Many realize that true healing of the skin comes from within, and we discuss the countless detox cleanses, diets and eating programs they’ve tried. So often they’re at their wit’s end because nothing has worked for them so far. Sure, herbal creams, serums, or toners applied topically are a wonderful add-on and provide more immediate healing. However, they only work if they are also used internally. Combining internal and topical treatment together is the most effective way to achieve complete, long-term results. Herbalists look at the whole health picture. What does the acne look like? Is there background redness, or is the skin more greasy or shiny? Are there pimples, pustules, cysts or all three? Where is it located? How are other symptoms like digestion? How old is the patient? Are there other factors involved, like drinking, smoking, diet or stress? The whole health picture helps determine what Chinese medicine calls “patterns of imbalance.” Treatment specifically targets each of these patterns and, as they change and evolve, herbal treatment evolves, too. Here’s the thing: “herbal” and “natural” doesn’t always make a treatment safe. Anything strong enough to heal you can also harm you if taken incorrectly. Make sure your herbalist has experience treating skin conditions, and that they’re committed to using Chinese herbs from a reputable pharmacy. Ask about whether the herbs have been tested not only for quality, but also for pesticide or fungicide residues. Herb quality is a big concern in the Chinese medicine community, and is something to which you should pay close attention. An herbal dermatology specialist will be able to pinpoint your precise areas of imbalance based on the appearance of your skin. Keep in mind that many herbalists (as well as naturopaths, homeopaths, and even Western doctors) are not experienced in treating skin conditions. Most holistic practitioners have never even taken a dermatology course. So, however you choose to treat your acne, make sure you see a specialist. She will see the unique distinctions on your skin and know what to do about them. Balfour holds a Doctor of Traditional Chinese Medicine from Five Branches University and a Master’s degree from Yo San University. She is a California-licensed acupuncturist and herbalist and a National Diplomate in acupuncture and Chinese herbology, board-certified through the NCCAOM.