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濕疹 1. Overview and Causes 2. Symptoms 3. TCM Effectiveness and Evaluation 4. Common Syndromes and Treatments in TCM   a. The Damp-heat Type   b. The Wind-heat Type   c. The Wind-Dryness Type 5. Healing by Other Therapies   a. Qigong and other   b. Medicated diet   c. Life style 　 1. Overview and Causes 　 Eczema, an inflammation of the skin is marked by blisters (when severe), redness, fluid in the tissue, oozing, scales, crusts or scabs, burning or itching, and sometimes dryness. One of the more common types is atopic eczema which is a continuing, itching skin inflammation whose victims often have a family history of allergic diseases such as asthma or hay fever. Typically, it begins in infancy, subsides by age three, and may reappear by age ten or 12. 　 Return To Top 2. Symptoms 　 Acute Eczema (a) The onset is abrupt, capable of attacking any part of the skin, mostly the face, head, limbs and perineum. (b) The skin lesions appear symmetrically. (c) The skin lesion is polymorphic (of different shapes). At first, the affected part shows flush, later it is followed by the appearance of papular eruption, vesicles, erosions, exudation, crust, etc. The skin rush is often clustered over a large area, without distinct edges. (d) There is severe itching and a burning sensation. Those with general skin rash may have slight fever. (e) It may be healed after two or three weeks of proper treatment. But it is liable to relapses and tends to be chronic. Chronic Eczema (a) Chronic eczema originates mainly from acute eczema, although some cases are chronic from the beginning. (b) The skin of affected part is thick, coarse and hard, dark red or brown, possibly with scales.The edge is more distinct than in acute cases. Occasionally some skin lesion may contain a little erosion, exudation and crust with a limited amount of papular eruptions or vesicles (clearly marked lesion with clear fluid), and if the eczema occurs on the hands or feet, it is often accompanied by erythema (redness). (c) Itching occurs in attacks, and it becomes more serious when the skin gets into contact with heat or before the patient is going to bed. (d) A chronic case may last weeks or years, some times severe and some times mild, relapsing alternatively in acute and chronic forms, especially when the patient is in the state of mental stress. Return To Top 3. TCM Effectiveness and Evaluation 　 Most eczema cases can be treated effectively by Traditional Chinese Medicine (TCM). Many clinical studies in China reported that more than 85% of cases were cured and others showed improvement. Return To Top 4. Common Syndromes and Treatments in TCM This ailment, according to TCM, has different syndromes. The treatment for these syndromes using herbal medicine and acupuncture is shown below. 　 Syndrome (a) The Damp-heat Type When the type of eczema is caused by damp-heat, the skin lesion shows flush and will often swell. This will be accompanied by erosion, exudation or scabs, with intense itching and burning heat sensation. The patient may feel anxious and thirsty. The tongue would be red and covered with a thin white or yellow fur. The pulse may be taut and rapid. To treat by Herbal medicine Therapeutic principle: Herbal medicine can help clear away heat and remove dampness, and expel pathogenic (disease causing) wind to stop itching. Prescription/Formula: Modified Longdan Xiegan Tang. Gentianae (longdancao) 9g, Capejasmine Fruit (zhizi) 9g, Scutellaria (huangqin) 12g, Fresh Rehmannia (shengdihuang) 15g, Scrophularia (xuanshen) 15g, Herba Plantaginis (cheqiancao) 30g, Alisma (zexie) 15g, Clematis stem (mutong) 9g, Cortex Dictamni Radicis (baixianpi)30g, Broom Cypress fruit (difuzi) 9g, Cicada Slough (chanyi) 9g, Licorice (gancao) 9g. 　    To treat by Acupuncture and Moxibustion Therapeutic principle: Acupuncture or moxibustion can eliminate heat and resolve dampness by using points mainly from the Spleen meridian of Foot Taiyin and the Du channel. Prescription/Formula: Dazhui (DU 14), Quchi (LI 11), Sanyinjiao (SP 6), Yinlingquan (SP 9), Weizhong (BL 40).    Return to Top Syndrome (b) The Wind-Heat Type The wind-heat type of eczema may cause a skin lesion in the form of erythema, papular eruption, scabs and scales. Swelling is lessened and exudation is reduced but the patient still feels the itch. The tongue may be red and covered with a white fur, while the pulse is rapid. To treat by Herbal medicine Therapeutic principle: Herbal medicine can expel wind and clear away heat. Prescription/Formula: Recipe-Modified Xiaofen San: Arctium Fruit (nubangzi) 9g, Fresh Rehmannia (shengdihuang) 15g, Flavescent Sophora Root (kushen) 9g, Atractylodes Rhizome (cangzhu)15g, Chinese Angelica (danggui) 15g, Anemarrhena (zhimu) 12g, Gypsum (shigao) 30g, Clematis Stem (mutong) 9g, Broom Cypress Fruit (difuzi) 30g, Cortex Dictamni Radicis (baixianpi)30g, Cicada Slough (chanyi) 9g, Licorice (gancao) 9g.    To treat by Acupuncture and Moxibustion Therapeutic principle: Acupuncture or moxibustion helps eliminate wind and clear up heat, cool the blood by using the points mainly from the Large Intestine meridian. Prescription/Formula: Hegu (LI 4), Quchi (LI 6), Dazhui (DU 14), Fengchi (GB 20), Weizhong (BL 40).    Return to Top Syndrome (c) The Wind-Dryness Type The course of the wind-dryness type is recurrent, and is characterised by intense itching of the skin which occurs in attacks and also patchy affected areas where the skin becomes thick. The tongue is covered with white fur, while the pulse is weak or slow. To treat by Herbal medicine Therapeutic principle: Herbal medicine can nourish the blood to ease dryness, and expel pathogenic wind to stop itching. Prescription/Formula: Modified Danggui Yinzi. Chinese Angelica (danggui) 15g, Red sage Root (danshen) 15g, White Peony (baishao) 15g, Fleece Flower Root (heshouwu) 15g, Ligusticum (chuandxiong) 9g, Astragalus (huangqi) 24g, Ledebouriella Root (fangfeng) 15g, Tribulus Fruit (baijili) 15g, Xanthium Fruit (cangerzi) 15g, Cynanchum Paniculatum Root (xuchangqin) 30g, Licorice (gancao) 9g.    To treat by Acupuncture and Moxibustion Therapeutic principle: Acupuncture or moxibustion can eliminate wind and nourish the blood by using points mainly from the Spleen meridian of Foot Taiyin and Stomach meridian of Foot Yangmin. Prescription/Formula: Sanyinjiao (SP 6), Xuehai (SP 10), Zusanli (ST 36), Taichong (LR 3).    Return To Top 5. Healing by Other Therapies (a) Qigong and other therapies For effect of Qigong on the Nervous System Function, click here. Generally speaking, Qigong is good for healing effect of this specific ailment, however individual results may vary. It improves the flow of the qi and the circulation of the blood, so you'll experience more energy, but, you won't see/ feel any immediate effects, as with many exercises and therapies, it takes a few weeks or even months of practice before you'll see any significant improvements. The following types of Qigong may help: Static Qigong: Inner-Nourishing Qigong Six-Character Formula Standing Qigong 　 Dynamic Qigong: Fifteen Sets of Taiji-Qigong Baduanjing of Internal Exercise Taiji 　 For the information of different types of Qigong ,just click a link above. This information is for education purpose only. We strongly advise you seek a licensed Qigong master to learn the correct ways to conduct these exercises before attempting them. (b) Medicated diet 　 1. Sevenlobed Yam Rhizome(bixie) 4g, Honeysuckle Flower(jinyinhua) 6g, Lightyellow Sophora Root(kushen) 6g. Decoct the herbs for 30 minutes, drink the soup as tea. Unlimited amount. It is applicable to Acute eczema. 2. Coix Seed(yiyiren) 30g, put it in water and make gruel, take 1-2 bowls a day, continue some days. It is applicable to Chronic eczema. 　 (c) Life style 1. Scratching should be avoided; during acute onset, the affected part should not be bathed in hot water. 2. Refrain from eating seafood, eggs, beef, mutton, chicken and pungent food. Alcohol and soft drinks should be avoided as well. Return to Top Acknowledgments: Healthphone.com greatly acknowledges the support and dedication of our Healing Centre Panel, without whom this section would not be possible. We also greatly acknowedge Ms. Najaf Munir, MBBS, for her editorial support. Ms. Munir simplified the highly technical medical documents into easy-to-read documents, for the enjoyment and education of our numerous visitors.