Anal eczema is a common and multifocal skin disease, which is a non-infectious inflammatory condition. It can occur in any age or gender. In traditional Chinese medicine, it is called "immersion sore". The understanding of anal eczema in TCM: the cause of anal eczema is complex. This disease is mostly caused by wind, dampness, and heat evil invading the skin; or blood deficiency generating wind, turning dry and injuring yin, leading to malnutrition of the skin; or internal toxins accumulating in the organs! Then, how should anal eczema be treated? Here are five treatment methods for anal eczema.
Five treatment methods for anal eczema:
1. Find out the cause of the allergy and avoid eating or contacting these foods and items again. After getting the disease, reduce local stimulation, such as scratching, friction, washing with soapy water, sitting baths with irritant drugs, or external application. Spicy foods like chili peppers, mustard, green onions, garlic, and white wine should be avoided to prevent aggravating the condition. Diarrhea and constipation and other triggering factors should also be prevented.
2. Oral or injectable Western medicine. Antihistamines, anti-inflammatory and antipruritic drugs, and sedatives are commonly used. For example, Vitamin C, 0.2 grams each time, three times daily; Chlorpheniramine, 4 mg each time, three times a day, or diphenhydramine, cetirizine, and other antiallergic drugs; if itching is unbearable and affects sleep, sedatives such as diazepam or meprobamate can be used; for anti-inflammatory and antipruritic effects, intravenous injection of 5% calcium chloride solution, 10% calcium gluconate, or 10% sodium thiosulfate solution can be administered once daily, 10 ml each time, with an anti-inflammatory and antipruritic effect, 10 treatments make up one course; if there is secondary infection, effective antibiotics can be selected.
3. External medication. During the acute phase of anal eczema with red spots, numerous blisters, and exudation, 5% boric acid solution or 5% lead acetate solution can be used for local wet dressing; when there is erosion and crusting, zinc oxide borax ointment or 3% crude coal tar ointment can be applied externally; topical corticosteroid creams like fluocinolone acetonide cream, betamethasone dipropionate cream, or hydrocortisone cream can also be used. For chronic anal eczema with desquamation, thickened skin, or lichenification, 5% crude coal tar ointment, 5% coal tar ointment, 5% resorcinol salicylic acid ointment, 10% sulfur ointment, or fluocinolone acetonide cream can be applied.
4. Traditional Chinese medicine (TCM) treatment for anal eczema. Acute anal eczema can be treated with Longdan Xiegan Decoction or Siwu Xiaofeng Drink, which have the functions of clearing heat, expelling wind, removing dampness, and relieving itching; chronic anal eczema can be treated with blood-nourishing and wind-expelling, dampness-removing and itch-relieving herbs such as Angelica sinensis, Rehmannia glutinosa, Paeonia rubra, Atractylodes lancea, Dictamnus dasycarpus, Sophora flavescens, Phellodendron amurense, Schizonepeta tenuifolia, Saposhnikovia divaricata, Glycyrrhiza uralensis, Cicada molts, and Zamenis stejnegeri. These herbs can be decocted and taken twice a day.
For external use, traditional Chinese medicine includes Atractylodes, Phellodendron, Sanguisorba officinalis, Rheum palmatum, and Sophora flavescens, which can be boiled and used for fumigation and sitz baths; during the chronic phase, Qing Dai San can be used, consisting of indigo naturalis and Phellodendron amurense (30 grams each), gypsum and talc (60 grams each), ground into powder and applied externally. Alternatively, San Shi San can be used, consisting of calcined lithospermum, calcined gypsum, and cinnabar (90 grams each), finely ground and mixed with sesame oil or petroleum jelly for application on the affected area.
5. Acupuncture treatment. Points such as Dazhui, Feishu, Quchi, Sanyinjiao, Xuehai, and Changqiang can be selected for their itch-relieving and anti-inflammatory effects.
At the same time, try not to use hot water.