Eczema

//TCM Pathology://

General Introduction
allergic inflammatory dermatosis acute, subacute, chronic

Clinical Characteristics
Severe Itching Polymorphic skin lesion - erythema, papules, small blisters, pustules, erosions, exudate, crust formation Fine scaly desquamation and pigmentation Frequent recurrences

Damp Heat w/ Wind -Acute Eczema
polymorphic skin lesions, severe itching, burning sensation, sudden onset, obvious inflammation, borders of eruptions are not clear, sometimes symmetrical distribution exudate: CV-3, CV-9, ST-28 Internal: Long Dan Xie Gan Tang OR Yin Qiao San External: Pi Yan Xi Ji, Zhi Yang Xi Ji, Jie Du Cha Ji
 * Tongue:** Red with yellowish thick sticky coat
 * Pulse:** slippery, rapid
 * Treatment Principles:** Clear Heat, Transform Dampness, Dispel Wind
 * Acupuncture Treatment:** LI-4, LI-11, TW-5, GV-14, SP-6, SP-9, SP-10, HT-7, PC-4, LU-10, LR-2, KI-2
 * Herbal Formulas:**

Wind Damp Heat combining w/ Dryness - Subacute Eczema
lessened inflammatory reaction, papulae, scabs, scales, few blisters or exudate, mild erosions, pigmentation, weak itching Internal: Xiao Feng San External: Jia Wei Huang Qin Gao
 * Tongue:** Red with yellow sticky coat
 * Pulse:** slippery
 * Treatment Principles:** Expel Wind, Clear Heat, Resolve Dampness, Moisten the Dryness
 * Herbal Formulas:**

Damp Combining w/ Wind Dryness due to Blood Xu - Chronic Eczema
Chronic symptoms: repeated attacks, can last for years, limited to a certain part of the skin w/ clear demarcation; thick & rough skin w/ pigmentation, indurated on palpation, [patchy & scaly desquamations or lichenoid skin lesions Acute attack of chronic disease: papulae, blisters, infiltrations, exudations may appear on the affected part of the skin while it is irritated, skin often becomes moist and oozes liquid, mild or severe itching exudate: CV-3, CV-9, ST-28 Internal: Man Xing Shi Zhen Tang + Black Snake External: Huang Qin Gao - grind into powder & mix w/ salve for chronic conditions only [[file:Acne & Eczema.pdf]]
 * Tongue:** Slightly red with whitish coat
 * Pulse:** thready or soft
 * Treatment Principles:** Nourish blood, moisten dryness, expel wind, transform damp
 * Acupuncture Treatment:** LI-4, LI-11, TW-5, GV-14, SP-6, SP-9, SP-10, ST-36, BL-17, HT-7, PC-4, LU-10, LR-2, KI-2
 * Herbal Formulas:**

=
============================================================================

Dietary Recommendations
Eliminate stimulants such as coffee, tea, alcohol, tobacco. Food which is too rich such as sauces. Some types of food are known to cause eczema, such as bread, cakes, pastry, food grains, seafood and corn. For children reduce intakes of fat, industrial eggs, cheese and bread. Replace milk with vegetable stock, carrot juice and fruit juice.

Recommended Minerals
-Sulfur -Manganese

Orthomolecular Treatment
-Omega-6

Ayurvedic Recommendations
Coleus Forskohlii

Prescription
For Eczema Outbreaks: Morning: Ribes Nigrum D1, 75 drops Evening: Ulmus Campestris D1, 75 drops

For Exudative and Infected States: Morning: Ribes Nigrum D1, 75 drops Noon: Juglans Regia D1, 75 drops Evening: Ulmus Campestris D1, 75 drops