Introduction: Patients with neurodermatitis often experience paroxysmal itching, often accompanied by symptoms such as irritability, anxiety, and insomnia. This disease mostly occurs in young, middle-aged or elderly people, and is rare in children. Modern medicine believes that this disease is a common clinical neurological dysfunction skin disease. Psychological and neurological factors, immune and endocrine dysfunction, gastrointestinal dysfunction, alcohol consumption, local irritation and other factors are the main inducing and aggravating factors of this disease.

1. Neurodermatitis is affected by many factors. Chinese medicine and Western medicine have different understandings of it. You need to understand it

1. Chinese medicine’s understanding of neurodermatitis

Traditional Chinese medicine believes that the external cause of this disease is the invasion of wind, dampness, and heat evil, and the internal cause is poor emotions, liver stagnation turning into fire, heart fire blazing, blood heat causing wind, or craving for fat, sweet, thick, and greasy food, damage to the spleen and stomach, and internal dampness and heat. Combat with wind evil, stagnation of meridians, long-term depletion of yin blood, blood deficiency and wind-dryness, skin loss of nutrition, is the primary disease. The main types include rheumatism and skin syndrome, liver stagnation transforming into fire syndrome, and blood deficiency and wind-dryness syndrome.

Clinical practice research shows that traditional Chinese medicine and combined traditional Chinese and Western medicine in the treatment of neurodermatitis have obvious advantages in improving skin lesions, relieving itching, regulating emotions, reducing recurrence rates, and are highly safe. Traditional Chinese medicine treats this disease through syndrome differentiation and treatment. The main treatment methods include internal and external use of traditional Chinese medicine, acupuncture, cupping, etc.

This disease is divided into three types: rheumatism and skin accumulation syndrome, liver stagnation transforming into fire syndrome, and blood deficiency and wind dryness syndrome. For the treatment of rheumatism and skin syndrome, it is appropriate to dispel wind and dampness, clear away heat and relieve itching, and use the self-made Qufeng and Antipruritic Decoction, which is made from Xiaofeng Powder; for the treatment of liver stagnation and fire syndrome, it is appropriate to soothe the liver and relieve stagnation, clear the liver and purge fire. , the prescription uses a self-made Soothing Liver and Xiehuo Decoction, which is made from Longdan Xiegan Decoction; the treatment of blood deficiency and wind-dryness syndrome is suitable for nourishing blood and moistening dryness, extinguishing wind and relieving itching, and uses a self-made Nourishing Blood and Zhihuo Decoction, which is made of Made from Angelica sinensis.

2. Western medicine’s understanding of neurodermatitis

Western medicine believes that this disease is a chronic inflammatory skin disease caused by mental dysfunction. Basic patient information such as name, name, etc. are collected through questionnaires. Gender, age, etc., possible exposure factors such as living environment, eating habits and patterns, living habits and styles; mental and psychological conditions, such as sleep quality, psychological stress, depression and anxiety, etc.

3. Treatment with traditional Chinese medicine

The treatment of traditional Chinese medicine focuses on syndrome differentiation and treatment. In view of the complex and diverse conditions of clinical patients, adding and subtracting treatments according to the syndrome on the basis of self-made prescriptions has achieved very good results. If liver stagnation turns into fire, it is obvious to use gentian, Alisma, gardenia, etc. to clear away heat and soothe the liver. For patients with severe upset and insomnia, magnets, oysters, etc. can be used to calm the nerves; for severe itching, white fresh skin, etc. can be used to dispel wind and relieve itching.

For rheumatism and skin syndrome, you can add saposophata, Schizonepeta, Kochia, etc. to disperse wind, dispel dampness and relieve itching. For those with internal heat, you can add Scutellaria baicalensis, Yinchen, Polygonum cuspidatum, etc. to clear away heat and dampness. For fatigue, For those with fatigue and Qi deficiency, you can add Radix Pseudostellariae, Astragalus, fried Atractylodes, etc. to replenish Qi and strengthen the spleen; for those with abdominal distension and indigestion, you can add fried malt, radish seeds, etc. to strengthen the spleen, promote Qi and harmonize the stomach; for those with loose stools and increased frequency, you can Add coix seed, poria cocos, etc. to strengthen the spleen and stop diarrhea.

For those with blood heat and wind dryness, add raw rehmannia root, Scrophulariaceae, madder, Daqingye, Milletia sinensis, Achyranthes root, Fangfeng, etc. to clear away heat and cool blood, dispel wind and relieve itching. If heat evil consumes yin and blood, causing upset and insomnia, add jujube seeds, albizia julibrissin bark, etc. to nourish the heart and calm the mind; if heat damages body fluid, dry mouth, and heat in the palms and soles, add ophiopogon japonicus, polygonatum odoratum, trichosanthes, etc. to nourish yin and moisturize dryness. According to the location of the skin lesion: For the neck, add chrysanthemum, cohosh, kudzu root, etc. for upward movement; for the elbow, add mulberry branch, turmeric, etc. to introduce medicine to the upper limbs; for the lower limbs, add Achyranthes bidentata, Phellodendron, etc. for downward movement.

2. Understand the medicinal effects of different traditional Chinese medicines. The following 6 traditional Chinese medicines have better therapeutic effects on diseases

1. Bupleurum

Bupleurum is bitter in nature , pungent, slightly cold, returns to the liver and gallbladder meridians. It has the functions of reconciling the exterior and interior, soothing the liver and relieving stagnation, and promoting yang. A small dose of Bupleurum can improve the qi, a medium dose can soothe the liver and relieve stagnation, and a large dose can relieve the exterior and reduce fever. It tastes pungent and acts as a powder. It is bitter and can relieve pain. In this prescription, it is good at soothing the liver and has the function of promoting liver qi. "Medicine of Medicine": "Bupleurum has a light and clear nature. It is mainly used for ascending and dispersing. It has a slightly bitter taste and is mainly used for soothing the liver." "Modern pharmacological research shows that Bupleurum has the effects of inhibiting the central nervous system, anti-inflammatory, anti-pathogenic microorganisms, promoting immune function, protecting the liver and promoting choleresis.

2. Turmeric

Turmeric is pungent, bitter, cold, and returns to the liver, gallbladder, heart, and lung meridians. It has the effects of promoting qi and relieving depression, promoting blood circulation and relieving pain, clearing the heart and cooling blood, promoting choleretic and reducing jaundice. This medicine is a pure yin product. Its qi nature is clear and rising. It can enter the qi and disperse liver stagnation. It can also enter the blood to cool the blood and break blood stasis. It is an important medicine for promoting qi, activating blood and cooling blood. Modern pharmacological research shows that turmeric has antibacterial, anti-inflammatory, hepatoprotective, hypolipidemic, and anticancer effects.

3. Bergamot

Bergamot is pungent, bitter, warm, and returns to the liver, spleen, stomach, and lung meridians. Fragrant smell, pungent and bitter, it mainly soothes the liver and regulates qi, regulates qi and neutralizes qi, removes dampness and resolves phlegm. "Compendium of Materia Medica·Buddha's Hand" says that it is good at "regulating qi and soothing the liver, harmonizing the stomach and resolving phlegm". "Compendium of Materia Medica" says it is : "Cures qi and soothes the liver, harmonizes the stomach and resolves phlegm, breaks up accumulation, cures diarrhea, regurgitation, and eliminates scrofula." Modern pharmacological research shows that bergamot lactone also has anti-inflammatory, antioxidant, sedative, hypnotic, and anti-epileptic effects. , Bergamot volatile oil has antidepressant effects.

4. Red peony root

Red peony root is bitter, slightly cold, and returns to the liver meridian. It has the functions of clearing away heat and cooling blood, dispersing blood stasis and relieving pain, and clearing liver fire. The overall effect is similar to that of peony bark. The two are often used in conjunction with each other. They play the role of clearing heat, cooling blood and activating blood circulation. Danbark is better at clearing heat and cooling blood, and red peony root is better at clearing heat and cooling blood. Promotes blood circulation and disperses blood stasis. It is red in appearance, enters the blood, can activate blood circulation and remove blood stasis, and has a bitter taste and slightly cold nature.

It can clear the heat from the blood, enter the liver meridian, regulate the qi and blood of the liver meridian, and make it smooth and moderate. Modern pharmacological research shows that the chemical active ingredients of red peony root include total paeony glycosides, tannins, flavonoids, volatile oils, etc., which have liver protection, inhibit a variety of pathogenic microorganisms, and also have various pharmacological effects such as anti-tumor, neuroprotection, and antioxidant. .

5. Salvia miltiorrhiza

Salvia miltiorrhiza has a bitter taste and is slightly cold. It acts on the heart, pericardium and liver meridians. It has the functions of promoting blood circulation and regulating menstruation, dispelling blood stasis and relieving pain, nourishing blood and removing troubles, cooling blood and eliminating carbuncle. Its qi is flat and descending, with a bitter and slightly cold taste. It can break up old blood, remove blood stasis and generate new blood. "Compendium of Materia Medica" says: "Salvia miltiorrhiza is good at treating blood disorders, removing stagnation and regenerating new blood, and is also a medicine for regulating menstruation and smoothing the pulse." Pharmacological studies have shown that Salvia miltiorrhiza has improved vascular microcirculation, antibacterial, anti-inflammatory and anti-tumor effects.

6. Digupi

Digupi is sweet and cold, and returns to the lung, liver and kidney meridians. It mainly cools blood and removes steam, clears lungs and reduces fire. It is sweet, cold and moist in nature. It can clear away heat and steam, and can still produce body fluids. This product enters the blood and can cool blood and heat. "Compendium": "Remove the liver and kidney deficiency heat." Modern pharmacological research shows that Digupi and its extracts have antibacterial, immune-regulating, anti-free radical, and hypoglycemic effects.

3. In addition to taking medication scientifically, patients also need to pay attention to psychological counseling and maintain a positive and optimistic attitude

Psychosomatic medicine believes that psychology and emotion are closely related to the physiology of the human body. Persistent bad mood can cause or worsen disease. Patients with neurodermatitis are prone to anxiety, irritability and other psychological symptoms due to thick and rough skin lesions and lingering condition. If the disease is not cured for a long time, especially those on the face and neck, they often suffer from low self-esteem and depression due to damage to their own image and fear of being laughed at.

Reluctant to have contact with others, long-term treatment with medication increases the patient’s financial burden and makes the patient nervous and anxious. These negative emotions in turn aggravate the condition, so the instructor emphasizes the importance of psychological counseling while treating with traditional Chinese medicine. He often comforts the patient and asks him to do more outdoor exercise to relax his body and mind, which can better shorten the course of the disease.

Conclusion: Patients with neurodermatitis often have emotions such as tension, depression, anxiety, and irritability. These negative emotions are not only the causes of neurodermatitis, but can also aggravate the condition. When treating neurodermatitis, in terms of emotional care, we create a good treatment environment, actively communicate with patients, instruct them to participate in more group activities, and engage in more activities such as running, painting and calligraphy to make patients happy and reduce their psychological burden.