Non-itchy rash

Once the rash appears, it is usually accompanied by pain or itching, and a simple rash is difficult to diagnose. For the treatment of rashes, it is still necessary to treat the cause according to the disease. General rashes can be treated with medication. There are many types of medications in this regard. It is best to be guided by a doctor on how to use the medication so that the greatest effect can be achieved. So, how to treat a non-itchy rash? Let’s take a look at the method below.

In addition to taking a detailed medical history, identifying the inducing factors and correcting them, systemic or local Chinese medicine treatment should be adopted.

Systemic therapy

1. Diet management: First, avoid feeding too much food to maintain normal digestion. If you suspect you are allergic to milk, you can boil it for a longer time to denature the protein, which can reduce allergens. Or you can choose a low-allergy formula milk such as Nestle Super NAN. If the condition is more serious, you should take a special formula milk, Alesun. If necessary, goat milk or soy milk (see the nutrition section) can be used instead of milk. If egg white allergy is suspected, give egg yolk alone, or start with a small amount of egg white and gradually increase the amount. Breastfeeding mothers can stop eating eggs.

2. Antihistamines: Chlorpheniramine, phenergan, diphenhydramine, isoproterenol, etc. taken orally alone or in rotation have good antipruritic and anti-allergic effects, and have varying degrees of sedative effects. Non-sedating antihistamines, such as astemizole (tablets or oral solution) and terfenadine. Antihistamines with sedative effects are preferred over the latter.

3. Corticosteroids: Whether taken orally or intravenously, they can quickly control symptoms and have obvious anti-inflammatory and antipruritic effects. However, they are prone to relapse after discontinuation of the drug and cannot be a cure. Long-term use can cause dependence and various adverse reactions, so they should be used with caution as appropriate. For patients with generalized acute eczema who do not respond well to other treatments, oral prednisone can be taken for a short period of time and the dosage can be gradually reduced as the condition improves.

4. Antibiotics: Only used for children with secondary local or lymph node infections, increased white blood cell count and increased body temperature. Generally, intramuscular injection of penicillin or oral administration of erythromycin or co-trimoxazole is used.

Topical treatments

In principle, treatment is provided according to the stage of the disease.

1. In the acute phase, apply 1% to 4% boric acid solution or 1% to 4% boric acid solution plus 0.1% furacilin solution for wet compress or external washing for about 15 minutes, then apply revonol zinc oxide ointment or 1% chloramphenicol zinc oxide oil. If there is no obvious infection, 40% zinc oxide oil or 15% zinc oxide ointment can be used externally. Apply wet compress for 2 to 3 days.

2. In the subacute stage, use 1% to 4% boric acid solution for external washing, and then apply calamine lotion or calamine furazolidone lotion to relieve itching and inflammation. Apply vitamin B6 ointment and SCL ointment (sulfonate paste, see the appendix for the dosage table of commonly used pediatric drugs), or Chinese medicine dehumidifying oil externally.

3. In the chronic stage, apply 1/2 or 1/3 of Fuqingsong or beclomethasone propionate ointment plus bran oil ointment or Pulian ointment, or urea ointment, then cover with a thin plastic film and bandage, seal the bandage every 1 to 2 days until the skin returns to its original state. Bath 1 to 2 times a week at most, and apply skin relaxing ointment or dermatitis cream when necessary. For chronic localized hypertrophic small lesions, prednisolone acetate or triamcinolone suspension can be injected intradermally at the lesions once a week for a total of 2 to 3 times. It is not suitable for long-term use to avoid skin atrophy.

Traditional Chinese Medicine Treatment

Many doctors recommend that treatment is necessary to completely cure the problem.

Traditional Chinese medicine believes that this disease is mostly caused by eating disorders, internal dampness and heat, and external rheumatism and heat. Clinically, it is divided into two types: dry (papular) and wet (erosive). It often recurs and is often accompanied by symptoms of gastrointestinal digestive disorders. Clinical treatment often uses both internal and external treatment methods. Oral medications are mainly used to clear heat, detoxify, cool blood, and drain dampness. External medications are treated differently according to the dryness or wetness of the disease. Clinical evidence and treatment are as follows:

1. In dry (papular) cases, the rash is as big as millet grains, itchy and painful, with white flakes like scabies, the rash is red and dry, and is mostly caused by heat.

Oral medication: Treatment is mainly based on clearing heat and detoxifying. Prescription example: Forsythia suspensa 9g, Phellodendron amurense 6g, Portulaca oleracea 9g, Indigo naturalis 3g, Kochia scoparia 9g, Periostracum cicadae 3g, Alisma orientalis 9g.

External medication: ① 9g of Artemisia selengensis, 3g of Yuanming powder, and 15g of Patrinia salsa, decoct them into a concentrated liquid for external washing, or ② wash and mash fresh Purslane (appropriate amount) into a paste for external application, change the medicine once a day.

2. In moist (erosive) cases, the eczema area is infiltrated with more exudate or purulent secretions. In severe cases, the area may merge into pieces or spread to the whole body, with a fishy smell, local redness and severe itching. This is mostly due to moisture.

Oral medication: The treatment is mainly based on cooling blood and eliminating dampness. Prescription example: 9g of raw rehmannia, 3g of indigo, 15g of patrinia herb, 3g of lithospermum officinale, 9g of purslane, 6g of lotus leaf, 9g of kochia scoparia, and 9g of wild yam.

Topical medication: ① 3g of Indigo powder, 9g of Phellodendron chinense powder, mix and sprinkle externally, or mix with sesame oil and apply externally, 1 to 2 times a day; or ② 3g of light powder, 9g of pine pollen, 9g of Phellodendron chinense powder, 3g of Indigo powder, mix with sesame oil and apply externally, 1 to 2 times a day; or ③ Equal amounts of Atractylodes powder and Phellodendron chinense powder, mix with vegetable oil and apply externally, 1 to 2 times a day.

Note: ① In case of wet skin, just apply the medicine and avoid washing with hot water. Wait for the scab to form and then fall off and heal on its own; ② For both dry and wet skin, avoid eating spicy, fishy and irritating foods.