Symptoms of perianal dermatitis: severe itching is most obvious at night

Perianal dermatitis is a chronic dermatitis that causes very obvious itching, especially at night. The disease develops slowly and is prone to recurrence, so it requires timely treatment. Traditional Chinese medicine is particularly effective in treating perianal dermatitis.

1. Symptoms

In the early stages of the disease, there is only local paroxysmal severe itching, especially at night, which often causes insomnia in patients. Later, due to scratching, skin damage appears as flat round or polygonal papules, which are densely clustered, normal skin color or light brown, with a smooth surface or covered with a very thin layer of bran-like scales. As the disease progresses, the papules gradually merge, the lesions become larger, dark brown in color, the skin thickens, and lichen sclerosis forms. At this time, the skin texture deepens, becomes diamond-shaped or polygonal, becomes dry and thick, similar to leather, with raised skin ridges and a rough appearance, and there are scratches, bleeding spots or scabs on the epidermis and surrounding areas.

2. Treatment Methods

Chinese medicine treatment

Chinese herbal medicine is the timeless health-preserving wisdom of the Chinese people and a valuable legacy of the Chinese people's fight against diseases for thousands of years. Many authoritative dermatologists in hospitals believe that pure Chinese herbal cream must be used to treat perianal dermatitis. It is the only Chinese medicine recognized by the medical community to be the best cure for perianal dermatitis.

Internal treatment

1. Dispel wind and heat, and assist in removing dampness: Suitable for patients with rheumatic fever. The prescription often uses Xiaofengsan with modifications or Shufengqingreyin with modifications.

2. Nourishing blood and dispelling wind: suitable for patients with blood deficiency and wind dryness. The prescriptions commonly used are Siwu Xiaofeng Decoction or Danggui Yinzi. If insomnia is caused by blood deficiency and hyperactivity of Yang, use Tianma Uncaria Drink, or add mother of pearl, dragon bone, oyster, Schisandra chinensis, and Polygonum multiflorum to the above formula.

3. Strengthen the spleen and remove dampness: suitable for spleen deficiency and dampness excess type. The prescription commonly used is Chushi Weiling Decoction with modifications.

In addition, oral antihistamines, sedatives or 1-2% procaine hydrochloride solution can be taken as appropriate, 5-10 ml each time, 3 times a day, within 1 hour before meals. If you have systemic diseases (such as digestive system, endocrine disorders, etc.), the causes should be eliminated.

External treatment

1. Apply topically 20-40% coal tar tincture, or 5-10% pine oil ointment, or 5-10% sulfur coal tar ointment; for those with mild skin hypertrophy, apply 0.1-0.25% fludrocortisone acetate ointment twice a day.

2. Local blockade: Use 1-2% procaine hydrochloride solution or long-acting analgesic solution, 1-2 times a week, 5-10 ml each time, to infiltrate and inject into the affected area.