Skin pruritus is the most common complaint of patients entering the dermatology department, although it is common but difficult to resolve. This is because there are many reasons for itching of the skin. Traditional Chinese medicine believes that itching is caused by dry, wind, damp, and other factors acting on the skin. There are also people with itching caused by blood deficiency . Understanding the causes of common pruritic skin diseases will help better symptomatic treatment.
The causes of skin pruritus are divided into internal and external causes
span1 itching of the skin without the original itching. Patients often have secondary damages such as scratches, papules, blood scabs, hyperpigmentation, eczema-like changes, and lichen-like changes on the skin due to scratching.
The cause of the disease is still unknown. Western medicine believes that the occurrence of skin pruritus is related to , diabetes , liver disease, kidney disease and other basic diseases, and it is also related to some external factors such as cold, warmth, chemical fiber Fabric etc. Traditional Chinese medicine believes that the body is insufficient, the yin and blood are depleted, and the pathogenic wind is felt, and the skin is depressed.
So specifically, what are the causes of skin itching?
TCM divides itching into 5 categories
In TCM theory, skin itching is related to endowment intolerance, six sexual invasion, emotionality or liver injury Kidney deficiency and other factors cause qi and blood weakness,Either wind-heat to dissipate dryness, or blood-heat accumulation, can cause the occurrence of this disease.
1, wind chill
Tang Dynasty Sun Simiao "Preparation of Emergency Qian Jin Yao Fang" Yun: "Feng Xie, Yu Ji" If the qi diverges... it is itching, so rubella itching is all due to this." When there is a sudden change in temperature or the weather is relatively cold, the patient's skin pruritus will become more serious, and when the weather is relatively hot or sweating, the symptoms will be slightly relieved.
2, blood deficiency
"Danxi Heart Method" says: "All itches are deficient, and blood is not prosperous in muscles, so itching is more common in years." Old patients are prone to occur in autumn and winter. Common symptoms include dry skin, desquamation, and lichenification, often accompanied by blood deficiency syndrome; pale tongue, less coating, and thin or slow pulse, such as chronic dermatitis.
3, blood heat
5
0
5
It shows that itching is closely related to heat. People with blood heat can see red lips, burning and tingling skin, itching and pain at the same time, blood oozing out from scratching the epidermis, and most of them are accompanied by fever. Red tongue, thin white or thin yellow fur, pulse string slip or count, such as acute dermatitis.
4. Rheumatism
mostly occurs in the vulva, anus, scrotum, etc.The skin in these parts is swollen, and sometimes there is skin erosion and exudate. The itching caused by damp evil is mostly lingering and is often accompanied by spleen and stomach disorders. The tongue is fat, the coating is white, and the pulse is heavy or slippery, such as eczema.
5. Fengsheng
Itching is acute, severe, migratory, generalized throughout the body, rapid changes, irregular, sometimes itching Hugh, often accompanied by exogenous syndromes, such as urticaria.
To treat skin itching, these Chinese patent medicines can be selected symptomatically to patients with itching
The physical and mental health of the patient can be damaged by scratches, blood scabs, and eczema. When using traditional Chinese medicine to treat pruritus, it is necessary to adopt different treatment methods according to the specific conditions of the patient in order to achieve satisfactory results.
1. Blood deficiency and wind dryness type
This type of syndrome is more common in the elderly, usually with a long course of disease, with rough and thick skin, dry desquamation or severe itching, cracked skin; Accompanied by heart palpitations, shortness of breath, dizziness, fatigue, pale complexion, lazy limbs; pale red tongue, thin white fur, thin pulse or rustling symptoms. This is caused by blood deficiency and liver prosperity, resolving dryness and generating wind. It is suitable for treating qi and blood, dispelling wind and relieving itching; the prescription uses angelica, astragalus, raw and rehmannia, asparagus, cohosh, , tribulus terrestris, turmeric , Bupleurum , Fructus Aurantii, duckweed, 夜交藤.
2. Spleen and stomach damp-heat type
The skin lesions of the patient's perianal, vulva, etc. showed paroxysmal itching, red, swollen and painful skin, or pustules, ulcers, erosions, and exudates. Systemic symptoms include pain in the mouth and chest tightness, loose stools, short urine, heavy odor, yellow and greasy fur, red tongue, and slippery pulse. The treatment is mainly for clearing lower Jiao damp heat , preferably honeysuckle, dandelion, Xu Changqing, sophora flavescens, kochi sylvestris, calamus, white moss , Rhizoma Rhizoma, Purple Flower Diding, Muxiang, Soil Poria to clear away heat and detoxify, remove dampness and relieve itching.
3, flaming blood heat type
flaming blood heat type pruritus usually occurs in summer, and skin itching is caused by heat. Common burning sensation is common on the skin, and itching is difficult to stop. When the weather is relatively cold, it will be relieved. In hot weather, the pruritus will be more serious. The patient often scratches continuously and strongly until the skin breaks and the blood flows. In daily life, there will be manifestations such as impetuous mood, dry mouth, short red urine, red tongue or red edge, thin yellow coating, floating pulse or number of strings, etc. The main treatment is to clear away heat and cure the root cause. Recipe with Angelica, Habitat, Chanyi, Anemarrhena, Sophora flavescens, white moss bark, comfrey, Sophora locust, spanspanspanspan_span3 , burdock sub, mint.
Clinically, many skin diseases can cause itching, such as urticaria, eczema, and psoriasis. Itching can spread all over the body or locally; it can be mild or severe; it can be continuous, intermittent, or paroxysmal. When using traditional Chinese medicine to treat skin pruritus, it is necessary to determine which treatment method to take based on the cause of the pruritus. Therefore, skin itching should not be taken lightly. Don't "treat the head and feet for a headache". You should actively search for the cause, prescribe the right medicine to the case, and remove the predisposing factors.
References
[1] "Skin itching, are you still scratching hard?" Health News. 2018-08-22
[2] "Abnormal skin itching may hide diseases". Family doctor报.2016-12-05
[3] "Traditional Chinese medicine helps you get rid of skin itching". Shanghai Chinese Medicine News. 2012-11-23
Reprinting is prohibited without the author's permission
.
