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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