post >>