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Neurodermatitis
is a kind of chronic skin disease with pruritic inflammation. It is
characterized by episodes of itching and lichenification on the skin. The
disease has a chronic course with frequent relapses. There is no tendency to
seep. It can be divided into local and disseminated types.
Main Points of
Diagnosis
1.
Local neurodermatitis
1)
At first, the patient feels intermittent itching on the affected part of the
skin, then round clusters or polyangled pink papulae covered with scanty fine
scales appear.
2)
The skin will become thick, dry and rough at the advanced stage as a result of
scratching and lichenoid skin lesion will be formed It looks like the skin of a
cow's neck.
3)
Paroxysmal itching will be present.
4)
The course of the sickness is chronic, This disease attacks and relapses
frequently. It often occurs on the neck, elbow, knee and sacrum or cocryx and is
serious in summer and mild in winter.
2.
Neurodermatitis disseminata
1)
At first, the skin becomes diffusely red and clusters of papules appear on it.
The lichenification appears on the affected part of the skin at the advanced
stage, too.
2)
Paroxysmal itching will be present.
3)
The skin lesion is rather large and can spread over to the whole body,
especially on the trunk and extensor side of limbs.
Differentiation and
Treatment of Common Syndromes
1.
Internal Treatment
1)
Wind-Heat Type
Main
Symptoms and Signs: There is a sensation of paroxysmal itching on the affected
part. The skin is reddish and crowds of papulae appear on it. The tongue is red
and the pulse is taut and rapid.
therapeutic
Principle: Removing heat from the blood to promote blood circulation, and
clearing away pathogenic heat and expelling pathogenic wind.
recipe:
Decoction of Dittany Bark
dried
rehmannia root
red
peony root
red
sage root
honeysuckle
flower
dittany
bark
Chinese
angelica root
scutellaria
root
cicada
slough
atractylodes
rhizome
shizonepeta
ledebouriella
root
All
the above herbs are to be decocted in water for oral administration.
2)
Wind-Dryness Type
Main
Symptoms and Signs: There is a sensation of paroxysmal itching. The skin is
thick, rough, and dry with fine and broken scurf, accompanied with irritability,
insomnia with thin fur on the tongue and lack of saliva and thready pulse.
Therapeutic
Principle: Enriching the blood and moistening the dryness, and promoting blood
circulation and expelling pathogenic wind.
Recipe:
Powder of Four Main Herbs for Expelling Pathogenic Wind
dried
rehmannia root
Chinese
angelica root
red
peony root
ligusticum
rhizome
schizonepeta
ledebouriella
root
dittany
bark
notopterygium
root or rhizome
peppermint
cicada
slough
bupleurum
root
Chinese
date
All
the above herbs are to be decocted in water for oral administration.
2.
External Treatment
1)
Use Itching-Stopping Lotion to wash the affected part.
2)
Put Red Powder on the affected part, and then scrub the affected part by hands
for five minutes, three times a day. Be sure to wash your hands after treating.
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