The Etiology Of Feminine Acne And The Clinical Analysis Of The Traditional Chinese Medicine Syndrome

Acne, or acne vulgaris. is a chronic inflammation of the sebaceous gland attached to the hair follicles in the skin. It affects mostly the face, upper chest and the back where sebaceous follicle s have densest population. It is clinically characterized with comedones, seborrhea, papules, pust ules, and nodules, usually repeated onset. Acne is a multiple cause dermatology disease, mostly related to the regulation of endocrine stimulation (mainly androgen elevation), cystic sebaceous follicles, bacterial infection, immune system, and inflammation. Acne is a common clinical disea se occurs mostly during adolescence. As the improvement in the average lifestyle, people are mo re concerned about acne which may affect their beauty and appearances. It becomes more import ant to prevent its onset and development, and how to decrease scarring and post trauma psycholo gical effect. To understand the triggers in the patients, analyze its onset, development, and its rel ated causes; evaluation of the clinical treatment and its affect on lifestyle becomes very necessar y.Research ObjectiveDiscuss the related causes of acne in the ages14-45in female, and analyze its relationship t o Chinese medicine diagnosis. Investigation of300clinical records in acne patients, and analyze its related causes, providing clinical evidence for diagnosis and treatment in Chinese medicine.MethodBy surveying female patients at the Jiangsu province Chinese medicine hospital dermatology outpatient department, with the unified standard designed survey, medical records were collected using the study selection criteria included and excluded, finally retained300records. According to the age, the patients are being divided into two groups. Ages under25is the adolescent group, and ages25and above is the post adolescent group. Data, in all patients, including age, family history, duration, and affecting areas, is being inputted into the computer and analyzed by SPSS17.0statistics software.ResultThe ratio of the adolescent oily skin type is higher than the post adolescence group. Where as the middle type is lower than the adult group. The severer facial acne of the adolescent group ratio seems obviously lower than the post adolescence group. The ages of onset in the adolescence group are between14and20plus under15. This ratio seems obviously higher than the post adolescence group. The onset age is mainly between15and20with the family history of acne. Where as. the onset age is between20and25without family history of acne. The areas of symptoms of the adolescence group are the forehead and the cheeks. and the areas of the symptoms of the adult group are also the forehead and the cheeks. however. the ratio is lower than the adolescent group. The second high areas of the dermal defect in the adult group are lower mandible. around the mouth. and the neck. the ratio is clearly higher than the adolescent group.The Pillsbury does not seem to differ much in different ages. The duration less than6months is obviously higher than the other durations in the I degree Pillsbury. On the other hand, the duration less than6months is lower than the others in the III degree Pillsbury. The Pillsbury degree differs in different scarring. Degree I is mainly with no scar, degree I and II are light scarring, degree II is mild scaring, and degree II is mainly darker scaring. The more severe the scar is, the Pillsbury degree is higher.The variations of the TCM syndrome are obvious in different ages. The wind heat invading lung syndrome and the syndrome of dampness heat in adolescence group patients are higher than post adolescence group patients, where as the weakness of the thoroughfare and conception vessels are lower than the post adolescence group. The wind heat invading lung syndrome is in Pillsbury degree I, the syndrome of dampness heat is in degree II, and the syndrome of phlegmatic dampness is in degree III. However there was not enough patient history in the degree IV, therefore it was not possible to identify its syndrome.The risk factors that trigger the onset of acne in adolescence group patients include, sleeping after10pm, spicy food, stress, family history of acne, deep fried food, sweet food, less than8hours of sleep daily, usage of computer more than3hours/day, menstruation period>40days, oily skin type, constipation, mixed skin type, and exposure to sun. And in post adolescence group patients, the risk factors that trigger the onset of acne includes less than8hours of sleep daily, stress, spicy food, deep fried food, sleeping after10pm, usage of computer more than3hours/day, menstruation period>40days, constipation, mixed skin type, sweet food, family history, oily skin type and exposure to sun. These could increase the risk of onset. Acne influences the quality of life more in adolescence group patients than in post adolescence group patients.ConclusionRegarding to feminine acne, related risk factors should be analyzed according to different patients, and specifically instructs the patients to acquire good lifestyle, balanced diet, and positive attitudes. Improving the knowledge of the patients about the related factors and causes of acne, and enhance their treatment compliances and cooperation in the treatment.