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Acne is a common skin issue faced by both teenagers and adults. It typically appears as whiteheads, blackheads, or red bumps, most often on the face, chest, and back. These breakouts occur when pores become clogged with oil and dead skin, sometimes leading to visible swelling or irritation. Other factors such as diet, stress, and hormonal fluctuations can also influence how acne develops or worsens over time.
Acne can take on various forms, each with its own appearance and contributing factors.
Cystic acne appears as deep, swollen lumps beneath the skin’s surface, often filled with pus. These breakouts tend to be more pronounced and may linger for longer durations, sometimes leaving behind uneven skin texture.
Hormonal acne is linked to internal hormonal shifts and often appears around the lower face, especially the jaw and chin. These breakouts can look like small, tender bumps and may become more noticeable during menstrual cycles or other hormonal changes.
Stress-induced acne tends to arise during periods of emotional or physical strain. These breakouts typically appear on the temples, cheeks, or sides of the face, possibly linked to increased oil activity triggered by stress.
Whiteheads form when pores are clogged with oil and dead skin but remain closed at the surface of the skin. This creates small, flesh-toned or whitish bumps that sit just beneath the skin.
Blackheads occur when blocked pores remain open at the surface, exposing their contents to air. This causes oxidation, resulting in a darkened appearance.
Acne can be influenced by a combination of internal and external factors.
When the skin produces an excessive amount of sebum, this oil can collect within pores, creating an environment where buildup may occur—particularly when combined with other pore-clogging elements.
The skin naturally hosts a range of microorganisms. When oil and debris accumulate within pores, it can create an environment that supports bacterial activity on the surface of the skin. This activity may be linked to visible changes such as swelling or increased sensitivity.
As the skin renews itself, dead skin cells are shed regularly. If these cells remain on the surface or collect inside pores, they may contribute to congestion and clogged follicles.
While stress may not directly cause acne, heightened stress levels can affect how the body functions—potentially influencing hormone balance and oil production. This may result in changes to the skin, especially if other contributing factors are present.
Certain foods—especially those high in sugar or refined carbohydrates—may influence how the body regulates oil production or responds to inflammation. Although research is still developing, some individuals may observe a link between dietary habits and acne activity.
Shifts in hormone levels—such as those that occur during puberty, menstruation, or major life transitions—can influence oil activity in the skin. These fluctuations may lead to increased pore congestion, especially in areas like the chin and jawline.
Acne and rosacea are two distinct skin concerns that may appear similar at first glance. However, they differ significantly in presentation, triggers, and underlying mechanisms.
Aspect | Acne | Rosacea |
Presentation | Open or closed comedones, red bumps, and possible scarring | Redness, swelling, papules, pustules; no comedones |
Skin Appearance | May include erythematous papules and surrounding redness | Characterised by intense facial reddening due to superficial blood vessel dilation |
Scarring | Scarring may occur, with or without comedones | Scarring is not typically associated |
Triggers | May involve hormonal function, bacterial activity, genetics, other factors | Can be triggered by sun exposure, heat, alcohol, strong emotions, caffeine, spicy food |
In Traditional Chinese Medicine (TCM), acne is viewed not as an isolated surface issue, but as a visible indication of internal imbalance. The skin is believed to reflect the state of one’s internal systems—especially the flow of Qi (vital energy), Blood, and the balance of internal organs like the Lungs, Stomach, and Spleen. From this perspective, breakouts may arise when internal heat builds up or when dampness and stagnation interfere with the body’s natural processes. Environmental factors, emotional strain, and dietary habits are also considered influential, as they can disrupt internal harmony and trigger changes on the skin.
TCM categorises acne presentations into different syndromes. Common patterns include heat accumulation in the Lungs and Stomach, damp-heat stagnation, and Blood stagnation with phlegm. For instance, individuals with heat in the Lungs and Stomach may experience frequent breakouts on the face, often accompanied by dryness in the mouth or increased thirst. Those affected by damp-heat may notice oily skin with red, pus-filled breakouts, while Blood and phlegm stagnation is often linked to deeper cysts, lingering marks, and sluggish skin recovery—often paired with digestive discomfort such as bloating.
These distinctions guide how TCM practitioners customise their approach for each individual.
In TCM, acne is examined through a holistic lens that considers both external manifestations and internal patterns. TCM practitioners begin by observing the affected areas and identifying the characteristics of each breakout—such as location, texture, and colour. This is often followed by an evaluation of the individual’s overall constitution, including an assessment of the tongue and pulse, which are viewed as indicators of internal balance or disharmony. These detailed observations help inform a personalised approach.
Traditional Chinese medicine approaches acne through both internal and external methods, with the aim of restoring balance to the body and improving skin clarity. These approaches are guided by the individual’s constitution and the specific patterns observed during consultation.
Acupuncture is often used in TCM to support skin recovery and reduce acne-related concerns. By stimulating targeted points on the face and body, acupuncture may promote smoother circulation of blood and Qi. Improved circulation can support the skin’s natural renewal process, encouraging a more even skin tone over time. For individuals experiencing persistent redness or swelling, facial acupuncture may help reduce visible irritation.
In TCM, herbal formulations are prepared based on individual patterns such as heat, dampness, or stagnation. Certain herbs are selected to help clear internal heat, support digestion, and regulate excess oil. When applied externally, herbal washes may help soothe the skin surface and maintain a clearer complexion. These internal and external applications are usually paired with personalised guidance on diet and daily habits.
At ENOK TCM Clinic, we focus on skin concerns such as acne and eczema through tailored herbal formulas and acupuncture, guided by individual assessments. Our approach avoids steroid use and supports the body’s natural balance, aiming to reduce flare-ups and support long-term skin health using traditional Chinese medicine principles.
My child suffered from eczema in Feb 2023 and has seen western doctor, skin specialist at government hospital and TCM before we went to Enok Clinic. We found Enok clinic through google search and decided to give it a try. Our first visit to the clinic was 31 Jan 2024 and after seeing Dr Wang for 2.5 months, my child’s eczema is under control. Dr Wang’s medicine and cream is really effective plus following her advice to keep to a strict diet and lifestyle really helps a lot. We are glad that we made the right decision to visit Enok Clinic. The only regret we have is not discovering Enok Clinic earlier so we will not have wasted 1 year in seeing various doctors and ways to cure my child’s eczema.
First found Dr Wang via Google search back in 2019 as a desperate measure after having no luck with western medicine for months. I had a sorethroat and cough that no western medicine could fully get rid of. Having seen Dr Wang, she gave me lifestyle tips to correct contributing factors, and her medicine was very effective. Since going to her, I have never gone to see a Western doctor. Her medicine is always effective and she gives useful tips to prevent problems from recurring. It has been 5 years and she’s still my go to doctor for everything. She has treated my sprained ankle, seasonal flu, eczema and strained muscle problems. Have referred her to my friends.
The condition of my eczema improved significantly after few weeks of medication and proper diet. Condition is well under control.
I’ve suffered from Hives for more than 10yrs, snd was on daily antihistamine. (2 tabs 3x daily). My dermatologist even suggested biologics to control my condition which i declined.
Sometimes, my condition got so severe that people around me will ask what happened to my face/ body even after taking antihistamines
1month ago, my friend recommended me to Enok TCM. She shared that her teenage son has eczema and has seen improvements after seeing Dr Enoch.
I’m one who dislike the smell and taste of tcm but the condition irritated me so much that i decided to give TCM a shot
Dr Noah and Dr Esther are wonderful! They were very patient to explain my condition and share treatment plans.
As a nurse, i understand that TCM works differently from western medicine. Unlike western medicine which does more symptomatic relieve. TCM take time to see full effect where it focuses on “servicing” the overhauled body back to working condition through use of herbs.
My hives condition has improved tremendously! It’s no longer as itchy and occurrence of red, angry wheals have decreased significantly. The treatment has benefited me in other ways as well, i feel more energetic and my chronic constipation (since childhood) has also improved.
The cost of treatment is quite reasonable too. My visit to a dermatologist specialist easily cost $200 including medication which could only provide symptomatic itch relieve, but wheals remain. For the similar price, i have observed significant itch relieve and reduction of wheals occurrence.
So i highly recommend Enok for anyone who wish to seek TCM treatment.
I was having eczema for few weeks which i never had before, it was on my face, very itchy and I couldn’t sleep well. Have seen western doctor for two weeks but was not able to find the cause. Got recommended by a friend to ENOK, doctor is very friendly and nice, explained to me what might be the root cause, advise me on my diet and lifestyle. I recovered fully in three days after taking the medicine, now I’m being more careful not to take my allergy cause.
I had rashes on my face and arms that did not go away for more than one year. Steroid and tacrolimus creams that dermatologists prescribed did not resolve root problem of my rashes and itch; I often get flare ups and redness during this period. Was very thankful to have found Enok TCM clinic and Physician Liu. Besides the meds he prescribed, he also gave a lot of advices on changes that I need to make in my lifestyle. I was ‘discharged’ after 3 visits. Totally recommend people with skin/eczema issue to check them out.
At ENOK TCM Clinic, our team is dedicated to supporting individuals through traditional Chinese medicine with an emphasis on balance, lifestyle, and personalised care. We believe that long-term well-being begins with a deeper understanding of the body’s internal rhythms.
Esther Wang brings over 20 years of experience in acupuncture and herbal practice, with particular focus in dermatology, women’s health, and digestive care. Fluent in both English and Mandarin, she works closely with individuals to support clearer communication and consistent care.
Noah Liu was immersed in TCM from a young age and deepened his passion for herbal approaches after managing his own recurring skin issues during adolescence and national service. He continues to support individuals facing chronic skin concerns, digestive sensitivity, or fatigue-related issues. His key interests lie in dermatology, internal conditions, and promoting digestive resilience through herbal medicine.
At ENOK TCM Clinic, each acne care journey begins with a personalised consultation to observe skin patterns and understand internal imbalances. Based on this, a combination of acupuncture, customised herbal formulas, and dietary guidance is recommended to support clearer skin over time.
To support acne recovery, it is advisable to limit spicy, oily, and overly sweet foods. Emphasising fresh vegetables, adequate hydration, and regular rest may help promote skin clarity. Managing stress levels also plays a key role in maintaining internal balance.
Explore how TCM can support your skin from within. Be it TCM for eczema or acne, speak with our team to understand your patterns and begin a tailored journey toward balanced, resilient skin.
In TCM, acne is commonly linked to excess heat in the Lungs and Stomach. This may be influenced by a diet high in spicy, greasy, or rich foods, which can lead to internal heat and dampness that surfaces through the skin.
In TCM, acne may be linked to insufficient nourishment of Blood and Qi. When these essential elements are lacking, circulation and digestive function may slow down, leading to stagnation. This internal imbalance can show up on the skin, often as deep, non-pus-filled breakouts.
Results vary based on individual constitution, lifestyle habits, and the nature of the skin condition.
Yes. TCM offers a complementary approach that may be used alongside Western acne treatments. It is important to consult a qualified professional before combining different treatment approaches.
Side effects are generally minimal. For acupuncture, some individuals may experience mild bruising or slight soreness at needle points, which typically subsides after some time.
Fees may vary depending on the selected approach. Please contact ENOK TCM Clinic directly for more information.
