Seborrheic dermatitis, also known as white dandruff wind, face wind, due to the appearance of greasy skin and erythema, covered with scales named, the occurrence of seborrheic areas of chronic inflammatory skin disease.
Chinese medicine believes that: the main factor body dampness and heat within, compounded by wind evil caused.
Modern medicine believes that: the cause of the disease is still unclear, some people believe that it is related to genetics, but has not been confirmed. The pathogenesis is a secondary inflammation of the skin caused by seborrhea.
Speculation.
1, due to the increased secretion of sebum and the change of chemical composition, the normal flora that originally existed on the skin, such as oval furfur spores, proliferate and invade the skin.
2, A large increase in sebum, through the action of non-pathogenic microorganisms originally present on the skin, such as Acinetobacter rotundus, decompose free fatty acids and stimulate the skin to cause inflammation.
3. Mental factors, dietary habits, vitamin B deficiency, and alcoholism may have an influence on the development of this disease.
Diagnostic points.
1, Prevalent in adults and newborns, seborrheic body.
2, site: the scalp began, gradually spread downward.
3, lesions: yellow-red patches of greasy scales or white furfuraceous scaly patches.
4.Itching of different degrees.
5.Chronically passing.
Treatment of seborrheic dermatitis
Modern medical treatment.
(A) Internal medicine
1, vitamin B2, B6 and B-complex vitamins.
2, itching to give antihistamines.
3, the inflammation is obvious, the scope is larger can be short-term to give the Regulon polysaccharide plus a small amount of prednisone oral. Also give tetracycline or erythromycin orally.
(B) Topical medication: debridement, anti-inflammatory, antiseptic, antipruritic.
1, corticosteroid cream or cream.
2, with oozing erosion, anti-inflammatory: 1 % gentamycin, 0.2 % furacilin
3.Compound mifeprazole, compound econazole, 2% ketoconazole: Celebrex lotion.
Chinese medicine treatment
1.Wind-heat and blood dryness: dry type
Treatment: Drain wind and clear heat, nourish blood and moisten dryness.
Remedies: eliminate wind and heat, combined with angelica drink plus or minus.
Red color of skin lesions plus Danpi, Jinyinhua, Artemisia.
Add Bai Xian Pi and Tribulus terrestris for heavy itching.
Dryness of the skin lesions plus Xuan Shen, Mai Dong, Tian Tian Fan.
2.Gastrointestinal damp heat: wet type
Treatment: Strengthening the spleen and removing dampness, clearing heat and relieving itching.
Remedy: Ginseng and white wood powder combined with Yin Chen Tang plus or minus.
Add Poria cocos, bitter ginseng and horsetail if the exudation of erosion is more severe.
If heat is prevalent, add Mulberry Bark and Scutellaria Baicalensis.
External treatment of Chinese medicine.
1, dry hair in the scalp: white scalp wind tincture external rubbing (serpentine, bitter ginseng, hibiscus research powder, soaked with 75% alcohol, then add peppermint, dispel wind and relieve itching)
2, dry hair in the face: acne lotion external application (sinking sulfur, camphor ester, west astragalus gum, lime water, reduce sebum, anti-inflammatory)
3, wet skin lesions exudate: horsetail, cypress, big green leaf, longan decoction external wash or wet compress; seborrhea wash formula (Cang Er Zi, bitter ginseng, Wang Bu Liu Xing, alum); a small amount of exudation: Qing Dai cream.
Chinese herbal wash for head, dandruff, oil with itching: moonstone 30g, mulberry leaf 30g, chrysanthemum 30g, antiphlogistic 30g, soda 10g ; dandruff: moonstone 30g, mulberry leaf 30g, soapberry 30g, perilla 30g cantharis 30g face: honeysuckle, chrysanthemum, poria, licorice, itching heavy + antiphlogistic.
Prevention and care
1, regular life, sleep enough, keep bowel movements smooth.
2, limit fatty and sugar, spicy, strong tea, coffee, wine and other stimulating diet, eat more vegetables and fruits.
3, avoid scratching and irritating soap washing.