What should I do if I have eczema on my head? Is there any treatment?

Summer is here, a season when various diseases are prone to break out, especially skin diseases, such as eczema. Eczema is relatively common to us, but scalp eczema is not well known. So what is scalp eczema? How to treat it?

Scalp eczema

Scalp eczema refers to eczema, which is an allergic disease with obvious exudation. In recent years, the incidence of eczema has been on the rise, which is related to the abuse of chemical products, environmental pollution, poor management of three wastes, accelerated pace of life, and increased mental stress.

Symptoms

① The disease can occur at any age; ② It can occur anywhere on the body surface; ③ It recurs frequently; ④ Erythema, papules, blisters, erosions, exudates, scabs, desquamation, and pigmentation can be seen locally or throughout the body; ⑤ It causes severe itching.

Causative factors

Internal factors: Allergic constitution is the main reason for the recurrence of eczema. Other factors include metabolic, endocrine or digestive tract disorders, neuropsychiatric dysfunction, excessive fatigue, mental stress, lesion infection, intestinal parasites, varicose veins, hyperhidrosis, dry skin, etc.

External factors include chemicals, cosmetics, fragrances, dyes, detergents, animal toxins, eggs, fish, shrimp, milk and other foreign proteins, pollen, dust, bacterial infection, sun exposure, cold, scratching, etc. Internal factors are the main reason for the recurrence of eczema, and toxins in the body are the basis for the existence of eczema. Thorough detoxification and changing the allergic constitution are the key to the fundamental treatment of eczema.

Clinical manifestations

Acute eczema is often distributed in opposite directions. The rash has many forms, such as erythema, papules, blisters, erosions, exudates and scabs. It is extremely itchy and scratching can cause infection. It is easy to become chronic and recur.

Chronic eczema is common on the limbs. It manifests as thickening and roughening of the skin, which may present lichenification, desquamation, pigmentation, and spontaneous itching. It often occurs acutely and the course of the disease can last from several months to several years.

Treatment

External treatment of acute eczema

(1) In the early stage, if erythema, papules, papule-like rashes, and edema are seen, but no erosion or exudation is seen, Shizhen Powder, Ermiao Powder, Liuyi Powder, etc. can be used for external application, or Sanhuang Lotion or Fuganshi Lotion can be used for external application.

(2) For those with redness, swelling, erosion, and excessive exudation, it is advisable to use the following Chinese medicine or Chinese herbal medicine decoction and apply cold wet compress. Commonly used Chinese medicine and Chinese herbal medicine: Phellodendron chinense, Radix Sanguisorbae, Chrysanthemum indicum, Taraxacum officinale, Honeysuckle leaf, Platycladus orientalis leaf, Sophora flavescens, Rhizoma Polygoni Multiflori, Tripterygium wilfordii, Heimianshen, and Firewood. Choose 5-6 herbs, 30 grams each, or use two skin wash prescriptions, decoct in water and apply cold wet compress, or use green tea leaf water for wet compress.

(3) During the interval between wet compresses, or when the exudate has been significantly reduced after wet compresses, Qingdai San Oil or Ermiao San Oil can be applied externally, or Fuganshi Lotion can be applied externally. For subacute eczema, the skin wash formula 1 or 2 is often used for external washing. If necessary (for those with more exudate), wet compresses can also be applied. Sanhuang Lotion, Fuganshi Lotion, Ermiao San Oil or Qingdai San Oil can also be used for external application, or Shizhen San water can be used for external application. For chronic eczema, the skin wash formula 1 or 2 can be used for external washing, and 5%-10% sulfur ointment, 5%-10% black bean oil ointment or Puyu ointment can be used for external application.

Internal treatment method: Blood heat type: seen in generalized skin lesions soon after the onset. There is fire in the heart, blood heat generates wind, and strong wind causes itching. Symptoms: patches of small red papules, severe itching, red tongue, thin white fur, and stringy and slippery pulse. Treatment should cool blood and clear heat, eliminate wind and stop itching. Prescription: 30 grams of raw earth, 9 grams of peony bark, 9 grams of red peony root, 9 grams of corydalis, 9 grams of white peony root, 9 grams of sophora flavescens, 9 grams of ground grass, 9 grams of scutellaria, 9 grams of raw liquorice. Decoction, take one dose a day. Wind dryness type: long-term generalized skin lesions. Symptoms: excessive itching, infiltrated and thickened skin, in the form of fur, pale tongue with clean fur, and thin and slippery pulse. Prescription: 12g Rehmannia root, 9g Angelica sinensis, 9g White peony root, 9g Paeonia suffruticosa root, 9g Carthamus tinctorius, 9g Nephrolepis chinensis, 9g Sophora flavescens, 9g Tribulus terrestris, 9g Fructus auriculae, 9g Dictamni root. Decoction, one dose per day. Wind-dominated type: seen in diffuse skin infiltration and hypertrophy. Symptoms: several to several decades of stubbornness, severe itching all over the body, like the skin of an ox neck, stringy pulse, red tongue, yellow fur. Prescription: 9g Black snake, 6g Cibotium officinale, 9g Nephrolepis chinensis, 9g Saposhnikovia divaricata, 9g Notopterygium incisum, 6g Angelica dahurica, 9g Chuanlian, 9g Scutellaria baicalensis, 12g Honeysuckle, 6g Licorice root. Decoction, one dose per day.