Objective To investigate the effect of Baixuanxiatare capsule combined with isotretinoin capsules on serum interleukin(IL)-8,IL-4 and tumor necrosis factor(TNF)-α in patients with tricuspid acne,Three or four degrees of acne in patients with optimal program.Methods 92 patients with acne vulgaris from October 2014 to October 2016 were randomly divided into observation group(n=46)and control group(n=46).The control group was treated with isotretinoin capsules.The levels of IL-8,IL-4,TNF-α,clinical efficacy and side effects were compared between the two groups.Results The scores of IL-8,IL-4 and TNF-α in the observation group were significantly lower than those in the control group(P<0.05).The clinical efficacy of the observation group was significantly lower than that of the control group(P0.05)The total effective rate was significantly higher than that of the control group [95.65％(44/46)vs78.26％(36/46)](P<0.05); the total incidence of adverse reactions in the observation group was significantly lower than the control group(P<0.05).Conclusion Baixuanxiatare capsule combined with isotretinoin capsules in treating 34 acne acne is more effective than isotretinoin capsules alone and has low side effect,so it is worthy to be popularized.