小儿湿疹

Infantile eczema

小儿湿疹多发生在面部和四肢，在中医来讲就是说病在脾土，是脾土中的湿气淤滞不流通。一般用黄连苍术外敷，能很快解决皮肤的痒。皮肤病变好转后，要服用一段时间的参苓白术散，健脾去湿，以绝后患，避免复发。

Infantile eczema commonly occurs on the face and on the outside of arms and legs. In Chinese medicine, it suggests that the problem is in the Spleen system, since in Chinese medicine, the outside of the arms and legs belong (or associate to) the Spleen system. Any skin problem occur in these area would be considered to something wrong in the Spleen system (Remember, the meaning of the spleen in the Chinese medicine is different from that in the western medicine). The problem is that the Spleen is stagnated by wet Qi (Qi means body life energy). To solve this problem, we use herb Huang Lian and Cang zhu. Apply the  powder of the herbs on to the skin to stop the itch and to clear the skin rash. After the local condition was improved, it is still needed to use herbal formula Shen Ling Bai Zhu San to nourish the Spleen, to prevent the recurrence of the eczema.

如果湿疹的出现和加重都和进食过多肉食有关，特别是海鲜类食物，用保和丸消导除积就可。或者是小儿有湿疹的同时消化也不好，就用保和丸，平胃散，四妙散之类。

If the occur and the aggravation of the infantile eczema are related to over eat of meat, or to over eat of anything that cause poor digestion, especially sea food, we use herbal formula Bao He Wan, Ping Wei San, or Si Miao San, to improve the digestive system. This is another way to solve the eczema.

还有更简单的办法，就是将赤小豆和薏苡仁水煎服，一般一两天湿疹就能全部消失。很简单，值得一试。

There is another more simple way to treat the infantile eczema: cook Chi Xiao Dou (red bean) and Yi Yi Ren (Coix seed) in water. Eat the beans and drink the decoction. Usually, the skin rash can disappear within two days. It is worthwhile to try.

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痤疮

Acne

治疗痤疮，中医用草药疗法。草药可以是内服，也可以外用。

Chinese medicine mostly uses herbal therapy for the treatment of acne. The herbs can be used by drinking the herbal decoction, or by applying herbal location on to the skin.

痤疮是全身疾病的局部表现。我们不能只治疗局部而不管全身的病变。选方用药时更要考虑体质不同。痤疮多出现在面部和后背上部。

Chinese medicine believes that acne is not a local disease. It is the local expression of a whole body disease. Therefore, to treat acne, we need to pay attention to the whole body condition first, as well as give attention to the local skin rash too. We pay attention to the body constitution of the person, since different body constitution needs different herbal formula to the treatment of the acne.

对于体质较健壮，皮肤粗糙，体毛较多，汗少，身体常有沉重感，面部有浮肿貌的人，我们用麻黄加术汤，麻杏石甘汤，葛根汤，或越婢加术汤。

If the person is strong in body constitution, skin is rough with more body hair, does not sweat, feels heavy in the body, and looks swelling on the face, we use herbal formula Ma Huang Jia Zhu Tang, Ma Huang Shi Gan Tang, Ge Gen Tang, or Yue Pi Jia Zhu Tang.

体型健壮，腹大而胀满不适以上腹部为主，痤疮色暗者，用大柴胡汤加桂枝茯苓丸。腹胀满以脐部为主者，用防风通圣散。

If the person is strong in the body constitution, has bigger or bloating  upper belly, and if the acne is dark red in color, we use Da Chai Hu Tang jia Gui Zhi Fu Ling Wan. If the bloating is mostly around the navel, we use Fang Feng Tong Shen San.

有痤疮，或咽部不利，却常有便溏者，为上热下寒体质，用五积散。

If the person has sour throat, and also loss stool, it means that the body is upper-hot but lower-cold body constitution, we use Wu Ji San.

瘀热体质者，面色暗，唇暗，牙龈色暗，口干，便秘，用桂枝茯苓丸加大黄，红花，川芎，丹参。

For Fire and stagnation body constitution, and if the person is dark color on face, on the gum, has dry mouth and constipation, we use Gui Zhi Fu Ling Wan plus herb Da Huang, Hong Hua, Chuan Xiong, and Dan Shen.

对于唇红，皮肤白而有油光者，痤疮色偏红，为内热体质，用荆芥连翘汤。皮疹消失后的色素沉着，用银翘散加减治疗。预防复发，用小柴胡汤加当归芍药散。

For person with white and oily skin, red color on lips, and if the acne is fresh red, it is a inner-Fire body constitution. It needs herbal formiula Jing Jie Lian Qiao Tang for the treatment. After subside of the skin rash, change it to Yin Qiao San to further more make the skin pigment subside. For prevention, use herbal formula Xiao Chai Hu Tang Jia Dang Gui Shao Yao San. 

心肺郁热者，双手寸脉浮弦，用麻黄连翘赤小豆汤。

If there is Fire accumulated in the Heart and Lung system (Chinese medicine concept), and if the pulse feels floating and string on the Cun position of the wrist, we use Ma Huang Lian Qiao Chi Xiao Dou Tang. 

如果病人有皮疹，同时还有咽喉病变，如慢性咽炎，扁桃体炎，喉炎, 或者便秘等，可试用升降散加味治疗。

If the patient has acne, and also has trouble in the throat, such as chronic pharyngitis, tonsillitis, laryngitis, as well as constipation, we can try Shen Jiang San.

畏寒怕冷，有贫血，精力差的，眼皮常浮肿的，月经不调，用当归芍药散。

If the person feels cold, tired, has anemia and swelling on the eye lids, and has menstrual disorders, us Dan Gui Shao Yao San.  

青少年皮肤色黑多毛，痤疮色暗，用丹栀逍遥散加荆芥与红花。

For most teenage with dark skin color and more body hair and if the acne is dark in color, especially if the person feels anxiety and stress very much, has dry month and wishes to dink cold water, use Dan Zhi Xiao Yao San Jia Jing Jie and Hong Hua.

如果临床辩证困难，可直接用四君芩连二陈加石膏汤以清胃法治疗。

If it is hard to make a clear TCM diagnosis, directly try Si Jun Qin Lian Er Chen Jia Shi Gao to clear the Fire in the stomach.

以上为辩证的基本证型辩证，临床上针对痤疮，还常需要加味，比如加白芷，白蒺藜，白鲜皮，虎杖，或者紫草，二花，连翘，蛇舌草等以提高方剂的针对性。如果脓包明显，加野菊花和黄芪。

The above diagnosis is a basic diagnosis, based on that, we need to add some more specific herbs for the acne per se, such as add Bai Zhi, Bai Ji LI, Bai Xian Pi, Hu Zhang, Zi Cao, Yin Hua, Lian Qiao, or She She Cao, so as to increase the healing effects. If there is clear pus on the acne, add herb We Ju Huang and Huang Qi.

以上是草药的内服方剂。为加强疗效，常合用草药外敷法。比如用用痤疮外敷方（  冰片，黄连，大黄，硫黄，研末，加香油成糊状，外敷患处，一天两次）。

The herbs above are for preparation of herbal decoction to drink. We also use herbal external application (herbal location) on to the acne. There are many kinds of herbal formula that can be tried. We usually use Bing Pian, Huang Lian, Da Huang and Liu Huang. Grind them into powder, mixed them with sesame oil  and the apply the herbal location on to the acne, twice or three times a day, and keep it for 20 to 30 min each time.

针灸治疗痤疮也有效。一般需要每两到三天一次针灸。多需要三到四周。常用的针灸穴位是面部诸穴，如四百，颊车，迎香，地仓等。另外用合谷，列缺，外关，风池，风市，阳陵泉，足三里，血海等。 对于明显的脓包，也用火针直刺脓包顶端。

Acupuncture is also used for the treatment of acne. It is performed once every two to three days for three to four weeks. The commonly used acupuncture points are Si Bei, Jia Che, Yin Xiang, Di Cang, He Gu, Lie Que, Wai Guan, Feng Shi, Feng Chi, Yang Ling Quan, Zu San Li, Xue Hai, etc. For the bigger pus spot, we also use fire-needle acupuncture to puncture the top of the pus spot.  

皮肤病患者都需要忌口，这一点非常重要。要少吃或不吃脂肪含量高的食物，如肉类（但不包括蛋类）；油煎食品（如油条，麻花，油煎面包）；海产品（如各种鱼肉，虾，蟹）；辛辣食品（如葱姜蒜辣椒咖喱胡椒）；以及酒类和发酵类食品（如酸奶，臭豆腐）。可以多吃蔬菜，但是不可过食水果类。蔬菜也需要和米面食品搭配，不能只吃蔬菜。

People with all kinds of skin rash must be careful for their diet. This is very important. They should eat less amount of food that contain higher amount of fat, such as meet, especially beef and lamb. They should not eat too much fried food , such as chips; see food, such as various fish, shrimp, or crab; spicy food, such as onion, garlic, ginger, pepper, etc. ; alcohol, or fertilized food, such as yoghourt. They can eat more vegetable, but not too much fruits. The vegetables should also be eaten together with rice of bread, not the vegetable alone.