Neurodermatitis is a common clinical skin neurosis. mainly manifests in paroxysmal skin itching and mossy-like skin change, and has the characteristics of long course of the disease and difficulty in curing it.
clinically treats the disease by combining antihistamine drugs and calcium agent , but the expected therapeutic effect is often not achieved.
Clinical practice of traditional Chinese medicine shows that Tianwang Buxin Decoction combined with fire needle for treating blood deficiency, wind-dry neurodermatitis, is more effective than simple Western medicine or Chinese medicine, and has fewer adverse reactions.
Traditional Chinese medicine calls neurodermatitis "psoriasis" and "collar sores". It is named because it tends to occur on the neck, and is like the skin of a cow's neck, which is thick and hard.
As stated in " Authentic Surgery ": "Psoriasis is like the skin of a cow's neck, its hard and hard beard is hard, and itchy when scratched."
The clinical characteristics of this disease are licheny, thick and rough, severe itching, slow course of the disease, repeated attacks, and it does not heal for several years, and it is easy to recur after the recurrence.
Clinical diagnosis is Blood deficiency and wind-dry type is common, and it is often caused by the invasion of the liver and spleen meridians by rheumatism and heat evil qi. Excessive heart fire and stagnation of liver qi can also lead to loss of blood and cause this disease. mainly manifests as is pale or grayish white skin lesions, thick and rough, often accompanied by palpitations, shortness of breath and fatigue, women have excessive menstruation, pale tongue, and deep and thin pulse.
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should be used to treat itching, relieve wind and relieve itching, and often use Tianwang Buxin Decoction to add and subtract.
Tianwang Buxin Decoction consists of 10 grams each of Ophiopogon japonicus, asthenosum , Scrophularia ginseng , Platycodon , jujube kernel, Yuanzhi , cypress genus , schisandra chinensis, Angelica , 10 grams each of Salvia miltiorrhiza, Poria , and 330 grams each of Salvia miltiorrhiza, Rehmannia .
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1 dose per day, decoct in warm water, take it twice in the morning and evening. During this period, fasting for a spicy, fat, sweet and sweet diet. As the monarch medicine in
prescription, the raw Rehmannia is the function of nourishing blood and nourishing yin; Asparagus, Ophiopogon japonicus and Scrophularia have the function of nourishing yin and clearing heat, the cypress kernel and the jujube kernel have the function of nourishing the heart and calming the mind, Angelica has the function of nourishing blood and moistening dryness, the Yuanzhi and Poria have the function of nourishing the heart and calming the mind, Schisandra chinensis has the function of relieving pain, relieving itching, and calming the mind, Salvia miltiorrhiza has the function of clearing the heart and promoting blood circulation, and is a ministerial medicine; Platycodon can improve the medicinal power of all medicines and serve as a medicine.
combination can help nourish yin and clear heat, nourish blood and calm the mind.
If the skin lesions are bright red, can increase gardenia and peony bark ; if is accompanied by insomnia , you can add Bupleurum and ochre ; if skin itching is unbearable , add white fresh skin and black snake ; if skin lesions For those who focus on the upper limbs, you can add turmeric and gold and silver vine; for those who focus on the neck, you can add treacherous , you can add santhemum treacherous and pueraria root; for those who focus on the upper limbs, you can add treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treacherous treache
Using fire needles on the basis of taking medicine can accelerate local microcirculation, promote blood circulation, and promote the body to absorb inflammatory substances from the lesions, thereby effectively promoting wound healing and lesions to subside.
Fire needle treatment is a common acupuncture treatment method, which has the effect of better treatment effect, simple operation and faster effect.
After research and discovery by famous doctors of various generations, fire needle treatment is now widely used in clinical practice and can be used for the treatment of multiple diseases such as gynecology, internal medicine, surgery, dermatology, and orthopedics.
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When specifically applied to neurodermatitis, the operation method is: patients take the appropriate position according to the lesions to fully expose the lesions; after disinfecting the skin, the doctor holds an acupuncture needle in the right hand and a lit alcohol lamp in the left hand, burn the needle on the flame until it is red and white, and then quickly prick the lesions. The spacing between the two prickles is controlled at 0.3~0.5cm, and the depth depends on the severity of the patient's condition. Generally, the needle tip passes through the lesion tissue of the skin, but does not touch the normal tissue; if the lesions area is large or the hardness is large, you can use a plum blossom needle for dense prickles. After completing the prickle, use a sterile dry cotton ball to wipe the blood stains on the wound clean.
Acupuncture once every 3 days for 1 month of continuous treatment.
During the treatment of fire needle treatment, please pay attention to: patients with should relax to increase the coordination of treatment; when burning the needle, burn the needle tip to a redness and whiteness; when inserting the needle, you need to keep it accurate, stable and fast; after the operation, you need to protect the wound surface and do not get wet within 3 days until the local redness completely disappears; generally, scabs will begin to form on the treatment area the next day after the treatment. Do not grab it with your hands at this stage, try to let the scabs fall off naturally.
Author｜Hunan Guyitang Chain Traditional Chinese Medicine Clinic Co., Ltd. Xue Lijun
Source｜Family Medicine《September 2022 Issue 18
Proofreading｜Zheng Ke
Second review｜Zhang Yue
Final review｜Liu Huiying Zhang Ruxian
final review｜Liu Huiying Zhang Ruxian 5
