Experience in treating hormone dependence dermatitis from the perspective of blood
Hormone dependence dermatitis(HDD)is an inflammatory skin disease caused by long-term irrational use of hormone preparations.This paper discusses the etiological mechanism and treatment based on pattern differentiation of HDD from four patterns of blood heat and toxin accumulation,blood stasis,blood deficiency-induced wind dryness,and blood deficiency with cold retention.For patients with blood heat and toxin accumulation pattern characterized by distinct skin lesions,rapid onset,and severe symptoms,the early treatment focuses on cooling the blood with sufficient medication to clear heat and remove toxins in blood,combined with external treatments such as blood-letting or cold spray to prevent prolongation of the disease course.For patients with blood stasis pattern characterized by dull skin lesions,induration,mass,and ecchymosis that is difficult to subside,internal treatments focus on soothing the liver and regulating blood,transforming stasis and dispersing phlegm,combined with external treatments such as blood-letting and cupping to remove blood stasis and promote local blood circulation and metabolism.For patients with blood deficiency-induced wind dryness pattern characterized by dry skin lesions,desquamation and intractable pruritus,internal treatment focuses on enriching yin and nourishing the blood,combined with external treatments such as wet compresses and facial masks to moisten and nourish skin,with emphasis on protecting and repairing the facial barrier.For patients with blood deficiency with cold retention pattern manifested by flushed skin lesions accompanied by aversion to cold and cold limbs,internal treatment focuses on warming meridians and nourishing blood,combined with external treatments such as fire needling to achieve the effects of warming yang and di spersing cold,eliminating stasis and nourishing blood,and clearing deficiency heat.The combination of internal and external Chinese medicine treatments for HDD fully leverages the characteristics and advantages of Chinese medicine.A verified medical record is provided for clinical reference.
hormone dependence dermatitistreatment from the perspective of bloodexternal treatmentdrug eruptioninternal treatment