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Important
Note: Although
the information in this section was written by Healthphone.com's Healing
Centre Panel of professional Chinese doctors, licensed acupuncturists,
herbalists and other experts, Healthphone.com accepts no legal responsibility
nor liability for any errors or omissions. The information in this section
is presented as is, for educational purposes only. As with any medical
matter, always consult your healthcare professional before acting
on any health-related information.
Click
here to learn more about our Healing Centre Panel.
Eczema
1.
Overview and Causes
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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.
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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.
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3. TCM Effectiveness
and Evaluation
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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.
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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.
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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).
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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).
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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).
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5. Healing by
Other Therapies
(a) Qigong and other therapies



For
effect of Qigong on Metabolism, 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:
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.
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6.
Psychological Adaptation to a Chronic and Severe Illness
One
encounters different health problems in the course of one's life.
Some problems are acute yet minor and often improve by themselves
or yield to simple self-management. Severe and acute conditions
often necessitate the help of health professionals who may provide
fast relief with specific interventions. However, when the condition
is chronic, the management required is quite different.
Please
click the following button to learn "Psychological Adaptation
to a Chronic and Severe Illness".

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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.
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