Treating Acne Naturally

Treatment of Acne
Definition:
Inflammatory disease of sebaceous glands characterized by pimples, whiteheads, or blackheads, especially on the face, back and chest, and in severe cases by cysts and nodules with scarring.
Causes:
Acne is one of the most common skin diseases. It affects mainly adolescents but can also affect adults. Older women suffering from PMS or who are on birth control pills are also susceptible to outbreaks of acne.
Acne occurs when the hair follicle is plugged by an excessive production of sebum, an oily substance produced by the sebaceous glands which helps lubricate the skin. Normally the sebaceous glands produce the right amount of sebum and the pores are fine.
However, with acne too much sebum is produced. When excess sebum is mixed with the dead skin cells, a plug is formed in the follicle, resulting in pimples, whiteheads or blackheads. The accumulated sebum in turn may cause a build-up of bacteria, which can lead to swelling around the pores.
The build-up of bacteria can then trigger the body’s defense mechanism, which sends white blood cell (antibodies) into the clogged up follicle to kill off the bacteria. In the process of destroying the bacteria, the white blood cells may severely affect other skin organisms and cells leading to the  formation of cysts.
Mild cases of acne, which usually resolve on their own, do not leave a lasting impression on the skin. Severe cases can cause painful abscesses, widened pores and scarred tissue which can lead to permanent scarring if left untreated.
No matter how mild, acne can have a significant effect on a person’s social and emotional health. It can also cause localized skin infections and pain.
Increased levels of androgen, a male sex hormone, is often cited as the main cause of acne. Androgen causes the sebaceous glands to enlarge and produce more sebum. Other causative factors are hormonal changes brought on my the menstrual cycle, insufficient sleep, long-term stress, too much sunshine as well as hot and wet weather.
The pores can also be blocked by certain oil-based moisturizers and cosmetics that contain synthetic chemicals and vegetable oils. People who are born with oily complexions or with a hormonal imbalance are often more prone to acne. Scratching often spreads the infection to other areas of the body.
Definitions:
- Whiteheads
Whiteheads are small collections of pus around the follicle and sebaceous glands that form a bulge under the skin. They are formed when the follicle is plugged from the inside by a mixture of excess sebum and dead skin cells.
- Blackheads
Blackheads are created when the excess sebum and dead skin cells block the pores partially, resulting in the solidification of the sebum that fills the hair duct. When dried sebum and dead skin cells reach the surface of the skin, they become discolored on exposure to the air, forming a blackhead. The dark color is due to the pigment called melanin found in the skin cells.
Postules & Nodules
Postules and nodules are firm, red, painful lumps located just under the skin. They form when the accumulation of sebum in the clogged follicle leads to a build-up of bacteria that causes inflammation, redness and swelling around the pus-formed area of the skin.
- Cysts
If the inflammation is deep and severe, or of the area is manipulated or squeezed, the pus can burst deep into the skin tissue rather than onto the skin surface. This deep rooted inflammation and infection leads to the formation of cysts. Cystic acne is the most severe and stubborn and carries the biggest threat of scarring.
Traditional Chinese Medicine View
According to Traditional Chinese Medicine (TCM) acne is a toxic skin condition often associated with internal heat, dampness, and blood stagnation. The toxic condition may result from exposure to environmental irritants, poor diet, or from a hormonal imbalance affecting the functioning of skin's oil glands.
Even though the vitality of the skin is related to the lungs, eruptions surface mainly because of the inability of the kidneys and liver to effectively purify the blood. When these two organs are overburdened toxins in the blood are excreted through the skin.
Lung and stomach heat are the most common form of acne which manifests as white or black heads on the face, around the cheeks, nose, and forehead, as well as the chest and upper back. The skin looks oily and may have a slightly reddish hue. Sometimes heat is very strong leading to a dry mouth and thirst.
Acne appearing around the mouth or on the chest, shoulders and back, with a large appetite and thirst in addition to craving of spicy and/or greasy foods may point to Stomach Heat. If there is significant dampness in the stomach, the skin will be more oily and greasy and you may get whiteheads more frequently. There may also be large cysts on the chest and back. In these cases it it important to avoid greasy foods.
If acne becomes worse around the women’s menstrual cycle it may be related to stagnation of Qi and blood.
TCM helps interrupt the acne cycle by regulating the hormones that affect skin secretions, clearing excess heat, draining dampness, and reducing inflammation and infection.
In TCM there are three basic patterns that lead to the formation of acne: Excess Heat, Dampness, and Blood Stagnation.
Excess Heat:
Heat is generated from many sources, including poor diet, stress, excessive work, and excessive emotions. Heat can also come from irritating chemicals, foreign organisms, or by the constrained flow of qi or energy. Hormonal activity causes and is stimulated by heat. An overly stimulating diet can cause excess heat as can a hyperactive mind or lifestyle.
Heat  triggers activity and shows up as inflammation, hyperactivity, or over-stimulation. Our skin can reflect heat as rashes, pimples, infections, redness, and other skin inflammations. Sometimes the "heat" is caused by normal body wastes which are transported in the blood. When the blood is deficient, swellings can appear on the skin and will be diagnosed as acne or other inflammatory skin disease.
Heat that leads to infection and inflammation of the skin it is called toxic heat. Toxicity manifests as redness, inflammation and pain. Extreme acne includes pus-filled bumps, redness or flushed, swollen face. Sores or bleeding indicates high toxicity. You may not feel good in general but not know why.
Dampness:
When the body is unable to eliminate water effectively, it accumulates causing dampness. Micro-organisms such as bacteria, fungus, and viruses thrive in excessively damp body environments.
Excess dampness shows up on the skin as swellings, pimples, cysts, pus, and fluid discharges. Dampness is the main cause of whiteheads and blackheads.
People with dampness generally have oily skin and may sweat a lot. Dampness may be caused by hormonal imbalances which is why teenagers often get acne. Stress can also lead to breakouts of acne as it has a profound effect on hormonal balance.
A greasy skin means dampness is present. You may feel thirsty but may not want to drink. An itchy skin means liver wind is also involved.
Blood Stagnation
Blood stagnation can be caused by Qi or Blood Deficiency, accumulation of phlegm, excess cold, heat or trauma. It can lead to the formation of lumps and hard immobile masses. The main sign of blood stagnation is purple skin and purple raised lesions.
It can contribute to severe acne with or without pus. This is because the heat has entered the blood level. More severe heat toxicity develops when the skin becomes infected. Toxicity therefore manifests as redness, pus and pain.
Treatment Strategy
Chinese Medicine
The key to a successful treatment in Traditional Chinese Medicine is to remove the imbalances that cause the acne. This disrupts the acne cycle and allows the body to heal itself.
Eating cool or cold foods that help expel pathogenic heat such as cucumber and chrysanthemum, enjoying sufficient sleep, keeping a good mood, and regular bowel movements can help relieve acne.  Fried, fatty, spicy foods or hot foods should be eliminated from the diet. In addition, washing the face gently twice or three times a day with lukewarm water is beneficial.
Nutrition
Although food is generally not considered a factor by Western Medical professionals in the development of acne, Traditional Chinese Medicine believes high cholesterol intake can aggravate various skin problems by increasing the levels of toxins being eliminated via the skin. Acne suffers should avoid foods with a high content of fats and sugars, salt, dairy products, spicy food, and processed foods with trans fats.These foods can create dampness and heat which can exacerbate acne.
A healthy diet is important in maintaining healthy skin. Unrefined, cold-pressed flax seed oil, sesame oil, pumpkin seed oil and walnut oil contain essential fatty acids that lower the body’s production of sebum, reducing the clogging of the pores which leads to acne. In addition, flax seed oil encourages regular bowel movements and the elimination of toxins via the bowels, instead of the skin. Remember that high temperature damages essential fatty acids found in cold-pressed oils.
Fresh, raw vegetables such as meta-carotene provides the nutriments needed for healthy skin. Vitamin C aids in resisting the spread of acne infection, and fiber helps keep the colon clean. Zinc found in raw, unnroasted and unsalted pumpkin or sunflower seeds is an important nutrient for skin health.
Beta-carotene/provitamin A foods are beneficial in the treatment of skin diseases, particularly if the condition is of an inflammatory nature. Important yellow and green beta-carotene foods include carrots, winter squash, pumpkin, leafy greens such as dandelion greens, beet greens, spinach, kale, chard, and water cress. All greens are rich in chlorophyll, which purifies the blood of the toxins that cause skin eruptions. Seaweeds are also recommended for regular consumption due to their cooling, detoxifying nature.
Other foods to be added to the diet are mung beans, aduki beans, and unpeeled cucumber slices. Alfalfa and soy sprouts are also emphasized in cases of acne.
Acne suffers, especially adolescents, are often deficient in zinc. Zinc plays a vital role in immune function, and regulates oily secretions in the skin. Selenium, a trace mineral found in seafood, some meats (such as kidney and liver), and some grains and seeds, enhances the action of vitamin E.
Vitamin E has a balancing effect on hormones, helps prevent scaring, and enhances the action of vitamin A which in high doses taken over several months has proven to be beneficial to acne suffers. Vitamin B6 taken with a vitamin B complex is often useful for reducing acne flare-ups during PMS.
Nutritional yeast contains vitamins B2, B5 and B6 which help reduce facial oiliness and blackhead formation. Nutritional yeast also provides zinc and chromium, which help reduce skin infections and act to balance sugar levels in the blood. Kefir-based yeast is the best source of nutritional yeast. Evening primrose oil is also highly recommended to control acne, as it is an excellent nutrient for the skin.
A traditional Western tea for chronic skin diseases: equal parts of sarsaparilla root, yellow dock root, sassafras root bark, marshmallow root, and red clover blossoms.
Herbal Remedies
Several Chinese Herbal Formulas are effective for treating acne. They include formulas for internal consumption and others that are applied directly to the skin. Consult a qualified herbal medicine practitioner to determine the best formulas for your particular symptoms.
External / Physical Therapies
Lots of fresh air, exercise and moderate sun exposure will help circulation and clear the skin.
Certain external topical applications can be used to cleanse or nourish the skin. Others destroy disease-producing bacteria.  For acne apply lemon juice, wash with castile or other pure soaps that contain no detergents. Apply a paste of bentonite, green or any other clays moistened with apple cider vinegar as the only fluid. Leave on at least one half-hour, then wash off with water.
Topical tea tree oil is considered by some as the best topical solution for acne as it kills skin bacteria and has the fewest side effects. Start with a 5 percent solution for mild acne and a 15 percent solution for moderate to severe acne. Apply twice a day for one to two months.
Since skin conditions reside on the exterior of the body, sweating is useful to encourage elimination of toxins through the pores.  Regular exercise and sweating assists the skin’s detoxifying action.
Avoid exposure to pollutants that cause acne - machine oils, coal tar derivatives and chlorinated hydrocarbons. Cosmetics, over washing, or rubbing the face can cause flare-ups. Nicotine, exposure to certain chemicals, over-washing with mild or harsh soaps and overexposure to the sun may also contribute to the problem.
If possible avoid medications that can cause acne-like lesions, including steroids, drugs that contain bromides or iodides, dilantin for seizures and lithium carbonate for bipolar disorders. Consult your Doctor before discontinuing any of these medications. Some forms of oral contraceptives worsen acne while others improve it. Consult your doctor for more information on which medication is best for your condition.
Do not squeeze the pimples or whiteheads. This spreads infection and can cause scarring.
Acne Scars
A dermatologist or medical aesthetic specialist may be able to reduce or remove acne scars using microdermabrasion, chemical peels or fractionation laser treatments.
Acupuncture/Acupressure
Acupuncture and acupressure can be very effective in controlling acne. Local points are used to help increase circulation in the area where the skin has erupted. Other points are used to stimulate the organs and glands that govern skin function such as the lungs, large intestines, liver and stomach. Ear acupuncture is also very effective either alone or with body points. The principal ear points used are lung, endocrine, testis, skin and cheek. Improvement is often noticed within six treatments.
Acupuncture/Acupressure’s relaxing and soothing effects can help clear up blemishes and pimples by easing the emotional distress and hormonal imbalances that often aggravate acne. It is also important to practice abdominal breathing exercises and aerobic exercises daily.
Potent Points for relieving Acne and Other Skin Disorders
BL 23 (Kidney Shu Point) and BL 52 (Residence of the Will or Palace of Essence)
Located in the lower back between the second and third lumbar vertebrae two to four finger widths form the spine at the waist level, these points strengthen the Kidneys, adrenals and immune system, reinforcing emotional stability, an important factor in many skin disorders such as acne and eczema.
St 36 (Leg Three Miles Point)
Located four finger widths below the kneecap towards the outside of the shinbone, ST 36 fortifies the Spleen, harmonizes the Stomach, and resolves dampness. It strengthens and tones the muscles and improves the condition of the skin throughout the entire body.
BL 10 (Celestial Pillar or Point of the Window of Heaven)
Located one-half inch below the base of the skull on the ropy muscles one-half inch outward from either side of the spine, BL 10 calms the spirit, and relieves stress related to skin disorders such as acne.
ST 2 (Four Whites)
Located one finger width below the lower ridge of the eye socket in line with the center of the iris in an indentation of the cheek, ST 2 remedies acne and facial blemishes.
ST 3 (Great Crevice or Facial Beauty)
Located at the bottom of the cheek bone directly below the pupil, ST 3 relieves acne facial blemishes, poor complexion, and sagging cheeks, and improves facial circulation.
SJ 17 (Wind Screen)
Located in the indentation directly behind the ear lobe, SJ 17 balances the thyroid gland to increase the luster of the skin and clears heat.
SI 17 (Heavenly Appearance)
Located in the indentation directly below the ear lobe and behind the jawbone, SI 17 balances the thyroid gland increasing the luster of the skin.
GV 24.5 (Hall of Impression or Yin Tang)
Located directly between the eyebrows in the indentation where the bridge of the nose meets the center of the forehead, Yin Tang stimulates the pituitary gland, which is the master endocrine gland, to enhance the condition of the skin throughout the body.
LU 2 (Cloud Gate)
Located on the upper chest below the lateral extremity of the clavicle, LU 2 clears lung heat.
LU 5 (Cubit Marsh)
Located on the crease of the elbow on the radial side of the biceps brachi tendon, LU 5 clears lung heat.
LI 11 (Pool at the Crook)
Located at the elbow at the lateral end of the transverse cubital crease, LI 11 cools the blood, drains damp and alleviates itching or dry skin, skin rash and various skin diseases.
SP 9 (Yin Mound Spring - Lower He-Sea Point of the Spleen)
Located on the inside of the lower leg just below the knee, SP 9 regulates the spleen and resolves dampness.
SP 10 (Sea of Blood)
Located on the interior of leg approximately 2 inches above the superior boarder of the patella, SP 10 treats a wide range of dermatological conditions due to either blood stasis or heat in the blood.
ST 25 (Heaven’s Point - Front Mu Point of the Large Intestine)
Located on the abdomen, about two inches lateral to the umbilicus, ST 25 is the single most important point in treating a wide variety of intestinal disorders.
ST 37 (Upper Great Void - Lower He-Sea point of the Large Intestine)
Located one hand-width below the knee cap on the outside edge of the shin bone, ST 37 is an important point for a wide range of intestinal disorders, for heat in the stomach and weakness of the spleen.
LI 9 (Upper Angle)
Located on the radial side of the forearm, about 3 inches below the elbow, LI 9 harmonizes the large intestine.
Qi Gong for Acne
Abdominal Breathing
This breathing technique should be practiced throughout most of the exercises, except when an alternate form of breathing is required, as it helps relax both the mind and the body making the practice more effective.
Inhale through the nose, to the count of seven, expanding the lower part of the body, front, side and back. Exhale through the nose to the count of ten letting the chest drop. Repeat 10 to 30 times. The breath must be gentle, silent, slow, deep and unbroken. Let the inhalation rise on its own from the space between exhalation and inhalation.
Cleansing Method
Relax the arms and let them hang down the sides of the body. Gather fresh water with the palms. Raise the arms at a 45 degree angle from the center line of the body, turning palms up. Visualize holding the fresh water as you raise the arms upward.
Bring the fresh water above the head, and turn the palms so they face the crown of the head. Let the fresh water pore over the surface of the body cleansing the skin. Slowly lower the hands down the front of the body to the navel while visualizing cleanzing and refreshing the skin. Repeat 6 to 9 times
3. Angle Breathing
Inhale through the crown of the head into the center of the brain. Exhale out through the mid-eye brow point far into the distance. Inhale through the mid-eyebrow point into the center of the brain and exhale out through the crown of the head far into the distance. Repeat 3 to 6 times.
Inhale through the crown of the head into the center of the abdomen, and exhale outward via the center of the chest far into the distance. Repeat 3 to 6 times
Inhale through the crown of the head into the center of the abdomen, and exhale out via the navel far into the distance.
Visualize breathing in through crown of head into abdomen, and breathe out the legs and feet deep into earth. Repeat 3 to 6 times.
Shaking Method
In a standing posture, arms hanging down the sides of body, relax and bend and unbend knees slightly shaking the whole body for 5 minutes.
While shaking, relax each part of the body:
a) Eyebrows; Sides of Head; Shoulders; Elbows; Wrists; Fingers; Middle Finger
b) Throat; Chest; Abdomen; Reproductive Organs; Center of Perineum; Hip Joints; Knees; Ankles; Toes; Big Toe
c) Back of Head; Upper Back; Lower Back; Tail Bone; Back of Knees; Hells; Center of Feet
At end of method, visualize breathing in through crown of head into abdomen, and breathe out legs and feet deep into earth. Repeat 6 times.
5. Cleansing the Triple Burner
Standing with arms hanging down the sides of the body, palms facing the sides of the body.
Bend the knees slightly while breathing in to the abdominal area. At the same time, let the palms move away from the body approximately 6 inches.  At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.
Bend the knees slightly while breathing into the floating ribs. At the same time, let the palms move away from the body an additional six inches.  At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.
Bend the knees slightly while breathing in to the sides of the chest. At the same time, let the palms move away from the body an additional six inches. At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.
Finally, bend the knees while breathing in to the shoulder area. At the same time, move the arms outward an additional six inches. At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.
With palms facing each other, let the arms move upward to the front of the body to shoulder height as if holding a beach ball. Expand the arms and chest outward. Let the arms move back to the hips and extent them backwards palms touching Qi opening up the chest once again.
Repeat 3 times each level.
Pores Breathing
Stand with arms as if you were holding a balloon in front of the navel. Inhale universal energy through the pores of the skin. Exhale toxins out of the pores far into the universe. Repeat for 30 breaths.
Closing Method
Standing feet together.
Collect Qi to lower abdomen placing palms over navel area. Ladies: right hand under, left over. Men: left hand under right over.
Massage lower abdomen in a spiral movement 9 times in each direction.
Massage from the throat down to the pubic bone 9 times.
Massage from the floating ribs to the pubic bone 9 times.
- Rub hands together 9 times until they are warm.
- Place palms over face, breath in universal energy, exhale Qi into the face. Repeat 9 times.
Bend fingers, brush back hard from eyebrows to back of head along the center line of the head. Repeat 6 times.
Massage the ears with the thumbs
Massage the throat with the heel of the hands
- Collect Qi to navel, relax and SOONG head to toes 3 to 6 times.
Prepared by Maurice Lavigne, Doctorate of Natural Medicine, Fredericton Wellness Clinic Inc
Specializing in Acupuncture, Acupressure Massage, Medical Qi Gong, Allergy Elimination, and Chinese Herbal Medicine.
Coming soon an accompanying Eco-Health DVDs.
Eco-Health Care Presentations and Qi Gong classes available on request.
For information email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it or call 506-452-9795
References:
Balanced Healing by Larry Altshuler, M.D.
Healing With Whole Foods - Asian Traditions and Modern Nutrition by Paul Pitchford
Encyclopedia of Natural Healing - A Practical Self-Help Guide by Siegfried Gursche, MH, with Zoltan Rona, M.D., MSc and the Alive Research Group
Chinese Medical Qi Gong by Tianjun Liu, O.M.D.
Acupressure’s Potent Points - A Guide to Self-Care for Common Ailments by Michael Reed Gach.
OrientalHealingClinic.com
Healing Juices - by L.A. Justice
A Manual of Acupuncture by Peter Deadman & Mazin Al-Khafaji with Kevin Parker
WebMD.com
WhatsOnXiamen.com
DrShen.com
Acufinder.com
NaturalHealthCenter.com
ChineseMedicineAdvisor.com
AlbanaAcupuncture.com

Definition: Inflammatory disease of sebaceous glands characterized by pimples, whiteheads, or blackheads, especially on the face, back and chest, and in severe cases by cysts and nodules with scarring.

Causes: Acne is one of the most common skin diseases. It affects mainly adolescents but can also affect adults. Older women suffering from PMS or who are on birth control pills are also susceptible to outbreaks of acne. 

Acne occurs when the hair follicle is plugged by an excessive production of sebum, an oily substance produced by the sebaceous glands which helps lubricate the skin. Normally the sebaceous glands produce the right amount of sebum and the pores are fine.

However, with acne too much sebum is produced. When excess sebum is mixed with the dead skin cells, a plug is formed in the follicle, resulting in pimples, whiteheads or blackheads. The accumulated sebum in turn may cause a build-up of bacteria, which can lead to swelling around the pores. 

The build-up of bacteria can then trigger the body’s defense mechanism, which sends white blood cell (antibodies) into the clogged up follicle to kill off the bacteria. In the process of destroying the bacteria, the white blood cells may severely affect other skin organisms and cells leading to the  formation of cysts. 

Mild cases of acne, which usually resolve on their own, do not leave a lasting impression on the skin. Severe cases can cause painful abscesses, widened pores and scarred tissue which can lead to permanent scarring if left untreated.

No matter how mild, acne can have a significant effect on a person’s social and emotional health. It can also cause localized skin infections and pain. 

Increased levels of androgen, a male sex hormone, is often cited as the main cause of acne. Androgen causes the sebaceous glands to enlarge and produce more sebum. Other causative factors are hormonal changes brought on my the menstrual cycle, insufficient sleep, long-term stress, too much sunshine as well as hot and wet weather. 

The pores can also be blocked by certain oil-based moisturizers and cosmetics that contain synthetic chemicals and vegetable oils. People who are born with oily complexions or with a hormonal imbalance are often more prone to acne. Scratching often spreads the infection to other areas of the body.

Definitions:
- Whiteheads are small collections of pus around the follicle and sebaceous glands that form a bulge under the skin. They are formed when the follicle is plugged from the inside by a mixture of excess sebum and dead skin cells.
- Blackheads are created when the excess sebum and dead skin cells block the pores partially, resulting in the solidification of the sebum that fills the hair duct. When dried sebum and dead skin cells reach the surface of the skin, they become discolored on exposure to the air, forming a blackhead. The dark color is due to the pigment called melanin found in the skin cells.
- Postules & Nodules are firm, red, painful lumps located just under the skin. They form when the accumulation of sebum in the clogged follicle leads to a build-up of bacteria that causes inflammation, redness and swelling around the pus-formed area of the skin.
- Cysts: If the inflammation is deep and severe, or of the area is manipulated or squeezed, the pus can burst deep into the skin tissue rather than onto the skin surface. This deep rooted inflammation and infection leads to the formation of cysts. Cystic acne is the most severe and stubborn and carries the biggest threat of scarring.

Traditional Chinese Medicine View
According to Traditional Chinese Medicine (TCM) acne is a toxic skin condition often associated with internal heat, dampness, and blood stagnation. The toxic condition may result from exposure to environmental irritants, poor diet, or from a hormonal imbalance affecting the functioning of skin's oil glands. 

Even though the vitality of the skin is related to the lungs, eruptions surface mainly because of the inability of the kidneys and liver to effectively purify the blood. When these two organs are overburdened toxins in the blood are excreted through the skin. 

Lung and stomach heat are the most common form of acne which manifests as white or black heads on the face, around the cheeks, nose, and forehead, as well as the chest and upper back. The skin looks oily and may have a slightly reddish hue. Sometimes heat is very strong leading to a dry mouth and thirst.

Acne appearing around the mouth or on the chest, shoulders and back, with a large appetite and thirst in addition to craving of spicy and/or greasy foods may point to Stomach Heat. If there is significant dampness in the stomach, the skin will be more oily and greasy and you may get whiteheads more frequently. There may also be large cysts on the chest and back. In these cases it it important to avoid greasy foods.
If acne becomes worse around the women’s menstrual cycle it may be related to stagnation of Qi and blood.

TCM helps interrupt the acne cycle by regulating the hormones that affect skin secretions, clearing excess heat, draining dampness, and reducing inflammation and infection.

In TCM there are three basic patterns that lead to the formation of acne: Excess Heat, Dampness, and Blood Stagnation.

Excess Heat: Heat is generated from many sources, including poor diet, stress, excessive work, and excessive emotions. Heat can also come from irritating chemicals, foreign organisms, or by the constrained flow of qi or energy. Hormonal activity causes and is stimulated by heat. An overly stimulating diet can cause excess heat as can a hyperactive mind or lifestyle.

Heat  triggers activity and shows up as inflammation, hyperactivity, or over-stimulation. Our skin can reflect heat as rashes, pimples, infections, redness, and other skin inflammations. Sometimes the "heat" is caused by normal body wastes which are transported in the blood. When the blood is deficient, swellings can appear on the skin and will be diagnosed as acne or other inflammatory skin disease.

Heat that leads to infection and inflammation of the skin it is called toxic heat. Toxicity manifests as redness, inflammation and pain. Extreme acne includes pus-filled bumps, redness or flushed, swollen face. Sores or bleeding indicates high toxicity. You may not feel good in general but not know why.

Dampness: When the body is unable to eliminate water effectively, it accumulates causing dampness. Micro-organisms such as bacteria, fungus, and viruses thrive in excessively damp body environments. 
Excess dampness shows up on the skin as swellings, pimples, cysts, pus, and fluid discharges. Dampness is the main cause of whiteheads and blackheads. 

People with dampness generally have oily skin and may sweat a lot. Dampness may be caused by hormonal imbalances which is why teenagers often get acne. Stress can also lead to breakouts of acne as it has a profound effect on hormonal balance.

A greasy skin means dampness is present. You may feel thirsty but may not want to drink. An itchy skin means liver wind is also involved.

Blood stagnation can be caused by Qi or Blood Deficiency, accumulation of phlegm, excess cold, heat or trauma. It can lead to the formation of lumps and hard immobile masses. The main sign of blood stagnation is purple skin and purple raised lesions. 

It can contribute to severe acne with or without pus. This is because the heat has entered the blood level. More severe heat toxicity develops when the skin becomes infected. Toxicity therefore manifests as redness, pus and pain.

Treatment Strategy
Chinese MedicineThe key to a successful treatment in Traditional Chinese Medicine is to remove the imbalances that cause the acne. This disrupts the acne cycle and allows the body to heal itself.

Eating cool or cold foods that help expel pathogenic heat such as cucumber and chrysanthemum, enjoying sufficient sleep, keeping a good mood, and regular bowel movements can help relieve acne.  Fried, fatty, spicy foods or hot foods should be eliminated from the diet. In addition, washing the face gently twice or three times a day with lukewarm water is beneficial. 

Nutrition
Although food is generally not considered a factor by Western Medical professionals in the development of acne, Traditional Chinese Medicine believes high cholesterol intake can aggravate various skin problems by increasing the levels of toxins being eliminated via the skin. Acne suffers should avoid foods with a high content of fats and sugars, salt, dairy products, spicy food, and processed foods with trans fats.These foods can create dampness and heat which can exacerbate acne.

A healthy diet is important in maintaining healthy skin. Unrefined, cold-pressed flax seed oil, sesame oil, pumpkin seed oil and walnut oil contain essential fatty acids that lower the body’s production of sebum, reducing the clogging of the pores which leads to acne. In addition, flax seed oil encourages regular bowel movements and the elimination of toxins via the bowels, instead of the skin. Remember that high temperature damages essential fatty acids found in cold-pressed oils. 

Fresh, raw vegetables such as meta-carotene provides the nutriments needed for healthy skin. Vitamin C aids in resisting the spread of acne infection, and fiber helps keep the colon clean. Zinc found in raw, unnroasted and unsalted pumpkin or sunflower seeds is an important nutrient for skin health. 

Beta-carotene/provitamin A foods are beneficial in the treatment of skin diseases, particularly if the condition is of an inflammatory nature. Important yellow and green beta-carotene foods include carrots, winter squash, pumpkin, leafy greens such as dandelion greens, beet greens, spinach, kale, chard, and water cress. All greens are rich in chlorophyll, which purifies the blood of the toxins that cause skin eruptions. Seaweeds are also recommended for regular consumption due to their cooling, detoxifying nature.

Other foods to be added to the diet are mung beans, aduki beans, and unpeeled cucumber slices. Alfalfa and soy sprouts are also emphasized in cases of acne.

Acne suffers, especially adolescents, are often deficient in zinc. Zinc plays a vital role in immune function, and regulates oily secretions in the skin. Selenium, a trace mineral found in seafood, some meats (such as kidney and liver), and some grains and seeds, enhances the action of vitamin E. 
Vitamin E has a balancing effect on hormones, helps prevent scaring, and enhances the action of vitamin A which in high doses taken over several months has proven to be beneficial to acne suffers. Vitamin B6 taken with a vitamin B complex is often useful for reducing acne flare-ups during PMS.

Nutritional yeast contains vitamins B2, B5 and B6 which help reduce facial oiliness and blackhead formation. Nutritional yeast also provides zinc and chromium, which help reduce skin infections and act to balance sugar levels in the blood. Kefir-based yeast is the best source of nutritional yeast. Evening primrose oil is also highly recommended to control acne, as it is an excellent nutrient for the skin. 

A traditional Western tea for chronic skin diseases: equal parts of sarsaparilla root, yellow dock root, sassafras root bark, marshmallow root, and red clover blossoms.

Herbal Remedies
A number of Chinese Herbal Formulas are effective for treating acne. They include formulas for internal consumption and others that are applied directly to the skin. Consult a qualified herbal medicine practitioner to determine the best formulas for your particular symptoms.

External / Physical Therapies
Lots of fresh air, exercise and moderate sun exposure will help circulation and clear the skin.

Certain external topical applications can be used to cleanse or nourish the skin. Others destroy disease-producing bacteria.  For acne apply lemon juice, wash with castile or other pure soaps that contain no detergents. Apply a paste of bentonite, green or any other clays moistened with apple cider vinegar as the only fluid. Leave on at least one half-hour, then wash off with water.

Topical tea tree oil is considered by some as the best topical solution for acne as it kills skin bacteria and has the fewest side effects. Start with a 5 percent solution for mild acne and a 15 percent solution for moderate to severe acne. Apply twice a day for one to two months.

Since skin conditions reside on the exterior of the body, sweating is useful to encourage elimination of toxins through the pores.  Regular exercise and sweating assists the skin’s detoxifying action.

Avoid exposure to pollutants that cause acne - machine oils, coal tar derivatives and chlorinated hydrocarbons. Cosmetics, over washing, or rubbing the face can cause flare-ups. Nicotine, exposure to certain chemicals, over-washing with mild or harsh soaps and overexposure to the sun may also contribute to the problem.

If possible avoid medications that can cause acne-like lesions, including steroids, drugs that contain bromides or iodides, dilantin for seizures and lithium carbonate for bipolar disorders. Consult your Doctor before discontinuing any of these medications. Some forms of oral contraceptives worsen acne while others improve it. Consult your doctor for more information on which medication is best for your condition.

Do not squeeze the pimples or whiteheads. This spreads infection and can cause scarring.

Acne Scars
A dermatologist or medical aesthetic specialist may be able to reduce or remove acne scars using microdermabrasion, chemical peels or fractionation laser treatments.

Acupuncture/Acupressure
Acupuncture and acupressure can be very effective in controlling acne. Local points are used to help increase circulation in the area where the skin has erupted. Other points are used to stimulate the organs and glands that govern skin function such as the lungs, large intestines, liver and stomach. Ear acupuncture is also very effective either alone or with body points. The principal ear points used are lung, endocrine, testis, skin and cheek. Improvement is often noticed within six treatments.

Acupuncture/Acupressure’s relaxing and soothing effects can help clear up blemishes and pimples by easing the emotional distress and hormonal imbalances that often aggravate acne. It is also important to practice abdominal breathing exercises and aerobic exercises daily.

Potent Points for Relieving Acne & Other Skin Disorders
BL 23 (Kidney Shu Point) and BL 52 (Residence of the Will or Palace of Essence) Located in the lower back between the second and third lumbar vertebrae two to four finger widths form the spine at the waist level, these points strengthen the Kidneys, adrenals and immune system, reinforcing emotional stability, an important factor in many skin disorders such as acne and eczema.

ST 36 (Leg Three Miles Point) Located four finger widths below the kneecap towards the outside of the shinbone, ST 36 fortifies the Spleen, harmonizes the Stomach, and resolves dampness. It strengthens and tones the muscles and improves the condition of the skin throughout the entire body.

BL 10 (Celestial Pillar or Point of the Window of Heaven) Located one-half inch below the base of the skull on the ropy muscles one-half inch outward from either side of the spine, BL 10 calms the spirit, and relieves stress related to skin disorders such as acne. 

ST 2 (Four Whites) Located one finger width below the lower ridge of the eye socket in line with the center of the iris in an indentation of the cheek, ST 2 remedies acne and facial blemishes.

ST 3 (Great Crevice or Facial Beauty) Located at the bottom of the cheek bone directly below the pupil, ST 3 relieves acne facial blemishes, poor complexion, and sagging cheeks, and improves facial circulation.

SJ 17 (Wind Screen) Located in the indentation directly behind the ear lobe, SJ 17 balances the thyroid gland to increase the luster of the skin and clears heat. 

SI 17 (Heavenly Appearance) Located in the indentation directly below the ear lobe and behind the jawbone, SI 17 balances the thyroid gland increasing the luster of the skin. 

GV 24.5 (Hall of Impression or Yin Tang) Located directly between the eyebrows in the indentation where the bridge of the nose meets the center of the forehead, Yin Tang stimulates the pituitary gland, which is the master endocrine gland, to enhance the condition of the skin throughout the body.

LU 2 (Cloud Gate) Located on the upper chest below the lateral extremity of the clavicle, LU 2 clears lung heat.

LU 5 (Cubit Marsh) Located on the crease of the elbow on the radial side of the biceps brachi tendon, LU 5 clears lung heat.

LI 11 (Pool at the Crook) Located at the elbow at the lateral end of the transverse cubital crease, LI 11 cools the blood, drains damp and alleviates itching or dry skin, skin rash and various skin diseases. 

SP 9 (Yin Mound Spring - Lower He-Sea Point of the Spleen) Located on the inside of the lower leg just below the knee, SP 9 regulates the spleen and resolves dampness.

SP 10 (Sea of Blood) Located on the interior of leg approximately 2 inches above the superior boarder of the patella, SP 10 treats a wide range of dermatological conditions due to either blood stasis or heat in the blood.

ST 25 (Heaven’s Point - Front Mu Point of the Large Intestine) Located on the abdomen, about two inches lateral to the umbilicus, ST 25 is the single most important point in treating a wide variety of intestinal disorders. 

ST 37 (Upper Great Void - Lower He-Sea point of the Large Intestine) Located one hand-width below the knee cap on the outside edge of the shin bone, ST 37 is an important point for a wide range of intestinal disorders, for heat in the stomach and weakness of the spleen.

LI 9 (Upper Angle) Located on the radial side of the forearm, about 3 inches below the elbow, LI 9 harmonizes the large intestine.

Qi Gong for Acne

1. Abdominal Breathing
This breathing technique should be practiced throughout most of the exercises, except when an alternate form of breathing is required, as it helps relax both the mind and the body making the practice more effective. 

Inhale through the nose, to the count of seven, expanding the lower part of the body, front, side and back. Exhale through the nose to the count of ten letting the chest drop. Repeat 10 to 30 times.

The breath must be gentle, silent, slow, deep and unbroken. Let the inhalation rise on its own from the space between exhalation and inhalation.

2. Cleansing Method
Relax the arms and let them hang down the sides of the body. Gather fresh water with the palms. Raise the arms at a 45 degree angle from the center line of the body, turning palms up. Visualize holding the fresh water as you raise the arms upward.

Bring the fresh water above the head, and turn the palms so they face the crown of the head. Let the fresh water pore over the surface of the body cleansing the skin. Slowly lower the hands down the front of the body to the navel while visualizing cleanzing and refreshing the skin. Repeat 6 to 9 times

3. Angle Breathing
Inhale through the crown of the head into the center of the brain. Exhale out through the mid-eye brow point far into the distance. Inhale through the mid-eyebrow point into the center of the brain and exhale out through the crown of the head far into the distance. Repeat 3 to 6 times.

Inhale through the crown of the head into the center of the abdomen, and exhale outward via the center of the chest far into the distance. Repeat 3 to 6 times

Inhale through the crown of the head into the center of the abdomen, and exhale out via the navel far into the distance.

Visualize breathing in through crown of head into abdomen, and breathe out the legs and feet deep into earth. Repeat 3 to 6 times.

4. Shaking Method
In a standing posture, arms hanging down the sides of body, relax and bend and unbend knees slightly shaking the whole body for 5 minutes.   

While shaking, relax each part of the body: 

a) Eyebrows; Sides of Head; Shoulders; Elbows; Wrists; Fingers; Middle Finger

b) Throat; Chest; Abdomen; Reproductive Organs; Center of Perineum; Hip Joints; Knees; Ankles; Toes; Big Toe

c) Back of Head; Upper Back; Lower Back; Tail Bone; Back of Knees; Hells; Center of Feet

At end of method, visualize breathing in through crown of head into abdomen, and breathe out legs and feet deep into earth. Repeat 6 times.

5. Cleansing the Triple Burner
Standing with arms hanging down the sides of the body, palms facing the sides of the body. 

Bend the knees slightly while breathing in to the abdominal area. At the same time, let the palms move away from the body approximately 6 inches.  At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position. 

Bend the knees slightly while breathing into the floating ribs. At the same time, let the palms move away from the body an additional six inches.  At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.

Bend the knees slightly while breathing in to the sides of the chest. At the same time, let the palms move away from the body an additional six inches. At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.

Finally, bend the knees while breathing in to the shoulder area. At the same time, move the arms outward an additional six inches. At the end of the movement, extend the knees slightly while exhaling moving the palms back to the original position.

With palms facing each other, let the arms move upward to the front of the body to shoulder height as if holding a beach ball. Expand the arms and chest outward. Let the arms move back to the hips and extent them backwards palms touching Qi opening up the chest once again.

Repeat 3 times each level.

6. Pores Breathing
Stand with arms as if you were holding a balloon in front of the navel. Inhale universal energy through the pores of the skin. Exhale toxins out of the pores far into the universe. Repeat for 30 breaths.

7. Closing Method 
Standing feet together. Collect Qi to lower abdomen placing palms over navel area. Ladies: right hand under, left over. Men: left hand under right over. 
- Massage lower abdomen in a spiral movement 9 times in each direction.
- Massage from the throat down to the pubic bone 9 times.
- Massage from the floating ribs to the pubic bone 9 times.
- Rub hands together 9 times until they are warm.
- Place palms over face, breath in universal energy, exhale Qi into the face. Repeat 9 times.
- Bend fingers, brush back hard from eyebrows to back of head along the center line of the head. Repeat 6 times.
- Massage the ears with the thumbs
- Massage the throat with the heel of the hands
- Collect Qi to navel, relax and SOONG head to toes 3 to 6 times.

Prepared by Maurice Lavigne, Doctorate of Natural Medicine, Fredericton Wellness Clinic Inc. Specializing in Acupuncture, Acupressure Massage, Medical Qi Gong, Allergy Elimination, and Chinese Herbal Medicine.

Coming soon an accompanying Eco-Health DVDs.
Eco-Health Care Presentations and Qi Gong classes available on request.
For information email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it or call 506-452-9795  

References:
  • Balanced Healing by Larry Altshuler, M.D.
  • Healing With Whole Foods - Asian Traditions and Modern Nutrition by Paul Pitchford
  • Encyclopedia of Natural Healing - A Practical Self-Help Guide by Siegfried Gursche, MH, with Zoltan Rona, M.D., MSc and the Alive Research Group
  • Chinese Medical Qi Gong by Tianjun Liu, O.M.D.
  • Acupressure’s Potent Points - A Guide to Self-Care for Common Ailments by Michael Reed Gach. 
  • OrientalHealingClinic.com
  • A Manual of Acupuncture by Peter Deadman & Mazin Al-Khafaji with Kevin Parker
  • WebMD.com
  • WhatsOnXiamen.com
  • DrShen.com
  • Acufinder.com
  • NaturalHealthCenter.com
  • ChineseMedicineAdvisor.com
  • AlbanaAcupuncture.com