Cormone-dependent dermatitis is dermatitis caused by long-term repeated inappropriate use of external hormones. So, how to treat this disease with traditional Chinese medicine? Next, I will share with you the traditional Chinese medicine treatment of hormone-dependent dermatitis. I hope it will be helpful to you!

Causes of hormone-dependent dermatitis

Wrong selection of indications (10%):

Corticosteroids have anti-allergic effects that suppress immune responses. After external use, they can reduce congestion and edema, reduce the degree of itching and inflammation of certain skin lesions. Sexual reactions are temporarily relieved and subsided. People are often fooled by this illusion. Coupled with misleading advertising, many people lack understanding of the scope of application and adverse reactions of hormones and abuse them for a long time, resulting in adverse consequences. A few people still use this type of hormone. Drugs are applied to the face instead of skin creams and are used on normal faces for a long time. They feel good when they are first used, but will cause dependent dermatitis over time. Some people also misunderstand the anti-inflammatory effects of corticosteroids as the anti-inflammatory and antibacterial effects of antibiotics. And long-term repeated inappropriate abuse, such as common skin diseases such as acne (pimples), seborrheic dermatitis, tinea cruris, impetigo and other bacterial, fungal infectious skin diseases, eczema, dermatitis and other allergic skin diseases, especially those that occur in Long-term use of strong hormone preparations for skin diseases on the face and pubic area, because these parts of the skin are easier to absorb corticosteroids, side effects are relatively easy to occur; it is easy to cause skin atrophy, thinning, telangiectasia, pigment spots, The skin is wrinkled and aging, especially in infants and young children. The skin is delicate and it is not suitable to be used on a large area for a long time. If absorbed through the skin, it will also cause the suppression of adrenal cortex function, leading to serious adverse consequences.

Improper selection of drug types (25%):

Powerful preparations of corticosteroid hormones are most likely to cause side effects such as skin atrophy. However, due to the randomness of users, these drugs are It has been abused. Experiments have shown that among the 7 types of drugs, including Pikanwang cream, dermatitis smoothing cream, fusin cream, freckle removal cream, beclomethasone cream, compound Kangnaluo cream, and Fule cream, calculated based on the per capita monthly dosage , Picang Wangshuang has the lowest per capita dosage, but the proportion of side effects is as high as 60.4%. One of the reasons is that the drug contains the most powerful agent, clobetasol, and this feature is not understood by users.

Long-term use of corticosteroids (5%):

Short-term external use of corticosteroids can cause epidermal atrophy and inhibit dermal collagen synthesis. Long-term external use in large areas can cause systemic side effects. , some experiments have shown that long-term medication leads to a weakening of the skin barrier function, an increase in drug absorption, forming a vicious cycle, and ultimately worsening the condition. For example, a male patient with seborrheic dermatitis applied a variety of external corticosteroids in rotation for 14 consecutive days. In 2008, in addition to the diverse facial skin lesions and Cushing syndrome, drug-induced diabetes also occurred. A female patient with chloasma used Pikang Wang External Rubber every day for 3 consecutive years. Not only did she experience side effects on her facial skin, but she also developed For drug-induced Cushing's syndrome, it can be seen that even if corticosteroids are applied to a small area for too long, they can also cause systemic side effects.

Chaos in the beauty market and abuse of beauty cosmetics (35%):

In the past ten years, with the rapid development of the beauty industry and fierce competition among beauty salons, some beauty salons have To lure consumers, they mix hormones into skin rejuvenating and whitening cosmetics to deceive consumers, causing many consumers who are eager for beauty and skin care to become dependent after long-term use of their so-called "special effects skin rejuvenating and whitening cosmetics". Causes hormone-dependent dermatitis.

Treatment methods of hormone-dependent dermatitis with traditional Chinese medicine

1. Oral medications

Since the recovery process of hormone-dependent dermatitis is relatively long, it is difficult for patients to insist on taking medication for a long time. , I personally generally recommend that patients take oral medication to control the attack. After the symptoms disappear, they mainly use daily care to repair the skin barrier function. For medication during the attack, the traditional Chinese medicine Ermiao Powder combined with Wuwei disinfectant drink can be taken orally. The prescription consists of: 15 grams of Atractylodes rhizome, 15 grams of Cortex Phellodendron, 15 grams of Herbaceae, 10 grams of Diben, 15 grams of Rehmannia glutinosa, 10 grams of paeonol bark, 10 grams of Platycodon grandiflorum, Sichuan medicine. 10 grams of shellfish, 15 grams of honeysuckle, 15 grams of Lingxiao flower, and 6 grams of licorice. Additions and subtractions: bright red skin lesions, severe blood heat, add gypsum 15 grams, 10 grams anemarrhena; accompanied by yin deficiency, add 15 grams Eclipta, 15 grams Ligustrum lucidum. If the tongue coating is thick and greasy, add 10 grams of Patchouli and 10 grams of Peilan. If the stool is dry, add 10 grams of Citrus aurantium and 10 grams of Magnolia officinalis.

Boil it in water twice, take 400ml of juice, and take it warmly half an hour after breakfast and dinner. In the prescription, Atractylodes rhizome and Cortex Phellodendron clear away heat and dehumidify, Dandelion, Dibu, Rehmannia glutinosa, Paewan bark, and Honeysuckle clear away heat and detoxify, Sichuan Fritillary scallops and Platycodon dispel lung heat and clear away heat, Lingxiaohua clears away heat and has the effect of removing blood stasis, and licorice harmonizes various medicines.

Teachers in the facial dermatitis group have talked about it many times, and Professor Zeng Xianyu also specifically talked about the dialectical medication for Yang deficiency type. My personal opinion is that in the acute attack stage, heat toxin is the main factor. The main treatment is to clear away heat and detoxify, and external application of appropriate drugs can quickly control the symptoms. Of course, this is just my personal knowledge, please correct me.

2. External treatment

When symptoms occur, external medication plays a very important role in controlling symptoms. At this time, wet compresses are mainly used, but it should also be treated according to the individual condition. Choose the right medicine for the situation. In the acute phase, when the symptoms are severe and the skin is extremely sensitive, some people may be irritated by using normal saline in time. At this time, you should be careful when applying traditional Chinese medicine. You can use cold boiled water or purified water for cold compresses, multiple times a day, every day. 15-20 minutes at a time. Generally, excessive sensitivity can be relieved after one or two days, and you can use cold compresses with traditional Chinese medicine. Because the skin of this disease is sensitive, try to be as simple as possible when choosing drugs. Symptoms can be controlled by decoction of some single drugs, such as purslane, raw licorice, honeysuckle, and mugwort leaves, which can have good effects by decoction and cold compress. What I usually use the most is 50g of purslane, boiled in water and used as a cold compress, and two prescriptions of compound ammonium glycyrrhizinate mixed with 250ml of normal saline for wet compress. Moisturizing care is required after the cold compress treatment. You can choose medical skin care products, such as Avène, Winona and other soothing and moisturizing products. After cold compress treatment for people with poor economic conditions, apply licorice oil externally for skin moisturizing care.

For those with obvious inflammation, pustules and papules, anti-infective treatment can be used. Use 500ml of normal saline and 400,000 units of gentamicin for wet compress.

Preventive methods for hormone-dependent dermatitis

1. Strict management. Pharmacists in hospitals, pharmacies and other relevant personnel must strictly control the distribution of hormone-containing products, and focus on prescriptions of hormone-containing products issued by doctors. Review;

2. Strict supervision. Relevant national departments need to classify and manage drugs more scientifically and comprehensively. All hormone-containing drugs should be included in prescription drug management, and drugs can be purchased and used by oneself only with a doctor's prescription;< /p>

3. Strict indications, doctors should have basic knowledge of hormone-dependent dermatitis, and give full explanations to patients when they seek treatment, so that patients can be informed and follow the doctor's instructions;

4 , severe penalties. For manufacturers and distributors who illegally add hormone ingredients to non-drugs and pharmaceuticals, they should impose more severe penalties and sanctions according to the circumstances, and increase the cost of violation;

5. Scientific education, each Relevant departments and professionals should widely inform the general population about the characteristics, side effects and other knowledge of hormone-containing products, so that patients have the basic knowledge to prevent hormone dependence;

6. Consume rationally and do not pursue quick or magical effects. And abuse of hormones.

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