Traditional Chinese medicine treatment for hormone-dependent dermatitis of the face

Facial hormone-dependent dermatitis is a common skin disease in recent years, which is a group of side effects caused by long-term external use of corticosteroid preparations. With the improvement of people’s living standards, the popularization of pharmacies, the proportion of self-purchase of drugs, the phenomenon of abuse of corticosteroid preparations is more prominent, and a series of side effects occur, clinical treatment is quite tricky. This disease is mainly characterized by recurrent erythema, papules, pustules, local itching, burning with capillary dilatation, skin pigmentation, skin atrophy, etc. in the affected area. Covered by the endowment intolerance, external drug poison, internal skin, depression born (dampness) heat, external skin and become. Accordingly, the clinical treatment of this disease is often from three aspects. Now is introduced as follows: First, identification and typing 1, blood heat within the full bloom type: the main manifestation of the affected area of erythema, pimples, swelling, few pustules, self-conscious itching, mild pain, local burning obvious, often accompanied by heartburn and thirst, red tongue and pulse number. This disease evidence belongs to the endowment intolerance, external exposure to medicine and poison, blood heat internal, external skin. The treatment is to cool the blood, clear the heat and detoxify the toxin. Main formula: cool blood and detoxification soup. Formulas: raw land 30 grams, powder dandelion 10 grams, red peony 30 grams, XuanShen 15 grams, big green leaf 15 grams, raw gardenia 10 grams, raw gypsum 30 grams, raw glycyrrhiza glabra 5 grams. Add and subtract: the disease develops in the face: add Lingxiao flower 30 grams, mulberry white bark 15 grams, loquat leaf 15 grams; pustules more add scutellaria japonica 10 grams, cypress 10 grams, snake tongue grass 30 grams; constipation add shengjun 10 grams. Solution: in the formula, the raw land is sweet, bitter and cold, clearing heat and cooling blood as the king’s medicine, with powder danpi, red peony, xuan shen, big green leaf play cool blood and activate the function of blood, the raw gypsum is pungent, sweet and cold, clearing the heat of qi, and the raw gardenia is used with the same medicine, strengthening clearing heat and diarrhea, licorice modulates and the various medicines. Two groups of medicines use together, make outside suffer the medicine poison to be subdivided to cancel. 2, damp-heat accumulation type: Mainly manifests for the affected area red spot, papule, pustule, here and there, recurrence, the local skin is greasy, conscious itching, the pain accompanied by the mouth is dry and sticky, the grain is not fragrant, the moss is greasy and the pulse is slippery and numberless. The evidence belongs to the external drug toxicity, internal skin, over time, heat, dampness and heat and, generalized in the external. The treatment is to clear away heat, eliminate dampness and detoxify the toxin. Main formula: remove dampness and detoxification soup. Formula: Poria cocos 30 grams, 30 grams of Snake Tongue Grass, 10 grams of Darutos grass, 10 grams of cypress, 30 grams of silver flowers, 10 grams of forsythia, 10 grams of Poria bark, 30 grams of Job’s tears, 10 grams of Talc, 15 grams of Plantago Ovata. Add and subtract: add 10 grams of Lingxiao flower and 15 grams of Morus alba; add 10 grams of Huo Xiang, 10 grams of Hou Pu, 5 grams of Chen Pi and 5 grams of Sha Ren for poor appetite. Explanation: Poria cocos, Snake Tongue Grass clearing heat and detoxification of dampness is the main medicine, with cypress, Darutia to strengthen the function of removing dampness, detoxification and itching, Poria cocos bark, raw Job’s tears strengthens the spleen and promotes dampness, slippery stone, Plantago Ovata clearing heat and dampness, Yinhua, forsythia clearing heat and detoxification. 3, Yin deficiency internal heat type: the main manifestations of the affected areas of erythema, sometimes hidden, hot flashes of skin in the afternoon, local dry skin, fine scales, thin epidermis, capillary dilatation or hyperpigmentation accompanied by heartburn and thirst, the tongue is red, less fluid pulse is fine. The evidence belongs to the external drug toxicity, internal skin, day-long injury to the yin, virtual fire within the birth. The treatment is to nourish yin and clear heat to reduce redness. Main formula: nourish yin and clear heat soup. Formula: Artemisia annua 30 grams, turtle shell 15 grams, motherwort 10 grams, 15 grams of bone skin, 10 grams of raw land, powdered dandelion 10 grams, roasted licorice 5 grams. Add and subtract: add sour jujube nut for insomnia; add chasteberry and dry lotus herb for lumbar and knee weakness; add purple tansy, peach kernel and safflower for pigmentation; add tai ginseng, schizandra and calcined oyster for spontaneous sweating and night sweating; add angelica sinensis and chuanxiong rhizome for skin atrophy. Formula: Artemisia annua, turtle shells nourish yin and clear away heat as the main medicines, with Zhi Mu, Di Biao Pi to play the efficacy of nourishing yin and retreating the deficiency, Radix et Rhizoma Dioscoreae, powdered dandelion skin cools the blood and removes toxins, clearing away residual heat, and Licorice harmonizes all the medicines. Discussion Hormone is a collective term for a variety of biologically active substances in the body. Hormone-dependent dermatitis is a kind of recurrent skin disease characterized by dermatitis with addiction to corticosteroid and long-term use of corticosteroid preparations. It is a group of side effects produced by long-term external use of corticosteroid preparations. The disease is characterized by erythema, papules, pustules, capillary dilatation, skin atrophy, and hyperpigmentation. It is characterized by recurrence. The disease can occur in any part of the body, with the face being the most common. This disease has been recorded in the motherland medicine, scattered in the “Chinese medicine poison, face swim wind poison, powder flower sores, wind poison, Li black spot, etc.” in the exposition. For example, the Sui Dynasty’s “The Origin of All Diseases and Symptoms Theory of Wind Poison Swellings” recorded that “wind poison swellings, the first red pain Biao hot, whitlow on the swellings, as if burned by fire is also”. The Ming Dynasty’s “Surgical Guidelines: Face Sore” recorded: “This accumulation of heat within, or eat more spicy and thick flavors, or take too much gold and stone just agent, so that the heat congestion of the upper jiao, the gas and blood boiling and made, belonging to the Yangming meridian. At first, it is slightly itchy, like insects and ants, and when scratched, it becomes a sore, and the pain is unbearable.” The Qing Dynasty’s “Surgery Dacheng, Volume 2” recorded: “Face Wind, the first slight itch, the second like ants, face and eyes are floating, and more pain, due to the congestion of heat in Yangming.” The Qing Dynasty’s “Ulcer Doctor Daquan, Pink Flower Sore Door” recorded: “Pink Flower Sore is mostly born in the room of women, fire floats on the surface, the face of the corn tired, or pain or itch, whirl out whirl up. It is also caused by the lead poisoning of women who are good at applying lead powder.” All of the above are the discussions on this disease in the motherland medicine. The cause of this disease is mainly external exposure to medicinal poison (corticosteroid preparations). The mechanism of the disease is endowed with intolerance, externally affected by medicines and poison, internally embedded in the skin, which generates heat (dampness) and externally develops in the skin. The disease is characterized by recurring, recurrent, prolonged, and addictive episodes. Externally affected by drug toxicity, blood heat, internal, external to the skin is seen in the skin erythema, pimples; heat full of meat rot into pus, and pustules; dampness and heat and, so see the skin greasy, pustules and pimples recurrent episodes; long time to injure the yin, the fire within the birth of the deficiency, so the skin flushed, sometimes hidden, accompanied by dilation of the capillaries; the disease for a long time stagnant qi and blood, and Qi disharmony, the appearance of the skin pigmentation; the skin loss of moisturizing, so the skin atrophied and lusterless. At the beginning of the disease, heat and dampness toxins are the main cause of the disease, and evil is the main cause; at the end of the disease, Yin deficiency is the main cause of the disease, so the treatment of this disease is to cool the blood and detoxify the toxins, remove dampness and detoxify the toxins, and to nourish Yin and clear away the heat. According to the specific conditions of each patient, comprehensive four diagnosis, accurate identification, rational use of drugs, most of them have good results. Third, care: 1, stop using all corticosteroid preparations; 2, full communication with the patient, so that it establishes confidence is the key to curing the disease; 3, based on traditional Chinese medicine, appropriate symptomatic treatment (Western medicine, cold compresses, etc.) to shorten the course of the disease, alleviate the symptoms of the greater benefit; 4, advanced capillary dilatation can be combined with laser therapy.