Chinese medicine treatment of eczema is quite characteristic, in line with the principle of treatment of both the symptoms and the root cause, internal and external treatment, the combination of overall and local treatment.
I. Internal treatment method of Chinese medicine identification.
1, damp-heat and heavy evidence
Symptoms: mostly seen in acute eczema, chronic eczema with acute attacks. The first flushing and burning skin lesions, erythema, papules, papules and blisters, clusters of distribution, part of the erosion, oozing, itching intense, accompanied by body heat, disturbed thirst, dry stool, urinary short red, tongue red, coating yellow, pulse smooth or number.
Treatment: Clearing heat and relieving dampness.
Prescription: Gentian and liver diarrhea Tang. Gentiana, Glycyrrhiza, Gardenia, Scutellaria, Radix Bupleurum, Radix et Rhizoma, Radix et Rhizoma, Radix et Rhizoma, Plantago, Radix Angelicae Sinensis.
For heavy dampness, add: Huang Bai, Dioscorea Z; for heat, add Bai Mao Gen, Sheng Shi Fa;
If itching is intense, add: bitter ginseng, white fresh peel, groundnut, tribulus terrestris;
For dry stools, add: raw rhubarb;
If pus appears, add: silver flower, forsythia; if fever is present, add dacquoise leaf.
2.Wind is heavier than damp evidence
Symptoms: Mostly seen in the acute phase of eczema, the onset of the disease to the upper body is heavy, lesions to erythema, papules mainly, blisters are not much, less exudation. Intense itching, scratching, red tongue, thin white coating, smooth pulse.
Treatment: Expel wind, clear heat and remove dampness.
Remedies: Bureau formula with the addition and subtraction of Dissipative Wind San. Thornbush, Bupleurum, Qiangwu, Sclerotium, Cicada, Chuanxiong, Huanxiang, Houpu, Chenpi, Poria, Licorice.
If erythema is obvious, add: raw earth, raw gypsum, Zhi Mu, Dan Pi.
3.Heat is more important than dampness
Symptoms: Mostly seen in the acute phase of eczema, equivalent to papular eczema. Red papules all over the body, the size of sesame seeds, itching, scratching bleeding, aggravated by heat, cooled to relieve, disturbed, dry mouth, constipation, urine yellow, red tongue with thin white coating, smooth pulse.
Treatment: Cool the blood and clear heat, dispel wind and remove dampness.
Remedy: Cool the Blood and remove dampness with addition and subtraction. Radix Rehmanniae Praeparata, Salviae Miltiorrhiza, Radix Paeoniae Alba, G. Daruti, Radix et Rhizoma Haitongpi, Radix et Rhizoma Ginseng, Radix et Rhizoma Baixianpi, Radix et Rhizoma Dioscoreae, Radix Liuyi.
For redness and swelling of skin lesions, add: gallwort, plantain, horsetail;
If there is local exudation, add: zedoary, winter melon skin.
4.Spleen deficiency with dampness
Symptoms: Mostly seen in acute and subacute eczema, the lesions are papules, papules, blisters in dense patches, vesicles are obvious, exudation, local skin is mildly flushed, itching, poor appetite, fatigue, abdominal distension, loose stools or unformed stools. The tongue is fat with teeth marks, the coating is white and smooth or greasy, and the pulse is slow.
Treatment: Strengthening the spleen and dispelling dampness.
Remedy: De-Dampness and Stomach Ling Tang plus reduction. Atractylodes macrocephala, thick park, Chen Pi, poria, zedoary, red poria, atractylodes, slippery stone, anti-feng, mountain gardenia, tongcao, licorice.
If the vesicles are obvious and exudate a lot, add Amaranthus and Dong Gua Pi;
If the itching is very itchy, you can add Wu Zhi Snake, Tribulus terrestris; if the skin damage is dark for a long time, you can add Dan Shen, Angelica sinensis.
For excessive water, add bitter ginseng; for poor appetite, add patchouli and pelargonium;
If the abdomen is distended, add abdominal bark; if the dampness has turned into heat, add scutellaria and forsythia.
5.Blood deficiency and wind dryness
Symptoms: mainly seen in chronic eczema, the duration of the disease for a long time, the skin is thick and rough, scaly scabs, or moss-like changes, dark or pigmented, paroxysmal itching. Pale tongue with white coating and thin string veins.
Treatment: Nourish the blood and moisten the skin, dispel wind and relieve itching.
Radix Angelicae Sinensis Drinking Powder plus reduction. Radix Angelicae Sinensis, Radix Paeoniae Alba, Rhizoma Ligustici Chuanxiong, Tribulus Terrestris, Fructus Anemarrhenae, Rhizoma Polygonatum, Radix Astragali, Radix Astragali, Radix Astragali, Radix Rehmanniae, Radix Polygonatum, Radix Glycyrrhiza Uralensis.
If itchy and unable to sleep, add mother-of-pearl, raw oyster, nightshade, sour date; with a small amount of erosion, add psyllium, zedoary;
If the skin is rough and thick, add Salvia miltiorrhiza, Radix Polygoni.
6.Yin injury and dampness
Symptoms: mainly seen in chronic eczema, lesions manifest as papules scattered or clusters, not much water seepage and protracted, dry skin or flaking, itching, and see thirst without thinking about drinking, the tongue is red, vivid and less fluid, net or root slightly greasy, pulse string thin.
Treatment: Nourishing Yin and eliminating dampness.
Remedy: Nourishing Yin and removing dampness. Radix et Rhizoma, Salviae Miltiorrhiza, Radix et Rhizoma Ginseng, Poria, Radix Zedoariae, Radix et Rhizoma Serpentis, Radix et Rhizoma Bian Xian Pi.
For obvious Qi deficiency, add raw astragalus;
If mossy changes are obvious, add peach kernel and safflower;
With drowsiness and fullness, bitter mouth and dry throat, dry stool, add Fangfeng, Shengdi, Bai Shao.
7.Wind and stagnant, disturbing the heart and mind
Symptoms: mainly seen in chronic eczema. The lesions are scattered or clustered papules, dry or flaky skin, intense itching, combined with irritability, anxiety, insomnia, red tongue with white fur, smooth pulse.
Treatment: Relieving itching by rejuvenating the wind.
Remedy: Heavy sedation to invigorate the blood. Ochre, raw dragon peony, mother-of-pearl, stone cassia, trigonella, curcuma longa, salvia, red peony, ocimum sanctum, silver flower, forsythia, gentiana, leucocarpus.
If the skin lesion is thick and infiltrated, add Xia Ku Cao, and increase the dosage of San Ling and Curcuma.
If the skin lesion is thick and moist, add Xia Gu Cao, and increase the dosage of San Leng and Curcuma longa;
If the stool is dry, add wine army.
The eczema is divided into seven types of evidence-based treatment, but the clinical causes are often intertwined, the evidence is mixed, the treatment should not be confined to a particular type.
The cause of eczema is mainly internal, not only wet, hot, wind three.
The wet side is oozing, vesicles; heat side is diffuse flushing; wind side is itchy. The acute phase of the disease when the main focus on the elimination of evil, the late stage is to regulate the main, the spleen and stomach for the day after the source of biochemical energy, the spleen is not healthy, then the dampness within the evil, depression and heat, heat and wind, eczema by the birth.
In the past, most of the drugs used in the treatment of this disease are bitter and cold and injure the stomach, and aggravate the disease, the loss of spleen health is its root cause, strengthening the spleen and dampness is the fundamental method of treatment of eczema, combined with the local identification of the lesions, can significantly improve the clinical efficacy.
Second, the lesion site identification.
1, the head and upper extremities of eczema: treatment to remove wind, heat and dampness as the method, but when the wind, heat, dampness of the light and heavy.
Treatment is often added to induce meridian medicine: chrysanthemum, thorny mustard, wind, mulberry, piece of ginger yellow, goose does not eat grass.
2, lower extremity eczema: treatment mostly to cool the blood and clear heat, dispel wind and win dampness as the method.
The treatment often includes meridian inducing herbs: Atractylodes macrocephala, Achyranthes bidentata, Mucuna pruriens, Dulcimer, Phellodendron.
3, breast eczema, ear eczema: with the feet of the fructus yin liver meridian, foot Yangming stomach meridian is closely related.
In the treatment, it is appropriate to add drugs that “dredge the liver and clear the liver” and drugs that “clear the stomach and nourish the stomach”.
4.Eczema on the hands
Hand keratosis or cracked eczema, mostly due to wind invasion of the pores of the skin, stagnant skin veins and veins, depression for a long time into heat and dryness, muscle loss of nourishment and dry evidence,
The treatment is mostly based on nourishing the blood, moistening the dryness and dispelling the wind;
The hand blisters, exuding eczema, often due to the spleen loss of health, dampness from within, filled in the coup dip in the skin and the development of the disease, over time, easy to consume blood and Yin, dryness and wind.
The treatment is mostly to strengthen the spleen and dispel dampness, nourish blood and dispel wind as the method.
5.Eczema of the vulva
Damp-heat type: vulvar skin is flushed and wet, itching is intense, treatment is mostly to clear heat, dispel wind and remove dampness.
Dry type: also mostly due to damp heat for a long time, blood depletion and Yin, blood deficiency and wind dryness, but because of the disease for a long time and again infected with poisonous evil, so the treatment is more in the nourishment of blood to dispel wind in addition to insecticidal drugs to attack the poison is appropriate.
Third, the external treatment method of Chinese medicine
”The external medicine acts on the local skin lesions and reaches the disease directly, which facilitates local penetration and absorption, accelerates the fading of skin lesions and reduces the conscious symptoms.
The external treatment method is based on the morphology of the main lesions for typing treatment.
1. Acute eczema
If the vesicles ooze obviously, wet compress with Chinese medicine, commonly used amaranth or cypress or raw elm, choose one, 30g water decoction cold wet compress, with gauze 8 layers of dipping juice, slightly wrung, then wet compress on the lesions, every 5 minutes repeated once a day, about 30 minutes, 3 to 4 times a day.
It can achieve the effect of astringent, clearing heat and detoxification. The lesions by wet compress after the exudation is reduced, prone to cracking, pain and other symptoms, then you should give the oil to clear heat and dampness, muscle long flesh, can be two miao san or Qingbai san with fragrant oil mixed into a paste, put on the wound, or eczema cream, Huang Lian oil or comfrey oil for external use.
2.Subacute eczema
To erythema, papules, papules, mainly when the external water-packed oil cream, which facilitates the absorption of drugs, but also to make the evil heat penetrate the muscle surface.
Commonly used anti-itch moisturizing cream, Bing Huang skin lotion ointment, Qiang Yue ointment, Pi Bao ointment applied externally.
3.Chronic eczema
If the skin is thick and dark, add angelica, peach kernel and safflower. After soaking the skin fatty infiltration is the main, can be used externally compound Wu Bei Zi ointment, chaps external use of Yu Hong cream.
Four, acupuncture treatment
1, plum blossom needle therapy: for chronic eczema skin hypertrophy, moss-like changes, available plum blossom needle point knocking local affected skin to slightly congested, or the use of bloodletting therapy, plum blossom needle point knocking out small bleeding points and then cupping.
2, acupuncture method; take Dazhi, Quchi, Sanyinjiao, Shenmen main points with blood sea, foot Sanli points, medium-intensity stimulation, stay acupuncture 20 minutes, once every two days. Used for chronic eczema.
3, moxibustion method: the moxa column placed around the rash, every 1.5cm put 1 strong, lit in turn, 2 days once, has a good effect on itching. Suitable for chronic eczema.
The principle of eczema treatment is to control skin inflammation as soon as possible, relieve itching, and improve the patient’s quality of life by delaying and reducing flare-ups and restoring or enhancing skin barrier function. Treatment should be tailored to the individual needs of the patient, taking into account the patient’s age, severity and location of the disease, the presence of infection, response to past treatment, and economic status.