1. What is eczema
Eczema is a kind of common inflammatory skin disease, damage to skin rash with no leakage at the wet orientation named to erythema, papules, vesicles, exudation, as the characteristics of erosion. Prolonged course of eczema refractory disease is difficult to relapse. The clinical features of eczema as pleomorphic rashes, oozing tendency, symmetrical diffuse Yan, consciously intense itching, the condition difficult to repeat, can unhealed for many years.
2. Eczema disease results:
If a more complex disease eczema pure. More than the body because of some external factors or to do with each other due. If a more complex causality of pure, other factors will rise, the fruit of this to take contact dermatitis differences. Eczema reason is not difficult to remove, difficult, and chronic relapse tendency.
Eczema of external factors: such as chemicals, cosmetics, nasal spray perfume, dyes, detergents, plant toxins, eggs, fish and milk proteins such as sex, powder dust, bacteria, sun, cold, catch scratch and so on.
Eczema in vivo factors: allergic body mass, metabolism, endocrine disorder or gastrointestinal effects, neurological disorders energy efficiency, excessive fatigue, energy, Chi tight focal infection, intestinal parasites, intravenous Qu Chi, sweating, dry skin and so on.
3. Pathogenesis of eczema
Eczema may be factors in vivo is complex and pure on the basis of external factors due to delayed metamorphosis ruminant. Without eczema and is taking anti-When nothing abnormal. When patients with anti-improved nature, often involving many factors, not some unknown, yet to be in the future study.
Chinese food out that eczema often results section, alcohol or eating spicy fishy had launched the wind of the goods, hurting stomach and spleen health shipped out, so damp and rheumatic fever and exogenous evil, evil Competing both inside and outside, filling in Cou, bathed skin fat-based disease.
If debilitating eczema, spleen wet fruit, raised off the skin. If heat or long-Yun, Yang Hao Shang blood, of the dry raw wind that may cause blood deficiency and wind dry the skin a mistake.
4. Acute clinical symptoms of eczema
Onset of acute eczema of performance-based and multi-shaped rash. Erythema is not always based on the big and small needle into the miliary papules, Qiu herpes, severe blisters or small, often confluent, the realm is not clear. Is peripheral damage, the gradual thinning of pleomorphic rash. Itching more sedate, often catching the fruit to scratch the rash constitute erosion surface, there is no serous exudation and crusting. If no secondary infection can pose with pustules, pus and pus scab, a considerable enlargement of lymph nodes can be. No serious infections can be accompanied by fever and other symptoms.
Yan acute diffuse eczema, often symmetrical, more common in the face, ears, hands, feet, forearms, legs and other exposed parts of the body in severe scalability. Symptoms without
Treating erythema dermatitis class
Treatment experience skin erythema dermatitis class
Systemic lupus erythematosus is a multi-system involvement with a variety of multi-organ autoimmune disease autoantibodies. Mainly due to the pathogenesis of immune complex formation, the exact cause is not yet clear. The disease is more common in young women, male to female ratio of at least 1:7-9. Mostly 15-35 years old age, but also found in children and the elderly.
Predisposing factors of this disease are mostly sun exposure, infection, pregnancy, childbirth, certain drugs, surgery. Disease can be acute, fulminant, or occult, usually first involving a system, later extended to multi-system damage. Most patients were fatigue, fever, joint pain, rashes, and a corresponding symptoms of organ involvement. Almost all kidney patients are involved, but also involving the serosa, heart, lungs, digestive tract, central nervous system caused by pleural effusion, ascites, myocarditis, wart non-bacterial endocarditis, pneumonia, acute peritonitis, abdominal myositis, vasculitis caused by intestinal ulcer, intestinal necrosis, intestinal perforation, obstruction, epilepsy kinds of psychiatric symptoms, headache, hemiplegia, aphasia, non-tender swelling of lymph nodes and other mild or moderate kinds of symptoms. Western medicine is currently used mainly adrenal cortex hormones, immunosuppressants, immunostimulants and other drug treatment, although achieved some results, but the disease is still one of refractory disease and the drugs obvious side effects.
The treatment of dermatitis and skin erythema class, after years of clinical observation, with the card selection of the following herbs, results were satisfactory.
(1) skin erythema clinical manifestations of dermatitis class
Dermatitis erythema type skin diseases, including lupus erythematosus, dermatitis of the wind group of other skin diseases, clinical manifestations of erythema, papules, blisters, oozing, erosion or wind-like groups, and other evidence of skin lesions. Common are drug-induced dermatitis, types of eczema, all types of urticaria, pityriasis rosea, contact dermatitis, neurodermatitis, pruritus, erythema multiforme and prurigo skin disease. According to the law of diagnosis and treatment, the same herbs can be used for treatment, so called "erythema dermatitis type skin."
(2) the cause of skin erythema dermatitis class
According to "ask for the trial license" and clinical "trial because of treatment" principle, I think the cause of the disease are mostly wind, humidity, heat, drugs, blood stasis, dry. Acute by the wind, wet, hot for many, especially the "hot evil" is more common. Chronic those wet, stasis, is a common dry, wet or hot weight weight can be as "poison." Are as follows:
â‘ the wind: "wind is riddled with long", easy to attack the skin, often with the cold, heat, moisture and other common disease. "The wind changed a few good deeds," the rapid onset, disease migration variable, one after another, repeated more than is common in urticaria, itching psychosis. "The wind moving the itch," were often a lot of itching diseases caused by pathogenic wind, but wind and the wind outside the points.
â‘¡ Heat: heat evil erythema dermatitis is a major cause of skin type, usually with "typhoid fever" and "warm" disease diagnosis and treatment can receive significant effect. Erythema, purpuric lesions on behalf of the business of blood hot, and itchy papules, wind groups, representatives of blisters and other skin lesions of health points, hot gas separation, respectively Jing anti-heat soup, soup cooling Xiaofeng rule, liver and gallbladder hot, with Long Dan Xie Gan Tang Smilax glabra, or other rule.
â‘¢ wet: moist sticky, tangled refractory, acute erythema dermatitis skin type is often manifested in erythema, blisters, oozing, erosion, rapid onset, mostly due to wet evil. Chronic are often manifested in dark skin lesions, purple, infiltration, hypertrophy, or viscous exudate, severe itching, occur in lower limbs or genitals, and more for the spleen dampness of the card. Sometimes acute dermatitis due to excessive cold of the agent and the injured service Middle-earth, visible abdominal distension, abdominal pain, then thin, with scattered wet rash, severe itching, the use of addition and subtraction of Weiling Decoction.
â‘£ dry: Yin deficiency, blood deficiency, the wind, but also common causes of erythema dermatitis, skin type, especially the chronic itching disease, show more red blood crust papules, itching or crusting skin, dry or scaly, fleshy pieces. Yin mostly heat rash; deficiency mostly hypertrophy scales, dry skin rash. The former soup with a cooling air consumption, the latter with a nourishing Decoction rule.
⑤ Stasis: Stasis is also common causes of disease, particularly chronic stasis many people have symptoms such as rash, dark purple color, a discoid damage, or red nodular lesions, psoriasis-like hypertrophy or infiltration of bacteria, blood can be used circulation rule of law, but the actual situation must be cold and heat MOXIBUSTION table.
â‘¥ drug: "Extreme heat into the toxic" or "wet SHEN poison", manifested as redness, pain or oozing erosion, septic into the swollen scars and so on. Is appropriate to disinfect drink flavors, three yellow soup rule. Such as concurrent in the wind, heat, wet, dry or evil often stasis syndrome differentiation of pathogenic factors in the heat and Canada antidote.
Others, such as cold, heat, insects and so is the cause of such diseases. Pathological changes of organs is an important reason: when the syndrome would also be conducted detailed inspection.
(3) Clinical commonly used herbs
â‘ Anti-heat soup Jing (Jing anti soup)
Differentiation: Wind fever papules or systemic itching wheal rash, cold light, Peter TG, thirst upset, heat the heavy itching, itching weight is upset anxiety, moisten or Fuhua pulse, tongue red, yellow, white fur.
Governing Law: Qufeng heat, dampness detoxification.
Composition: Nepeta, wind, white moss skin, Fen Huang, Phellodendron, Sophora 9 grams each, Forsythia 12 grams, 30 grams of gypsum, Cimicifuga 3 grams, Chan Yi, the 6 grams of licorice.
Modified: constipation, dry yellow tongue coating, Kagawa Jun 9 grams. Tongue slip or crimson or pulse string with obvious red rash gradually add 30 grams of raw land.
Party Solutions: Fang to Nepeta, wind, Chan Yi Qufeng detoxification; Scutellaria, Forsythia Qing 1: coke heat; gypsum clear heat in the coke, Huang Boqing under the coke heat; flavescens, clear skin, white skin damp moss; l Ma detoxification Touzhen, licorice, and the. Qin, Bo bitter cold, gypsum Xin Liang, empty stomach used with caution.
Indications: acute generalized dermatitis, skin diseases or wind groups, including pimples like eczema, flexural eczema, leg eczema, pruritus, neurodermatitis Pan-onset, acute urticaria, urticaria-like rash, baby eczema, Rose rosea and erythema multiforme and so on.
Note: 1) This party is a government wind-heat syndrome and Meridian heat syndrome, acute generalized papules dermatitis, itching, upset by re better known as the spleen Deficiency is also available.
2) This side effect than speed, l ~ 2 agent can service more, or have significant progress, such as serving three invalid, it can change sides.
3) service despite significant progress in this side, see if the bloating, abdominal pain or loose stools are diarrhea, the patient stomach Deficiency, can be added Pinellia, Citrus, 9 grams of each herb can be.
4) deficiency symptoms after medication, and rash were no progress, should be changed to Modified Weiling Decoction spleen dampness.
5) increased skin rash after taking a few patients, Tang Xiaofeng should change the cooling to cooling heat, so rash rapidly subsided.
6) infant to 8 years of age, can use this side dose, first dose in one day in 2 to 3 times daily, the second in the points in the next 2 to 3 times to take finished.
7) Avoid spicy beef and sheep, avoid alcohol and hot water wash.
â‘¡ Liangxue Xiaofeng Tang
Syndrome: the blood and burnt and wind syndrome - generalized erythematous, papular rash, dry mouth, fever, heat is itching weight, irritability, red urine, constipation, flood pulse string slide slip or powerful, crimson tongue , tongue filling dry white or yellow dry moss moss or yellow greasy fur.
Governing Law: cooling heat. Detoxification Qufeng.
Components: habitat, Chine, each 30 grams of gypsum; Silver Flower 15 g, white peony root 12 g, Anemarrhena, element parameters, Arctium, Nepeta, wind of 9 grams, Cimicifuga 3 grams, 6 grams of licorice.
Modified: Intensive Wide l g (red). Heat disinfection of toxic heavy drinking or three additional flavors yellow soup. Dry yellow tongue coating lag thorn, constipation Kagawa Army 10 grams.
Side solution: reuse the habitat Qing Fang blood heat, gypsum and clear hot gas separation, child labor cattle heat Liyan, Nepeta, wind wind relieving method, Cimicifuga detoxification, Touzhen, licorice, and the. Jun Qingreliangxue of the agents used for generalized skin erythema dermatitis class. Spleen Deficiency were hanged.
Indications: acute erythema dermatitis systemic diseases, such as their own sensitivity to the rose-type dermatitis, infectious eczema-like dermatitis, generalized eczema, infantile eczema, dermatitis pityriasis rosea, drug-induced dermatitis, severe acute urticaria. Others such as psoriasis (the period), systemic lupus erythematosus, severe erythema multiforme, erysipelas, sepsis or severe rosacea and so effective.
Note: 1) This side effect is slow, usually after 3 to 7 have a demonstrable effect, if the effect is not obvious who served seven, could be replaced by its side.
2) The service of this side, the curative effect, but there is abdominal distension, abdominal pain or diarrhea and other symptoms of deficiency, should add the herb, Pinellia, Citrus 9 grams each.
3) for 7 ~ 14, rash redness, dermatitis were significantly improved, but there are still severe itching (as the limbs), with scattered papules who often have deficiency symptoms, should be switched to Spleen Modified Weiling Decoction dehumidification, medication 3 will be itching just about recovered.
4) reduce medication rash, and itching diminished or dizziness, Xin Wen solution should be reduced form of Nepeta, wind.
5) severe erythema multiforme, toxic epidermal necrolysis, drug use is still more than diarrhea, often with "sepsis", a serious condition, should strengthen the rescue of Integrative Medicine.
6) age range, regimens, and contraindications are forward.
â‘¢ Ma Jia Ge Ban Tang
Syndrome: cold exterior syndrome - cold, goose bumps the whole body or body with his tight sense of generalized papules or wind groups rash, abdominal pain, mouth thirst, sweat or no sweat, fever and so on. Floating and tight pulse or Fuhua, thin white fur.
Governing Law: Reconciling business health, comfortable and easy.
Composition: Ephedra 5 grams, cassia twig, licorice 6 grams each, red peony, almond 9 grams each, 3 slices of ginger, jujube 5.
Modified: thirst, dry moss white persons, plus 30 grams of gypsum; moss yellow, constipation Kagawa Jun 9 grams.
Party Solutions: Ephedra Xuanfei relieving Quhan, Gui yang of the table, to reconcile the business health, TPG Huoxuetongluo, ginger, jujube, licorice are spleen and stomach, to reconcile the business health of the power.
Indications: acute urticaria, pruritus and prurigo and so effective.
Note: 1) This side effect fast, often l ~ 3 Jiyu or markedly.
2) taking the wind group increased, should the trial license and Bianqi tongue and pulse, in the case of cold, could Following the service, usually 4 to 5, the hives to gradually reduce, 7 ~ 8 and more.
3) taking 3 to 4, the effect is not significant, it should switch parties.
4) infants and children, serving both Jing soup can be served against one.
5) cold fever without sweating, should not use physical cooling.
â‘£ soup Smilax
Syndrome: a swelling Damp erosive exudative dermatitis, dry mouth do not want to drink, itching, persistent course of time unhealed, occur in the genital area and lower extremities, moisten or slippery pulse, greasy yellow tongue coating, red tongue.
Governing law: heat dampness, detoxification itching.
Components: soil Fuling, Baiyao skin of 30 grams, 24 grams of the capillaries, Yin-hua, 15 grams of raw yi, Huang Ping, Phellodendron, Gardenia, Sophora 9 grams each.
Modified: constipation Kagawa Jun 9 grams. Genital or abdominal lesions plus side Bupleurum. Was gradually red rash, tongue crimson persons, plus 30 grams of raw land, Yuan Ref 9 grams.
Party Solutions: Fang to soil Fuling, Yan Chen Qingli liver and gallbladder damp heat. Health yi Qingwei hot dampness. Fen Huang, Phellodendron, Gardenia, bitter cold dampness. Flavescens, remove the skin white skin damp moss. Silver Flower detoxification.
Indications: generalized eczema, infectious eczematous dermatitis, scrotum or vulva eczema, tinea pedis with secondary infection, herpes-like dermatitis and psoriasis.
Note: This side of the water seepage erosion or scar the skin secondary to good effect purulent infection, serving 2 to 3 is effective. This side effect of chronic skin diseases slower service, generally should be effective after 5 ~ 6. Infants and children can be served two days l agent. Less washing treatment.
⑤ Modified Weiling Decoction
Syndrome: Spleen dampness seeping card or chronic swelling of the whole body rash, color dark purple, cold, dry mouth and do not want to drink, abdominal distension, loose stools, hi, hot, slow pulse, or slide How powerful, fat tongue pale, tongue greasy.
Governing Law: spleen dampness, warm winter itch.
Composition: 15 grams Ping Huang, Gui, herb, Atractylodes, Pinellia, Citrus, Alisma, Poria, Polyporus, the board of 9 grams, 6 grams of licorice.
Modified: chills, weight, hand-foot-Jueleng person, plus 9 grams of aconite.
Party solution: to Guizhi temperature in the pass Fang Yang, herb, Atractylodes, Pinellia, Citrus spleen dampness. Alisma, pig tongue, Poria, light penetration dampness. Licorice and in the skullcap, gardenia and other various drugs to prevent the temperature is too dry.
Indications: Systemic chronic pruritic skin diseases, there is leakage, swelling of the skin lesions, such as generalized eczema, prurigo, pityriasis Hatch red, pruritus, chronic benign familial days scars sores and so on.
Note: This side treatment of chronic skin diseases, effective and rapid, 3 to 5 that effect. For the consolidation effect, should all the more after the spleen in skin temperature and cold agent. Suffering from fever stomach Deficiency is known as the wind, the wind certificates of qi and blood dual broadcast and who, in the heat has been cleared, it is appropriate for this party aftermath. Eat less and so should be cooler and crab.
â‘¥ nourishing Decoction
Syndrome: deficiency of Health wind syndrome - chronic systemic pruritic skin diseases, there are papules, dried blood scab lesions, pale, dizziness, five upset hot, dry throat, pulse small, pink tongue.
Governing Law: nourishing dryness, expelling wind dampness.
Composition: 15 grams of raw land, Angelica, Chuanxiong, white peony root, Nepeta, wind, Atractylodes, Phellodendron of 9 grams, 6 grams of licorice.
Side solution: return, Xiong, Shao, to nourishing dryness, Jing, anti-Qufeng itching. Surgery, Parkinson dry heat spleen dampness. Licorice and the.
Indications: chronic pruritus, chronic eczema, chronic urticaria and psoriasis.
Note: This side according to the disease increase the nourishing power of expelling wind, such as Radix, donkey-hide gelatin, tribulus, hives and so on. Deficient patients can Jiufu this side, to facilitate and blood.
⑦ blood circulation drugs categories: regular classes due to chronic dermatitis, skin redness, especially purpura, hyperpigmentation, hypopigmentation, pain, or parts of fixed discoid rash, skin hypertrophy, sclerosis and lichen-like change, nodules, stubbornly intractable: the erythema dermatitis-like illness, commonly used formulas are:
A. Wing itching soup (Qufeng Decoction)
Syndrome: Blood and blood stasis by the wind permits muscle form, qi is not solid, feelings caused by Feng Xie. Card, see cold, excessive itching, skin pigmentation of skin lesions, permanently. Fuhua Fuhua or less pulse power. Pale, thin white fur.
Governing Law: Qufeng wet grounds, promoting blood circulation.
Composed of: herb, red peony root, in the final end, peach kernel, safflower, 10 grams, Ephedra, Nepeta, mint, silkworm, wind, licorice 6 grams each.
Party Solutions: Ephedra Xuanfei dispelling, Nepeta Xin Wen solution form, the herb spleen dampness dispelling, silkworm Pinggan expelling wind, mint Xin Liang solution form, Feng Xie meridian cured of various drugs. Peach kernel, safflower, in the final end, TPG blood circulation. Licorice and the. Feng Xie and treatment of this side of the card is very good blood stasis.
Indications: Chronic urticaria, pruritus, neurodermatitis, eczema, prurigo and a variety of intractable pruritic skin disease.
B. Xuefuzhuyutang
Main symptoms: chest full of nausea, chest pain, such as heavy pressure, heart hot, edgy, dreams, dry mouth, mouth pain, skin itching, wheal or purple pigmentation of skin lesions, a strong pulse string or sink-slip-slip of tongue Quality purple or see ecchymosis, thin yellow tongue coating.
Governing Law: blood circulation, qi Chest.
Composition: angelica, red peony, raw land, Achyranthes, safflower, trifoliate orange, Bupleurum 10 grams each, peach kernel, Campanulaceae, Chuanxiong, licorice 6 grams each.
Party Solutions: prescription to peach kernel, safflower, angelica, peony, Chuanxiong, habitat blood circulation, bringing the activities threatening bleeding at the liver with the Bupleurum lead to scattered, Campanulaceae up, Achyranthes down, Citrus aurantium to Weiwanxiashu cited the Ministry of scattered, so as to achieve stasis of the power of the chest.
Indications: chronic urticaria, prurigo, pruritus with a variety of eczema, dermatitis diseases, both coronary heart disease, high blood pressure or neurosis are, the more appropriate.
C. Prurigo side (heat Decoction)
Main symptoms: exudation nodular papular rash, symptoms of lichen-like change, pigmentation, itching, dry mouth, heat is itching weight, protraction, upset, insomnia. Pulse slip or slide a powerful chord. Red tongue, yellow greasy moss or yellow thin fur.
Components: habitat, soil Fuling, 30 grams of Tribulus terrestris, Yin-hua, TPG, Nepeta, wind, Tri, Ezhu the 1.0 gram.
Side solution: side by habitat clearing away heat and humidity of soil cleanup Poria, Silver Flower Qingrejiedu, Nepeta, wind Qufeng wins wet, red flowers, red peony, triangular, Ezhu blood circulation. To Qufeng itching of the agent, cure all blood heat blood stasis syndrome, are not limited to prurigo.
Indications: nodular prurigo, a variety of prurigo (pregnant women hanged), coin-like eczema, lichen planus, psoriasis and skin amyloidosis.
D. Soothing the Liver Decoction
Main symptoms: mouth full of bitter threat, irritability, irregular menstruation, and more pre-color black or a block, skin lesions may be erythema, wheal, purpura, nodules, or itchy skin disease acne, rosacea and other skin loss, skin rash aggravated case of sunlight, or aggravated during menstruation. Strong pulse string or string slip, purple or thin yellow tongue coating.
Governing Law: Soothing heat, promoting blood circulation.
Composition: Bupleurum, Curcuma, dried tangerine peel, mint, in the final tail, yellow extract, red peony, gardenia, saffron, 10 grams, 6 grams of licorice.
Party Solutions: prescription for Bupleurum, peppermint, skullcap, gardenia, Shugan liver and gallbladder damp heat. Return tail, red peony, safflower, Curcuma, promoting blood circulation. Qi dried tangerine peel, licorice and Chinese.
Indications: disc lupus erythematosus, systemic lupus erythematosus, solar dermatitis, seborrheic dermatitis, acne, rosacea and so on.
In addition to these prescriptions, there are "evil drug" may increase with a disinfectant drinking, three yellow soup, reduce phlegm in Canadian Qing Long Tang, Qi who, qi yang, by disease of governance.
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