Understanding Acne: Causes and Traditional Remedies
Acne, often referred to as "teenage pimples," "blemishes," or "folliculitis," is a common skin condition that predominantly affects individuals during their adolescence. It typically manifests on the face, neck, chest, and back. From a Western medical perspective, acne is primarily attributed to hormonal imbalances, particularly the overproduction of androgens. However, traditional Chinese medicine offers a different perspective on treating acne, emphasizing its root causes and effective remedies.
Treatment Philosophy
In traditional Chinese medicine, the concept of acne is closely linked to the presence of "phlegm-heat." As such, the treatment approach focuses on eliminating phlegm and clearing heat. Professor Zhang Deying, through years of clinical experience, developed two main methodologies based on the principles of the five elements: the "Eliminate Earth and Generate Metal" method and the "Reinforce Wood to Control Earth" method, adjusting as needed for individual symptoms.
Eliminate Earth and Generate Metal Method
Phlegm originates primarily from the middle burner, leading to an obstruction of the spleen. Consequently, the first step is to descend the earth and clear turbidity. The primary herb recommended for this is *Da Huang* (Rhizoma Rhei), known for its bitter and cold properties, which help in the purification process. Its classification as "general" signifies its potent ability to cleanse and rejuvenate the body.
In Chinese medicine, the earth element generates the metal element, which is deemed essential for removing excess earth and phlegm. Hence, *Ban Xia* (Pinellia ternata) becomes pivotal in this treatment strategy. Harvested during the transition from summer to autumn, this herb represents the peak of yang, demonstrating attributes that facilitate the descent and clearance of phlegm.
Reinforce Wood to Control Earth Method
The stagnation of phlegm in the middle burner disrupts the entire body’s energy flow. As the liver governs the smooth flow of qi, the excessive earth complicates this process. A palpable symptom includes a slippery pulse, indicating imbalance. If the earth is excessively strong, it can obstruct the wood, resulting in a pulse that is both slippery and string-like. Therefore, it becomes necessary to reinforce wood to regulate earth, with *Mai Ya* (Barley Sprout) being the primary herb. This herb, sprouted from barley in spring and harvested in summer, carries the essence of spring wood and is known to assist in the dispersal of earth’s heaviness.
By applying these traditional methodologies, acne can be effectively managed, targeting its underlying causes rather than merely alleviating its symptoms. The holistic approach of traditional Chinese medicine provides a comprehensive strategy for achieving healthier skin and restoring balance.