Six endocrine items: facial acne, acne dietary therapy recommended

Facial acne does not only occur in adolescent children. Even many adults will find that they have a lot of acne on their faces, and these acne will also have a purulent reaction.

Six endocrine factors for facial acne

1. Daily care

Wash your face with warm water once or twice a day to clean your skin, and avoid squeezing or scratching skin lesions with your hands. Avoid using oily and powdery cosmetics and ointments and creams containing glucocorticoids.

2. Common methods of acne treatment

(1) Topical medications: Retinoic acid (retinoic acid cream, adapalene gel, tazarotene gel), benzoyl peroxide, antibiotics (clindamycin, erythromycin, chloramphenicol, etc.), azelaic acid, sulfur lotion, etc.

(2) The first choice of oral antibiotics is tetracycline (minocycline, doxycycline, etc.), followed by macrolides (erythromycin). Avoid antibiotics commonly used to treat systemic infections such as levofloxacin. The course of antibiotics is usually 6 to 12 weeks.

(3) Oral isotretinoin For severe acne, oral isotretinoin is the standard treatment and currently the most effective method for treating acne. The treatment course aims to achieve a minimum cumulative dose of 60 mg/kg.

(4) Anti-androgen therapy, such as the oral contraceptive cyproterone acetate combined tablets, is suitable for female patients with moderate to severe acne accompanied by symptoms of excessive androgen levels (such as hirsutism, seborrhea, etc.) or polycystic ovary syndrome. Female patients with delayed-onset acne and acne that is significantly aggravated before menstruation may also consider using oral contraceptives.

(5) Oral glucocorticoids are mainly used for fulminant or aggregated acne, following the principles of short-term, low-dose, and combined with other methods.

(6) For patients who cannot tolerate or are unwilling to receive drug treatment, physical therapy such as photodynamic therapy (PDT), fruit acid therapy, laser therapy, etc. can also be considered.

3. Grading of treatment for acne

(1) Level 1 is generally treated locally, with topical retinoic acid preparations being the first choice.

(2) Level 2: Combined use of topical retinoids and benzoyl peroxide or antibiotics, and oral antibiotics if necessary.

(3) Grade 3 often requires combined treatment, with oral antibiotics combined with topical benzoyl peroxide and/or retinoic acid drugs as the first choice. Antiandrogen therapy may also be considered for female patients where indicated.

(4) Grade 4 oral isotretinoin is the most effective treatment and can be used as first-line treatment. For patients with more inflammatory papules and pustules, systemic antibiotics combined with topical benzoyl peroxide can be used first, and then oral isotretinoin can be used for sequential treatment after the skin lesions have improved significantly.

Dietary treatment for acne

1. Mung Bean and Job's Tears Soup

Wash 25 grams each of mung beans and coix seeds and 10 grams of hawthorn, add 500 grams of water, soak for 30 minutes and bring to a boil. Turn off the heat after boiling for a few minutes. Do not uncover the lid and simmer for 15 minutes. Drink as tea. Apply 3-5 times a day for oily skin.

2. Fruit, vegetable and mung bean drink

Use appropriate amounts of Chinese cabbage, celery, bitter gourd, bell pepper, lemon, apple, and mung beans. First boil the mung beans for 30 minutes and filter the juice; wash and cut the Chinese cabbage, celery, bitter gourd, bell pepper and apple into sections or pieces, blend the juice, add the mung bean juice, add a few drops of lemon juice, and add honey to taste and drink. Take 1-2 times a day, it has the effects of clearing heat, detoxifying and killing bacteria.

3. Kelp and mung bean soup

15 grams each of kelp and mung beans, 9 grams of sweet almonds, 6 grams of roses, and an appropriate amount of brown sugar. Wrap the rose flowers in cloth, boil them together with other herbs, remove the rose flowers, add brown sugar and eat. Take 1 dose daily for 30 consecutive days.

4. Coix Seed and Kelp Porridge

Use 15 grams each of coix seed, wolfberry, peach kernel, 10 grams each of kelp and sweet almond, 20 grams of mung bean, and glutinous rice.

80 grams of coix seed and kelp double kernel porridge. Wrap peach kernels and sweet almonds with gauze, boil them in water to extract the juice, add coix seeds, kelp powder, wolfberry and glutinous rice to cook porridge. Take it twice a day, it has the effects of clearing away heat and detoxifying, clearing fire and relieving inflammation, promoting blood circulation and removing blood stasis, nourishing yin and moisturizing the skin.

5. Wolfberry Anti-inflammatory Porridge

30 grams of wolfberry, 100 grams each of pigeon meat and glutinous rice, and appropriate amounts of fine salt, MSG, and sesame oil. Wash the pigeon meat and chop it into puree; wash the wolfberry and glutinous rice, put them into a casserole, add the pigeon puree and appropriate amount of water, simmer the porridge over low heat, add fine salt, MSG, sesame oil when the porridge is ready, and mix well. Take 1 dose daily, divided into 2 times. 5-8 doses constitute a course of treatment. It has the functions of detoxifying, expelling evil, nourishing yin and moisturizing the skin.

What can I eat for acne?

1. Eat more foods rich in vitamin A: Foods rich in vitamin A include day lily, leek, carrot, spinach, milk, etc.

2. Eat more foods rich in vitamin B2: Foods rich in vitamin B2 include milk, eggs and green leafy vegetables.

3. Eat more foods rich in vitamin B6: Foods rich in vitamin B6 include egg yolks, milk, dry yeast, wheat germ, fish and vegetables (carrots, spinach, shiitake mushrooms).

4. Eat more foods rich in zinc: Foods rich in zinc include lean meat, milk, eggs, etc.

5. Eat more cool foods: Foods that clear heat and detoxify include lean pork, mushrooms, white fungus, black fungus, celery, bitter melon, cucumber, winter melon, wild rice stem, mung bean sprouts, soybeans, tofu, lotus root, watermelon, pears, etc.