---

中文版

患者自述：我的战痘之路

“从青春期就开始长痘，以为过了25岁就会好，没想到反而越来越严重。试过各种护肤品、看过皮肤科医生、吃过西药，但痘痘总是反反复复。直到朋友推荐我试试中医，才找到了真正适合自己的调理方法。”

—— Sarah, 29岁, 金融业

---

为什么痘痘总是反复？

---

中医辨证分析

聂医师通过详细问诊和望诊，发现：

面诊特点：

• 下巴反复痘痘 → 冲任不调（与生殖内分泌相关）
• 两颊红肿痘 → 肝郁化火
• 痘痘红肿疼痛 → 热毒内盛
• 留印色深 → 血瘀内停

其他表现：

• 月经不调 → 肝肾失调
• 易疲劳 → 脾虚气弱
• 睡眠差 → 心火旺，肝血不足
• 舌象：舌质红，舌苔薄黄，舌边有瘀点
• 脉象：弦细数

综合诊断：肝郁化火为标，肝肾阴虚为本，兼有脾虚和血瘀

---

调理历程

第一个月：清热解毒 + 疏肝理气

治疗方案：

• 针灸面部穴位：合谷、曲池、血海、太冲
  • 每周2次，疏通面部经络
• 中药内服：
  • 以清热解毒、疏肝理气为主
  • 配合少量活血化瘀药材
• 生活调整：
  • 减少熬夜，晚上11点前睡觉
  • 避免油炸、辛辣食物
  • 每天保证饮水2升

第一个月效果：

• 新痘减少约50%
• 红肿痘痘消退速度加快
• 皮肤出油情况改善
• 但：经前仍有痘痘爆发

---

第二至三个月：调理冲任 + 滋养肝肾

聂医师解释：“现在急性症状已经控制，要从根本上解决问题，需要调整内分泌——也就是中医说的’冲任二脉’。”

调整方案：

• 中药方向转变：
  • 加入滋补肝肾的药材（如熟地、当归、白芍）
  • 调理冲任（如益母草、香附）
• 针灸加强：
  • 增加调经穴位：三阴交、关元、子宫
• 继续生活调整：
  • 保持规律作息
  • 增加运动（每周3次，30分钟快走或瑜伽）

第二至三个月效果：

• 月经周期逐渐规律
• 经前痘痘明显减少
• 睡眠质量改善
• 精神状态变好
• 痘印开始淡化

---

第四至六个月：巩固疗效 + 淡化痘印

调整重点：

• 中药微调：
  • 减少清热药物
  • 增加健脾养血、活血化瘀药材
• 针灸改为每周1次，配合刺络放血（去除面部瘀血）
• 外用药膏：中药面膜粉（珍珠粉、白芷、白茯苓）

六个月总结：

• ✅ 面部痘痘基本控制，偶尔小粉刺
• ✅ 月经周期稳定（28-30天）
• ✅ 痘印淡化70%
• ✅ 皮肤整体状态改善
• ✅ 精力充沛，睡眠质量好

---

患者心得分享

“中医调理和我以前的治疗最大的不同，是它不只看我的皮肤，而是把我整个人的状态都考虑进去。聂医师说，脸上的痘痘是身体发出的信号，只有身体整体平衡了，皮肤才会真正好起来。”

“最明显的变化不只是痘痘少了，而是整个人的状态都变好了——月经准时了，不会经前狂爆痘，睡眠也改善了，工作压力也能更好地应对。现在偶尔熬夜或吃点辣的，也不会像以前那样立刻爆痘。”

“当然，这个过程需要耐心。前两个月效果没那么明显时，我也有点着急。但聂医师告诉我，慢性问题需要时间调理，坚持下来就能看到效果。事实证明确实如此。“

---

为什么选择中医调理？

中医的优势：

1. 整体调理：不只治痘，同时改善月经、睡眠、精神状态
2. 标本兼治：既缓解症状，又调整根本原因
3. 副作用小：相比长期服用西药，中药更温和
4. 个性化方案：根据个人体质调整，而非千人一方

适合人群：

• 反复发作的激素性痤疮
• 伴有月经不调、睡眠问题
• 尝试过西医治疗但效果有限
• 希望整体改善健康状态

---

日常护肤与生活建议

1. 温和护肤

清洁：

• 使用温和洁面乳，早晚各一次
• 避免过度清洁（破坏皮肤屏障）
• 不要用手挤痘（易留疤）

保湿：

• 选择清爽型保湿产品
• 即使是油性皮肤也要保湿

防晒：

• 每天使用防晒霜（SPF 30+）
• 帮助预防痘印加深

2. 饮食调整

推荐：

• 绿叶蔬菜（菠菜、西兰花）
• 富含Omega-3的食物（深海鱼、核桃）
• 新鲜水果（蓝莓、苹果、梨）
• 薏米、绿豆、冬瓜（清热利湿）

避免或减少：

• 高糖食物（甜品、奶茶）
• 油炸食物
• 乳制品（部分人群会加重痤疮）
• 过度辛辣刺激

3. 作息管理

• 晚上11点前睡觉（肝胆经排毒时间）
• 保证7-8小时睡眠
• 减少熬夜和高压力状态

4. 情绪调节

中医认为”肝主疏泄，调畅情志”。保持心情舒畅，学会释放压力，对皮肤健康非常重要。

建议：

• 定期运动（瑜伽、慢跑、游泳）
• 冥想或深呼吸练习
• 培养兴趣爱好
• 与朋友倾诉，避免情绪积压

---

痘痘位置与脏腑对应（参考）

区域	对应脏腑	可能原因
额头	心、肺	压力大、睡眠不足、肺热
两颊	肝、胃	肝郁化火、脾胃湿热
鼻子	脾、胃	饮食不节、脾胃积热
下巴	肾、冲任	内分泌失调、肾虚
太阳穴	肝胆	肝胆火旺、情志不畅

---

English Version

Patient’s Story: My Journey to Clear Skin

“I’ve had acne since my teens. I thought it would clear up after 25, but it got worse. I tried countless skincare products, saw dermatologists, took Western medications—but the breakouts kept coming back. It wasn’t until a friend recommended TCM that I found an approach that truly worked for me.”

—— Sarah, 29, Financial Analyst

---

Why Does Acne Keep Returning?

---

TCM Diagnosis

Through detailed consultation and facial diagnosis, Practitioner Nie identified:

Facial Analysis:

• Recurrent chin acne → Chong-Ren imbalance (reproductive-endocrine related)
• Red, swollen cheek acne → Liver constraint fire
• Painful, inflamed acne → Internal heat-toxin
• Dark post-acne marks → Blood stasis

Other Signs:

• Irregular periods → Liver-Kidney dysregulation
• Easy fatigue → Spleen qi deficiency
• Poor sleep → Heart fire excess, Liver blood deficiency
• Tongue: Red body, thin yellow coating, purple spots on edges
• Pulse: Wiry, thin, rapid

Diagnosis: Liver constraint fire (manifestation), Liver-Kidney yin deficiency (root), with Spleen deficiency and blood stasis

---

Treatment Journey

Month 1: Clear Heat-Toxin + Soothe Liver

Treatment Protocol:

• Facial Acupuncture: Hegu (LI4), Quchi (LI11), Xuehai (SP10), Taichong (LV3)
  • Twice weekly, unblock facial meridians
• Herbal Medicine:
  • Focus: Clear heat-toxin, soothe Liver qi
  • Include blood-activating herbs
• Lifestyle Adjustments:
  • Sleep by 11 PM
  • Avoid fried, spicy foods
  • Drink 2 liters water daily

Month 1 Results:

• New breakouts reduced ~50%
• Inflammatory acne heals faster
• Reduced skin oiliness
• However: Pre-menstrual breakouts persist

---

Months 2-3: Regulate Chong-Ren + Nourish Liver-Kidney

Practitioner Nie explained: “Acute symptoms are controlled. To address the root cause, we must balance hormones—what TCM calls the ‘Chong and Ren meridians.’”

Adjusted Protocol:

• Herbal Direction Shift:
  • Add Liver-Kidney nourishing herbs (Rehmannia, Angelica, White Peony)
  • Regulate Chong-Ren (Motherwort, Cyperus)
• Enhanced Acupuncture:
  • Add menstrual regulation points: Sanyinjiao (SP6), Guanyuan (CV4), Zigong (EX-CA1)
• Continue Lifestyle:
  • Maintain regular schedule
  • Exercise 3x/week (30 min brisk walk or yoga)

Months 2-3 Results:

• Menstrual cycle gradually regularizing
• Pre-menstrual acne significantly reduced
• Sleep quality improved
• Mental state enhanced
• Post-acne marks beginning to fade

---

Months 4-6: Consolidate + Fade Marks

Focus Adjustments:

• Herbal Fine-tuning:
  • Reduce heat-clearing herbs
  • Increase Spleen-nourishing, blood-activating herbs
• Acupuncture reduced to weekly, add pricking therapy (remove facial blood stasis)
• Topical Application: Herbal mask powder (Pearl, Angelica dahurica, Poria)

6-Month Summary:

• ✅ Facial acne mostly controlled, occasional small comedones
• ✅ Stable menstrual cycle (28-30 days)
• ✅ Post-acne marks faded 70%
• ✅ Overall skin condition improved
• ✅ Energetic, good sleep quality

---

Patient Reflections

“The biggest difference with TCM is that it doesn’t just look at my skin—it considers my whole body state. Practitioner Nie said facial acne is my body’s signal, and only when the body achieves overall balance will my skin truly heal.”

“The most noticeable change isn’t just fewer breakouts—it’s my entire wellbeing. My period is regular, no more pre-menstrual eruptions, better sleep, and I handle work stress better. Now when I occasionally stay up late or eat spicy food, I don’t immediately break out like before.”

“Of course, this process requires patience. In the first two months when results weren’t dramatic, I felt anxious. But Practitioner Nie reminded me that chronic issues need time to resolve, and persistence pays off. That proved true.”

---

Why Choose TCM for Acne?

TCM Advantages:

1. Holistic Treatment: Addresses not just acne but also periods, sleep, mental state
2. Root and Manifestation: Relieves symptoms while correcting underlying causes
3. Minimal Side Effects: Gentler than long-term Western medications
4. Personalized: Tailored to individual constitution, not one-size-fits-all

Suitable For:

• Recurrent hormonal acne
• Accompanied by irregular periods, sleep issues
• Limited success with Western treatments
• Desire for overall health improvement

---

Daily Skincare & Lifestyle Tips

1. Gentle Skincare

Cleansing:

• Use gentle cleanser, twice daily
• Avoid over-cleansing (damages skin barrier)
• Don’t squeeze pimples (causes scarring)

Moisturizing:

• Choose lightweight moisturizers
• Even oily skin needs hydration

Sun Protection:

• Daily sunscreen (SPF 30+)
• Prevents darkening of acne marks

2. Dietary Adjustments

Recommended:

• Leafy greens (spinach, broccoli)
• Omega-3 rich foods (fatty fish, walnuts)
• Fresh fruits (blueberries, apples, pears)
• Job’s tears, mung beans, winter melon (clear heat, drain dampness)

Avoid or Reduce:

• High-sugar foods (desserts, bubble tea)
• Fried foods
• Dairy (aggravates acne in some individuals)
• Excessive spicy foods

3. Sleep Management

• Sleep by 11 PM (Liver-Gallbladder detox time)
• Ensure 7-8 hours sleep
• Reduce late nights and high-stress states

4. Emotional Regulation

TCM says “Liver governs free flow, regulates emotions.” Maintaining positive mood and releasing stress is crucial for skin health.

Suggestions:

• Regular exercise (yoga, jogging, swimming)
• Meditation or deep breathing
• Cultivate hobbies
• Talk with friends, avoid emotional suppression

---

Acne Location & Organ Correspondence (Reference)

Area	Related Organs	Possible Causes
Forehead	Heart, Lung	Stress, poor sleep, Lung heat
Cheeks	Liver, Stomach	Liver fire, Spleen-Stomach damp-heat
Nose	Spleen, Stomach	Dietary imbalance, Stomach heat
Chin	Kidney, Chong-Ren	Hormonal imbalance, Kidney deficiency
Temples	Liver, Gallbladder	Liver-Gallbladder fire, emotional stagnation

---