I. Symptoms
1. Typical lesions are dark yellow-red spots, patches or papules with clear edges, covered with greasy scales or scabs. The clinical presentation varies slightly depending on the location of the lesion;
2. The rash occurs on the scalp, eyebrows, eyelids, nose and sides, behind the ears, neck, forehead and upper back interscapular area, axillae, groin, umbilicus and other areas rich in sebaceous gland distribution; facial damage is mostly seen on the nose, nasolabial folds and brow arch, with light red spots, covered with greasy yellow scales, often full of oil. On the chest and scapula, it starts as a small reddish-brown follicular papule with greasy scales, and then gradually becomes a ring-like patch with fine scales in the center and dark red papules and large greasy edges. It is a well-defined erythema with few flakes and moist, often accompanied by vesicles and oozing. Mostly seen in the age of 30 to 50 years old, especially obese middle-aged people.
3.Self-perceived symptoms are varying degrees of pruritus;
4.Infant seborrheic dermatitis often occurs in the first month after birth, the lesions are mostly on the scalp, forehead, between the eyebrows and cheeks, as overflowing red patches, with yellow crust.
5, adult general seborrheic dermatitis performance: oily also have is dry or mixed, itching. Flaking and other skin surface symptoms performance, erythema more clearly
Second, Chinese medicine typing
The first type: lung meridian wind-heat type
Spring temperature is unstable, sometimes cold, sometimes hot, sandy, various pathogenic factors are ready to start, and the internal organs of the human body after the precipitation of winter, Yang Qi gradually rise, from the anatomical point of view, the lungs are the top of the five viscera and six internal organs, easy to be attacked by evil Qi.
Symptoms: often manifest as wind-heat evidence of the lung meridian, in addition to facial skin appears dense small papules or red patches of rash, covered with fine white flakes, but also common itching significant, dry mouth and thirst, red tongue, thin yellow coating, fine pulse and other symptoms.
The second type: gastrointestinal damp heat type
Nowadays, due to the continuous improvement of people’s living conditions, the diet structure is too greasy, spicy and thick, plus the non-restraint of alcohol and beverages, etc., which will lead to gastrointestinal dysfunction in the long run, i.e. the gastrointestinal transportation is not normal, resulting in the production of dampness and heat, which will accumulate. Chinese medicine believes that the lungs and large intestine, the intestine and stomach damp-heat evil must go up to the lungs, at this time, if the external wind evil, the onset of the disease makes.
Symptoms: facial skin is overflowing with oil, flushed, covered with greasy scales, itching, irritability and thirst, constipation, red tongue, yellow greasy coating, smooth pulse.
The third type: spleen deficiency and dampness trapped type
The accelerated pace of life and the increased pressure of study and work make people often feel tired, weary and fatigued. Over time, overwork and excessive thinking can lead to dysfunction of the spleen’s transportation and transformation, so that the food entering the body cannot be digested and absorbed normally, resulting in dampness trapped in the stomach and intestines, which generates heat over time and then further evolves and develops.
Symptoms: The facial skin shows lighter or yellow erythema, grayish scales, less pronounced itching, and slower onset of disease, loose and unpleasant stools, light red tongue, white greasy coating, and smooth pulse.
The fourth type: blood deficiency and wind dryness type
If the facial seborrheic dermatitis is repeated, it will lead to the depression of wind evil on the surface of the muscle for a long time, which will consume Yin and blood; or a long period of depression will also lead to liver fire that will lead to liver wind, which will consume Yin and blood; and blood deficiency and Yin injury, skin loss of nourishment, it is easy to produce wind and dryness, and the disease will not heal.
Symptoms: The facial skin will appear dry and lusterless, with chaffy scales, common hair loss
III. Treatment
The sebaceous glands are hypersecreting, and too much sebum is discharged and accumulates on the skin, and chronic skin inflammation occurs at the accumulation, which is called seborrheic dermatitis. Chinese herbal remedies for seborrheic dermatitis.
Seborrheic dermatitis formula 1: 15 grams each of bitter ginseng, cypress, alum, snake bed seed, and 5 grams of sulfur.
Usage: Decoction with water. Wash the affected area externally.
Seborrheic dermatitis formula 2: 25 grams each of angelica and yellow wax, 50 grams of comfrey and 200 grams of sesame oil.
Usage: Boil angelica, comfrey and sesame oil together, strain and remove the dregs of the medicine. The oil is heated into the yellow wax, melted, and then rubbed externally on the affected area after it is cold, 1-2 times a day.
Seborrheic dermatitis formula 3: 90 grams of bitter ginseng, 15 grams of wild chrysanthemum, 9 grams of white fresh skin. Usage: Decoct in water. Take the liquid and wash the affected area externally.
Seborrheic dermatitis remedy 4: Wang Bu Liu Xing and Xiang Bai Zhi each equal parts. Usage: Grind into fine powder. Sprinkle the affected area externally.
Seborrheic dermatitis remedy 5: 100 grams of raw rhubarb, 20 grams of ice chips and 250 grams of vinegar.
Usage: Soak the above medicine in a sealed bottle for 7 days, and apply only after it turns dark brown. Disinfect the affected area with 75% alcohol first, then apply the solution 3-4 times a day.
Seborrheic Dermatitis Formula 6: 15 grams each of wild chrysanthemum, raw earth and red stone resin, 10 grams each of burdock and dandruff, 9 grams each of thornbush and windbreak, 30 grams of raw coix seed, 12 grams of alum and 6 grams of licorice. Directions: Take with water.