General Knowledge
Eczema is a delayed hypersensitivity reaction that occurs as a result of the interaction of multiple internal and external factors. Clinical manifestations include erythema, rash, oozing, crusting, hypertrophy, scratching and other polymorphic lesions, often with symmetrical attacks, pronounced pruritus, and often with a chronic course.
Pathogenesis: The pathogenesis of eczema is still unclear, and is currently believed to be the result of a combination of internal and external factors based on abnormal immune function and skin barrier dysfunction.
In Chinese medicine, eczema is called “wet sores”: it is thought to be caused by the intolerance of the endowment of the muscles and the internal accumulation of wind, dampness and heat, which stagnate in the skin.
The current treatment for eczema is symptomatic
Topical treatment.
Topical medications – glucocorticosteroid ointments, calcium-regulated neurophosphatase inhibitors, skin barrier repair moisturizers, herbal ointments, etc.
Use: Ointment topical application, wet compress, seal pack, medicated bath therapy, etc.
Systemic treatment.
Antihistamines, antibiotics, vitamin C, calcium gluconate, glucocorticosteroids, immunosuppressants, traditional Chinese medicine, etc.
Physical therapy
UV therapy (including 308 excimer light therapy), freezing, fractional laser, etc.
Stabbing cupping features
Treatment mechanism: Chinese medicine believes that wind, dampness, heat stasis in the skin and hair, local piercing cupping can remove the evil, dredge the meridians, circulation of qi and blood, pass is no pain and itch, harmonize qi and blood, restore the balance of yin and yang, so as to achieve the purpose of helping to remove evil, cure the disease.
Modern research has found that: the vasodilatation and tortuousness of local lesions and the increase of inflammatory mediators (such as histamine, 5-hydroxytryptamine, leukotrienes, cytokines, etc.) penetrate into local tissues, causing local inflammatory reactions; pricking and cupping can directly reduce tissue fluid and blood in some capillaries, reduce local inflammatory mediators, improve microcirculation and thus reduce inflammatory reactions.
After local bloodletting, the needle hole temporarily increases the skin aperture, while topical hormones, antibacterial agents and other anti-inflammatory drugs enter the skin, which can maximize the use of drug effects, and the affected area is not easily scratched after wrapping, thus cutting off the vicious cycle of itching-scratching-hypertrophy-scratching again.
Operation procedure
1.Patients are instructed to take a lying or sitting position to fully expose the skin lesion, facilitate the operation and feel comfortable.
2, disinfection of the skin lesion area with sterile cotton ball routine.
3.The left hand is used as the escort hand to stretch the local skin to reduce the resistance to needle entry and to reduce the painful sensation of needle entry, while the right hand holds the needle and aligns the needle tip with the skin lesion and quickly stabs shallowly to pierce the blood channels and bleed lightly.
4. local cupping after the end of puncture, remove after 10-15 minutes and wipe off the extracted blood with a sterile cotton ball.
5. apply hormone plus antibacterial cream to the affected area after the end, then wrap it with sterile gauze or dressing and remove it after 24 hours.
6. Avoid touching water locally on the lesion for 2 days after prick cupping to prevent infection. Treatment once every 7 days, the course of treatment for 2 weeks.
Care instructions
During the treatment period, patients are instructed to avoid scratching, rubbing, alkaline soap and detergent contact with the affected area or boiling water, avoid wearing chemical fiber clothing, avoid smoking, alcohol and spicy stimulating food. At the same time, patients should be guided to maintain a relaxed mood and a regular lifestyle.