The treatment of eczema
First, the general treatment
1, should be as far as possible to find the cause of the patient's onset or triggered aggravation of the detailed understanding of the history of the disease, the working environment, living habits, thoughts and emotions, etc.; for allergens test, such as skin prick test or intradermal test, specific IgE antibodies and patch screening test, in order to find the possible sensitizers.
2, as far as possible to avoid external adverse stimuli, such as hot water washing, scratching, etc.; as far as possible not to wear chemical fiber underwear, fur products; to avoid eating allergenic and irritating food, such as seafood, chili, wine, coffee, etc..
3, keep the skin clean, prevent skin infections, avoid overwork, maintain optimistic and stable emotions.
Second, the drug treatment of eczema
1. Non-steroidal anti-inflammatory drugs: eczema treatment can also use this. These drugs can inhibit prostaglandin synthesis and can be used as symptomatic treatment for fever, arthralgia, and myalgia. For example, anti-inflammatory pains have a good effect on fever, pleural and pericardial lesions in eczema. Because these drugs affect renal blood flow, use with caution when combined with nephritis.
2. Anti-malarial drugs: the use of drugs that can inhibit the combination of DNA and anti-DNA antibodies, the rash, photosensitivity and joint symptoms have a certain degree of efficacy, long-term use of such drugs, will be due to the accumulation in the body, can cause retinal degenerative changes. Early discontinuation of the drug can be relapsed, due to the specificity of this drug should be regularly checked the fundus. This is also commonly used in the treatment of eczema.
Eczema treatment prescriptions internal drug therapy
1) acute stage can be used calcium (each two tablets three times a day), vitamin C (each two tablets three times a day)
2) antihistamines: such as ketotifen (each one tablet twice a day) or paracetamol (each one tablet two times a day) to eat these medicines will be sleepy.
3. Local medication
According to the characteristics of the skin lesion pattern, choose the appropriate dosage form and medication. Acute stage, erythema obvious, exudation, can choose the solution for cold wet compresses, exudation is reduced, blisters and vesicles, available zinc oxide oil, or corticosteroids cream; subacute stage,
erythema and papules can be selected lotions, emulsions, pastes; chronic stage can be selected ointment, ointment, coated with the film agent.
1) glucocorticoid topical preparation: this type of preparation has anti-inflammatory, anti-allergic, anti-itch properties. According to the patient's age, lesion site and degree of selection of different strength of glucocorticoids. Strong such as the new Sicidian ointment, intermediate such as Flumethasone, Eloxon, Ao Neng ointment.
2) Immunosuppressants: Used for eczema patients over 2 years of age who do not respond well to glucocorticosteroids or other therapies or who are not suitable for glucocorticosteroids
, commonly used tacrolimus, pimecrolimus ointment and so on.
3) Chinese medicinal preparations: Dampness and itching ointment, Qiang Yue ointment, beryllium treasure ointment, Shu Bot rubbing, ice yellow skin music ointment and so on can be chosen.
4) Antipruritic agents: 5% doxepin cream, chili pepper chili, Aidite ointment, etc. are used externally to reduce itching.
5)Antibiotic agents: As bacteria or fungi can produce super antigenic effect, induced or aggravated dermatitis or eczema, in the topical glucocorticoid at the same time add can be conducive to accelerate the control of inflammation. Such as mupirocin ointment, fusidic acid cream.
6) Other: some large hospitals self-compounded drugs such as compound zinc paste, boric acid solution.
Use five times 30 grams, 30 grams of snakebeds, 15 grams of comfrey, 20 grams of earth hibiscus bark, 20 grams of white fresh skin, 15 grams of pomegranate skin, 30 grams of raw cypress, 20 grams of red stone resin, 30 grams of bitter ginseng, in a gauze bag, water decoction soup, first smoked and then washed the anus part of the morning and evening once a day, each time for 30 minutes. This method is used for anal eczema, smoked until cured.
The following reference:
1. In the early stages of the disease only redness, papules or a few small blisters without oozing, the treatment should be moderate and anti-inflammatory, to avoid stimulation, you can use wet compresses or lotions with anti-itching effect, commonly used 2% to 3% boric acid water wet compresses, glycerol lotion or 2% ice tablets, 5% alum glycerol lotion and so on. If there is only redness, you can use boric acid talcum powder 1 day many times frequently spread puff.
2. blister vesicles exudate obviously, it is appropriate to astringent, anti-inflammatory, in order to promote epidermal recovery, can choose antiseptic astringent solution for wet compresses or fomentations, commonly used, such as compound ketone sulfate solution, 2% ~ 3% boric acid water, 0.5% lead acetate or aluminum acetate solution. Mild exudation, available zinc oxide oil coating or zinc oxide paste bandage.
Treatment of eczema nine effective formula
1. Qingdai, talcum powder, reward cypress 15 grams each, 9 grams of ice. *** research finely ground, with sesame oil paste, external coating of the affected area, 1 day 3 times. Treatment of acute eczema is effective.
2. 10 grams of alum, 30 grams of glycerite, 6 grams of ice chips, 15 grams of bitter ginseng, *** research finely chopped standby, external compresses on the affected area, 2 times a day, the treatment has a good effect.
3. Pohuang research, the powder directly sprinkled in the eczema, external gauze bandage, 1 day 1 time.
4. 100 grams of Cornus officinalis, research finely ground, plus skin lightening ointment paste, external eczema, 3 times a day, usually with 1 itch stops, with 6-15 days can be healed.
5. Talc, glycerite 50 grams each. Ice chips lO grams, 15 grams of mugwort leaves. *** research, packed into a wide-mouth bottle standby, sprinkled on the eczema, external sterilization gauze bandage.
6. Bitter ginseng research, purple garlic pinch rot into mud outside the affected area, 3 times a day. Smelt chronic eczema effect is good.
7. 1 eggplant, andrographis paniculata, alum 15 grams each, the first eggplant dig a small hole, will be poured into the hole after sealing, with the ash fire baking, the eggplant baked soft, alum, andrographis paniculata penetrate into the eggplant flesh, and then the eggplant to put the affected area and gently rubbed for 5 ~ t0 minutes. General rubbing side itch, treatment of acute eczema has a good effect.
8. 15 grams of huangdan, 6 grams of ice chips, 20 grams. *** research, mixing sesame oil coated with the affected area. 3 times a day.
9. Snake bed seed, rhubarb, bitter ginseng 30 grams, maple ball 15 grams, 12 grams of cypress, decoction of water external wash the affected area, 3 times a day, each time the external wash can be 30 minutes. Usually with 1 time acute eczema is eliminated.
Internal drug therapy
1) In the acute stage, calcium, vitamin C, sodium thiosulfate, or procaine intravenous closed therapy. If combined with infection, antibiotics should be added.
2) antihistamines: such as ketotifen, cyproheptadine, hydroxyzine, benadryl and other traditional sedative antihistamines are mainly used in the evening itching, the second generation of less sedative antihistamines (cetirizine or levocetirizine, loratadine or diclofenac, imipramine, eprinomectin and so on) has an antiallergic, anti-inflammatory effect.
3) glucocorticoids: anti-allergic, anti-inflammatory, anti-proliferative and immunosuppressive effects, rapid onset of action and certainty of action, on the serious and? General treatment can not control the person, can consider short-term use of drugs, but it is appropriate to gradually reduce the amount, so as to avoid rebound. In principle, do not use or use as little as possible, especially children.
4) Immunosuppressants: For those who are seriously ill and cannot be controlled by general treatment, immunosuppressants can be considered. general treatment can not be controlled, can consider the discretionary use of reglanzapine preparation, azathioprine, etc., need to closely monitor the adverse effects.
5)Immunomodulators: recombinant human Y-interferon, thymic peptide, transfer factor or mesothelioma polysaccharide nucleic acid injection.
6)Antibiotics: bacteria (mainly Staphylococcus aureus) multiply on the skin, often aggravate eczema, macrolides, cephalosporins or quinolone antibiotics can be used, and proprietary Chinese medicine tanshinone capsules can also be used.
7) Other: diammonium glycyrrhizinate, anti-leukotriene (such as montelukast, zalustat), thalidomide and traditional Chinese medicine can be applied.
3. Local drug therapy
According to the morphological characteristics of the skin lesions, the selection of appropriate agents and drugs. Acute period, erythema obvious, exudation, can choose the solution for cold wet compresses, exudation is reduced, blisters and vesicles, available zinc oxide oil, or corticosteroids cream; subacute period,
erythema and papules can be selected lotions, emulsions, pastes; the chronic period can be selected ointment, ointment, coated with the film agent.
1) glucocorticoid topical preparation: this type of preparation has anti-inflammatory, anti-allergic, anti-itch properties. According to the patient's age, lesion site and degree of selection of different strength of glucocorticoids. Strong such as the new Sicidian ointment, intermediate such as Flumethasone, Eloxon, Ao Neng ointment. For infants and children, medium and weak strengths are preferred, while adults tend to use medium and strong strengths. For eyelids, face and skin folds, weaker glucocorticosteroids are preferred
.
2) Immunosuppressants: used for glucocorticosteroids or other therapies do not respond well or is not suitable for the application of glucocorticosteroids in patients with eczema over 2 years of age
, commonly used tacrolimus, pimecrolimus ointment and so on.
3) Chinese medicinal preparations: Dampness and itching ointment, Qiang Yue ointment, beryllium treasure ointment, Shu Bot rubbing, ice yellow skin music ointment and so on can be chosen.
4) Antipruritic agents: 5% doxepin cream, chili pepper chili, Aidite ointment, etc. are used externally to reduce itching.
5)Antibiotic agents: As bacteria or fungi can produce super antigenic effect, induced or aggravated dermatitis or eczema, in the topical glucocorticoid at the same time add can be conducive to accelerate the control of inflammation. Such as mupirocin ointment, fusidic acid cream.
6) Other: some large hospitals self-compounded drugs such as compound zinc paste, boric acid solution.
The treatment of eczema and diet
First, internal Chinese medicine prescription:
1, eczema Chinese medicine prescription - spleen deficiency heat
Eczema symptoms of eczema skin, eczema, to the limbs of the body as much as the beginning of the whole body, and later by the flake increased, itching, scratching after the flow of yellow water, no fever, diet is still good, sleep is not real, normal urination and defecation, normal tongue, yellowish greasy moss, pulse The tongue is normal, the moss is yellow and greasy, and the pulse is fine.
Eczema treatment to nourish the blood and clear heat, dispel wind and dampness
Eczema formula to return to the tail 5 grams, red peony 6 grams, dry rhubarb 9 grams, Chuan Gong 5 grams, dandelion 6 grams, HeShouWu 9 grams, huMaRen 5 grams, HuangBai 6 grams, Tribulus terrestris 9 grams, 6 grams of bitter ginseng, Cicada metamorphosis 3 grams, 3 grams of safflower, snake molt 3 grams
Usage of the day a dose of decoction, decoctions, divided into two servings. Avoid spicy fishy hair things
Eczema according to this type of eczema, to the limbs for more than the limbs, the limbs for the yang of this, the spleen main four end, and the main muscle, the cause of the disease by the spleen weak born wet, wet gather heat, heat is born wind, wind and dampness Bojie, hair in the skin, limbs, especially, so the treatment to nourish the blood, clearing the heat, wind, and dampness of the method.
2, eczema herbal prescription - stomach meridian accumulation of heat
Eczema symptoms at the beginning of the papule color red, gray-white scales into the spot, small such as beans, eczema large such as money, spread over time, expanding into pieces. Hair dry, easy to break, easy to peel off, without pain, itching, a little number of patients have a slight redness, swelling, rashes, pustules, scabs and a little pain. The course of the disease is lingering.
Eczema treatment method to nourish blood and wind, kill insects and clear heat
Eczema formula Jingbao 10 grams, 15 grams of white moss, Angelica sinensis 10 grams, 10 grams of rhubarb, 10 grams of windbreaks, 10 grams of Peperomia, forsythia 10 grams
Methods of use*** fried research very fine powder, 6 grams each time, two hours after a meal, rolled water and served twice a day.
External washing method with a handful of mugwort leaves, plus a handful of pigeon feces boiled water, warm wash bald sores, and then wash with warm water once, wipe dry.
Eczema according to the language of the disease due to the accumulation of heat in the stomach meridian, the wind and insects. Therefore, the formula to thorn mustard, wind dispersal of wind heat in the outside; rhubarb cleansing stomach heat in the lower; forsythia, Baibu, white moss skin leakage of heat to kill worms; angelica to nourish the blood to eliminate wind.
Eczema prescription medicine whole worm formula whole worm (beat) 6 grams, 12 grams of soapberry, pig's teeth soap horn 6 grams, 6 grams of bitter ginseng, tribulus terrestris 15 grams, fried acacia 15 grams, 12 grams of Wei Ling Xian, cypress 15 grams, 15 grams of white moss, 15 grams of Chuanjun
Usage of the decoction of long time, a day a dose of each of the two services. Avoid spicy food
3, eczema Chinese medicine prescription - blood heat outside
Eczema symptoms around the body rash points fine hard corn, white root red, itching exceptionally, scratching is a yellow water immersion spreading, itching extreme skin red fever, red tongue with yellow fur, pulse slippery.
Eczema treatment method of wind dispersal, dampness, detoxification and diarrhea
Eczema prescription honeysuckle 30 grams, Poria 30 grams, 30 grams of dandelion, 30 grams of violet dicotyledonin, 15 grams of white moss skin, wild chrysanthemums 10 grams, fried cypress 10 grams, fried Huang Ling 10 grams, dry raw land 10 grams, forsythia 10 grams, Cicada metamorphosis 10 grams, thorn 3 grams Usage of the method of thick decoction, three times service. Three doses for a course of treatment. After the sores are healed, stop taking the medicine, and if they are not healed, you can continue to take three doses. If after a few months or a year after the reoccurrence, you can serve again according to the formula
Eczema according to the formula to honeysuckle, dandelion, purple flowers, wild chrysanthemum flowers to clear the heat and detoxification and swelling; raw land, yellow ling, cypress, forsythia, clearing the heat and cool blood and diarrhea, and can be dry dampness; Poria cocos, white moss skin, dispel wind and remove dampness; cicadas, thorn mustard, wind and heat dissipation.
4, eczema herbal prescription - rheumatism and toxicity
Eczema symptoms lesions hypertrophy, roughness, dryness, desquamation, widening and deepening of the skin lines, hyperpigmentation, mossy obvious, itching, color thin white moss less, fine pulse.
Eczema treatment to quench the wind and relieve itching, in addition to dampness and detoxification
Eczema prescriptions whole worm formula whole worm (beat) 6 grams, 12 grams of soap thorns, pig's teeth saponin 6 grams, 6 grams of bitter ginseng, tribulus terrestris 15 grams, fried acacia 15 grams, Wei Lingxian 12 grams, cypress 15 grams, 15 grams of moss, 15 grams of Chuanjun
Usage of the long-decoction, one day a dose of each of the two services. Avoid spicy food
Eczema according to the formula of the whole worm sex pungent, sweet, flat. Toxic. Into the liver meridian, go and do not keep, can rest inside and outside the surface of the wind; soap thorns fortunately scattered warm through, function of swelling and toxin, treatment of wind to kill insects; pig's teeth Soap horn can pass the lungs and intestines of the gas, clean up the stomach and intestines stagnation, eliminate wind, itching and dispersal of toxins. Cover? Heat? Sexual dispersion,? Poison? Sex poly, if you want to get rid of its dampness, non-attack hair within the Toh Luck Yang may not be dissipated, and the whole worm, soap thorns, pig's teeth, soap horn for three, can quench the wind and relieve itching, but also Toh toxic attack and attack, for stubborn embedded in a long time in the deep in the dampness of the itch, with the most appropriate. White moss skin cold and good line, taste bitter dry, heat dispersal of wind, dry dampness and itching, in conjunction with the bitter ginseng in order to help the whole insect to get rid of superficial external wind dampness and itching; Tribulus terrestris hard warm, wind? The treatment of powder disease ulcers? The body wind itch? Body wind itch? There is a good effect of itching; Tribulus terrestris synergize with the elimination of wind, dampness and collaterals of the Wei Lingxian, can assist the whole insect to get rid of the deep in the wind toxicity and dampness and cure the persistent itching. In addition, the spleen and stomach stagnation is embedded dampness, dampness is embedded for a long time is born poison, stubborn dampness polytoxicity, guest in the skin is itchy, so the formula is accompanied by fried Citrus aurantium, cypress, fried acacia, aimed at clearing the stomach and intestines of the knot heat, with a view to regulating the gastrointestinal, clearing up the root of the accumulation of dampness and heat, the symptomatology of the root causes, the moral is more in-depth. Chuanjun can activate the blood to break the stasis, less use is diarrhea, more use instead of thick stomach, and all the drugs with, not only to enhance the effectiveness of itching, and can promote the fading of hypertrophic skin lesions.
Second, the external treatment prescription
Eczema in addition to internal medicine (food), while with the external treatment method, the efficacy will be better.
External prescription:
(1) comfrey oil: 9 grams of comfrey, with the right amount of sesame oil frying caramel, until the oil into a purple fish out of the comfrey can be a few times a day, the oil coated with the affected area.
(2) egg distillate: 7 eggs, boiled egg yolks, put 50 to 100 grams of sesame oil in the pot, the fire will be the yolk of the oil simmering, to be the yolk of the caramelized egg yolks can be, take the oil frequently coated with the affected area.
(3) squid bone powder: squid bone appropriate amount of research fine powder, scattered eczema, several times a day, for those with oozing.
(4) clams: 100 grams of clams, 50 grams of Sichuan pepper, 3 grams of light powder. The clams into fine pieces, fried to golden, into the Sichuan pepper with fried to black, to the degree of smoke, into a sealed jar sealed. The next day to add light powder, *** research finely. The oil is used to mix and apply.
(5) Wet Lekang: dandelion, bitter ginseng, forsythia, snakebeds, honeysuckle, pau d'arco and other confidential ingredients, for all types of eczema (chronic eczema, acute eczema). Twice a day, the best with the dermatological blood poison pill, dampness clear phase plus reduction, the therapeutic effect is more unique!
(6) Chaihu cream: 30 grams of Chaihu, 2 grams of Xiangren, 3 grams of white chrysanthemum, 3 grams of forsythia, 3 grams of licorice, 30 grams of qingdai. Grinding, hundred petroleum jelly accompanied by a paste, directly on the medicine to rub, clear heat and dampness and cool blood. Applicable to chronic eczema dry cracks and infections.
(7) Bao Yun paste: 60 grams of rosin, 30 grams of sulfur, research, sesame oil mixed into a paste, spread on gauze rolled into a thick strip such as fingertips, tightly tied with a line, and then into the sesame oil soak for 1 day, remove. With a fire point one end, the next with a coarse bowl next. Cloth ash cut off one after another, take the drops of medicinal oil, immersed in cold water overnight, external application, especially suitable for those with localized infections.
Eczema patients should be from the life and diet to strengthen the prevention of recurrence, with even better medicine, do not go to the prevention will recur, this disease should not eat high-calorie, and easy to fire food, usually eat some cool blood performance of the tea, or herbs. Three points of treatment, seven points of maintenance should be remembered. General prevention and treatment, after the occurrence of eczema, pay attention to skin cleanliness and hygiene, avoid re-stimulation, do not scratch, hot water scalding, soap washing and coating stimulation. Spicy, white wine, seafood, etc. do not eat, avoid heat, or sweating, the heart should be calm, in order not to recur.
3 kinds of vegetables can prevent eczema
Appropriate to eat more of the following three kinds of vegetables to help prevent and treat eczema:
1, bitter gourd
Bitter gourd contains quinine. It has the function of clearing heat and removing toxins, eliminating dampness and relieving itching. It can be used to treat fever, boils, prickly heat, eczema and other conditions.
2, tomato
Tomato is rich in vitamin A, vitamin B1, vitamin B2, vitamin C, niacin, vitamin E; it also contains malic acid, citric acid, calcium, phosphorus, iron and tomato alkali and other substances. It has the efficacy of generating fluids and relieving coughs, strengthening the stomach and eliminating food, cooling the blood and calming the liver, and clearing heat. Fruit acids in tomatoes have a protective effect on vitamin C, so it can effectively supplement vitamin C; tomato alkali has antibacterial and anti-inflammatory, reduce the role of vascular permeability, so the external use of tomato juice to treat eczema can play a role in stopping itching and astringent.
3, leek
Leek contains carotene, vitamin B:, vitamin C and calcium. Phosphorus, iron, protein, fiber and so on. Leeks also have the effect of detoxification and elimination of dampness, so leek juice can be applied externally to cure eczema.
1?Food therapy
(1) Job's tears red bean fry: 30 grams of Job's tears, 15 grams of red beans, add water and cook until the beans are rotten, add sugar, morning and evening service.
(2) amaranth decoction: 30 to 60 grams of fresh amaranth, decoction, several times a day, and can be combined with external washing.
(3) Winter melon soup: 250 grams of winter melon with skin, cut into pieces, boiled soup.
(4) cucumber decoction: 30 grams of cucumber skin, add water and boil for 3 minutes, add the right amount of sugar, 3 times a day, divided into servings.
(5) mung bean kelp porridge: 30 grams of mung beans, 50 grams of seaweed, brown sugar, glutinous rice. Boiled mung beans, glutinous rice into porridge, tuned into the chopped kelp end, and then cook for 3 minutes to add brown sugar.
Nursing care during the treatment of eczema:
1, clothing should be loose to reduce the friction stimulation, do not make chemical fibers and woolen fabrics directly in contact with the skin. Try to avoid scratching, boiling water, soap scrubbing, drinking alcohol and spicy food, so as not to aggravate the condition of eczema.
2, life should be regular, pay attention to the combination of work and rest.
3, allergic body or allergic family history. To avoid all kinds of external stimuli. Such as hot water scalding, scratching, sun exposure, etc., try to avoid easy sensitization and stimulating food.