Patient: My baby started to develop eczema more than half a month after birth, with repeated attacks. At more than three months, I went to a hospital and was diagnosed with very serious allergies, and was prescribed hormone cream and oral medication, which worked well at first, but relapsed after a week of medication, and the medication was not effective anymore, and the complication became more serious. Now the diagnosis is atopic dermatitis, and because it is so itchy, it often scratches and breaks, and water comes out. How can I cure this disease in my baby? Is it possible not to use hormone creams? Atopic dermatitis is also known as atopic dermatitis and genetic allergic eczema. The child usually has a family history of allergic diseases or is himself prone to certain allergic diseases such as asthma, allergic rhinitis, conjunctivitis, etc. The disease is characterized by intense itching, dry skin, and a tendency to exude, often with characteristic clinical manifestations and forms of rash distribution. The disease usually has a long course, usually starting in the second or third month of life, and most of them resolve within 2 years of age, but a few can last for life, and in severe cases it can even affect the growth and development of the child. Treatment is mainly to control the symptoms and minimize the impact of the disease on the quality of life and growth of the child. Treatment mainly includes nursing care, topical medication, and internal medication. Children with mild disease can generally be controlled with good care, while children with moderate to severe disease often require long-term comprehensive treatment. Care includes: (1) Avoid stimulation: for example, stimulation of the perioral area by food residues, juice, and saliva; stimulation of the skin by coarse-fiber clothing, sweat, and detergents; and stimulation of the perineum of the buttocks by urine and stool residues. Overheating, anxiety, climate drastic changes, infections, vaccinations may also become stimulating triggering factors. (2) Emolliency and moisturization: Use suitable emolliency and moisturizing agents regularly to prevent dry and cracked skin and protect the skin barrier function. (3) Pay attention to environmental allergic factors: mainly including food, pollen and insect mites. When adding new complementary foods, generally observe for 3 days. If a rash or rash worsens on that day and the next 2 days, pay attention to avoidance, and if necessary, perform allergen screening. Topical medication: Topical hormone medication is still an important treatment for the disease at home and abroad, and proper use under the guidance of a doctor is the key. When using topical hormone preparations, it is important to prevent both blind abuse and indiscriminate use, leading to increased side effects. It is also important to prevent blind fear and rejection of the use of topical hormone preparations often leading to missing the best time for treatment, aggravation of the disease, or even loss of control. Topical hormone preparations usually start with mild and weak hormone preparations, such as our homemade preparation of dexamethasone cream, which can be used in combination with moisturizing emollients, 1-2 times a day when there are skin lesions, and then changed to 2 times a week for consolidation and maintenance after control until stability. Do not stop the drug directly after improvement, otherwise it will soon relapse, repeated use of drugs instead of increasing the amount of drugs. The use of strong hormones and fluorinated hormones in infants and children should be avoided as much as possible. In some older children, after the disease is controlled, some non-hormone preparations can also be used alternately to reduce tolerance to hormones. In severe exudation, wet compresses can be used to reduce exudation. Here we should remind: some so-called “non-hormonal herbal ointments” actually contain strong hormones, which are harmful to health when used on a large scale. Oral medication: Children can be given antihistamines, such as Benadryl syrup or Ornagan syrup, which have a sedative effect on itching, or non-sedative antihistamines, vitamins and calcium supplements, and infection control when there is secondary infection. For patients with severe and persistent itch that cannot be controlled by the above measures, it is necessary to find the cause and give systemic systemic comprehensive treatment if necessary, instead of relying solely on strengthening topical hormones for control. In this regard, our department has accumulated some experience. In conclusion, with correct and reasonable treatment and care, the vast majority of children can be effectively controlled or even completely relieved, and the disease can be further reduced with age and the self-adjustment of the body’s immunity.