Seborrheic dermatitis DD “face travel wind”

  1.What is the face travel wind? What are the characteristics?  Facial wind is a chronic inflammatory skin disease caused by excessive secretion of sebum, resulting in erythema and scaling on the skin. It is characterized by shiny, greasy, itchy, white flakes on the skin and hair, and is born again after removal. Patients are mostly young adults, more males than females, and it also occurs during the breastfeeding period. Chinese medicine is also known as white dandruff wind, equivalent to seborrheic dermatitis in Western medicine.  2.How is facial wind caused?  The onset of facial wind is due to the accumulation of heat in the lung and stomach, dampness and heat, combined with blood stasis and coagulation, alcoholism, and parasitic hair follicles, etc., and eventually dampness, heat, stasis and toxicity in the facial skin, resulting in facial wind.  3.What is the performance of facial wind?  Facial wind mostly occurs in sebum-rich areas, such as scalp, forehead, eyebrow arch, nasolabial folds, beard area, often starting from the scalp and spreading down to the back of the neck, armpits, chest, scapula, navel, groin and other parts, or in severe cases, all over the body. The lesions are of various forms. In dry type, the lesions are patches of different sizes, with a slightly red base and flaky white furred scales, which can be stacked very thickly on the scalp. In wet type, the sebum secretion is mostly strong, and the lesions are erythematous, erosive, and flowing, with greasy scabs and often smelly. There may be chapping behind the ears and nose, eyebrow hair is sparse due to scratching and fracture, head damage early oil, or dandruff, itching, followed by fine hair, shedding and baldness. In severe cases, it spreads all over the body and becomes eczema-like lesions. The course of the disease is slow, often with acute attacks.  4.How to treat facial wind?  The treatment of facial wind is based on evidence-based treatment, and the specific plan is as follows: Internal treatment Wind-heat and blood dryness evidence: mostly in the head and face, for the base of slightly red patches, dry, flaky, itchy, aggravated by wind, or scalp itching, dandruff, dry hair loss, accompanied by dry mouth and thirst, dry stool, red tongue, thin white moss, thin pulse; treatment to dispel wind and clear heat, nourish blood and moisten dryness, the formula to eliminate wind and heat, combined with angelica drink plus reduction.   Damp-heat in the gastrointestinal tract: the lesions are flushed patches with greasy scabs and even erosion and oozing, accompanied by bitterness in the mouth, sticky mouth, abdominal fullness, short red urine, foul stools, red tongue, yellow greasy coating, slippery pulse; the treatment is to strengthen the spleen and remove dampness, ventilate the internal organs and remove heat. gardenia, rhubarb, etc.  External treatment program: for those with dry hair on the scalp, use tincture of white scalp wind to apply externally twice a day; for those with dry hair on the face, use acne lotion or upside down lotion to apply externally twice a day; for those with obvious wet exudation, use decoction of Amaranthus and Phellodendron to apply cold and wet compresses for 30 minutes each time, 2-3 times a day, and then use Qing Dai cream to apply externally.  In addition, with oral vitamin B2, B6 and vitamin B complex, etc., when itching is intense, available sedatives, anti-itch agents, but also the application of sebaceous steroid creams or creams, levulinic acid, imidazole, salicylic acid, etc.  5.What should face wind patients pay attention to?  Face wind patients to limit fat, sugar diet, avoid eating meat, greasy, less sweet, spicy, less strong tea, coffee, wine, etc., eat more fruits, vegetables; regular life, sleep enough, keep bowel movements smooth; avoid scratching, do not use irritating soap washing.