Cai Ruikang treatment of eczema of Chinese medicine
1. clear heat and remove dampness soup
gentian grass, scutellaria, dandelion, red poria, zejiao, dioscorea, bitter ginseng 10g each, plantain 15g, six one powder (decoction), raw land 30g. heat, add leucaena leucocephala root 15g, gypsum 30g (decoction); dampness, add cattle barley, Tongcao 10g; itchy people add White fresh skin 30g; dry stools plus raw rhubarb 6g. 1 dose per day, morning and evening 1 hour before meals, each served 1 time. At the same time with the following external treatment: vesicles oozing, with 3% boric acid solution to do open cold wet compresses, 30 minutes each time, 2 to 3 times a day, wet compresses between the external application of zinc oxide oil; no vesicles oozing, external application of glycerine lotion, 3 to 5 times a day. *** medication for 2 weeks.
Acute eczema, if the Chinese medicine identification belongs to the damp-heat certificate using to clear the heat and dampness of the main heat and dampness of the clear heat and dampness soup, and combined with the external use of Western medicine, and pure Western medicine treatment group, can achieve better clinical efficacy, especially in the alleviation of the symptoms (erythema, oozing, etc.) in the fast effect. Clearing Heat and Removing Dampness Tang is composed of gentian diarrhea liver soup and Dioscorea villosa plus subtractions. In the formula, gentian herb and scutellaria clear heat and remove dampness, Radix et rhizoma and dandelion cool blood and clear heat, Poria cocos, Dioscorea villosa, Zedoaria strengthen the spleen and seep away dampness. Psyllium, six one San Li dampness and clear heat, bitter ginseng in addition to dampness and itching. The combination of all drugs **** play heat and cool the blood, in addition to dampness and itching, cut in the acute eczema dampness and heat evidence of the disease mechanism. In addition, modern pharmacological research has confirmed that the formula of gentian grass, scutellaria, dandelion, raw land, licorice and other drugs have a certain anti-inflammatory and anti-allergic effect. The key to clinical application is to recognize the evidence accurately and make appropriate additions and subtractions according to the specific situation.
2. Jing ling dehumidification soup
Fried white atractylodes 10g, atractylodes 15g, Poria 15g, zejia 10g, poria 10g, Coix lacryma 20g, thick Park 10g, Chenpi 10g, slippery stone 18g, the ground 15g, white skin 15g, licorice 3g. Dampness bias in the lower focal point can be added to the cedar, Chuan niu hua knee; itching, can be added to the Wuzheng Snake, Tribulus terrestris; long time lesions, the color is dull, can be added to Dan Shen, Dang Di, Gan Cao, and other drugs. Dull color can be added danshen, angelica. Daily 1 dose, water decoction to 300 ml, morning and evening divided service.
This formula is mostly for subacute and chronic eczema patients, the condition is delayed, or factors body spleen deficiency, or because of the dampness of the long detention, overuse of bitter cold and injury to the spleen, so both see less fatigue, abdominal distension and loose stools, tongue pale fat, moss or greasy and other manifestations of spleen deficiency, spleen deficiency and dampness. Treatment should take into account both the symptoms and the root cause, and treat both the symptoms and the root cause. Spleen Deficiency The treatment should take into account both the symptoms and the root cause of the disease. Dampness is prevalent. The symptoms of dampness are also treated. In Atractylodes macrocephala, white atractylodes benefit qi, strengthen the spleen and dry dampness, Atractylodes macrocephala remove spleen dampness and elevate yang, Poria helps the spleen to transport, promote water and remove dampness, and the combination of these three medicines achieves the function of strengthening the spleen, drying dampness and promoting water retention, and it is the king's medicine. According to? The treatment of dampness does not facilitate urination is not its cure. According to the "treating dampness without facilitating urination is not a cure", selecting ze diarrhea, poria, coix seed to help the monarch to strengthen the spleen and facilitate water flow, giving the evil a way out; Chen Pi, thick park to regulate qi and neutralization, down the qi in addition to the fullness of the spleen to help transport the wet, dampness dispelling agent with qi medicines, i.e.,? Gas is also wet? The reasoning, five drugs *** for the minister. Talc removes dampness and induces diuresis, the ground skin, white fresh skin *** up to the function of itching, three drugs for the adjuvant. Licorice not only strengthens the spleen and qi and harmonize all the medicines, for the medicine. In the composition of the whole formula both dry dampness and strengthen the spleen of the Ping Stomach San (atractylodes macrocephala, pericarpium chennii, Houpu, licorice) in order to remove the dampness obstruction in the middle Jiao, the right to contain the spleen and seepage dampness of the four Ling San (Poria cocos, poria, zedoary, atractylodes macrocephala) to treat urinating short and loose stools, and then the Wu seepage of the urinary six one San (talcum, licorice), so as to achieve the whole formula of the spleen and dry dampness and smooth the triple Jiao of the opportunity to transform the bladder of the gas, so that dampness is not from the cow and have its way to the therapeutic purpose, serving the dampness of the disease is eliminated. The whole formula achieves the therapeutic purpose of strengthening the spleen and drying dampness to smooth the triple jiao, so that dampness has no way to go.
3. Nourish blood to dispel wind soup
15g of raw land, Angelica sinensis 10g, red and white peony 15g, Salvia officinalis 15g, chicken blood vine 15g, 15g of nightshade, Tribulus terrestris 15g, Wuzui Snake 10g. yin and blood is insufficient to add the ripened earth 10g, maitake 10g, chasteberry 15g; the wind is very itchy to add 6g of cicadas, 10g of white stalactites, the whole worm 6g; combined with blood stasis, add 10g of peach kernels, red and red. The person with blood stasis add peach kernel 10g, safflower 10g, curcuma 10g; with insomnia add raw dragon and peony 30g, sour jujube nut 30g; dry stools add flaxseed 30g, cypress kernel 15g. 1 dose per day, decocted, morning and evening each served 1 time.
Chronic eczema is mostly an acute extension of the disease for a long time, exhaustion of yin and blood, blood deficiency can not moisturize the skin, dryness and wind, itching intolerable, the treatment of when the blood to dispel the wind, moistening dryness and itching. Nourish blood and wind soup in the raw land, angelica, white peony, nourish yin and nourish blood, moistening dry wind to stop itching, red peony to clear heat and cool the blood to stop itching, Salvia divinorum, chickpea vines to nourish blood and blood to stop itching, **** play? Treatment of wind first treatment of blood, blood line wind since the end? The effect; nightshade to nourish the heart and tranquilize the mind, Tribulus terrestris, snake to dispel the wind and stop itching in order to treat the symptom, the combination of all medicines, cut in the disease mechanism, the effect is very good.
4. External washing to remove dampness soup
Gentian grass 10g, 30g of bitter ginseng, 30g of snakebeds, 20g of cypress, 30g of dicotyledonous seeds, 30g of psyllium, Scutellaria baicalensis 10g, 30g of raw land, dandelion 15g, 15g of red peony, 30g of amaranth, 30g of root of bluebells, 10g of Liuyisan. 15g of hot and humid plus Poria; Poria, atractylodes, 10g each of the damp and impede the flow of spleen; blood deficiency, wind and dampness type of Poria. 10g; blood deficiency wind dry type plus chuanxiong 10g, he shouwu 20g; stasis poison accumulation type plus peach kernel, safflower 10g; weak qi deficiency type plus astragalus, ginseng 15g; seborrheic eczema plus yin chen, hawthorn 10g. 1 day 1 dose, decocted twice to wash or wet compresses on the affected area, 2 to 5 times a day.
According to the different patterns of dampness and heat, spleen deficiency, dampness obstruction, blood deficiency, wind dryness, stasis and toxicity accumulation, etc., add and subtract the treatment according to the symptoms. The formula of gentian herb bitter cold, function in dry dampness and heat, into the liver, gallbladder and bladder meridian, bitter cold sinking, long in the diarrhea of the liver and gallbladder fire, triple jiao dampness and heat; Scutellaria baicalensis, cypress, bitter ginseng to clear heat and dry dampness, diarrhea and detoxification, the three medicines **** auxiliary gentian herb to clear triple jiao and dry dampness heat; snakebeds to dry dampness and dispel the wind to kill the insect; plantain long in the dampness of the swellings can be cleared heat. Six one in the loose talc is cold and slippery, cold can clear heat, slippery can facilitate the trick, in addition to the bladder of heat knot and facilitate waterways; licorice to clear heat and detoxification. Therefore, the six-one-san can diuretic swelling, and can clear the heat in addition to thirst, the bottom of the kettle, treating both symptoms and root causes. Raw land, dandylion, red peony cool blood spot, which raw land sweet and cold, both cool blood and heat, but also good yin to promote the production of fluids, with bitter and cold agents to avoid injury to the yin; red peony cold and sour, can be diarrhea can be dispersed, both can be cooled blood and blood, but also diarrhea of the liver fire; dandylion bitter and cold, can be cool and hot blood spot. The three drugs can clear heat and dampness, cool the blood and eliminate spots, but also to avoid overuse of cold and injury to the yin. Blue root, amaranth function in clearing heat and detoxification, prevention and treatment of toxic heat and dampness, and can cool the blood to eliminate swelling. The whole formula of all drugs with, *** play clear heat and remove dampness, cool blood and detoxification, so that the heat clear dampness and rash eliminated. Pharmacological studies have confirmed that Scutellaria baicalensis has anti-inflammatory, anti-metamorphic reaction and reduce capillary permeability, etc.; Huangdi Huang has corticosteroid-like immunosuppressive effect; Amaranthus, licorice, etc. have anti-allergic effect. The combination of all the drugs plays an anti-allergic, anti-inflammatory, immunosuppressive role, identification of the evidence, symptomatic treatment, complement each other, the efficacy is stable and reliable, worthy of clinical promotion and application.
5. Huangbai Baibu Soup
Huangbai 30g, Baibu 30g, Poria 15g, Porphyra 30g, Atractylodes macrocephala 15g, Jingwu 15g, Botrytis cuspidata 30g, Porphyra 30g, Pogonopsis 15g, Albizia 30g, Bitter ginseng 30g, Huo Xiang 15g, alum or orange alum 30g (the skin without vesiculation oozing with alum, vesiculation oozing with withered alum). Wash the affected area with warm water, take the medicine decoction of 1500 to 2000ml, pour into the basin, while the hot steam fumigation of the affected area, to be cooled to the appropriate temperature, with gauze dipped in the liquid to wash the affected area. Treatment 2 times a day, each 20 ~ 30 minutes, 7 days for a course of treatment.
6. Warm Yang dehumidification water agent
Sheng Chuanwu 10g, Sheng Caowu 10g, Ai Ye 15g, Dafeng Zi 20g, Wei Ling Xian 30g, safflower 15g, Dibao Zi 20g, Bitter Ginseng 20g. 1 dose per day, add water decoction of 2000 ml, warm soak the hands and feet for 30 minutes each time, 2 times a day, 3 weeks for a course of treatment. Avoid direct contact with food and all kinds of detergents with your hands during the treatment.
? Dampness is heavy and sticky?
Dampness is a yin evil, easy to block. Dampness is a Yin evil, easy to block the qi, damage to Yang Qi? In the long run, Yang Qi can not reach the end of the limbs, palm and metatarsal loss of warmth, dampness and thus stagnation, local gas and blood stasis, skin and not smooth. The skin is not nourished and cost disease. Therefore, to warm through the meridians, remove dampness and moisturize the skin for the treatment of the law. In the formula, the cow Chuanwu, raw Caowu, Ai Ye, Dafengzi have warm through the blood, through the role of the meridians, which Chuan Caowu, Dafengzi also dehumidification; Wei Lingxian pass the two meridians and dispel rheumatism; safflower blood circulation; the ground skin, ginseng in addition to dampness and itching. The drugs are matched, the Yang Qi to, through the meridians, smooth blood, moisture in addition to the natural skin moisturizing.
7. eczema smoked prescription
The ground skin, snakeskin seeds, Momordica charantia, castor beans, Ai Ye, bitter ginseng, Cang Xuezi leaves, since the fresh skin each 30 g, pepper 15 g. The above drugs mixed **** crushed coarse powder, with a thicker paper rolled into paper rolls of the end of the medicine smoked lesions burned smoke, 1 to 2 times a day, each time for 15 to 30 minutes, the temperature to the patients to be able to tolerate appropriate.
Smoking therapy is our working people in long-term clinical practice in moxibustion developed on the basis of the treatment of surgical skin diseases of an external treatment method. From the clinical use of the process of experience: smoked medicine smoke without any toxicity, will not produce damage to the human body, for hyperkeratosis and itching obvious skin diseases to stop itching and soften the skin effect is better. Smoke treatment, the smoke temperature is generally 50 ~ 60 ℃ for appropriate, should always use the hand temperature, so as not to cause burns. Eczema fumigation prescription in the skin, snakebeds, peppercorns, castor beans, Cynanchum leaves can be emollient and itchy, Parthenium, bitter ginseng, white fresh skin to kill insects and itch, mugwort leaves, peppercorns and mild antitoxicity and itch. All medicines **** play in addition to dampness, wind, killing insects and itching.
Treatment of eczema food therapy conditioning
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, discretionary sugar, morning and evening sub-service.
2, amaranth decoction: 30-60 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, sub-service.
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.
Treatment of eczema care work
Eczema, especially chronic, most of the years of treatment has not been cured, patients often lose confidence. In fact, eczema is not an incurable disease, because the cause of this disease is extremely complex, making it difficult to treat. Patients should cooperate with doctors to build up confidence in the cure, and avoid various suspected causative factors as much as possible, such as hot water, excessive use of soap, scratching and improper use of topical medications. In life, pay attention to avoid mental tension, overwork, food, do not eat chili, fish, shrimp, crab or strong tea, coffee, alcohol, clothing should not be used silk, wool and chemical fiber products, usually keep bowel movement, sleep enough, pay attention to skin cleaning and moisturizing in winter. These can reduce the recurrence of eczema and achieve the purpose of cure.
Try to find allergens and avoid contact with possible allergens. Clothes should be worn loosely and cotton fabrics are preferred. Room temperature should not be too high, otherwise it will make the eczema itch worse. Avoid scratching, scratching the skin is constantly stimulated, the more you scratch, the more itchy, the result will make the skin lesion area more thickened and rough and tinea versicolor, scratching the skin will cause infection. Avoid hot water, some patients because of the itch is difficult to use hot water, the result of skin capillary expansion, redness and swelling aggravated, lesion area ooze increase, the condition is more serious. Avoid stimulating food, such as wine, strong tea, chili, coffee, onion, ginger, garlic, etc. will make itching worse, should be avoided. Fish, shrimp and other foods will make eczema worse, should also be avoided.
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