Problem analysis:

Hello, pityriasis rosea is an acute inflammatory skin disease of unknown etiology and self-limiting course. The skin lesions are round or oval light red or yellowish-brown patches, covered with chaffy scales on the surface, and are more likely to occur on the trunk and proximal limbs. Conscious itching.

Opinions and suggestions:

Medical treatment: Mild cases have no subjective symptoms, the course of the disease is self-limiting, does not require treatment, and may subside on its own. During the acute attack period, all kinds of stimulation and moisture should be avoided. The purpose of treatment is to relieve symptoms and shorten the course of the disease. But the exact effectiveness of some treatments is difficult to evaluate. 1. Systemic treatment: Antihistamines are taken orally. When inflammation is obvious, 0.25% procaine hydrochloride 10ml can be used to seal the veins, 10ml sodium thiosulfate can be injected intravenously or 100μg vitamin B12 can be injected intramuscularly, once a day. You can also try Polysaccharide 2mg each time, intramuscular injection, once every other day or every three days. In addition, human blood gamma globulin or convalescent plasma injection may be used. For severe cases or those with prolonged disease course, short-term glucocorticoids may be used as appropriate. Severe vesicular cases can also be treated with dapsone. 2. The principle of local symptomatic treatment is to relieve inflammation, relieve itching and protect. Do not use hot water baths and soap during the acute stage. Avoid irritating medications. You can choose calamine lotion, 5-sulfur lotion or sulfur emulsion camphor cream, etc. It can also be used in combination with corticosteroid emulsion. For those who are stubborn and cannot be cured for a long time, you can use 5 black bean distillate oil corticosteroid emulsion. 3. Physical therapy for ultraviolet irradiation of erythema, using the amount of I-II degree erythema, once every 2 to 3 days, 10 times as a course of treatment, which can shorten the course of the disease and improve the symptoms. It is used for patients with acute inflammation that has subsided or is stubborn, and the inflammation is obvious and It is contraindicated for those with exudation. 4. Other options include bran bath, mineral spring bath, etc. Subcutaneous oxygen delivery also has certain effects. The dosage is 100~500ml/time, 2~4 times/week, and 6~15 times is a course of treatment. Acupuncture, select acupoints Hegu, Quchi, Zusanli, Jianjing, Sanyinjiao, strong stimulation to retain the needle for 10 minutes, once a day. A course of treatment is 10 to 15 times, and ear acupuncture, lung, heart, and subcortical acupoints can also be used. 5. Traditional Chinese Medicine Treatment: Clear away heat and cool blood, disperse wind and relieve itching. Recipe: 30g of Imperata root, 15g of Rehmannia glutinosa, 10g of paeonol bark, 15g of raw Sophora japonica, 15g of Lithospermum root, 15g of red peony root, 15g of white peel bark, 10g of Kochia bark, 10g of Fangfeng. If itching is severe, add Tribulus terrestris and Sophora flavescens; For upset and thirsty, add Coptis chinensis and Trichosanthes trichosanthes; for those who cannot be cured after long-term treatment, add Millet Spatholobus and Salvia miltiorrhiza. Or use Liangxue Sanfeng Decoction, or 15g of Lithospermum sibiricum and 3g of Licorice, decocted in water and taken orally.