Why do breakouts occur when drinking traditional Chinese medicine?

Acne refers to acne vulgaris. Developing acne after taking traditional Chinese medicine (TCM) may be caused by normal drug reactions, endocrine disorders, TCM allergies, a damp-heat body constitution, or abnormal keratinization of the hair follicle sebaceous gland duct. If abnormalities occur, it is recommended to seek timely medical consultation to identify the cause and receive targeted treatment. Detailed analysis is as follows:

1. Damp-heat constitution: Individuals with a damp-heat constitution have excessive internal dampness, which may worsen after taking TCM, manifesting as increased acne. It is recommended to adjust the TCM prescription by adding heat-clearing and dampness-resolving herbs such as Scutellaria baicalensis (Huang Qin) and Coptis chinensis (Huang Lian). Additionally, improve dietary habits and avoid oily or sweet foods that may exacerbate dampness and heat.

2. Normal drug reaction: When taking certain TCM formulations that regulate qi and blood or promote detoxification and beautification, acne may temporarily increase due to the elimination of toxins from the body. This is a normal detoxification response and typically does not require special treatment. Acne usually decreases gradually after several weeks.

3. Endocrine disorders: Individuals with pre-existing endocrine disorders, such as excessive secretion of androgens, may experience worsening acne when taking TCM. Additional symptoms may include menstrual irregularities, mood swings, and insomnia. Consult with a physician to adjust the TCM formula by adding endocrine-regulating herbs such as Angelica sinensis (Dang Gui) and Paeonia lactiflora (Bai Shao). Additionally, improve lifestyle habits, ensure adequate sleep, and maintain emotional stability.

4. TCM allergy: Some individuals may develop allergic reactions to certain components in TCM, leading to skin symptoms such as acne, redness, swelling, and itching. Immediately discontinue the TCM and seek medical attention for antiallergic treatment, such as Loratadine tablets, Ebastine tablets, or Montelukast sodium tablets. Avoid further exposure to the allergen.

5. Abnormal keratinization of the pilosebaceous duct: Individuals with abnormal keratinization of the pilosebaceous duct may experience exacerbated follicular blockage after taking TCM, leading to acne and symptoms such as oily skin and enlarged pores. Follow medical advice to use topical treatments such as tretinoin cream or adapalene gel, and oral antibiotics such as minocycline hydrochloride capsules or roxithromycin capsules for treatment.

In daily life, maintain a healthy lifestyle, improve dietary habits, engage in appropriate physical exercise, enhance physical fitness, and reduce susceptibility to illness. Additionally, pay attention to the method and dosage of TCM administration to avoid adverse reactions.