In summer, when the weather is hot, there are small pimples in my finger skin, which are dense and similar to blisters the size of millet. I always doubt rice pork.
This phenomenon is more common, and it is called herpes simplex in medicine. The etiology of this disease is still not completely clear. Most people think that it is a non-specific eczema-like skin reaction, which is related to personal physique, autonomic nerve dysfunction and mental factors. This disease is characterized by repeated papules and blisters of millet size on palms and fingers, no obvious inflammation around them, thick blister wall, transparent blister fluid at first, and then turbid. After 2 ~ 3 days, the blister fluid absorbs itself, and after drying, it forms desquamation, exposing pink neoepithelium, forming linear chapped skin during finger flexion and extension, and the rash is symmetrically distributed, consciously itching and burning pain in the affected area. Hot flashes occur frequently in summer, but can be cured after autumn, and it is easy to recur for several years.
There is no specific method for the prevention and treatment of this disease. We should avoid spicy food, wine, coffee and other irritating foods, smoke or not smoke less, and wash our hands with or without alkaline soap, washing powder and detergent. Don't prick the blister, let alone tear the skin. Local treatment mainly focuses on astringency and itching relief, such as calamine lotion, 5% formalin or 1% urotropine, miliaria powder, etc. Blisters can obviously be soaked or wet-packed with .5% aluminum acetate solution or 5% alum solution. Those with obvious itching can use corticosteroid preparations such as triamcinolone acetonide, compound Conarone cream and Zhiluosong. If erythema, desquamation and chapping are the main symptoms, 1% urea cream, silica cream, vitamin E cream and salicylic acid ointment can be applied externally once or twice a month. Systemic treatment can use antihistamines and vitamins B1, B2, A and E.. If there are a large number of rashes and the symptoms are obvious, you can take corticosteroids such as prednisone for a short period of time, 1 mg each time, 3 times a day, and the symptoms will be relieved after taking it for 5 ~ 7 days.
what are the characteristics of Chinese medicine in treating herpes simplex?
Herpes zoster not only affects the beauty of hands, but also often affects the life of patients due to itching. In severe cases, secondary infection may occur, resulting in swelling and pain in the hands. Because the cause of this disease is not very clear, there is no satisfactory treatment to eradicate it in western medicine.
Chinese medicine has a long history of treating this disease, which was called "ant nest" as early as the Ming Dynasty. Because it is mainly manifested as deep blisters, it should belong to excessive dampness. The treatment of traditional Chinese medicine is carried out in many ways. Comprehensive internal and external treatment, diet and emotional conditioning:
(1) Internal treatment
① The palms and soles of patients with damp-heat syndrome are mostly deep in blisters, clustered in clusters, with needle tip size, itching and piercing, wiping blisters, nourishing water and yellow sticky, with red tongue and greasy fur, and slippery pulse. Treatment should be heat-clearing and dehumidification. Medicinal: Scutellaria baicalensis Georgi 1g, Coptidis Rhizoma 1g, Atractylodis Rhizoma 1g, Pericarpium Citri Tangerinae 1g, Poria 1g, Liuyi Powder 1g (fried), Coicis Semen 1g and Cortex Moutan 1g. Decoct with water, 1 dose per day.
② The palms and soles of the patients with spleen deficiency and dampness excess are scattered in blisters, which are the size of a needle tip to a millet, translucent, and the blister fluid is clear and thin, sometimes itchy, with smooth tongue and smooth pulse. Treatment should be spleen-strengthening and dehumidification. Medicinal use: Poria cocos 12g, Atractylodes macrocephala 1g, Alisma orientalis 1g, white lentils 1g, Plantaginis 1g (fried), fried Coicis Semen 6g, fried Chinese yam 3g, and waxgourd peel 6g. Decoct with water, 1 dose per day.
(2) External treatment According to the characteristics of this disease, the method of eliminating dampness and astringing blister can be used: Vaccaria seed 6g, Alum 3g, Pomegranate Peel 3g, decocting in water to get juice, soaking and washing the affected part, 5 minutes each time, twice a day.
(3) Diet therapy ① Eat more vegetables and fruits with spleen-strengthening and dehumidification effects, such as yam, sweet potato, wax gourd, watermelon, adzuki bean and pumpkin. 2 Eat less spicy and thick, fat and sweet wine and cheese.
(4) Others reduce their contact with soap, alkali, washing powder, detergent, gasoline, alcohol, etc. Keep your feelings open and avoid seven emotions; Don't tear off the molt by hand, so as not to get infected and become pus.
differentiation between herpes zoster and tinea manus, eczema, contact dermatitis and exfoliative keratolysis
tinea manus, commonly known as Liriodendron, is caused by fungal infection. Suffering from tinea manuum, you will often feel itchy, and the skin of your hands will also appear papules, blisters, erythema and desquamation. At first it was a small piece, then the damage gradually expanded and the boundary was clear. After a long time, the hand skin will become rough, dry and thickened, and may be accompanied by chapped and bleeding. But if there are symptoms such as itchy fingers and peeling, can you say that it must be tinea manus? Of course not. There are many skin diseases that can show itchy fingers and peeling skin, such as eczema, herpes zoster, contact dermatitis, exfoliative keratolysis, etc., which should be carefully identified, otherwise the diagnosis and treatment will be delayed.
Eczema mostly occurs in the palm of your hand, and your hands are symmetrical. Skin lesions are multi-morphological, with papules, blisters, erosion, exudation and scab coexisting, and two or three of them are often dominant. The change of illness is closely related to the season, and it is also related to diet and rest. If the palms of your hands are exposed to water and soap, the damage will be aggravated. The fungal test was negative.
the occurrence of herpes zoster has obvious seasonality, which is more than the onset at the turn of spring and summer, and it heals itself in winter, mainly in young people. Skin lesions are also symmetrically distributed, mainly blisters, which occur in batches and can be seen on the palm surface, finger side and finger tip. After the blisters dry up, they peel off and expose new skin, often accompanied by different degrees of itching and burning sensation. The occurrence of this disease has a certain relationship with poor sweating or allergic reaction, and the fungal examination of the damaged area is negative.
Contact dermatitis is caused by contact with allergic substances, which is an allergic reaction of the skin and has obvious contact history. Skin lesions occur in the contact area, with clear boundary and consistent shape, mainly erythema and edema, and blisters and bullae can be seen in severe cases. After leaving the contact, it can gradually fade to recovery. Local fungal examination was negative.
exfoliative keratolysis is a superficial exfoliative dermatosis of palmoplantar, often accompanied by local hyperhidrosis, which is easy to occur in warm and hot seasons. Skin lesions mainly involve the heart of hand, foot and bilateral symmetry, showing small white spots formed by loose keratin and tissue-like scales that are easy to peel off. The underlying skin is normal and itching is not obvious. The fungal test was negative. The cause of the disease is unknown, which may be related to factors such as hand sweat and mental tension. If the symptoms are not serious, it is not necessary to deal with them, because the disease tends to heal itself. However, when you have a rash, try to avoid contact with alkaline substances such as soap detergent and alcohol, and don't tear off the upturned skin with your hands, which will aggravate the skin damage. 1%-2% urea fat can be externally applied once or twice a day.
Hydrocortisone itself is a kind of hormone, which has the functions of anti-allergy, relieving itching and inhibiting inflammation. Ointment or cream is mostly used for external use, which is generally used for allergic dermatoses, such as eczema, urticaria, drug dermatitis, contact dermatitis, prurigo and so on. Every drug has both therapeutic and adverse effects on patients. If you use topical hormones for a long time, you will become addicted, and there are about 2 kinds of side effects. The most common are: skin atrophy, telangiectasia, purpura, fungal infection, acne-like dermatitis and so on.
The process of external hormone addiction is roughly as follows: after taking the drug, the condition gets better rapidly, and it continues to be used externally for several months. Once the drug is stopped, redness, tenderness, itching, cracks and desquamation may occur on the drug application site (especially on the face) within one or two days, resulting in pustules and aggravation of the primary disease, which is called rebound dermatitis. When the hormone is reapplied, the above condition will soon improve or disappear; If the drug is stopped again, rebound dermatitis will recur, and it will be more serious than before. In order to avoid the pain after drug withdrawal, patients rely entirely on applying hormones. After several months or years, the skin becomes thinner obviously, the capillaries dilate, and sometimes purpura appears, especially on the face, which can cause deeper persistent erythema. The longer the application time, the heavier the rebound dermatitis will be.
Therefore, when using topical corticosteroids, you must follow the doctor's advice. Generally, the standard for selecting corticosteroids is just to control the disease. Some patients have become dependent on hormones, and stopping taking drugs has caused great pain to patients. We should do a good job in patients' ideological work and enhance their confidence in overcoming diseases. It may be painful to start with 2.5% hydrocortisone, but it will be greatly improved within a few weeks. Later, I will switch to 1% hydrocortisone and then switch to skin care fat to protect my skin. As long as we have a full understanding of the role and side effects of hormones, we can use them reasonably.
suggestions; Stop taking medicine under the guidance of a doctor!
refer to other people's! !