Is there an itchy red spot on your face that feels like a scab?

If a red spot appears on your face that is itchy and scabs, this is usually caused by local dermatitis. We can use levofloxacin cream appropriately, wait until the scab falls off, and then use vitamin E cream. During the recovery period of the disease, you must pay attention to developing good living habits and eating habits, try to avoid eating spicy and irritating foods, eat less fish and seafood, and pay more attention to rest.

Treatment of dermatitis

To treat dermatitis, patients can choose Western medicine or traditional Chinese medicine according to their physical condition and actual needs.

1. Western medicine treatment. It includes both systemic treatment and local treatment.

(1) Systemic treatment

① Antihistamines. It mainly acts as a calming and antipruritic agent. The commonly used dosage is 4 mg of chlorpheniramine, 3 times a day. It is best to continue using it for a few days after the child's skin lesions have subsided.

②Antibiotics. For cases with extensive skin lesions, erosion, and exudation, antibiotic treatment should be given appropriately even if there are no obvious signs of bacterial infection. Such as erythromycin 250 mg, 4 times a day.

③Steroid hormones. In principle, it is not used in general cases, but atopic asthma is an exception. For severe cases, it can be used for a short period of time (2 to 3 weeks) to control symptoms as quickly as possible.

④Immunosuppressants. Including azathioprine, cyclosporine A (CYA) and interferon. There is not enough data to prove its efficacy in treating AD.

(2) Local treatment

①Steroid hormones. Used for skin lesions with severe inflammation but no obvious erosion or exudation. During the treatment, change the types appropriately. Use strong ones at first to control the symptoms as quickly as possible, and then gradually switch to medium and low-efficiency ones after a few days. For skin lesions in different parts of the body, attention should also be paid to the selection of varieties. If the skin lesions are extensive, especially in infants and young children, it is advisable to use preparations with weaker effects or lower concentrations.

②Antibiotics. For infected skin lesions. Often used in combination with steroid hormones.

③Tar. Coal tar, bran oil, etc. are effective for AD and are commonly used in the form of pastes, applied alone or in combination with hormone preparations.

2. Treatment with traditional Chinese medicine. It includes two types of treatment: dialectical treatment and acupuncture treatment.

(1) Treatment based on syndrome differentiation

① Fetal heat syndrome

In infancy, the rash often occurs on the cheeks with erythema, densely packed needle-tip-sized papules, papulovesicles, blisters and exudates. When the exudate dries up, an orange-yellow scab forms, which is then peeled off to reveal a flushed erosive surface. The tongue is red, with little coating and purple fingerprints.

Treatment method: Clear the heart, guide the red, protect the yin and stop itching.

Prescription: Use Sanxin Daochi San with modifications.

②Damp-heat syndrome

In the childhood stage, the most common rashes are pinhead papules, papulovesicles and small blisters, some of which are fused into patches with mild infiltration and are mostly concentrated in the elbows, popliteal fossa and other parts. The patient feels severe itching, and scratching causes bleeding or exudation. The tongue is red, the tongue coating is thin yellow, and the pulse is moist and rapid.

Treatment method: clear away heat, remove dampness and relieve itching.

Prescription: Use Chushi Weiling Decoction with modifications.

③Blood dryness syndrome

In the adult stage, the rash mainly occurs on the elbows, knees, neck, etc. It is thick and lichenified with unclear boundaries. After scratching or friction, there is a small amount of exudation or blood scab, and it is dry, even cracked and uncomfortable, especially at night. The tongue is pale red, with little coating, and the pulse is thready and rapid.

Treatment method: Nourish yin and eliminate dampness, moisten dryness and relieve itching.

Prescription: Use Ziyin Chushi Decoction with modifications.

(2) Acupuncture treatment. It is advisable to use the method of equal tonification and equal drainage on acupoints such as Quchi, Zusanli, Xuehai, Weizhong, etc., leaving the needles for 30 minutes, once a day.