神经性皮炎
Alias牛皮癣
Traditional Chinese Medicine Definition
Neurodermatitis, known as "牛皮癣" in traditional Chinese medicine (TCM), is a dermatological disease syndrome. According to the Internal Medicine of TCM, the disease is often caused by factors such as emotional disorders, irregular diet, and external wind invasion, leading to the obstruction of Qi and blood circulation, malnourishment of the skin, and consequently, the occurrence of skin lesions. The pathological mechanism primarily involves blood stasis, wind-dryness, and blood deficiency, manifesting as symptoms such as dry, thickened, and itchy skin.
In clinical practice of TCM, the core pathological mechanism of neurodermatitis is blood stasis, wind-dryness, and blood deficiency. Common triggers include emotional disorders, irregular diet, and external wind invasion. During the differential diagnosis, attention should be paid to distinguishing the properties of cold and heat, and the nature of deficiency and excess, such as red and itchy skin lesions, which are often attributed to damp-heat syndrome; whereas dry, thickened, lichenified, and desquamated skin lesions are indicative of blood deficiency and wind-dryness syndrome. The overall treatment approach suggests focusing on clearing heat and dampness, expelling wind, and stopping itching, with blood deficiency and wind-dryness patients requiring nourishing blood, moistening dryness, and stopping wind and itching. In clinical practice, the treatment of neurodermatitis emphasizes harmonizing Qi and blood, balancing Yin and Yang, to achieve the purpose of treating both the symptoms and the root cause.
Common Syndrome Types and Key Points of Differentiation
风湿热蕴证
Main Manifestations：皮损潮红糜烂,瘙痒剧烈
Management Approach：清热利湿,祛风止痒
血虚风燥证
Main Manifestations：皮损干燥肥厚苔藓化,脱屑
Management Approach：养血润燥,息风止痒
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
Patients with neurodermatitis often present with blood deficiency and wind-dryness, and nourishing blood and moistening dryness is the foundation of treatment.
— 陈燕 中医执业医师
Guidance for Nearby Treatment
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)