CCTV International February 5, 2004 16:03
1 Chen Yong, deputy chief physician of dermatology, Beijing Hospital of Traditional Chinese Medicine, has been engaged in dermatology of traditional Chinese medicine 17 years, and has done a lot of research on the treatment of cosmetic dermatoses, psoriasis, dermatitis and eczema, pruritic dermatoses and sexually transmitted diseases. (Left)
2. Beijing North host (right)
Moderator: Hello, audience friends! This is CCTV's live program "The Road to Health", and today we will talk about acne.
Have you ever had acne?
Jingbei: I have acne in high school, and I feel very painful.
Moderator: First of all, let's look at the situation of several people with acne through a short film:
Doctor: Today, there are seven experts with more than 100 numbers. Recently, there are more people who see acne, accounting for about one third. Because students have a holiday, children see more acne.
Reporter: According to statistics, about 80% of teenagers and 50% of adults suffer from acne. Why?
Student: Maybe I ate too much, and then I secreted too much oil and ran to my face.
Student: I think it's caused by fatigue.
Student: It may be caused by endocrine disorders.
Reporter: Through interviews, we found that the psychological pain caused by acne is no less than the disease itself.
Student: I feel really bad after getting acne, which mainly affects my appearance.
Student: I used some facial cleanser before.
Student: I bought all the medicine I could, and it didn't work.
Moderator: Are these adolescent troubles closely related to this specific period of adolescence?
Chen Yong: That's true. 80% of teenagers have experienced acne, which shows that the incidence of this disease is very high in adolescence, and it really has a great relationship with the characteristics of adolescent physical development in this period. The main cause of acne is endocrine disorder, which refers to sex hormones, and the development of gonads generally does not mature until adolescence. For example, girls begin to menstruate, boys begin to grow Adam's apple, and sexual characteristics appear. At this time, they began to secrete sex hormones. Just like a toddler, he is wavering at first and slowly looking for a sense of balance. So is the endocrine system. At first, it may be unstable, which will lead to endocrine disorders and acne.
Jingbei: I remember when I was in high school, I had pimples all over my forehead. But why do some people get acne after puberty?
Chen Yong: Accurately speaking, acne usually occurs in adolescence. In fact, endocrine disorders are the most fundamental cause of acne. In addition to physiological reasons, there are actually many pathological factors that lead to endocrine disorders and acne, so the age of onset of acne is expanding now. According to my clinical situation, it is not uncommon for girls 10- 12 years old to get acne, and boys 12 years old to get acne. There are still many people in their thirties and forties who still have acne, which is caused by various pathological factors.
Jingbei: Is acne related to heredity and skin properties?
Chen Yong: Acne is related to heredity. Whether a person has acne, at what age and where he grows it are largely determined by genetic factors. If you have acne after puberty, or if you have severe acne during adolescence, it is often caused by other factors, such as diet, constipation, fatigue, nervousness and poor sleep. There are also nutritional factors, cosmetics and so on.
Moderator: Why does acne get worse after eating spicy food?
Chen Yong: Some western theories think that acne will not grow in diet, but in fact, for example, after eating spicy food, acne will get worse. Through research, it is found that some diets may not cause endocrine disorders, but they will aggravate the secretion of sebaceous glands and make sebaceous glands secrete more and more oil. After the sebaceous glands are overactive, they will secrete more and more oil, which will easily lead to blockage and acne.
Jingbei: Sometimes if you work too hard, you will get some pimples.
Moderator: Let's look at the experience of a makeup artist: Zhang Shuai, a 24-year-old professional makeup artist, won the title of Top Ten Makeup Artists in China in 2002. His biggest worry at present is that his face is covered with acne.
Zhang Shuai: I think it makes people feel less confident than wearing an ugly skirt.
Reporter: Every day, Zhang Shuai is busy with all kinds of performances on TV and makeup modeling of magazine covers. His life is too busy to even talk about the word "regularity".
Zhang Shuai: About a month or two ago, the pimples on my face suddenly grew up. I think I know all the factors that cause acne, such as frequent smoking and diet. I also tried some acne drugs on the market, which may be the reason why I didn't stick to it. The effect is not very good, and there is no systematic treatment.
Chen Yong: According to the number of acne and the severity of infection, we divide acne into mild, moderate and different grades. As shown in the picture, this is an inflammatory nodular acne with a large and hard rash. More people are actually small acne like this, which is caused by the hair follicle mouth just being blocked, and the infection is not serious. At this time, active treatment has a good effect. Internationally, acne is divided into four grades. The first grade is the lightest, and the second grade has some small papules caused by infection. In the third grade, it was a bit like the situation in Zhang Shuai. In the fourth grade, it was heavy. There are scars and cysts, which are easy to cause facial disfigurement. The severity of acne has genetic factors, but more importantly, acquired factors. If the infection had been treated and controlled in time, it would not have developed so seriously. Once it reaches the worst stage, it is difficult to treat.
Jingbei: I remember when I was at school, I had pimples on my forehead and felt ugly, so I combed my bangs to cover it up. I also put a small mirror on the table, just look at it if you have nothing to do.
Chen Yong: Actually, it is not good to block it with hair, because it is difficult to block it with hair at first. More importantly, long-term stimulation of hair will aggravate infection. Others will use heavy makeup to cover acne, which is not good, so it will grow longer and more after blocking pores. So I think hosts, actors and other people who have to put on makeup because of their work must take off their makeup after work.
Moderator: Ms. Xu from Beijing, 28 years old. I have acne in adolescence. Later, after puberty, acne developed before and after menstruation. Last year, after I gave birth, I began to grow again, and it was worse than before. What's going on here?
Chen Yong: As mentioned earlier, the age of onset of acne is expanding now, and the endocrine disorders that lead to acne are physiological and pathological. Due to the change of diet structure and the increase of life pressure, the incidence of acne does have an exaggerated trend, so that the medical community now has a new academic ranking for acne. For example, this lady is still growing from adolescence to childbirth, which is medically called persistent acne. This kind of acne has some pathological factors, so we need to go to the hospital for careful examination to see if it is caused by digestive system problems or neurological dysfunction, nutrition, environment and other reasons, and then treat it symptomatically.
Jingbei: I remember I was very anxious when I got acne, and I couldn't wait to be cured immediately.
Chen Yong: Actually, we can understand patients' feelings about skin diseases that grow on their faces, but there are several important points in treating acne: First, we must have confidence and be cured. Second, be patient, because acne is a chronic disease and easy to recur. Third, we must have perseverance. Treatment of acne cannot be done once and for all.
Jingbei: I was once advised to treat acne with hormones. Is this correct?
Chen Yong: The endocrine disorder that causes acne mainly refers to the imbalance of sex hormone level, more precisely, the high androgen level. After the androgen level is too high, the sebaceous glands function excessively and hypertrophy, which is why men's skin usually looks rougher than women's. In addition, the increase of androgen is easy to block the sebaceous duct of hair follicle. Theoretically, if the androgen level is too high, it should be effective to supplement some estrogen to fight androgen, and the short-term clinical effect is indeed true, but I do not advocate all patients to do so, because it is a hormonal drug after all. For example, if a balance is out of balance, we don't look for the reason, but simply add a weight to balance it. Although it seems to have achieved a balanced effect recently, the weight will always be taken down. Of course, estrogen can't be eaten for a lifetime, and estrogen itself has some adverse side effects.
Moderator: Some netizens asked, since it is related to endocrine, some acne products on the market are aimed at degreasing and cleaning. Is this misleading?
Chen Yong: Endocrine disorder leads to local acne, mainly due to the action of androgen, which leads to increased oil secretion, blocked sebaceous ducts in hair follicles, poor excretion and bacterial infection. Treatment, especially for external use, is firstly to reduce oil secretion, secondly to dredge pores, and thirdly to diminish inflammation and control inflammation. Therefore, acne products on the market are all from these aspects, not misleading consumers. But this is only external treatment, and the most fundamental treatment for acne is internal medicine. If it's just endocrine disorder and occasional mild acne, local medication is enough, and there is no need to take medicine to regulate endocrine. However, if it is a long-term recurrent acne patient, it is necessary to actively treat it from the inside. To treat acne by regulating endocrine, we must determine the cause of endocrine disorders through strict examination and laboratory tests under the guidance of doctors, and then treat the symptoms. In addition, it is necessary to determine the exact cause of external use, and then use drugs according to symptoms. Improper use will bring bad consequences, so you'd better ask a doctor to help you judge.
Moderator: Let's take a look at Zhang Shuai's treatment process:
Doctor (Beijing Hospital of Traditional Chinese Medicine): I now see that his acne is not only numerous, but also seriously infected, and it is painful and hard to the touch, belonging to nodular. I think the first step is to control the infection, so that the sequelae will be lighter and the damage to the appearance will be less. After controlling the infection, we will take measures to reduce oil production and eliminate acne, and then it will gradually fade away, which will take some time. At present, taking some traditional Chinese medicines to regulate endocrine, so as not to grow new acne. At the same time, it is combined with external treatment of traditional Chinese medicine to reduce oil, then dredge pores, and no blisters will grow after the blockage is eliminated.
Reporter: The doctor also advised him to do beauty.
Doctor: The beauty outside is mainly life beauty and skin care. The beauty of the hospital is mainly based on treatment.
Main steps of traditional Chinese medicine cosmetology
1, needle cleaning
2, the application of traditional Chinese medicine mask
Chen Yong: One of the characteristics of TCM is its emphasis on the holistic view. For example, acne seems to be a skin problem, but Chinese medicine believes that it is related to the physiological and pathological state of the whole internal organs of the human body. Therefore, Chinese medicine emphasizes syndrome differentiation and treatment in the treatment of acne.
Moderator: Let's take a look at the treatment of Zhang Shuai:
Zhang Shuai: It used to be acne, but now it's flat. I'm just worried that these marks may fall off. Will it grow after stopping taking medicine?
Chen Yong: In medicine, acne marks are called pigmentation after inflammation. After the red rash subsides, there will definitely be some black marks. It should be said that you don't have to worry about these marks, even if you don't treat them, they will disappear. Of course, this process may take a long time. If some people are anxious, they can also cooperate with some traditional Chinese medicine masks to promote their regression.
Jingbei: There is a saying that whether you will leave marks has something to do with squeezing pustules. Is that so?
Chen Yong: Yes, squeezing will aggravate the infection. If the infection is serious, the inflammation will be aggravated. After the inflammation gets worse, pigmentation will definitely get worse.
Moderator: Is recurrence inevitable?
Chen Yong: We can't rely on drugs to prevent diseases. Now that we know the inducing factors of acne, we can prevent it from these factors, such as not eating too sweet, too spicy and too oily food, not eating too many snacks and living a regular life.
preventive measure
1, eat less greasy, sugary, spicy and irritating foods and alcoholic beverages.
2, eat more vegetables, fruits, drink plenty of water, keep the stool unobstructed.
3. Wash your face with warm water and boric acid soap or sulfur soap.
4. Don't squeeze your own acne.
5. Don't use external drugs without authorization, especially hormone drugs.
6. Use less oily and powdery cosmetics.
7. Ensure 8 hours of sleep every day, pay attention to the combination of work and rest, and avoid long-term mental stress.
Moderator: Mr. Li from Qingdao, 25 years old. Is acne related to mites?
Chen Yong: Mites should also be a pathogenic factor of acne, but it is not the only factor. You should go to the hospital for examination. There are many reasons for acne.