1. Western medicine treatment
(1) Oral administration of antihistamines (see urticaria) and sedatives, such as diazepam 5mg or diazepam 1mg, Duoxin 25mg, taken at home every night before going to bed.
(2) Sealing treatment: Generalized neurodermatitis can be treated with 0.25% procaine hydrochloride for intravenous sealing. The localized type can be partially sealed with corticosteroids, triamcinolone or prednisolone, and an appropriate amount of procaine hydrochloride can be added for local subcutaneous sealing. Taking prednisolone as an example, the dosage should not exceed 25 mg each time, 1 to 2 times a week.
(3) Topical drugs: dexamethasone coal tar liniment, dexamethasone propylene glycol, fluocinolone, hydroquinone, etc. can be used; various corticosteroid creams, etc.; ointment: 5% ~ l0 % furfural oil ointment, black bean distillate oil ointment, etc.; patches: Fujining, Piyanling, etc.
2． Treatment with traditional Chinese medicine
(1) Internal treatment
① Damp-heat injury: In addition to local papules and hypertrophy, some skin lesions are also flushed, eroded, moist and bloody. Scab, thin yellow or greasy coating, weak and frequent pulse.
Treatment method: dispel wind, clear away heat and promote dampness.
Recipe: 10g Schizonepeta, 10g Fangfeng, 6g Chanyi, 15g Tribulus terrestris, 15g White Fresh Bark, 15g Honeysuckle, 10g Scutellaria baicalensis, 10g Sophora flavescens, Plantain 10 grams, 30 grams of talc (fried first), 10 grams of raw licorice.
② Blood deficiency and wind-dryness: long course of disease, local dryness, hypertrophy, desquamation, obvious lichen-like changes, dull colors, poor sleep, thin fur, and thready pulse.
Treatment method: nourish blood, dispel wind and moisturize dryness.
Recipe: 15 grams each of raw and cooked rehmannia, 15 grams each red and white peony root, 10 grams angelica root, 15 grams polygonum multiflorum, 30 grams salvia miltiorrhiza, 15 grams white fresh bark, 15 grams white tribulus terrestris, and 10 grams schizonepeta. , 10 grams of Fangfeng, 10 grams of Poria, and 6 grams of licorice.
(2) External treatment method
① Apply the powdered vinegar of sheep's hoof root to the affected area, 1 to 2 times a day.
② For generalized skin lesions, medicinal baths can be used, such as peach leaf bath, sophora flavescens bath, etc.
(3) Acupuncture treatment
①Acupuncture at Quchi, Xuehai, Sanyinjiao, Shenmen and other points; ear acupuncture at the lungs, Shenmen, adrenal glands, subcortical or sensitive Dot; you can also tap the local area with a plum-blossom needle.
② Moxibustion the affected area with moxa rolls or fresh ginger slices separated from moxa velvet, 1 to 2 times a day, 10 to 20 minutes each time.
[Prevention and Nursing]
1. Avoid scratching, rubbing and scalding with hot water to relieve itching.
2． Avoid drinking alcohol, strong tea and spicy food.
3. Maintain a regular life and avoid overwork and stress.
Integrated traditional Chinese and Western medicine to treat neurodermatitis
Neurodermatitis is a kind of paroxysmal skin itching and lichen-like symptoms that are related to neurological dysfunction, have a slow course, and are sometimes mild and sometimes severe. It has become a major chronic skin disease, the cause of which is not completely clear. There are various treatment methods. The author uses a combination of traditional Chinese and Western medicine to treat neurodermatitis with good results.
Take 15 grams of raw rehmannia, 15 grams of cooked rehmannia, 10 grams of kochia chinensis, 10 grams of vitiligo bark, 10 grams of camphor bark, 10 grams of cnidium monnieri, 15 grams of red peony root, 6 grams of safflower, raw Take 5 grams of licorice, 15 grams of paeonol bark, 5 grams of cicada slough, and 20 grams of Codonopsis pilosula, one dose per day, one course of treatment every 7 days, and 4 consecutive courses of treatment. At the same time, grind 1 box of cooling oil and 10 0.75 mg dexamethasone tablets into powder, then mix the two medicines evenly and apply to the affected area, once in the morning and once in the evening.