AI Rudi's Experience in Differentiating and Treating Facial Hormone-dependent Dermatitis by Stages Using the method of Clearing Heat and Protecting Yin
SONG Wei,ZHOU Shuihan,ZHANG Zhongyi,et al.AI Rudi's Experience in Differentiating and Treating Facial Hormone-dependent Dermatitis by Stages Using the method of Clearing Heat and Protecting Yin[J].Journal of Traditional Chinese Medicine,2023,64(17):1750-1753.
SONG Wei,ZHOU Shuihan,ZHANG Zhongyi,et al.AI Rudi's Experience in Differentiating and Treating Facial Hormone-dependent Dermatitis by Stages Using the method of Clearing Heat and Protecting Yin[J].Journal of Traditional Chinese Medicine,2023,64(17):1750-1753.DOI: 10.13288/j.11-2166/r.2023.17.005.
This paper summarized the clinical experience of AI Rudi in the treatment facial hormone-dependent dermatitis with the method of clearing heat and protecting
yin
. It is believed that the key pathogenesis is the heat toxin accumulation,
yin
depletion and collaterals obstruction. The clinical treatment should focus on “heat exuberance” and “
yin
depletion”. It is advocated that “half treatment is from heat and half from
yin
” is the general principle, and the treatment is staged. In the acute phase, the treatment is half from cooling blood and dispersing wind to dispel heat pathogen, and half from protecting fluid and moisturizing skin to strengthen
yin
; and the modified
Liangxue Xiaofeng Powder
(凉血消风散) could be used. In the chronic phase, half treatment is from clearing residual toxin to eliminate heat pathogen, and half from nourishing
yin
and unblocking collaterals to strengthen
yin
, for which
Xuanmai Ganju Decoction and Erzhi Pills
(玄麦甘桔汤合二至丸) can be used and modified according to the symptoms. At the same time, we should pay attention to the simultaneous internal and external treatment, and emphasize the importance of daily protection in the treatment of the disease.
XIAO X , XIE HF , JIAN D , et al . Rebounding triad (severe itching,dryness and burning) after facial corticosteroid dis-continuation defines a specific class of corticosteroid-dependent dermatitis [J]. J Dermatol , 2015 , 42 ( 7 ): 697 - 702 .