Chronic eczema of the extremities, again, requires a careful search for the cause. If you are prone to allergies when you touch something or have eaten something, then you should avoid touching or eating those things. Are there any occupational factors? Avoid contact with irritants such as alkaline soaps, detergents, hair dyes, peppers, onions, etc. For treatment, you can start with 6 grams each of “Radix Rehmanniae, Radix Aegypti, 5 grams each of Scutellariae, Radix Scutellariae, Amaranthus and Glycyrrhiza glabra” boiled in water and soak your hands and feet, followed by topical application of Paregoric Pine Ointment or Compound Tretinoin Ointment, wrapped in plastic wrap and removed during the day and topical application of Black Bean Distillate Ointment or Fisetail Ointment. Eczema is prone to recurrence. Pay attention to the things mentioned above and the chances of recurrence will be lower. Incomplete treatment and premature discontinuation of medication is also a common problem that causes skin diseases to recur easily. The correct way is to use the medication after the topical medication seems to be good. But gradually reduce the dosage to discontinue, in a pyramidal reduction, such as first every other day, then twice a week, consolidate a phase, and then try to stop the drug. For pregnant women, medication needs to be used with caution in the early 3 months of pregnancy followed by the last 3 months. Topical antipruritic medication such as Furfurylate lotion can be used symptomatically during pregnancy.
Topical weak-acting hormonal creams, commonly used are Eudragit and Denide ointment. For small topical applications, Eloson ointment and fluticasone ointment are also available.