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Eczema
is a kind of common allergic inflammatory dermatosis. It is divided into three
kinds :acute, subacute and chronic. Its clinical characteristics are
itching on the affected part, the polymorphic skin lesion and frequent
recurrences. It can attack people, male or female, at any age and any part of
the body. In TCM eczema in infants is called "nai xian" and "tai
lian chuang" (infantile eczema); eczema on the external ear is called
"xuaner chuang "(eczema of the external ear); eczema on the local area
is called "shi du chuang" (noxious eczema), eczema on the scrotum is
called "shen nang feng" (scrotal eczema ) and "xiu qiu feng"
(scrotal eczema); eczema in the elbow and popliteal fossa is called "si wan
feng " (atopic eczema), etc.
Main Points of
Diagnosis
1.
Acute Eczema
1)
The skin lesion is polymorphic. Acute eczema often attacks on following
conditions: at the beginning, a certain part of the skin becomes diffusely
reddish, then clusters of papulae, blisters appear, with erosions, exudations
and pigmentation will appear, which mark the complete recovery.
2)
The patient feels severe itching and has a sensation of burning heat on the skin
of the affected part at the beginning.
3)The
onset of this disease is sudden and severe. Its inflammation is obvious. The
eczema often occurs on some parts of the skin or in symmetrical distribution. It
will be cured in one or two weeks after adequate treatment.
2.
Subacute Eczema
1)
In three weeks of acute eczema attacks ,inflammatory reactions will become
lessened. The condition tends to be stable.
2)The
skin itch is weaker than that at the acute stage.
3.
Chronic Eczema
1)
If eczema has a long resistance to treatment, or attacks repeatedly it can
become chronic eczema. It is often limited on a certain part, of the skin with
clear demarcation.
2)
At the lesion part, the skin will become thick, rough and has pigmentation. It
is indurated on palpation. Or there are patchy, scaly desquamations or lichenoid
skin lesions.
3)
Papulae, blisters, infiltrations, exudations may appear on the affected part of
skin while it is irritated. The skin disease has a chronic course. It can last
for many years.
Differentiation and
Treatment of Common Syndromes
1.
Intermal Treatment
1)
Acute Eczema
Main
symptoms and Signs: There are diffuse redness, clusters of red papulae,
blisters, erosions, exudations with burning heat sensation of the skin. The
affected part has a sensation of severe itching and some exudations from the
skin, accompanied with red tongue with thick and yellow fur and slippery and
rapid pulse.
Therapeutic
Principle: Clearing away pathogenic heat and removing dampness with expelling
pathogenic wind.
Recipe:
Decoction for Acute Eczema
honeysuckle
flower
dittany
bark
talc
coix
seed
phellodendron
bark
scutellaria
root
oriental
wormwood
plantain
seed
(wrapped
with a piece of cloth before it is decocted )
atractylodes
rhizome
flavescent
sophora root
licorice
root
All
the above ingredients are to be decocted in water for oral administration.
2)
Subacute Eczema
Main
Symptoms and Signs: There is a sensation of itching, crust formation,
pigmentation, scaly desquamation, red papulae, red brown spots, blisters and
exudation on the affected part of the skin, accompanied with red tongue with
yellow fur and slippery pulse.
Therapeutic
Principle: Expelling wind, moistening the dryness, and clearing away
pathogenic heat to promote urination.
Recipe:
Powder for Expelling Pathogenic Wind
arctium
fruit
cicada
slough
schizonepeta
ledebouriella
root
atractylodes
rhizome
flavescent
sophora root
dried
rehmannia root
anemarrhena
rhizome
Chinese
angelica root
gypsum
black
sesame seed
licorice
root
All
the above ingredients are to be decocted in water for oral administration.
3)
Chronic Eczema
Main
Symptoms and Signs: The skin is thick and rough with skin desquamation,
pigmentation and sensation of itching. The tongue is light red with white fur
and the pulse is moderate.
Therapeutic
Principle: Nourishing the blood, and moistening the dryness and expelling
pathogenic wind.
Recipe:
Decoction for the Treatment of Chronic Eczema
Chinese
angelica root
white
peony root
multiflower
knotweed root
black
sesame seed
ligusticum root
dried
rehmannia root
moutan
bark
schizonepeta
cicada
slough
tribulus
fruit
dittany
bark
licorice
root
All
the above herbs are to be decocted in water for oral administration.
2.
External Treatment
1)
Lotion for Treating Eczema can be used to soak or compress to the affected part
and then Phellodendron Powder can be put on the affected part too.
2)
Itching-Stopping Lotion can be also used for chronic eczema to clean the
affected part, 30 minutes each time, once a day. After washing, black soya bean
distillateing oil ointment can also be applied onto the affected area.
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