Problem description:

I have eczema. I'm itchy all over, and some of them have blisters. Who will help me? ! ! !

Analysis:

General treatment at present, western medicine has no specific treatment for eczema, and more symptomatic treatment is used. Oral antihistamines such as diphenhydramine, phenamine, chlorpheniramine, cyproheptadine, etc. , can be used alone or in combination with sedatives and vitamin C. The dosage form for external use depends on the clinical manifestations of skin lesions. If there is obvious swelling and exudation, cold and wet solution should be used, and lotion, emulsion, mud paste and oil agent can be used for erythema and papules. Oil is needed for blisters and erosion; Ointment is used for those who show scales and scabs; If lichen changes, choose mud paste, ointment, emulsion, film coating, tincture and plaster.

Unique therapy In recent years, our hospital has taken orally "Shiduqing Concentrated Granules", taking a packet with boiling water every night before going to bed; With external use of Fukang lotion, satisfactory results have been achieved. For localized chronic eczema, in recent years, I have used Piyanling sealing solution to block the treatment, and achieved satisfactory results. 7- 10 once a day, usually three times can be cured.

Precautions: Try to find the cause and remove it, pay attention to adjusting the diet, avoid eating spicy food, and avoid eating allergic items, such as alcohol, seafood and shellfish, which should be banned, and a light diet is better; Try to reduce external bad * * *, such as hand grasping, external use of soap, hot water burns, etc. ; Clothes should be loose and soft, and avoid wearing wool products or nylon fabrics.

Try to avoid long-term or short-term high-dose topical corticosteroids, because long-term or short-term high-dose topical hormone preparations can also lead to addictive and drug-dependent dermatitis. There are more than 20 kinds of side effects: the most common is that the condition improves rapidly after taking the medicine and continues to be used externally for a period of time. Once the drug is stopped, redness, tenderness, itching, chapping and desquamation may appear on the medication site (especially on the face) within one or two days, resulting in pustules and aggravating the primary disease, also known as rebound dermatitis. When the hormone is reapplied, the above situation will improve or disappear soon; If the drug is stopped again, the rebound dermatitis will recur and it will be more serious than before. In order to avoid the pain after drug withdrawal, patients rely entirely on the application of hormones. After several months or years, the skin becomes thinner obviously, the capillaries dilate, and sometimes purpura appears, especially on the face, which can cause deep persistent erythema. The longer the application time, the heavier the rebound dermatitis will be. Can make the skin thinner, fragile, atrophic, telangiectasia, purpura, fungal infection, acne-like dermatitis and so on. Become fragile; Mild hirsutism, hyperhidrosis, subcutaneous hemorrhage and difficulty in wound healing may also occur. In particular, the following skin diseases are not suitable for the use of hormone preparations mentioned above.

Long-term or short-term high-dose injection or oral administration of corticosteroids such as dexamethasone, Kangning Ke Tong and prednisone can also cause obesity, hirsutism, acne, hyperglycemia, hypertension, sodium retention, edema, hypokalemia, menstrual disorder, osteoporosis, aseptic osteonecrosis, gastric and duodenal ulcers and other complications. It can also cause certain damage to the kidney, such as aggravating glomerular disease proteinuria, aggravating glomerulosclerosis, easily causing renal calcification or calculus, inducing or aggravating renal infectious diseases, and causing hypokalemic nephropathy. It can also cause metabolic disorder of a series of substances such as sugar, protein, fat, water and electrolyte, destroy the body's defense system and inhibit immune response. Patients must also keep in mind allergens and avoid eating or touching allergens, otherwise it will aggravate the condition.

If some patients are dependent on corticosteroids during the treatment, the primary disease will rebound after stopping the drug, which will aggravate the secondary side effects and bring great pain to the patients. Doctors and patients' families should do a good job in patients' ideological work, fully understand the role and side effects of hormones, and enhance their confidence in overcoming diseases. And in the correct choice of therapeutic drugs and gradually reduce until the cessation of corticosteroids, choose traditional Chinese medicine and methods to combat the above side effects and adverse reactions. Achieve the goal of safely and thoroughly curing diseases. Patients must also keep in mind allergens and avoid eating or touching allergens, otherwise it will aggravate the condition.