First, introduce the symptoms of infantile eczema.
1, exudative eczema mostly occurs in obese infants with exudative constitution. At first, erythema appeared on both cheeks, and the boundary was unclear. There are dense needle-like papules, papules, blisters and exudates on erythema.
When the exudation is dry, yellow scabs with different thicknesses are formed, and some scabs often fall off due to itching, scratching and friction, revealing a bright red rotten surface and a large amount of exudation. In severe cases, it can involve the whole face and scalp.
If there is secondary infection, pustules can be seen, accompanied by local lymph node enlargement, and even fever and other systemic symptoms.
A few children have become erythroderma due to improper treatment, often accompanied by diarrhea, malnutrition and lymphadenopathy.
2, dry rash is common in thin babies, which is reddish and dark red spots, dense pimples without blisters, dry skin without obvious exudation, and gray-white bran scales attached to the surface.
It often involves the face, trunk and limbs. Chronic can also be slightly infiltrated hypertrophy, chapped, scratched or scabbed.
Symptoms of infantile eczema: In addition to the above two kinds, some people also classify it as seborrheic, which shows that the lesions occur in the developed sebaceous glands such as scalp and behind the ears, and can produce yellow thick scabs, but the basic characteristics are similar to exudative type.
Symptoms of infantile eczema: Infantile eczema, commonly known as "milk tinea", is an allergic skin disease caused by allergies to milk, breast milk, egg white and other foods. It may also be a skin disease caused by genetic quality. If parents get eczema when they are young, the baby is also prone to eczema.
Second, there are several best ways for western medicine to treat eczema.
In the early stage of acute eczema, there are only flushing, papules or a small amount of blisters, and there is no exudation. Therefore, it is advisable to diminish inflammation and avoid irritation. Wet compress or lotion with antipruritic effect can be used, such as 2% ~ 3% boric acid water wet compress, calamine lotion or 2% borneol and 5% alum calamine lotion. If it is only flushing eczema, you can use boric acid talcum powder 1 several times a day. Those with blister erosion and obvious eczema should converge and diminish inflammation, and promote the recovery of epidermis. Anticorrosive astringent liquid medicine can be used for wet packing or wrapping, such as compound sulfuric acid ketone solution, 2% ~ 3% boric acid water and 0.5% lead acetate or aluminum acetate solution. Mild exudative eczema can be wrapped with zinc oxide oil or zinc oxide paste.
The treatment principle of chronic eczema is to relieve itching, inhibit the proliferation of epidermal cells and promote the infiltration and absorption of dermal inflammation. According to the hypertrophy and dryness of skin lesions, different concentrations of tar (coal tar, pine oil, bran distillate oil and black bean distillate oil) ointment or paste can be selected.
Chronic eczema can also be treated by shallow X-ray irradiation or radioactive isotopes phosphorus 32 and strontium 90. The general radiation dose is 80 ~ 100 rad, 1 time per day, and 1 time is1course of treatment. Generally, the total dose does not exceed 1000 rad, but the maximum dose for very thick lesions is 1500 rad. A small amount of exudation from subacute eczema can also be treated with radioisotopes. The initial amount is about 30 rads, which can gradually increase after the exudation subsides, but the maximum amount should not exceed 800 rads, and the general total amount is 500 ~ 800 rads.
3. What is the best way for TCM to treat eczema?
1. Eczema treatment: Jisheng Tongshan, Sanguis Draxonis, Moschus, Borneolum Syntheticum, Indigo Naturalis, Radix Astragali, Polyporus, etc. Patients with eczema take decoction or oral powder, one dose a day. Efficacy of clearing dampness and heat, clearing blood poison.
2. Electroacupuncture treatment of eczema: After the lesion area is disinfected with alcohol, the filiform needle penetrates the subcutaneous tissue from the edge of the lesion, and the direction of the needle is parallel to the skin surface. The times of acupuncture vary according to the size of each lesion, ranging from 2 to 6 times. Then turn on the electroacupuncture instrument and use the density wave with a frequency of 20 times/minute, and the intensity can be gradually increased until the patient feels moderate. Eczema patients are treated with electroacupuncture for 20 minutes every time, once a day or every other day 1 time,1time as a course of treatment, and the interval of treatment is 3-5 days.
3. Eczema external application prescription: Portulaca oleracea 60g, Cortex Phellodendri 20g, Sanguisorba officinalis 15g, Sophora flavescens 10g, Rhizoma Atractylodis 15g, water 1200ml, decocted for three times, and wet-applied to the affected area with 4-8 layers of emery cloth or mask, twice a day, each time. Suitable for acute eczema.
4. Eczema lotion: 50g of Patrinia, 50g of Sophora flavescens15g, 30g of Fructus Cnidii, 6g of Shirakawa10g, 6g of alum, and 0g of horsetail10g. Add appropriate amount of water and boil for 20min, leaving about 500 ~1000ml of liquid medicine. It is especially effective for vulvar eczema.
5. Eczema sitz bath prescription (external use): Radix Sophorae Flavescentis, Cortex Dictamni, Fructus Cnidii and Nidus Vespae each 30g, Radix et Rhizoma Rhei, Radix Angelicae Dahuricae and Radix Arnebiae each15g, Galla Chinensis12g, Fructus Zanthoxyli10g, Borneolum Syntheticum (subpackaged) and Natrii Sulfate (subpackaged) each 6. The above traditional Chinese medicines are packaged separately. Eczema patients are soaked in cold water for 20 minutes, and the juice is about 1000ml, which is poured into the basin. Add a small amount of borneol and mirabilite and mix well. After the water cools, soak them in a sitz bath for about 20 minutes. Eczema patients were soaked 1 time in the morning and evening.
6. Eczema powder: 30g of Cortex Phellodendri, 20g of Borneolum Syntheticum, 20g of Indigo Naturalis powder, 5g of Rhizoma Atractylodis, alum 10g, gypsum 100g. Cleaning Cortex Phellodendri and Rhizoma Atractylodis, air drying, and fine powder. Alum and gypsum are burnt thoroughly and ground into powder. For eczema patients, indigo naturalis and Borneolum Syntheticum are made into powder, mixed evenly, sieved and bottled for later use.
Fourth, how to avoid the recurrence of infantile eczema
1, trying to find the cause and remove it, but it is often difficult.
2. Feeding and diet:
(1) Breastfeeding can reduce the degree of eczema. Protein complementary food should be added later, such as eggs, fish and shrimp. Generally, babies should gradually add it from 4 months. Infants with eczema suggest adding it after 1 ~ 2 months, and the adding speed should be slow. The baby's diet is as fresh as possible, and it is forbidden to let the baby eat processed food containing gas, pigment, preservative or stabilizer, puffing agent, etc.
(2) If eczema has been found in some foods, try to avoid eating these foods again.
(3) Babies who are allergic to milk can be fed with soy milk and goat milk instead of milk.
(4) Babies who are allergic to eggs can eat egg yolk alone.
(5) If the artificially fed baby suffers from eczema, the milk can be boiled for a few minutes to reduce allergies.
(6) The baby's food should be a light diet with less salt, so as to avoid eczema caused by excessive fluid in the body.
3. Clothing:
For example, close-fitting clothes are made of cotton, and the collars of all clothes are preferably made of cotton. Clothes should be slightly cold, loose and soft. Bedding is best made of cotton. Clothes, pillows and bedding should be changed frequently and kept dry. Avoid overheating and sweating in daily life care. And let the baby avoid contact with allergic substances such as feathers, animal hair, pollen and chemical fibers. Silk, wool and chemical fiber products are not suitable for making clothes and quilts.
4. Bathing and skin care:
It is best to take a bath with warm water, avoid using alkaline toiletries with strong degreasing, and choose acidic toiletries. Choose hypoallergenic or antiallergic skin care products, and it is best to measure the skin sensitivity, understand the skin's reaction to the skin care products used, and prevent allergies in time.