慢性湿疹须重视调治脾胃 Chronic Eczema Should Be Treated with More Attention to The Rehabilitation of Spleen and
李东垣在《脾胃论·脾胃盛衰论》中说：“百病皆由脾胃衰 而生也。 ”除了湿疹外，许多慢性、难治性皮肤病的病因病机都与脾胃功能 失调有着相当密切的关系。 如风瘙痒（包括老年性皮肤瘙痒症）、粉刺（痤疮），其治疗也要 以健中补脾，促进运化为基本方，牛皮癣治疗也要重视调理脾胃功能，祛湿化湿。
Through my observation of eczema patients, I found that nearly 90 of eczema patients had spleen deficiency and the discordance from spleen and stomach, which explains why chronic eczema patients are prone to relapse in the perspective of traditional Chinese medicine .That is, the spleen deficiency caused by the metabolism of the body's fluid can not be normal discharged out of the body, prone to overflow in the skin and caused eczema.
The reason for eczema is that the body's immune function is weakened or unbalanced due to a variety of factors, such as the fast pace of work, the irregular routine of life, and eating disorders. In Chinese medicine, we believes that the main cause of eczema induced by excessive heat and damp accumulated in the body. Under normal circumstances, the human body's heat and damp is discharged from the body through the function of the spleen, but in the case of weak spleen and stomach function, the ability to transport and drain the damp and heat will also be reduced. It is possible to induce eczema when it is not easily discharged.
In most cases, eczema will develop into chronic eczema in the late period, mainly in expression of rough, thick and dry skin. Under normal circumstances, the spleen has the ability to transport the damp grains slightly, which can transport the human body's intake of food into energy and nutrition to blood to nourish the skin. However, in the case of spleen deficiency, the poor transport ability of spleen directly causes the skin to be unable to be nourished normally, and the symptoms of chronic eczema are not easy to improve.
On the other hand, at present, the clinical manifestations of eczema are mostly chronic eczema, and the whole treatment process will inevitably take in a large number of drugs, and many drugs themselves have side effect and damaged the function of spleen and stomach. This will cause the patient's spleen deficiency to a certain extent, thus causing the illness to be difficult to heal. Therefore, it also suggests that eczema patients should not only treat eczema, but also take care of their spleen and stomach.
The general clinical path of eczema treatment is a combination of treatments and rehabilitation. According to the clinical results, the risk of relapse is very small in patients with eczema treated in both directions.
Therefore, patients with chronic eczema must also pay attention to the rehabiliation of the spleen and stomach function. For example, pay attention to healthy eating, regular life pattern, and keeping a comfortable and unwind mood. Spicy and hot food have irritating effects on the skin, and greasy and cold foods will make eczema worse. Having a damp environment will also have a certain degree of influence; pay attention to eat more vegetables and coarse grains (like the porridge of glutinous rice, yam, red beans, lotus seeds etc) can play a healthy role in the spleen in daily meal.
In the "Spleen and Stomach Theory: The Theory of Spleen and Stomach Rise and Fall," Li Dongxi said: "All diseases are caused by spleen and stomach disfunction." In addition to eczema, the etiology and pathogenesis of many chronic, intractable skin diseases are closely related to spleen and stomach dysfunction. Such as wind itching (including senile pruritus), acne (acne), its treatment should also pay attention to rehabilate the spleen and stomach function in order to get rid of dampness and heat.
What needs to be reminded is that the treatment of eczema should not blindly use the folk remedies to save oneself, and often it will cause further harm to the spleen and stomach. It is always wise to seek advice from your GP and qualified Chinese Medicine practitioner.
Note: This article is translated by Ying Zhang BSc MBAcC . Please contact Ying Zhang if you have any question in regards to this translation.
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