Understanding Eczema: Classification and Management
Eczema is a common skin condition that manifests in various forms. It can be categorized based on the duration of symptoms into three main types: **acute, subacute,** and **chronic** eczema.
Acute Eczema
**Acute eczema** is characterized by its sudden onset and typically appears symmetrically on areas such as the face, limbs, and genital regions. During its progression, patients may experience a range of symptoms including redness, papules, vesicles, pustules, erosion, and crusting. Often, multiple types of lesions may coexist or predominate at different stages of the condition. The intense itching associated with acute eczema can lead to frequent scratching, resulting in further aggravation of the skin.
Subacute Eczema
Following an acute episode, **subacute eczema** presents with reduced inflammation and symptoms. The primary skin manifestations during this stage usually involve papules, scales, and crusts. It is important to note that even with subsiding symptoms, scratching can still lead to erosion of the skin.
Chronic Eczema
**Chronic eczema** often develops after repeated episodes of acute or subacute eczema. However, in some cases, it can start as a chronic condition from the onset. The affected skin becomes thickened and infiltrated, developing a dark red hue and pigmentation changes. When prolonged, these skin lesions can appear coarse and dry, making them prone to cracking. Common sites for chronic eczema include the lower legs, hands, feet, elbow creases, genital areas, and the anal region.
Managing Chronic Eczema: Understanding 'Spleen Qi Deficiency with Dampness'
For patients with chronic eczema, it is essential to pay attention to the condition known as **"spleen qi deficiency with dampness."** Individuals with this issue often exhibit numerous blisters that may break and ooze a sticky fluid. Alongside skin symptoms, they may experience fatigue, poor appetite, and other gastrointestinal disturbances. Traditional Chinese Medicine commonly employs herbal formulas aimed at eliminating dampness and relieving itchiness.
Chronic eczema patients exhibiting signs of **spleen deficiency** may notice dull, non-red skin with minimal oozing, presenting as pale spots with yellowish scales or crusts. They might also face symptoms such as poor complexion, bloating, and loose stools. Herbal treatments like **eliminating dampness and regulating the stomach decoction** can be beneficial.
Understanding 'Blood Dryness'
Additionally, some patients may fall under the category of **"blood dryness,"** characterized by rough, thickened skin. These individuals may present with scratch marks and scabs, coupled with a dull skin tone and potential hyperpigmentation.
Dietary Recommendations for Eczema Sufferers
When managing eczema, patients are advised to avoid certain foods and beverages that may exacerbate their condition. It is recommended to refrain from consuming alcohol, coffee, spicy foods, and fried items. A balanced diet consisting of light meals rich in fruits and vegetables is encouraged. Eczema sufferers should limit the intake of **heat-inducing** fruits such as durian, mango, longan, and lychee to prevent exacerbating their condition.
On the other hand, consuming foods that help clear heat and eliminate dampness, such as mung beans, winter melon, lotus seeds, and bitter melon, can support the skin's healing process.
In summary, understanding the different types of eczema and their management strategies is essential. With proper care and dietary adjustments, patients can work towards improving their skin health and alleviating symptoms.