I am about to treat a patient in our college clinic for severe acne and I want to find out as much as possible about this condition. I understand that this is due to a damp heat pattern which is mainly caused by excessive greasy, spicy foods etc. and I would therefore consider points like LI 4, 11, UB 40, SP 10, SP 6, maybe SP 8 or 9, REN 12, ST 36, ear point endocrine.
The acne is only located on the back, however, and I am a bit confused why this would be the case. If it is due to diet and affecting the ST channel, I would expect it to be on the face. What is the explanation for this?
I am also thinking of herbal pill such as Pi Yan Tang or Huang Lian Jie Du Wan, which seem to have the ability to clear heat, damp and heat toxins.
Would cupping of the back be indicated? Lots of questions, I know, but I hope that one of the experienced practitioners can enlighten me? Thanks a lot in advance