How to treat areola eczema

Areola eczema is more common in breastfeeding women, but both men and women are likely to develop the disease. Most patients have bilateral lesions, but some have unilateral lesions. It manifests as itching, chapped skin, and is prone to recurrence. Acute symptoms are often manifested by the production of dense small blisters, as big as rice grains, red in color, and with serous exudation, which recur repeatedly and are difficult to heal. Subacute and chronic symptoms include rough skin and cracked nipples without ulcers, but severe pain when the baby sucks, which can be easily cured after stopping breastfeeding.

Breast eczema can be diagnosed based on the following features:

① Occurs in breastfeeding women;

② Erythema, exudation, erosion, crusting, desquamation, cracking and itching occurring on the nipple, areola and lower part of the breast;

③ The disease is prone to relapse after recovery and can usually be cured after stopping breastfeeding, which can be diagnosed.

Treatment for breast eczema

prevention:

This disease is more common in summer and is more common in people with allergic constitutions. The incidence rate in infants and young children is higher than in adults.

TCM treatment of breast eczema

Chinese medicine treatment:

For acute breast eczema with severe dampness and heat, the treatment should be to clear away heat and purge fire, cool blood and remove dampness. The prescription can be modified from Longdan Xiegan Decoction. Traditional Chinese medicines include Scutellaria baicalensis, Gentiana scabra, Rehmannia glutinosa, Gardenia jasminoides, Plantago asiatica, Alisma orientalis, Bupleurum chinense, Angelica sinensis, Poria cocos, Achyranthes bidentata, etc. If there are wind, dampness and heat at the same time, the treatment should be to cool the blood, eliminate wind, clear away heat and remove dampness. The prescription can be Xiaofengsan with modifications. Traditional Chinese medicine includes Atractylodes lancea, Sophora flavescens, Akebia trifoliata, Anemarrhena asphodeloides, Gypsum gypsum (pre-boiled), Saposhnikovia divaricata, Burdock fruit, cicada shell, Angelica sinensis, Rehmannia glutinosa, Menthus fragrans, and White moss peel.

Subacute breast eczema should be treated by strengthening the spleen and removing dampness. The prescription is Chushi Weiling Decoction with modifications. Traditional Chinese medicines include Atractylodes lancea, Magnolia bark, Tangerine peel, Poria, Alisma orientalis, Poria, Atractylodes macrocephala, Talcum, Gardenia jasminoides, Akebia, and Licorice.

Chronic breast eczema can be treated with nourishing blood, Guifeng, and moistening dryness. The prescription can be modified from Siwu Xiaofeng Yin. Traditional Chinese medicine includes raw rehmannia, angelica, saposhnikovia, cicada shell, red peony root, chuanxiong, mint, white moss peel, angelica dahurica, bupleurum, etc.

Recipe:

Recipe 1: Huanglian Honeycomb for Eczema

[Recipe] 6 grams of Sichuan coptis chinensis, 3 honeycombs, and 80 grams of vaseline.

[Preparation and Usage] Grind the coptis root into very fine powder; grind the honeycomb into powder, add Vaseline, dissolve over low heat, stir into an ointment. First wash the affected area with 2% warm salt water, then apply the ointment. Be careful not to use hot water, the hotter the better.

【Effects】Dispel wind and dampness. Treat eczema.

Recipe 2: Mung bean powder and sesame oil to treat eczema

【Recipe】Appropriate amount of mung bean powder and sesame oil.

[Preparation and Usage] Fry the mung bean powder until it turns yellow, let it cool, mix it with sesame oil, and apply it to the affected area.

【Effects】 Clears away heat, removes dampness. Used to treat eczema with yellow discharge.

Recipe 3: Herring bile treats skin eczema

【Recipe】Black fish gallbladder and Phellodendron amurense in equal parts.

[Preparation and Usage] Cut the gallbladder of black fish, take the bile, mix it with Phellodendron amurense powder, dry it in the sun and grind it into fine powder. Wrap it with gauze and apply it to the affected area.

[Effects] Clears away heat and detoxifies. Used to treat skin eczema that has not been cured for a long time. Recipe 4: Plantain for eczema

[Recipe] 15 grams of plantain, 9 grams of gentian, 9 grams of sheep's foot, 9 grams of blackberry, 6 grams of phellodendron, 12 grams of Kochia scoparia, 6 grams of alum, and 9 grams of wild chrysanthemum.

【Preparation and Usage】Crush into coarse powder, decoct in water and wash the affected area, twice a day.

【Effects】clears away heat and dampness, kills insects and relieves itching.

Western medicine treatment of breast eczema

Drug treatment: Eliminate possible causes. For example, for those with severe eczema and breastfeeding, weaning can be used. Avoid local irritation such as itching, hot water, soap, etc. In the acute phase, nonspecific desensitization drugs such as terfenadine, phenagar, etc. can be used, and seafood and other irritating foods should be avoided. For those who have problems with rest and sleep, mild sedatives and hormone drugs can be used to alleviate local symptoms.

Topical medication depends on local skin lesions. For patients with acute exudation and papules, 3% boric acid solution can be used for wet compress; for patients with papules, erythema and little exudation, water-based powders such as Xinsong paste and camphor sulfur furnace can be used. Chronic eczema can be treated with hormone ointments, such as Fuqingshuang ointment. Those with thickened skin can choose sulfur coal ointment. Stubborn eczema can be treated with superficial X-rays of local skin lesions.