How to Treat Rosacea with Chinese Herbs and Acupuncture

In a previous post we described the different TCM patterns associated with rosacea.  This post covers how we treat those patterns with Chinese herbal medicine and acupuncture.  Since rosacea is a chronic inflammatory condition, Heat is the most predominant pathogenic factor involved in this skin disease.  Acupuncture and herbs are effective at clearing this pathogenic Heat to help reduce the symptoms of erythema (redness), flushing, acne-like blemishes, and to prevent or minimize progression of the condition. 

If you have rosacea, seek treatment as soon as possible because the earlier you halt the progression of this condition the better (bring a copy of this post in to your practitioner if they are unfamiliar with treating this kind of skin issue).  Practitioners should be aware that TCM can be an invaluable help if treatment is persistent.  However, reversal of telangiectasia (vasodilation of capillaries) is highly unlikely and any hypertrophy of the nose (rhinophyma) that occurred prior to treatment will be unchanged. (Laser treatment for unsightly capillaries and cosmetic surgery for rhinophyma may be an option).

Heat in the Lungs and Stomach

The initial and most common underlying TCM pattern seen in rosacea is Accumulation of Heat in the Lungs and Stomach.  This is when there is much flushing but not yet much telangiectasia and not many papules or pustules. 

The treatment principal here is to Clear Heat from the Lungs and Stomach.  The herbal formula of choice is Pi Pa Qing Fei Yin (with modifications) which should be comprised of the following herbs (though it varies based on the source text):

Pi Pa Ye         9g
Sang Bai Pi  12g
Huang Qin   9g
Di Gu Pi        9g
Mu Dan Pi   6g
Zhi Mu         6g
Gan Cao      3g
Hong Hua   6g
Shi Gao       18g

This herbal formula has several herbs to Clear Heat from the Lungs and the Stomach, as well as herbs to Cool the Blood and Remove Stasis.  This is important because if the rosacea is allowed to progress, Heat in the Blood will begin to develop and eventually Blood Stasis will form.  By knowing where the disease will go next, we can preempt it and slow or halt its progression.  If there is much flushing with the consumption of alcohol (often this can occur moments after taking a sip), add Zhi Zi (6 to 9 grams).

When the flushing becomes more permanent and dilation of capillaries in the face occurs, the pattern of rosacea is Heat in the Blood and the strategy becomes to Clear Heat (from Lungs), Cool Blood and Move BloodLiang Xue Qing Fei Yin (with modifications) is the herbal formula of choice:

Sheng Di Huang  15g
Mu Dan Pi              9g
Huang Qin             9g
Shi Gao                15g
Zhi Mu                   9g
Chi Shao Yao      9g
Sang Bai Pi          9g
Pi Pa Ye                9g
Gan Cao               6g

I am a huge fan of Huai Hua (pagoda flower) and Hong Hua (safflower) for treating the telangiectasia of the face so I always add 6 to 9 grams of each of those two herbs to the above formula as well.

When the rosacea progresses to the pattern of Blood Stasis, the redness of the face is darker, the skin becomes thicker, and there are more pustules.  At this phase, treating rosacea is very much like treating cystic acne.  We need to Invigorate the Blood and Remove Blood Stasis.  A good herbal formula to turn to is Tong Qiao Huo Xue Tang (with modifications):

Dang Gui Wei  9g
Chi Shao Yao  9g
Tao Ren           9g
Hong Hua       9g
Bai Zhi              6g
Chuan Xiong   6g
Sheng Di Huang   9g
Mu Dan Pi       12g
Huai Hua       9g
Sheng Ma      3g
Da Huang      3g

This formula removes Blood Stasis specifically from the head.  I often add Zhi Zi (9g), especially if the patient refuses to stop drinking alcohol.  If there are lots of pustules, I also add Kun Bu and Hai Zao (9 to 15 grams each) to the above formula.  Note that these two herbs are considered incompatible with Gan Cao.  The unmodified formula Tong Qiao Huo Xue Tang is available in patent form from Mayway.

Regardless of the other patterns present, if the patient’s rosacea is worse just prior to or during her period, be sure to also include herbal (and acupuncture) treatment to Regulate the Chong and Ren Mai.  This can be done by switching to a different formula in the second half of the menstrual cycle or by adding a few herbs to the base formulas listed above, or by having the patient come for additional acupuncture prior to her period starting.

Topical Herbs for Rosacea

Topical herbal options can help reduce redness and prevent papules and pustules from forming.  Our Zi Zai Dermatology webstore has facial masks currently available and we will soon have a facial toner with herbs that have been found to kill Demodex mites (which have been implicated in rosacea, though not proven to be an actual cause).

Acupuncture and Rosacea

Acupuncture can be very helpful in the earlier stages of rosacea to Clear Heat from the Lung and Stomach and to reduce flushing and heat rising to the face.  Acupuncture points to choose from include: LI 11, LI 4, LU 5, LU 10, ST 44, ST 36, SP4, SP 6, SP10 to reduce heat rising to the face and to clear organ heat.  Some practitioners will needle the face directly and useful points include Yintang, ST 4, LI 20, Bi Tong, DU 25.  I will choose points on the face when there is much stagnation in the face, especially around the nose, but I typically stay away from them if there is only mild flushing.

Reducing the causes of pathogenic Heat accumulation in the body is very important to the treatment of rosacea.  In our next post we will discuss tips on how to do that so patients can better manage symptoms on their own and improve treatment outcomes.

Tags: acne, Chinese herbal medicine, Chinese medicine, dermatology, Facial care, herbal medicine, herbal skin care, natural skin care, rosacea

Topics: Acne, Beauty, Chinese Medicine, Facial Care, Herbs for Skin Care, Rosacea

Publish Date: August 2, 2011     *Articles may include updates since original publishing.

About the Author ()

Diana Hermann is a licensed acupuncturist and board certified in Chinese Herbal Medicine. She received her Master Degree in Acupuncture and Oriental Medicine from the Oregon College of Oriental Medicine in Portland, OR and trained in China at the Nanjing University of Traditional Chinese Medicine. Diana treats patients in her Fort Collins, Colorado clinic and hand crafts herbal skin care products for her company Zi Zai Dermatology. In 2015, she completed the Diploma In Chinese Medicine Dermatology program from Avicenna in London, UK. She completed the program for a second time in 2019 in Chicago.

Comments (168)

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  1. Mi* says:

    I am a Chinese myself and I believe in Chinese medicine. I went to see a Chinese doctor and she said I have so much heat in me and has diagnosed me with rosacea, and the redness and dryness are caused by that. I took her medicine and have used her skincare products for several months and they have improved the dryness and redness (including pastules near my jaw and chin). I thought everything went fine so I had lots of fried food for the next few months and now it’s winter and the facial dryness is here again!! The dryness has developed since two years ago (I’m 28). It’s so strange I don’t know what has caused the dryness, but I know the climate has triggered it because I usually get it during winter and spring, once in summer, several times on a flight and it continued for as long as my trip lasted in the States (I live in China where it’s more humid) and when I went back to China the dryness disappeared. But starting from last year, the dryness even appears now when I’m in China. Do you think it’s related to thyroid? Does rosacea include symptoms like facial dryness? Or it’s ezcema or psoriasis? The dryness is driving me nuts and it keeps flaking like every half day!!! Sometime it just gets really rough (dry patches usually on the sides of my face and temples, a bit on the scalp, under my eyes and area around my mouth!) and I’m worried!!

  2. Pamela says:

    Many thanks for this blog! Having lived in China, I am very impressed with TCM as both a preventive and restorative medicine. Would it be possible for you to translate the herbal recipes you provided in your blog? Many thanks!!

  3. Phillip Brown says:

    Are Pi Pa Qing Fei Yin and Liang Xue Qing Fei Yin for oral consumption or topical application?

    • These are internal herbal formulas intended for oral ingestion, but any internal herbal formula can be cooked up and used externally as a wash. Or made into an ointment if you are crafty. Some herbs that are used internally will not have the same effect on the body when used externally, so they may be less effectively externally. For instance, Pi Pa Ye helps Clear Lung Heat. You cannot Clear Heat from the Lung by applying herbs to the skin. So using Pi Pa Ye externally will not really help rosacea. So these 2 formulas should only be prepared for internal ingestion.

  4. Alex says:

    Glad to have found this website/forum. I am white European (Polish) born in England. I have rosacea predominantly on the nose with redness and some pustules for company. I have had oxytetracycline in the past which worked but I now refuse to use such prescibed drugs.I should like to try alternative methods (I’m 56) of alleviating if not entirely curing my rosacea. Any suggestions on how to get properly started? Many thanks.

  5. Vicky says:

    I have rosacea and would love to find a Chienese Dr. where I live that knows about rosacea and would be able to help me. Please let me know of a good Dr. In the Ft. Lauderdale area.
    Thank you,

  6. Debra says:

    Can you recommend a good Chinese medicine doctor near Los Angeles or Redondo Beach, California, that can treat my bad case of rosacea?
    Thank you,

  7. Robert Cordo says:

    see if there is a college of Oriental medicine near you. I believe there is one in Southern California. The price is much lower. You will be treated by an intern under the supervision of a licensed practicing doctor of accupuncture. It controlled my roscacea for seven months without a breakout. In any case there are many practitioners in your area. They can also, at the same time reduce lines etc. due to old age. Better than Botox. I have been told it can last five years. Good Luck.

  8. Brett says:

    Would you be able to recommend a practitioner in Chicago to treat my rosacea? Thank you in advance.

    • Yes. Contact Mitchell Harris, L.Ac. at or Marie-France Collin at (773) 573-6953.

      • Erma says:

        Hi I am 42 years old and now I have rosacea sometimes I get the mites I’ve Been Everywhere there’s nothing out there all doctors do is keep giving him medications and medications and most of those mess up your kidneys I have no cure how can I get these Chinese herbs to help me with my rosacea I would really appreciate some advice thank you so much for taking the time

  9. Tina says:

    Hi I would appreciate your advice and a recommendation for a TCM practitioner to treat rosacea in London itself (the one recommended above is at the wrong side of London for me as I live near Cambridge. I have had rosacea for 5 years and recently it has worsened. (redness, papules and pustules). A western herbalist says it is due to dysbiosis and is treating me for that. It is still early days but in case it fails I am thinking of going down the TCM route (herbs preferrable to accupuncture). If you could recommend someone that would be much appreciated. Many thanks

  10. dahm says:

    Hi any recommendations on finding treatment in nyc? Thanks!

  11. Hi I have seen 2 different dermatologists here in Salt Lake City, Utah. I have a severe case of rosacea, and for the most part the doctors have had me mostly on Oracea, which really didn’t seem to help much, (I would think that at a price of around $17.00 a capsule it would cure it), I am trying Minocycline at present, but nothing seems to make much difference. Is there any recommendations you can give me? I am also use Finacea Gel.
    Thank You

  12. Peter says:

    I am a 26 year old male and have had rosacea for around 11years. Very deep red which no medication has helped. Also I have undergone pulsed dye laser which has had very little effect if any. Looking into the possibility of herbal treatment but with your experience do you think it is worth perusing in my case? I live in Edinburgh, Scotland and if there is anybody you could recommend I would appreciate the help!

  13. Melissa says:

    I’m a 33 female just diagnosed with rosacea. I’ve been to 2 dermatologist who have asked no questions about lifestyle or beauty regime and just write prescriptions….very frustrating.

    I had my first child 6 months ago and about 4 months ago started getting hot flushes every day (ears, nose, cheeks). The past month I have had persistent redness on one cheek (basically entire right side of face) along with itching red bumps.

    I’m hoping it’s hormone related and a result if breast feeding.

    Any advice on how to proceed or recommendations on who to see? I live on Corvallis, OR (2hrs south of Portland).

  14. Debra says:

    Do you think you will sell the above formulas for Rosacea?

    • Zi Zai has no intentions of selling internal herbal formulas at this time. This is because for dermatological conditions, raw herbs are the most effective and we truly must formulate each batch for the individual patient to get the best results.

  15. Mafalda Raposo says:

    Hello, any recommendations on finding treatment in Macao (Chna)? Thanks!

  16. Allison M says:

    I love this blog as I am a rosacea sufferer and feel like I have uncovered the answer for me! I have been living with it for 8 years and really believe it developed due to more nutrition. Do you know of any doctors in Dallas, Tx I should see?

  17. Laura S. says:

    Hello, I have been suffering from rosacea for just over 2 years now and it seems to be getting progressively worse. I would be very interested in trying these alternative methods of treatment. Do you have a recommendation for someone in Montreal, Quebec, Canada?

  18. Ying says:


    I live in a country where I can obtain these herbs from a Chinese Medical Shop.

    However, is it necessary to see a TCM practitioner to get an actual diagnosis and customised herbs? Or is it safe for anyone with Rosacea to simply brew your herbal formula for consumption?

    How often does one need to drink it?

    Have a great day!

    – K. Ying

  19. Penny says:

    Do you know of any TCM practitioners in Sydney, Australia? Any recommendations would be appreciated. It’s an interesting article thanks.

  20. Connie says:

    Hi there! Any recommendations for a TCM practitioner in the Atlanta, GA area? Thank you!

    • I do not personally know of anyone near Atlanta GA that specializes in dermatology but I can ask around to see if any colleagues have a good recommendation for a skilled TCM herbalist.

  21. Dave Cummings says:

    Do you sell the Chinese Herbs (in the formulas you reference) for Rosacea? Looking for this one:

    When the flushing becomes more permanent and dilation of capillaries in the face occurs, the pattern of rosacea is Heat in the Blood and the strategy becomes to Clear Heat (from Lungs), Cool Blood and Move Blood. Liang Xue Qing Fei Yin (with modifications) is the herbal formula of choice:
    Sheng Di Huang 15g
    Mu Dan Pi 9g
    Huang Qin 9g
    Shi Gao 15g
    Zhi Mu 9g
    Chi Shao Yao 9g
    Sang Bai Pi 9g
    Pi Pa Ye 9g
    Gan Cao 6g

    I am a huge fan of Huai Hua (pagoda flower) and Hong Hua (safflower) for treating the telangiectasia of the face so I always add 6 to 9 grams of each of those two herbs to the above formula as well.

    • Sorry, Dave. I do not sell raw herbs in bulk to anyone other than my patients for whom I prescribe custom formulas. And I do not know any company that makes this formula in tablet or pill form. Are you a patient or a practitioner? Kamwo in NYC can fill custom raw herb formulas for practitioners. If you are a patient, contact me with the city you live in (or major city nearby) and I can possibly help you find a TCM Practitioner skilled in dermatology near you

  22. Tomas says:

    Hi, can you tell me how long it takes to treat rosacea? I have this problem for 4 years. I used tetracyklines and, it helped temporarily. But the issue came back. So I found TCM practiotioner and she prescribed me some herbs to clear heat from liver and intestines. My face is not getting any better. One week ago, I found this blog so I bought herbs to Clear Heat from the Lungs and Stomach. I hope it will help. When should I expect some results? Thanks

    • I wish I could tell you how long it takes to treat rosacea but there is no answer for that since each case is unique. How long have you been taking herbs from this practitioner? I have no idea if you should expect results yet or not. And dosing is very important. If the dose of the individual herbs is not proper, or if the overall dosage of herbal medicine you are consuming is not enough, then good results cannot be expected. I am sorry I do not have enough information to answer your question. But rosacea can be stubborn and even at the right doses of everything, it can take 6 to 9 months to really get it under control. We certainly MAY see improvement before then, but that is a typical time frame to allow for treatment. You may notice other things improve before your face does – for instance digestion or menstrual cycle or sleep, etc. This would indicate the body is becoming healthier and is a good sign.

      • Tomas says:

        Thanks for the brief answer.
        My digestion is getting better, flushing is almost gone, skin is not dry anymore but white papulas are still creating especially in my forehead and nose. I have been using herbs for 3 months now. Yesterday I started to use Pi Pa Qing Fei Yin, whic h was not originally prescribed from my practitioner. Now I hope for greater progress in coming weeks.

        • If the flushing is almost gone, this is good progress. Try adding in the use of our topical RosaceHerbal Facial Toner daily to reduce those white papules. It can help a lot.

          • Tomas says:

            Thanks for recommendation, I would love to try the Toner, but I live in Europe. I think, it would be very expensive to deliver from the USA. Sometimes I use apple cider for my face but not alongside with herbs.

  23. Juan says:


    I recently moved from the South Pacific to Seattle two months ago and my body has gone into shock with the change in the climate. I have seen two dermatologist who diagnosed me having rosacea, and prescribed two different medications. The first being Minocyline 100 mg which I have taken for two weeks without seeing much improvement. I started this week on Oracea 40 mg, and had a flare up yesterday, the worst I’ve had since being diagnosed with rosacea. Please recommend a TCM practitioner in the Seattle or Tacoma area. I would like to nip this rosacea issue as soon as I can since it’s in its early stages. I also plan to visit a acupuncturist real soon. Thanks in advance for your advice.

    • Oh a colleague of mine who specializes in dermatology is in Seattle! Go see Glenn Soja, L.Ac. Here is the link to his practice:

      • Juan says:

        Thank you so very much for your referral to Glenn Soja at the Mitchell Center in Seattle!
        I have been under his care for three weeks and have seen huge improvements with my rosacea, and mild psoriasis I didn’t know I had. Both are practically gone and my complexion has gone back to almost normal.
        I trusted in him and got off all my prescribed medications and only took the herbs. I saw improvement within less than a week. Have faith in your practitioner. I know I did, and it has really paid off.
        He’s been a life saver!
        Thanks again for your blog and the referral!!


        • Juan, I am so pleased Glenn is taking such good care of you and that you are getting such great results! Hooray! Thank you so very much for reporting back to us here. I hope all of you in the Seattle area will make note of this in case you ever need Glenn’s expertise in the future.

          • Christina says:

            Hi. Please help me. I live in San Antonio, Texas and will travel further if I need to. Can you please recommend a TCM practitioner in my area. I’ve been suffering from heat in my stomach/lungs and blood for years now. The apartment complex I lived in had a gas from a broken manhole seep into my apartment. After I ingested the gas my body has never been the same. It overheats and everyday I have a flush to the face and warm to touch. I walk outside and feel like fainting in the heat. I left the apartment as soon as I could and many doctors have been left puzzled trying to figure out how to help me. Any help would be appreciated. I’m glad I found your blog. Much love from Texas

          • I shall ask around for a good referral. But don’t wait on me… call around or Google “acupuncturist” yourself. Look for someone who also is trained in herbs.

  24. Tom says:

    I have started to use herbs to Clear Heat from the Lungs and Stomach. Some small progress is visible after two weeks.
    I also read on another blog that Rosacea could be connected with heat in liver and with humidity in intestines. Can you confirm this? Should I add herbs to clear heat from liver and humidity from intestines?
    Thank you

    • Forgive my bluntness but there is absolutely know way I advise about which TCM diagnosis might be more appropriate for you. This medicine views the body and its optimal functioning very differently than western biomedicine does. Rosacea (or any skin ailment) can be the result of several different underlying imbalances and although I have outlined the major imbalances in this post, I have no idea if you fit the “text-book” version of how we view this disease or not. Most of the time, these are guidelines that we practitioners follow as a mere starting point and then we examine the patient and ask lots of questions to dive into the nuances of the individual. I would say that if you saw improvement after 2 weeks, stay the course for now. That is good progress in what can often be a stubborn condition to treat.

  25. Marianne says:

    I think I may be suffering from Rosacea. I have for many year noticed that my face gets more red regarding where I am in the menstrual cycle. The heat in the face and redness gets worse the last two weeks before my periode. I have been going to an acupuncturist for PMS and anxiety. For a periode the skin redness was little redused. But, after I stopped acupuncture it have come back again so has the PMS.. I live in Norway and the acupuncturist there rarely use herbal treatment, mainly just needles. However, I have been introduced to chinese tea pills, such has ” free and easy Wanderer” from Plumflower. Could a chinese tea pill formula also be used against rosacea ? Do you have any recommondations ? Could the rosacea have a connection With the PMS Im suffering from ? At least for me, the redness gets worse when I am at that point in the month. Friendly regards Marianne

    • Yes, a woman’s menstrual cycle can have a huge impact on other areas of her health. If your facial flushing gets worse right before your period, it is very important that you limit your alcohol and spicy food intake during this time. Free & Easy Wanderer (Plumflower’s version of Xiao Yao Wan or Jia Wei Xiao Yao Wan herbal formula) would likely be quite appropriate for your PMS and it might help the flushing a bit. You would do better with a custom herbal formula, as I rarely see pill form herbs work strongly enough to tackle dermatological conditions. But if this is all you have access to, it is better than nothing.

      • Marianne says:

        Hey Again, Thank you for answering so fast. If I may ask some follow up questions here. You dont think it will be enough to Cure rosacea With only needle acupuncture ? I dont know why, but for some reason they use very little herbal treatment here in Norway, at least the acupuncturist I have come across. Can PMS be cured With only needle treatment ? Like I wrote before, my PMS isnt cured. I was doing 3 months With acupuncture, but after some month it have come back again..

        • In many cases acupuncture alone is enough to balance the body to stop PMS symptoms completely. This can take time, depending on how often you get treatment and how severe the symptoms are. I have not seen acupuncture to be enough to manage rosacea. Rosacea can be a challenge to treat even with herbs (though I think it always worth treating). I do not know what the laws are in Norway, but in some countries practitioners have limited access to herbs and thus cannot use them much in their practice. Some practitioners are not skilled in the use of herbs and thus CHOOSE not to use them in their practice. I do not know which is the case with your acupuncturist, sorry.

  26. Caran says:

    Does ocular rosacea require different or additional herbs? Is it generally from the same cause – heat in the stomach and lungs?

    • Caran, are you a practitioner? Yes, treatment of ocular rosacea requires additional herbs to address the eye. Ye Ju Hua, Ju Hua are the two most common herbs I add. While rosacea often begins as Heat in the Stomach and Lungs, it often progresses to Heat in the Blood and then also Blood Stasis. This is usually what we see when the eyes are involved, so Blood moving herbs and herbs that Cool the Blood are necessary. Let me know if you are a practitioner – you may want to join a professional forum that I can suggest if you want more specific advice on cases and formulas.

  27. Aq says:

    Hi! I’ve been diagnosed with rosecea a couple of years ago. It was really awful in th beginning but I managed to control it by taking medicines prescribed by a herbal doctor for about 8 months (up until march of this year). That has stabilised my condition for the most part (no more breakouts on my nose or cheeks), but my skin is still red and for some reason I’m breaking out around my mouth. I moved to San Francisco about 8 months ago and stopped taking the herbal medicines about four months ago. Was wondering if you could recommend a TCM practitioner in San Francisco?

  28. Terry says:

    Do you know a TCM in St. LOUIS?

  29. Sue Nath says:

    Have you used any classic formula (Pi Wei Lun by Dr. Li Dong Yuan) for Rosacea treatment, with success?
    Thank you in advance

  30. Michael says:

    Hi I’m a 28 male from Australia and I have had rosacea for at least 10 years. I find it gets most irritated when i drink alcohol or spicy foods ( typical triggers) I use a topical cream filled with vitamin a and also I cut out all triggers excluding alcohol due to special occasions and being sociable. I find if I can sweat intensely either by work out or humidity it calms my skin immensely. I’m looking at getting laser treatment as I am getting the veins prominent now. It is immensely annoying and with your advice I’ll try anything to hopefully at worst reduce redness and flare ups thank you

    • Where in Australia are you? There are many TCM practitioners in Australia who are specially trained in dermatology. Hopefully we can find someone nearby.

      • Michael says:

        Perth Western Australia. Thanks

      • Claire says:

        Hi, I am from Perth Western Australia too and have just found your site. Is there any practitioners you can recommend for this area? I have just found out that this condition exists and am reading that you have to get on top of it quickly.

        • Golly, I don’t think I personally know anyone in Perth but I do know that there are a few TCM practitioners trained in dermatology in Australia. I suggest you email the folks at and ask them – they have a list of Chinese herbalists trained by them who are practicing all over the world.

  31. Michael says:

    I forgot to mention I don’t suffer from acne at all its just pure burning up and now sustained redness. Thanks

  32. monica says:

    I would like to know if there is anybody that you can recommend in orange county ca to find tea that clears the heat In the body.. I have rosacea and I am always having hot flashes…thank you

  33. melissa says:

    Do you have a practicioner near Corvallis, oregon you can recommend?

  34. Linden Kan says:

    I am a 54 year old fair skinned female who has suffered from Rosacea for around 30 years. Desperate for a TCM practitioner in Melbourne area. can you direct me please?

  35. Emily says:

    Hi. I have been diagnosed with rosacea and have been given both antibiotics and a cream to use. I would like to try acupuncture rather than rely on antibiotics. Do you have any recommendations for practitioners in Washington, DC?

  36. Heidi says:

    Hi, I am 50 years old and have Rosacea, like Emily, I have been prescribed Oracea and creams. Tried the cream Finacea and it didn’t really seem to help, might have dulled the redness just a bit, but left my skin very dry. So have discontinued use of the cream. Prefer to not take the Oracea antibiotic. I would love to find an a practitioner in the Danville, CA area. I am in Northern California, in the East Bay.
    Thanks so much.

  37. Matthew Eley says:

    Do you know any Chinese medicine practitioners in Denver or Boulder who might be able to treat my Rosacea? Thank you!!

    • As of this year (2015) I am the only TCM practitioner in Colorado who is specifically trained in dermatology. Peter Borton, L.Ac. of DragonTree Spa in Boulder would be the only other Chinese herbalist (that I personally am aware of) that might be able to help you. You can come to me for treatment if you can make it up to Fort Collins once every 4 weeks. I do not need to see you more frequently than that.

  38. Geo says:


    For Romania do you have a TCM medicine regarding rosacea?

    Thank you.

  39. Hope says:

    Hi! I was wondering if you do any consults over Skype for rosacea. I am in Columbus, Ohio and would love your help!

    • I am sorry but I legally am not allowed to treat a patient I have never seen in person. I can do Skype sessions for follow-up consults, but I have to see the patient in person at least once. I don’t know any colleagues in your area that are trained in dermatology, but there may be someone by the end of next year – the dermatology diploma course that I will be finishing up this week in London will be taught in the U.S. next year.

  40. Alexa says:


    I am 25 and have had early signs of Rosacea for years. Over the last 6 months it has progressed to flushing episodes daily, unable to drink any alcohol, and more permanent reddening and visible capillaries. I am getting married in 10 months and would love to get it under control. I am going to an acupuncturist in south jersey. I also went to him for another issue last year (which he cured) but his supplements he provided were not Chinese herbs. I’m just trying to find the best practitioner who will provide me w the correct supplements.
    Do you know of anyone in the Philadelphia area?

  41. Colin Restall says:


    My daughter who is 40 years old has developed rosacea over the past year and has had no success in removing it. Over many years she has also had bouts of dermatitis and skin rashes as well as asthma. Various dermatologists have prescribed creams and ointmnents as well as Prednisone which seems to have quite adverse side effects.
    And as a result she is very often quite stressed.
    I wonder if all these symptoms might somehow be related and whether one form of treatment might trigger off other symptoms?
    Your website is very enlightening and wouold appreciate any advice you could give.
    I live in New Zealand so perhaps you would know a of a TCM prctitioner here who may be able to help?
    Thank you,

    • I personally do not know any TCM practitioners in New Zealand. I suggest you contact the Avicenna clinic in the UK – they have trained practitioners from all over the world in dermatology and they may be able to recommend someone. Also try googling “Acupuncturist” or “Chinese Medicine” in your area and check out the websites of the practitioners – some practitioners trained in China may also specialize in dermatology. I can recommend practitioners in Australia who can offer Skype consultations, but I do not think they can legally treat patients in another country. I think Chinese Medicine may offer real hope to your daughter as we can treat inflammatory skin conditions very successfully.

  42. Zaina says:

    Thank you for this info! I have crohns and rosacea that has gotten worse with creams prescribed by my dermatologist. I had a horrible rebound flushing while exercising today- the reddest I’ve ever been in my life. Do you know a good TCM practitioner in the Houston, TX area?

  43. zafa says:

    my husband has itchy face around beard area and same red rash/acne around nose can you recommend some one in Toronto canada.thx

  44. geraldine says:

    Many thans for all information and help you are providing here. That is priceless for me. I’m tired of being victim of the incompetent dermatologist that gave me steroid to treat my problem and actually made me so worst. I have no trust in the one I’m seeing right now either even though he give me something that look more like a rosacea treatment but doesnt feel right to me to take antibiotics and stuff..
    I live in Taipei, Taiwan, means I should be able to found a tcm, but witch one???
    Bcz the one I went to see is “” the best chinese medecine dermathologist”” but treat me with western metrogel, amtibio…
    I would be so gratfull to hear from you if you could direct me to someone trustworthy.
    Many many thanks for your devoted concern to others.

    • I’m sorry you have had negative experiences with the doctors you went to. I don’t know any TCM doctors in Taiwan, but colleagues of mine trained there. I will ask them for recommendations. Where in Taiwan do you live?

      • Geraldine says:

        Thanks so much for your answer. I live around Neihu. I got in contact with one doctor from Tri-service hospital that left his contact on foreigner forum.
        I dont have any recommendation to see him but I love the fact that he has made himself so accessible. Have his cell phone and email, heled me book an appointment..
        Right now my situation got worst as i am reacting to the medicine and antibiotic I got 2 weeks ago but have no way to contact the Dc to ask if my reaction is normal , should I stop, should I continue… and appointment are a nightmare to go through..
        Anyway, thanks to you and other information I found, hope to find the right way of treating this condition.

        I will see this TCM tomorrow morning. He is Dr Hsieh. English name Joey.
        May I let you know what he prescribe for me, to have your view on it?

        If I may, here some questions that Im concern about and would love to hear from your experiences:
        1-Is the source of our condition obvious for any TCM Dr?
        2-Am I supposed to have a big reactions at first or its supposed to calm down the whole process right from the beginning?
        3-From your experience, is it usually months treatment or years?
        4-Im on anti-inflammatory diet since 3 months (veggies, fruits, fish,white meat, grass feed beef, nuts, seeds) and are ready to continue it for years or life if its the right way to treat our body. Do you believe that would help?
        5-lastly, if I use a topical cream like Soolantra, would it interfere with TCM result?

        Million thanks for your time and effort on helping others.
        I knew there is still doctor that actually care but not easy to find.

        • Here is the recommendation from my colleagues who have studied with several TCM doctors in Taiwan:

          “Nearest station is Taipower Building on the green line

          Dr Zheng-Yu Lee 政育李醫師
          Yu Sheng Zhong Yi Clinic 育生中醫診所
          106 Taipei City
          Sec 3, Roosevelt Road, No. 261, 4F.

          I wish we knew more practitioners to recommend but Dr Lee is renowned for treating difficult cases although a bit pricey for Taiwan as he prepares the decoctions unlike most others who use granules. If they’re English/French speakers ask for Frank or Scott who run the acupuncture section for translations during consultation.”

  45. Mauricio Copete says:

    I live in San Francisco, CA.
    Had a rosacea outbreak about 13 years ago. After years of ineffective western medicine pills and lotions, it was cured by a local acupuncturist, who is no longer in business.
    Now I am having really tough rosacea mainly in my nose (redness, bumps, pustules) and milder outbreaks in my checks and forehead. This has been going on for at least a month and it is getting worst.
    I would like a recommendation for a really good San Francisco (or Bay Area) acupuncturist specializing in skin conditions.

    • I wish I knew someone in that area, but I do not know of any currently practicing Chinese Medicine practitioners in the Bay area who are specifically trained in dermatology. You should contact Steven Jarsky ( (310) 367-0468) – he is in Santa Monica but he trained in a dermatology program in San Francisco a few years back and may have colleagues that trained with him who are still practicing in the area. If you find someone who is very skilled in dermatology, please write back. I want to know about them. Good luck.

  46. Patti says:


    Can you recommend a TCM Practitioner trained in dermatology in the Miami/Fort Lauderdale area? I’ve had mild rosacea for a few years that recently flared up.



  47. corinnashito says:

    hi, I’m very excited to find that TCM can help Rosacea, I have recently find out the problem with me, now having menopause issue, flushing is an additional concern for Rosacea, do you have any recommendation of TCM Practitioner trained in dermatology in Hong Kong. Thank you !!!

  48. corinnashito says:

    hi, I’m very excited to find that TCM can help Rosacea, I have recently find out the problem with me, now having menopause issue, flushing is an additional concern for Rosacea, do you have any recommendation of TCM Practitioner trained in dermatology in Hong Kong. Thank you !!!

    • I don’t personally know anyone to recommend to you in Hong Kong but surely there are wonderful practitioners in such a huge city. Ask around and do some Google searches. Good luck!

  49. Adam says:

    Do you know of any TCM Practitioner’s who specialize in dermatology in the Milwaukee area who you would recommend?

  50. Sol says:

    I’m a 42 y/o female diagnosed with rosacea 12 years ago. The redness went away for a while when I was eating an extremely clean diet, but recently has come back and probably gotten worse. I also had a massive fibroid removed from my uterus a few months ago, and while most of the symptoms associated with the fibroid have resolved after surgery, the redness of my face hasn’t improved as I’d hoped. Can you recommend a TCM practitioner near Boston? Thanks.

  51. Arzu says:

    I have been diagnosed bad acne and treated with antoboti. It is getting worth everyday. Painful and swelling gradually. I told the Drs this is not acne but they said it’s.. .I believe Chinese acupuncture since my brother is a Chinese medical Dr unfortunately he is not here and i need help immediately

  52. Jen says:


    I was wondering if you could recommend anyone in the Minneapolis / St. Paul area. I have a mild case but I find my redness/flushing has been coming on more frequently and more broken capillaries are appearing.
    : /


  53. Jill says:


    Do you know of any TCM practitioners in Oahu, Hawaii?


  54. Deb says:

    Hi – can you recommend a TCM practitioner in or near Islip, New York? Any where on Long Island would be ok too. Thank you!

  55. Andrea says:

    Hi there

    I have been diagnosed with acne rosacea 2 months ago. I’m a clean eater and pulled sugar, dairy, gluten, and soy out of my diet. I have hashimotos and am breastfeeding my 4 month old. Are TCM modalities safe while breastfeeding ?
    Can you recommend a practitioner near Chicago IL? I’m in NOrthwest suburbs.
    Also are any of the topical treatments you sell good for minimizing flushing and pimples on cheeks?

    • Our RosaceHerbal Line of products are designed to reduce the appearance of flushing and pimples. I would try our RosaceaHerbal Facial Soap and the Facial Creme first. When I treat this condition in patients at my clinic, I use internal Chinese herbs as well. I take the breastfeeding into consideration and try not to add too many bitter herbs (ones that would make the breast milk taste bad – baby might refuse it, but it is not unsafe). In your area I recommend seeing Mitchell Harris:

  56. Dk says:

    Any tcm practioner you recommend in north California – Bay Area for hormonal acne. I am 34 year old and my acne is a result of stress and hormones. Thanks

  57. Dk says:

    Any tcm practioner you recommend in north California – south Bay Area near San Jose for hormonal acne. I am 34 year old and my acne is a result of stress and hormones. Thanks

  58. Siobhan Craig says:

    Hi – I am looking for help with Rosacea in the Southern, New Hampshire area. Do you know of any practitioners you would recommend in Portsmouth or Durham, New Hampshire area? I have rosacea and I can feel the heat in my body.

    Thank you very much.

    Siobhan Craig

  59. Elena says:

    Hi, I’m 20 weeks pregnant, is it safe to take Chinese herbs and do the acupuncture for stage 2 rosacea?

  60. Jo says:

    Hi do you know of any practitioners in Brisbane, Australia at all.

  61. Trish says:

    Thank you for posting this information. I have rosacea that has progressively gotten worse over the last 2 years. What is the connection with hormones? I am 45 and noticed that when my hormones/cycles started becoming irregular, rosacea became worse. Can rosacea be managed with diet alone? Can you recommend TCM in Calgary Alberta? Are your products available to ship to Canada? Thank you for your help.

  62. star stern says:

    what blood quickening formula or what formulas would you suggest for my rocessea ,? been diagnosed with spleen qi deficiency ,blood liver deficiency and liver qi stagnation,all draining on the kidneys ;

  63. Elen says:

    I would like to ask you if rosacea which is still light, will worsen anyway, if not treated with formulas, but only externally. Of course, I try to avoid the triggering factors, at least the ones I know.
    thanks you

  64. Kallie says:

    Can you help to providing a reference to a practitioner in Minneapolis, Minnesota??

  65. Adil says:

    I have the same issue which is red small pimples, that come and go depending on the weather, the food ect…dry facial skin that gets flaky, I’ve tried everything possible to clear this problem, I gave up on dermatologist a long time ago because nothing they prescribed worked forme. I live in charlotte nc and I’m willing to try the Chinese method, coould you please recommend someone here? Looking forward to hearing from you.
    Thank you,

  66. Medina says:

    hello i was diagnosed with rosacea in july 2017. i would get flushing in my cheeks usually around afternoon. I couldn’t stand the heat or room temperature it would cause me to flush. My skin was usually pale and only turn red when i would flush. In November i developed a really bad flush that lasted all day and night for a week. After it calmed down i would still flush but not as much.I saw a homeopathic and he told me to go vegan and so i did. He also gave me a liver detox tea. I would also get red here and there but sometimes my skin looked normal. Now recently my face is red all day and is hot all day. Please help me. I do not really get acne my face is just hot and red. I do not use a facial cleanser. Just shea butter as a moisturizer

    • Medina says:

      Also my sides of my face get red my forehead my chin. I never had that before. It was only always my cheeks. I fear i am getting worse as days go by. I started taking a probiotic I dont know if that will help but i do believe this is a problem coming from the inside.

  67. Diana V says:

    Good evening Diana, thank you for this amazing post, I really find your information so helpful. I was diagnosed with pre-rosacea and would really like to find out if there is any cure before it develops to rosacea? I was really interested if there is any online shop that sells Pi Pa Qing Fei Yin blend and ships around the Europe? I live in Lithuania and Chinese herbal medicine is not common here, so I would doubt if I could have a professional help here. Thank you in advance!

  68. Francisco Granados says:

    Soy de Argentina y en el mes de abril estoy en China, quisiera ir a ver algun medico China cerca de Canton para hacerme tratar la rosasea. Por favor si me pueden contar donde ir. Gracias

  69. Milena says:

    I was wondering, do you sell these herb mixes?

    Since last winter, when I was finally been diagnosed with rosacea, it seems I have been back and forth between the initial stage and heat in blood stage (from looking at the the pictures in your other post. Now it seems that there are two areas with beginning of dilation of capillaries (on the left cheek and on the left sidde of my nose)…
    To clear the heat, I tried ayurveda (I have been told to get panchakarms, which is deeper cleanse, which supposedly will clear the heat out). This year I also started accupuncture and my doctor says that I am better, although I am still getting red spots, my skin is somewhat bumpy and it seems that I have the texture on the skin on my cheeks significantly changed, similarly to the brown spots on her face –
    Also it looks like my cheeks and chin are uneven and bumpy (looks like holes somewhat… my skin is not even, as if it is scarred from akne, which I never had…)

    I wish I could attach and send pictures… but since I do not have the option, looking at the pictures, it feels to me that I should probably add the herbal mictures that you suggest for stage 2. I am not sure where to get them from, since where I live in Europe there do not sell all the herbs you suggest. Do you sell them as herbal mixes/packs? I did not see them in your store.

    Based on my description, what is your suggestion for which herbal mix is best in my case? Also, where can I buy them from or do you sell them?

    Thank you so much & warm regards,

  70. Kim says:

    Hi, Do you know of anyone who could help me for my rosacea in Ottawa, Ontario Canada? I appreciate all the information you have provided and truly believe TCM is the answer.

  71. Chris u says:

    Thank you so much for this blog! I started suddenly experiencing “asian flush” but am not asian and someone asked if i had rosacea which brought me searching to this page. Turns out i am about to start my cycle. I have broken capillaries but no acne or nose issues. Also i have PCOS which went away when i was pregnant with all its issues but now that my baby is 2 all issues coming back w trouble losing weight, facial flushes and rosacea. Any tips?

  72. TIANA PACKER says:

    HI there, thank you for your clarification! I’m from Sao Paulo, Brazil. Do you happen to know any practitioner here by any chance?

    Thank you!!

  73. Debra says:

    Hi Diana
    Hope you can help me.. I live in Western Australia – Perth and I’m looking for someone like yourself to help me with my Rosacea issues. The Rosacea has worsened since I’ve started going through menopause. I have been to a couple of naturopath’s, Doctors, but nothing has been too successfull. This is a very long shot BUT I’m “”Desperate for help”” or any other advice, even If i can purchase your products.. thanks Debra

  74. Debra Pereira says:

    Hi Diana
    My name is Debra, and i live in Western Australia – Perth “Desperate for HELP”.
    Since i’ve started going through menopause i have developed Rosacea. I’ve been to Doctors and Nathropath’s but nothing has been too helpful. Please hoping you can advise or guide me to someone like yourself here in WA. Many thanks Debra

  75. Hello, do you have any experience with Miami acupuncture? A friend of mine has experienced it and wants me to try at least once. Thanks!

  76. Joyce says:

    I live near Boston, Mass. Could you recommend someone in that area to help my rosacea. It is mainly on my tzone

  77. Shamil says:

    Hi, I have been suffering from rosacea for just over 6 months now and it seems to be getting progressively worse. Do you have a recommendation for a practioner in Paris, France.
    Thank you,

  78. Keri A says:

    Hello, do you have a reference for someone in Knoxville, TN who treats rosacea, please?

  79. Katie kirby says:

    Hi there, thank you so much for this information! I am qualified in acupuncture and herbs and treating a patient for rosacea. Can you tell me how long you usually treat with herbs as I worry about giving such cold herbs for a prolonged time? My patient fits into the Stage 2 category so I’m treating with Liang Xue Qing Fei Yin plus modifications. I have prescribed 10 days initially. Thankyou! Katie

  80. Linda S says:

    Hi After living in LA with very fantastic acupuncturists I am in southern Maine York, Wells, Kennebunk, Portland and near Portsmouth NH. Can’t find anyone that treats the skin. I have just been diagnosed with Rosacea. I am hopping you know someone in this area. Very kind of you to help people as well. How can I purchase your products?

  81. Pam says:

    Hello, I was wondering if you do tele-medicine yourself. I live in Tampa Florida and I had had bouts of roseacea type symptoms on and off since Last July. I would love to be able to chat and see what you would recommend for my specific situation. Thank you. Pam.

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