Acne and Body Constitution Issues in Traditional Chinese Medicine

Acne, constitutional issues?

Hello Doctor: I have been underweight since childhood, with a weight of about 43 kg at a height of 163 cm.
I have serious acne issues, and despite trying Western medicine and topical treatments, the acne persists.
Four months ago, I started seeing a Traditional Chinese Medicine (TCM) practitioner.
I can't say it has completely worked, but there are fluctuations in my condition, and I haven't seen significant improvement.
However, my bowel movements have become more regular.
I also frequently experience vaginal or urinary tract infections (with yellow discharge) and bladder inflammation.
My doctor mentioned that these issues are related to my constitution, and that my bodily problems often manifest in gynecological and skin conditions.
I would like to ask how long it typically takes to adjust one's constitution before seeing noticeable effects? Is it possible to achieve a generally healthy constitution through continuous treatment? Additionally, could taking too much herbal medicine be a burden on the body? I hope you can provide some answers.
Thank you!

Katniss Zheng, 20~29 year old female. Ask Date: 2016/03/24

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear Katniss Zheng / 22 years old / Female,
Hello,
1.
Your height is 163 cm and your weight is 43 kg, which indicates that you are somewhat underweight.
This may be related to your body type, so it would be helpful to ask your parents or siblings if they share a similar physique, considering genetic factors.
Other factors should also be taken into account, such as your personal gastrointestinal digestion and absorption capabilities, or other underlying conditions like hyperthyroidism.
2.
Young individuals often have a high metabolic rate, which can lead to skin issues such as acne.
As long as it is not severe, there is no need to be overly concerned.
If you are prone to acne, you may also experience symptoms like vaginal or urinary tract infections (yellow discharge), or bladder inflammation.
Your body type seems to be characterized by excess heat.
In addition to consulting a physician for treatment of these conditions, you should also avoid spicy, fried, and greasy foods, ensure adequate sleep, wash your face frequently, drink plenty of water, and urinate regularly.
Pay attention to personal hygiene to keep the genital area cool and ventilated (it is advisable to wear loose-fitting clothing instead of tight jeans and to choose breathable underwear) to reduce the occurrence of these conditions.
3.
For acne, you might consider topical treatments from Western medicine as well as internal remedies from Traditional Chinese Medicine (TCM).
4.
Scientific herbal medicine is generally produced by GMP-certified manufacturers approved by the government.
If a TCM practitioner prescribes medication following standard operating procedures to avoid side effects, it is considered safe.
Both herbal and Western medicines can have long-term maintenance options, such as ginseng and certain vitamins, while some medications are intended for short-term use to address current symptoms.
You should consult your physician regarding the prescriptions they provide for you.
Generally, if scientific herbal medicine is administered according to standard procedures, the body can tolerate it well.
I often see patients like you in my clinic who have shown improvement after treatment.
Wishing you well,
Dr.
Lin Ching-Chung
Director, Department of Traditional Chinese Medicine, Fengyuan Hospital
Associate Professor, General Education Center, Chung Tai University

Reply Date: 2016/03/24

More Info

Acne is a common skin condition that can be influenced by various factors, including hormonal changes, diet, stress, and body constitution, particularly in the context of Traditional Chinese Medicine (TCM). In TCM, the body is viewed as a holistic system where imbalances can manifest as skin issues, such as acne. Your description of being underweight and experiencing persistent acne, along with recurrent urinary tract infections (UTIs), suggests that there may be underlying constitutional issues that need to be addressed.

In TCM, body constitution is categorized into different types, such as Yin deficiency, Yang deficiency, Qi stagnation, and Blood deficiency. Each type has its own characteristics and requires a tailored approach to treatment. For instance, individuals with a Yin deficiency may experience dryness and heat in the body, leading to skin issues like acne. Conversely, those with a Yang deficiency may have coldness and weakness, which can also affect skin health.

Your experience of fluctuating results with TCM treatment indicates that while some progress is being made, it may take time to achieve a stable improvement. The duration for noticeable changes in body constitution can vary widely among individuals, often ranging from a few weeks to several months, depending on the severity of the imbalance and the consistency of treatment. Regular follow-ups with your TCM practitioner can help in adjusting the treatment plan as needed.

Regarding your concerns about the potential burden of taking too much Chinese medicine, it is essential to understand that TCM emphasizes balance and moderation. While herbal remedies can be potent, they are typically prescribed in doses that are safe and appropriate for the individual. Overconsumption of any medication, whether Western or traditional, can lead to adverse effects. Therefore, it is crucial to communicate openly with your TCM practitioner about any concerns you have regarding the dosage and duration of your herbal treatment.

In addition to herbal therapy, lifestyle modifications can significantly enhance the effectiveness of TCM treatment. These may include dietary adjustments, stress management techniques, and regular physical activity. A balanced diet rich in whole foods, including fruits, vegetables, whole grains, and lean proteins, can support overall health and improve skin condition. Avoiding processed foods, excessive sugar, and dairy may also help reduce acne flare-ups.

Furthermore, maintaining proper hydration and practicing good hygiene can aid in managing acne. For recurrent UTIs, ensuring adequate fluid intake and possibly incorporating cranberry products may provide additional support. However, it is essential to consult with your healthcare provider before making any significant changes to your diet or treatment regimen.

In summary, addressing acne and body constitution issues in TCM requires a comprehensive approach that includes personalized herbal treatment, lifestyle modifications, and regular monitoring of progress. While it may take time to achieve a healthy balance, with consistent effort and guidance from your TCM practitioner, it is possible to improve your overall health and skin condition. Always prioritize open communication with your healthcare providers to ensure that your treatment plan aligns with your health goals and needs.

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