To Investigate The Treatment Of Female Acne Vulgar By TCM Regulation Of Liver-Kidney And Chong-Ren Meridian

Background:Acne is a common chronic inflammatory skin disorder that is involved with the skin hair follicles,sebaceous glands and hair follicles on the face and neck,such as the thoracodorsal sebaceous glands.From a Chinese Medicine' s point of view,ache is usually seen in specific "lung wind ache" areas that are characterized by a rich distribution of blackhead or whitehead ache, inflammatory papules,secondary pustules or nodules,cysts and scars.Ache can also be considered from a Western medicine' s point of view.Many factors are involved with acne.Some factors include general changes in the level of sex hormones,sebaceous gland hyper function,follicular keratosis,sebaceous duct anomaly,microorganisms in follicle sebaceous units,inflammation,and genetic factors.There can also be psychological factors that are involved in the pathogenesis of acne by influencing the host immune response.The history of TCM practitioners investigates the etiology and pathogenesis of acne.Although there are many factors involved,the most common ones are heat accumulation in lungs and stomach,yin deficiency,blood heat, phlegm and blood stasis,disproportion of Chong and Ren Meridian,such as Spleen hypofunction and dampness accumulation.The TCM practitioners' treatment is based on adjusting the balance between Liver-Kidney Chong and Ren Meridian.There are also treatments where enriching yin and draining fire, clearing lung and removing toxics,cooling and activating blood,conditioning Chong - Ren Meridian occurs.The methods of treatment should combine oral and external therapy together for good therapeutic effect.Ache vulgaris usually occurs in teenagers.It is a chronic disease in adult sebaceous glands.It often occurs on the face,chest and back of young men andwomen.Acne vulgaris causes the formation of comedones,papules,septic scars,node,cysts and so on.Left over scars are commonly seen in department of dermatology.This kind of ache is most often seen in teen girls.The picking exacerbates the acne and causes scars;the scarring leads to more ache and,ultimately, more picking.Anxiety,depression,and other emotional problems may accompany ache vulgaris.The psychological factors and live qualities of acne patients with nervous and nerveless symptoms.Methods we investigated social-psychological factors and life quality of ache patients by using questionnaire of social-psychological factors and living qualities,and identified whether patients have nervous symptoms by using self-rating nervous scale(SAS).According to statistic of SAS,patients were selected into nervous group and nerveless group,then Two groups were balanced in sex,age,occupation and severity of ache.The differences of affected frequency of some social psychological factors and somequality of life were statistically significant: the influenced frequency of some the social-psychological factors and life quality of acne patients who with nervous symptom are higher than those nerveless symptom.Conclusion Because some of social-psychological factors and life qualities of ache patients are impressionable to be affected, dermatologists should solving their nervous symptom and then treating their social-psychological factors so that their qualities of life will be improved while their Ache were treated.In western medicine the ache itself,is known as the common ache,or ache vulgaris,it is a very common skin condition caused by many factors.Treatments are aimed at these various factors.Some treatments include antibiotics, medications to increase skin turnover,and medications to decrease inflammation.In the case of ache vulgaris,the treatment should also address possible emotional problems.Birth control pills may significantly improve acne,and may be used specifically for the treatment of ache.It is also important to know that oral antibiotics may decrease the effectiveness of birth control pills.Otherwise,in cases of unresponsive or severe ache, isotretinoin may be used.Patients using isotretinoin must understand the side effects of this drug.Monitoring with frequent follow-up visits is necessary. The medication must be be prevented during pregnancy,since the drug causes birth defects.Women may also use female hormones or medications that decrease the effects of male hormones to help their acne and Photodynamic therapy using the blue wavelength of light can be helpful in treating acne as well.Methods:The liver and kidney have the same origin,the Yin deficiency of the kidney can cause Yin deficiency in the Liver.Professor Fan made a prescription of (Z.Y.Q.X.C.D.)ZiYinQinganXiaoCuo Decoction,with Auricular needle,which causes Yin to be enriched and the heat to be reduced as well as balance sexual hormone,and as a result treat female acne.From March 2008 to March 2009,we have observed 59 patients with F.A.V. (Female Ache Vulgaris).They were divided into two groups for a four week treatment in Guangdong Provincail Hospital of TCM.The 60 Patients who have symptom of Yin deficiency and internal heat were treated with oral (Z.Y.Q.X.C.D.) with auricular needle,Danshen acupoint injection and liquid nitrogen refrigeration treatment;this used for comparison with the comparing group which uses oral(Z.Y.Q.X.C.D.)with Danshen acupoint injection and liquid nitrogen refrigeration treatment.For external use,both groups used Cuolingding.Result:First stages,for four weeks studies,treatment group isn't more effective than comparing group.The 59 patients treated with Auricular therapy received 4 weeks treatment depending on the severity of their acne and continue to use Auricular therapy.Side effects were limited to mild redness and painful that lasted for 48 hours,and the treatment was found to be safe even for patients.The treatment group to achieve complete treatment of ache for 4 weeks and a 59 percent clearance per treatment compare with compare group which achieved almost the same as comparing group.Second,according to data analysis,ache vulgaris has is related to male sex hormone.Aftering comparing the two groups,treatment group.isn' t more effective than the other group.Treatment group have the same as the other group only has a 6%of improvement.The third step,is to do data analysis on the physiology of the skin on the face.According to our statistical data increasing seborrhea were recognized as risk factors for moderate to sever ache.This is because the skin on the patient' face is more greasier than normal.Skin quality and certain nutrition habits may affect acne severity.Conclusion:Using a prescription of(Z.Y.Q.X.C.)ZiYinQinganXiaoCuo Decoction,with Auricular needle,can enrich Yin,reduce heat and balance sexual hormones, treating female' s unbalanced sex hormone level.Treatment with oral (Z.Y.Q.X.C.) with auricular needle,Danshen acupoint injection and liquid nitrogen refrigeration have reliable effect,low recurrence rate and lower side effect on treatment of female acne vulgaris.