Got eczema again. Seek professional advice.

Eczema is the most common disease in dermatology, and Chinese medicine often has different names because of the different location and scope of the disease. If it is all over the body, it is called "soaking sore" if it is soaked all over; Red millet, itching and bleeding are called "blood wind sores"; Limited to one place, what happens in the ear is called "ear sore"; What happens between the palm and fingers is called "epilepsy sore"; "wet sores" on legs and feet; The initial name of scrotum is "cell leakage sore"; It has long been called "renal capsule wind"; But no matter where the hair is, it should be based on syndrome differentiation and treatment.

Although eczema is a superficial skin disease, it comes from internal factors. Traditional Chinese medicine is mainly based on internal treatment, supplemented by external treatment. The internal cause is mainly heart fire and spleen dampness, which can be caused by emotional imbalance and endogenous heart fire, leading to blood heat. Because of careless diet, spleen loses health, dampness is endogenous, damp and heat are combined, and it comes out of the muscle surface and gets sick. Its syndrome differentiation can be roughly divided into the following types for treatment.

(1) Damp-heat type: rapid onset, burning and swelling of the skin, or large erythema, papules, water marks, excessive water seepage, or even yellow water dripping, sticky and fishy, such as turpentine. Because it itches too much, you can peel off a layer of skin Dry stool, yellow or red urine, red tongue, yellow or greasy coating and slippery pulse. This type is the most common in clinic. The treatment is mainly to promote diuresis and clear heat, and the prescription is Longdan Xiegan Decoction. Honeysuckle and forsythia suspensa are added to abscess scar; Shit tends to increase green leaves.

(2) Blood wind type: red millet (mainly red papules) appears on the body, and bleeding is scratched, and there is not much water seepage. Severe itching can be seen with a lot of scratches, especially at night. The tongue is red, the coating is thin white or thin yellow, and the pulse is thready. In this type, heat is more important than water. The treatment is mainly blood heat, mainly cooling blood and expelling wind, supplemented by dehumidification and heat clearing. The prescription of Pixuan Decoction is: Radix Rehmanniae, Cortex Moutan, Radix Paeoniae Rubra, Scutellariae Radix, Radix Sophorae Flavescentis, Kochiae Fructus, Cortex Dictamni Radicis, Cortex Moutan and Glycyrrhrizae Radix.

(3) Spleen dampness type: This type is more common, the skin is dull and not red, and water seepage (water marks are hidden in the skin) is only seen after the patches are scraped by fire, and it is dry and desquamate in the later stage. Symptoms include dull complexion, loss of appetite, loose stool, yellow urine, abdominal distension and other spleen and stomach symptoms, pale tongue, thin white or greasy fur, and slippery pulse. This kind of spleen deficiency is better than dampness, and the heat is not obvious. The treatment is mainly to strengthen the spleen and regulate dampness. The prescription is modified by Chu Shi Ling Wei Decoction: Rhizoma Atractylodis, Pericarpium Citri Tangerinae, Poria, Rhizoma Alismatis, Liuyi Powder and Cortex Dictamni Radicis. For stuffy stomach, add Herba Agastaches and Herba Eupatorii to eliminate dampness, and add Pu Chuan and Areca catechu for abdominal distension.

(4) Yin injury type: chronic illness and excessive water seepage lead to Yin injury, blood consumption, blood dryness and wind, or bitter, cold, dry, wet, or light, transparent and daytime products. Causes yin injury, blood consumption, skin infiltration, dryness and desquamation, and severe itching. The main syndrome differentiation indicators are red tongue with coating shedding (damaging yin) or pale tongue with coating luster (consuming blood). Seeing this syndrome requires nourishing yin and eliminating dampness. Medicine: Radix Rehmanniae, Radix Scrophulariae, Radix Angelicae Sinensis, Radix Salviae Miltiorrhizae, Poria, Rhizoma Alismatis, Cortex Dictamni Radicis, and Fructus Cnidii. It is particularly pointed out here that it seems contradictory to use nourishing yin and removing dampness together. It is generally believed that nourishing yin produces dampness, and dehumidification hurts yin. Radix Rehmanniae, Radix Angelicae Sinensis, Radix Scrophulariae, and Radix Salviae Miltiorrhizae nourish yin and blood, but do not help dampness. Dehumidification of Poria and Alismatis Rhizoma does not hurt yin. It has good curative effect on recurrent eczema and chronic scrotal eczema (renal cystic wind). For this type of syndrome, it is forbidden to repeatedly use products that are dry and dampness-promoting, so as not to seriously harm yin and worsen symptoms.

External treatment can be roughly divided into three categories:

① exudation stage: only one or two of 65,438 00 g of Sanguisorba officinalis, Emei leaves and Cortex Phellodendri were decocted in water for 20 minutes by wet application. When it's a little warm, soak five or six layers of gauze (or a small towel) in the liquid medicine, wring it out slightly, apply it to the affected area, and then dip it in water every 20-30 minutes to change it.

(2) When there is little running water, choose mild ointment, and it is not advisable to apply irritating ointment.

(3) Irritating ointment can be used for chronic eczema and hypertrophic infiltration of skin lesions.

4 The care of eczema is also very important, and the following points need to be paid attention to: a. No need to wash with water. No hot water, no bath, no soap. 13. taboo. Do not eat fish, seafood, mutton and other spiced foods. C children should not wear and touch wool fabrics.

Eczema is often caused by allergic constitution, which is often caused by spleen deficiency and dampness. Therefore, the principle of treatment is often to strengthen the spleen and eliminate dampness. General clinical treatment is divided into three types.

(1) Damp-heat type: It is equivalent to acute eczema. Common skin lesions are red itching, wet drainage, fishy adhesion, yellow scab, or erosion along the skin, which is treated by clearing heat and removing dampness. The prescription is Chen Miao Tang Dan combined with Xie Jie Tang poetry: Chen Yin, fried gardenia, rhubarb, Xie Jie and raw coix seed.

(2) Spleen dampness type: it is equivalent to subacute eczema, and the common rash is dark in color and has little water. There is exudate after scratching, but it is clear and thin, and there may be light yellow desquamation, less itching and chest tightness. To strengthen the spleen and eliminate dampness, commonly used dehumidification Ling Wei decoction is modified: Rhizoma Atractylodis, Poria skin, raw Coicis Semen, Coicis Semen root, Xu Changqing, stir-fried mountain mast, Chinese yam and dried tangerine peel.

(3) Blood deficiency and wind dryness type, equivalent to chronic eczema, with common skin lesions infiltrating hypertrophy, pigmentation, scales or blood scabs on the surface, and itching. In order to nourish blood and dispel wind, four kinds of Xiaofeng decoction are commonly used: Angelica sinensis, Radix Rehmanniae, Zaocys, Rhizoma Dioscoreae Septemlobae, Radix Paeoniae Rubra, Fructus Xanthii, Kochiae Fructus, Polygoni Multiflori Caulis and Mother of Pearl.

In addition to oral administration and external treatment, the following three preparations are the most commonly used.

① Sanhuang solution: Rhizoma Coptidis 3g, Cortex Phellodendri 9g and Radix Scutellariae 9g. Decoct in water, wet compress or external washing.

② bran distillate (commercially available medicine).

③ Black bean distillate (commercial medicine).

The above drugs are used for acute, malignant and chronic eczema respectively.