Important Considerations Before Treating Folliculitis

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Understanding Traditional and Modern Treatments for Skin Conditions

When it comes to treating skin conditions, a combination of traditional Chinese medicine and Western medical practices offers various options tailored to individual needs. This article explores both approaches, emphasizing effective therapies.

Traditional Chinese Medicine (TCM) Approaches

1. Internal Treatments

In the early stage of treatment, it's essential to focus on clearing heat and detoxifying the body. For this purpose, the Five Flavor Detox Drink is commonly used. If the patient presents with scattered light red papules and small pustules, accompanied by a sensation of itching and pain, along with a red tongue and thick greasy coating, a treatment to clear heat and detoxify, such as the Golden Coix Decoction, may be recommended.

For patients who are generally weak with prolonged illness showing signs like a pale complexion, poor appetite, and a pale tongue with a thin white coating, the treatment should focus on boosting Qi and nourishing Yin while also clearing heat and detoxifying. In such cases, the Blue Qi Decoction is often chosen.

2. External Treatments

External therapies can also be beneficial. One effective method involves using herbal poultices made from fresh herbs such as Euphorbia, Taraxacum, Hibiscus leaves, and Purslane. Choose one or two of these herbs, crush them into a paste, and apply to the affected area one to two times daily.

Another option is the Dual-Ingredient Detox Ointment, which combines Coptis ointment or Ruyijinhua powder mixed with honey for external application. This should also be applied one to two times daily.

Western Medicine Approaches

1. Internal Treatments

For internal treatment in Western medicine, oral antibiotics such as Tetracycline or Midecamycin may be prescribed alongside vitamin B supplements. In cases of recurrent outbreaks, intramuscular injections of placenta globulin may be necessary, with two doses administered within three weeks.

2. Immunotherapy

Immunotherapy may be considered for patients experiencing chronic folliculitis that recurs frequently. This therapy can involve injections of their own bacterial vaccines or polyvalent bacterial vaccines.

3. External Treatments

When it comes to external treatments, it is important to follow principles aimed at reducing inflammation, killing bacteria, and achieving dryness. Relevant medications might include:

  • 10% Sulfur Calamine Wash
  • 10% Ichthyol Alcohol
  • Compound Neomycin Ointment
  • 5% Mercurous Chloride Ointment
  • Chloramphenicol Dinitrosyl Injunctum

4. Physical Therapy

For patients not in the acute inflammatory phase, physical therapies such as ultraviolet light or shortwave therapy can be beneficial. Sessions typically last about 20 minutes, administered three times a week.

Conclusion

Both traditional Chinese medicine and Western medical approaches provide effective treatments for skin conditions. It is crucial to assess individual symptoms and health conditions to select the most appropriate therapy. Always consult healthcare professionals before starting any treatment regimen.