Eczema is a common and easily recurring condition, and it is important to choose the right treatment. I describe the topical, systemic and physical treatments for eczema as follows. Topical treatment is the primary means of eczema treatment. However, it is often seen that some patients have not seen any improvement in their condition due to improper use of methods and medications, but rather an aggravation, so it is important to choose the correct methods and medications. Local treatment should be based on the stage of lesions to choose the appropriate drug formulations, acute stage without blisters, vesicles, exudate, recommended the use of glycolite lotion, glucocorticoid cream or gel; a large number of exudate should choose cold wet compresses, such as 3% boric acid solution; vesicles but not much exudate, available zinc oxide oil. For subacute lesions, topical glucocorticoid creams are recommended. In chronic lesions, topical glucocorticoid ointments and creams are recommended, and moisturizers and keratolytic agents, such as 20%- 40% urea ointment, can be used in combination. Topical glucocorticoid preparations remain the mainstay of topical treatment of eczema. Initial treatment should be based on the nature of the lesions and the appropriate strength of glucocorticoids: mild eczema should be treated with weak hormones such as hydrocortisone and dexamethasone cream; moderate hypertrophic lesions should be treated with strong hormones such as harcinexide and halometasone cream; moderate eczema should be treated with moderate hormones such as tretinoin and mometasone furoate. Weak or medium-acting hormones are generally effective in pediatric patients, the face and skin folds. The continuous application of strong corticosteroids generally does not exceed 2 weeks to reduce acute tolerance and adverse reactions. Calcium-regulated neurophosphatase inhibitors such as tacrolimus ointment and pimecrolimus ointment have therapeutic effects on eczema without the adverse effects of glucocorticoids and are particularly suitable for the treatment of eczema on the head, face and inter-rub areas. Bacterial colonization and infection can often induce or aggravate eczema, so antibacterial drugs are also an important aspect of topical treatment. A variety of topical preparations of antibacterial drugs are available, as well as a combination of glucocorticoids and antibacterial drugs. Because of concerns about the side effects of drugs, some patients often say to their doctors, just give me some topical medication on the line, I do not want to take medication, nor do I want to take injections, and I do not want to take light. However, many eczema patients need to be treated systematically with. It is usually necessary to choose the appropriate antihistamine to stop itching and anti-inflammation according to the patient’s condition. For those with extensive infection, antibiotics can be used systematically. Vitamin C and calcium gluconate have some anti-allergic effect and can be used for acute attacks or those with significant itching. Routine use of glucocorticoids is generally not advocated, but for severe cases, they can be applied for a short period of time for rapid symptom control. However, caution must be exercised to avoid systemic adverse reactions and rebound of the disease. Chinese herbal medicine can be used both internally and externally, and should be administered according to the symptoms. Chinese herbal extracts such as compound glycyrrhizin and rehmannia polysaccharide are effective for some patients. Narrow-spectrum ultraviolet irradiation has good efficacy for intractable eczema.