The actual fact is that the actual people are not only the most effective, but also the most effective. Yang Bin pointed out that the regular rash treatment, as long as the eczema and rash does not exceed 30% of the whole body area, oral hormones are not advocated, and topical treatment is the main focus.
Yang Bin
Luo Guangpu
The “famous doctor lecture hall” scene, the audience vied to raise their hands to ask questions. Guangzhou Daily reporter Qiao Junwei
The “famous doctor lecture hall” joint provincial dermatology hospital held “winter and spring itch, how to prevent and cure” special session
Famous doctors lecture hall
More than 1,000 outpatient dermatologists every day, a few thousand daily moisturizing and anti-itch vitamin E ointment in short supply, “famous doctor lecture hall” of “winter and spring itch, how to prevent and cure” special lecture more than 700 seats were crowded. The seemingly non-life-threatening itchy skin makes people suffer a lot. The leading lecturer of the provincial dermatology hospital, the famous expert Yang Bin pointed out that the itch can not scratch can not be hot, not to abuse glucocorticoids, otherwise the worse.
The details of this lecture will be published in the Guangzhou Daily’s “Health Week” next Sunday, and the health channel (life.dayoo.com/health/) will also release a video recording of the lecture within a week, welcome to watch it. Guangzhou Daily reporter He Xuehua correspondent Zeng Weihua, Hong Xuan
Winter itching, soak to stop the itch is okay?
The “old” old people a bath a week, moisturizing while after the bath
The most common skin problem in winter is the lack of lipid dermatitis, the most affected are the elderly, in the hospital Chinese and Western medicine combined dermatology, seventy-eight out of ten is the elderly seeking medical attention. Yang Bin pointed out that the high incidence of pruritus, first of all, the elderly physiology, into old age, thinning skin, sebaceous glands, sweat glands of oil, water secretion less, lack of moisturizing protection, the outside world’s cold, dry, even too thick quilt, clothes wearing chemical fiber, will lead to itching; secondly, some habitual misconceptions lead to, such as “the elderly love to scratch itch, then comfortable, but after the stimulate the skin more itchy”.
“The mother-in-law is in pain, always shouting itchy, rubbing medicine does not work, constantly scalding with hot water to be more comfortable”, good daughter-in-law Ms. Liang brought the elderly to the consultation.
Yang Bin pointed out that many elderly people love to use hot water to scald the affected area, or even take several baths and baths a day to stop the itch, which is a very wrong practice and will only make the skin more and more dry. In winter, the elderly should not bathe every day, especially the 70-80-year-old “old” elderly, reminded that once a week a bath can be; water temperature can not be high, 32 ~ 35 ℃ suitable, the highest can not exceed 37 ℃; the best shower, 10 minutes on; can not use alkaline soap, instead of moisturizing body wash, feel dry skin can even Only use water to wash.
More importantly, skin moisturizing can not wait for itching to do, immediately after the shower to rub emollients, when the skin pores open, conducive to the penetration of ingredients into the epidermis, can maintain the hydration state of the skin, protect the skin barrier function and reduce itching. The reliable emollient should be nourishing and moisturizing, without pigments and preservatives, such as vitamin E cream, compounded nicotinamide cream, allantoin, compounded glycerin lotion, etc.
Can hormonal drugs be used for infant eczema?
Only weak hormones can be used, and the dosage of creams depends on the “fingertips”
If asked what is the most common disease in dermatology, Yang Bin does not hesitate to answer: eczema, which accounts for about 1/3 of outpatients.
Dermatologists often tell patients that eczema is an allergic skin inflammation, the onset of many causes, so the most important thing is to relieve the condition and reduce recurrence, so many patients simply buy their own medicine, especially dermatitis equal glucocorticoid drugs, and some even oral hormones.
Yang Bin pointed out that the regular rash treatment, as long as the eczema and rash does not exceed 30% of the whole body area, does not advocate oral hormones, topical treatment is the main. It is especially important to remind that for infant eczema and adult eczema on the face, folds and mucous membrane areas, only weak hormones, such as 1% hydrocortisone acetate, should be used, and strong hormones like halometasone should not be used at every turn, and medium-acting hormones like 0.1% mometasone furoate should not be used for infant and adult faces. In addition, the clinic also often found that beauty ladies love to buy easy to see the effect of the mask, acne cream, the result is the role of hormones, eventually leading to erysipelas, capillary dilation, perioral dermatitis, facial hormone dependent dermatitis, etc., it is difficult to treat.
Of course, moderate to severe eczema dermatitis or hormone creams to cure, but the hospital prescribed creams, but also will use. Yang Bin taught a way – the exact dose of topical glucocorticosteroids used on a certain part of the body can be determined using the fingertip unit (FTU), which is the amount of ointment equivalent to the length of the first knuckle of the index finger. 1 FTU is equivalent to 0.5g of ointment, applied to an area the size of the palm of the hand. “You can go lower than this dose, but never more.”
Take medicine to become itchy
Consider changing the medication first
Then enhance moisturizing
The lung cancer patient said: “It is so itchy that I hate to stop taking that medicine”; the diabetic patient said: “In winter, my legs itch so much” …… in the “famous doctor The “lecture hall” site, a number of patients eager to ask questions, some even almost tears, asked because of the medicine to cure the disease, itching is particularly serious, how to do?
Yang Bin responded, the elderly skin itching symptoms aggravated, may be diabetes, chronic kidney disease, chronic liver disease, tumor and other systemic diseases caused by the progress, is very worthy of attention to the warning signs. The use of some anti-cancer targeted drugs, etc., does have the side effect of itchy skin. This is the time to communicate with your doctor to change the medication without missing the treatment. If it cannot be replaced with other drugs and the itching is severe, you can take a little anti-allergy anti-itch medication; only when severe skin lesions occur is hormonal medication recommended. As for the not-so-serious lesions, or general itching, patients are advised to enhance moisturizing, such as buying some allantoin cream and allantoin cream at the hospital, which are very cheap and can be rubbed all over the body.
Chinese medicine for itching
Itching is divided into three types
To identify and treat the evidence
The director of the Department of Integrative Dermatology at the Provincial Dermatology Hospital, Luo Guangpu, pointed out that the concept of itchy skin in Chinese medicine is “wind itch”, at least three types of blood deficiency and wind dryness, qi deficiency by wind, wind-damp obstruction. If the skin is dry and itchy, light day and night, no color, heartburn, heat in the hands and feet, dry mouth, knotted stool, light tongue with thin coating, thin pulse, is blood deficiency and wind dryness, the physician will prescribe Angelica drink prescription, especially for patients with diabetes and hypertension. However, if the skin is itchy, the face is pale, the stomach is poor, the stool is thin, weakness, shortness of breath, the tongue is pale with thin coating and the pulse is weak, that is qi deficiency and wind, and the patient may also have chronic heart and lung disease, the prescription is very different.
Luo Guangpu reminded that Chinese medicine to treat itch, do not just rely on ancestral knowledge of a partial prescription, it is best to go to the hospital for evidence-based treatment, even to pharmacies to find Chinese herbalist consultation, but also not blindly self-medication.