Q How should I combine Korean medicine and conventional treatment in the early stage of rosacea (only redness and flushing)?
A The first stage of rosacea (erythematotelangiectatic type) is managed by trigger avoidance, SPF30+ sun protection, and minimal skincare. Korean medicine uses formulas such as Galgeun-haegi-tang and Cheongsang-bangpung-tang to clear upper-body heat and reduce vascular reactivity, suppressing disease progression.
Detailed Answer
The principles of Stage 1 rosacea (erythematotelangiectatic type) treatment are: ① strict trigger avoidance, ② SPF30+ sunscreen, ③ fragrance-free, low-irritant moisturizer to restore the skin barrier, and ④ brimonidine gel (vasoconstrictor) as needed for immediate redness relief. Laser treatment is optional at this stage; IPL or PDL can be considered when vascular dilation becomes prominent.
Korean Medicine Clinic Perspective
At Dongjedang, Stage 1 rosacea is viewed as "heat rising to the upper body (上熱)." Galgeun-haegi-tang disperses stomach-channel (胃經) heat, and Cheongsang-bangpung-tang removes wind-heat from the lung channel. Acupuncture focuses on Hegu (LI4), Quchi (LI11), and Yingxiang (LI20) to guide heat out of the upper burner.
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