It’s scabies. 1. Commonly used treatment methods (1) Once scabies infection is found, it should be isolated and treated immediately. ?Scabies is highly contagious, and people living in the same room or family are easily infected. Even if the person who was initially infected with scabies recovers from treatment, as long as other people in the family are infected, it will cause reinfection, resulting in delayed recovery. . Moreover, some studies have shown that the more people living together in a room, the more the cure rate decreases. With more than 5 people, the cure rate drops from more than 80% to 50% when living alone. Therefore, isolation treatment is necessary. During the quarantine period, you are not allowed to go out. (2) People who live together must undergo preventive treatment even if they do not show signs of infection. The treatment method is the same as that of the patient. At the same time, your clothes, sheets, quilt covers, pillow covers, towels, bath towels, etc. must be boiled for more than 10 minutes for high-temperature disinfection. (3) Patients must boil their clothes, especially underwear, sheets, quilt covers, pillow covers, pillowcases, towels, and bath towels for 10 minutes at high temperatures before washing them to prevent scabies from being transmitted to basins and washing machines. , these items are also not safe for use. Other frequently touched items also need to be disinfected if they can be boiled with boiling water. Those that cannot be boiled must be dried at high temperatures. However, ordinary washing and drying do not have the function of killing scabies (putting items in black plastic bags and drying them in sunlight above 30 degrees for more than 7 days may have a certain effect). The place where the toilet seat is seated also needs to be rinsed and disinfected with boiling water for a long time. During the treatment period, do not use the toilet exclusively. (4) Commonly used Western medicine treatment methods: A?: Metronidazole ointment or compound metronidazole ointment (Metronidazole cream): Wang Yu et al., Department of Dermatology, Shiyan People's Hospital, Hubei Province, in "Dermatology and Sexually Transmitted Diseases" The research paper "Observation on the Efficacy of Homemade "Compound Metronidazole Cream" in the Treatment of Scabies" published in the 2nd issue of the magazine in 2005 reported that the use of homemade 2% compound metronidazole ointment in the treatment of scabies has good results. The method is: isolate the patient, use homemade 2% metronidazole ointment from the neck to the whole body, twice a day, three consecutive days as a course of treatment. After three days of treatment, take a bath, change clothes and bedding, and boil the clothes and bedding in boiling water. Disinfect. If the symptoms do not disappear, continue the second course of treatment and observe the results after one week. The recovery rate is 84.7% and the effective rate is 91.76%. [1] Zheng Xiaohong and Cao Hongwei from the Department of Dermatology, the Fifth Affiliated Hospital of Zhengzhou University, reported in the research paper "Comparison of the efficacy and safety evaluation of two methods in the treatment of scabies" published in "Chinese Modern Drug Application", Volume 2, Issue 22, 2008 : In order to evaluate the effect of 3% metronidazole ointment and 10% sulfur cream in the treatment of scabies, 360 scabies patients were divided into two groups from 2005 to 2007, and each used 3% metronidazole ointment provided by Tianjin Pacific Pharmaceutical Co., Ltd. Treatment is carried out with azole ointment and a 10% sulfur cream homemade by the Dermatology Department of the Fifth Affiliated Hospital of Zhengzhou University. The method of use is to rub the medicine on the skin under the neck and all over the body after taking a bath, once in the morning and once in the evening. A course of 3 days is a course of treatment, with 15 doses each time. It is about 1.5 grams. Do not take a bath or change clothes during the application of the medicine to control the effect of the medicine. Boil the changed clothes and bedding to eliminate pests. Patients at home or in dormitories are treated with medicine at the same time. The efficacy shows that the cure rate of two courses of treatment is 98.30% with 3% metronidazole ointment and 96.67% with 10% sulfur cream. [2] Metronidazole ointment can be made at home or purchased from pharmacies. But in recent years, there have been fewer manufacturers. The hospital has more homemade products. B?: Sulfur cream. Sulfur ointment is a traditional medicine for treating scabies. It is cheap and effective, but its efficacy is affected by many factors. The treatment method is to isolate the patient and apply four tubes of sulfur cream to the skin from the neck down every day for three consecutive days as a course of treatment. After three days of medication, change clothes and bedding, and boil the clothes and bedding for disinfection. Continue the second course of treatment. If the condition is not cured, , continue the third course of treatment. Qiao Yangen and others from the Dermatology Department of the Red Cross Hospital in Puyang City, Henan Province reported in the research paper "Scabies Epidemic Status and Prevention and Treatment Countermeasures" published in the 2005 issue 1 of the "Chinese Journal of Modern Dermatology" that the use of 3% metronidazole ointment 180 patients with scabies were treated with 20% sulfur cream. A three-day course of treatment was used. 134 cases were cured in one course, 32 cases were cured in the second course, and 14 cases were cured in more than three courses. Research shows that the longer the course of treatment, the higher the cure rate. . [3] The sulfur or sulfur content in sulfur ointment or sulfur ointment also affects the efficacy. Gao Yunxia and others from Fuxin Central Hospital in Liaoning Province reported in the research paper "Observation on the clinical efficacy of changing the concentration of sulfur ointment in the treatment of scabies" in the magazine "Practical Medicine and Clinic" in Volume 8, Issue 2, 2005, that 10% concentration of The clinical effectiveness of sulfur cream in treating scabies is only 59%, while the 30% concentration of sulfur cream has an effectiveness of 100% and a cure rate of 95%. This study used homemade sulfur cream using 300 grams of sublimated sulfur. Grind it finely, add 700 grams of melted Vaseline, and stir evenly. [4] In recent years, there are also research reports showing that the cure rate of short-term use of sulfur ointment is not high. Lin Aibin and others from Shantou Dermatology Hospital reported in the research paper "A randomized controlled trial of sulfur soft soap lotion combined with 20% sulfur cream in the treatment of scabies" published in "Guangdong Medicine", Volume 15, Issue 3, 2005: The use of sulfur cream 5 The cure rate is only 49.2% per day, so it is necessary to extend the use time. [5] C: Crotamiton cream.

The treatment method is the same as above, and the cure rate of three courses of treatment is above 80%. D: Lindane cream. The effect is also better. However, it should be noted that the main component of Lindane Cream is C-666, which is an isomer of the highly toxic pesticide 666 and is extremely harmful to the human nervous system. Therefore, it must be used strictly in accordance with medical advice or instructions. It is strictly prohibited for the elderly, infants and pregnant women to use it. There are reports abroad that children died after using Lindane ointment. (5) Commonly used traditional Chinese medicine treatment methods: Traditional Chinese medicine has a long history and remarkable efficacy in treating scabies. A: Hou Mingsheng from the People's Hospital of Hunyuan County, Shanxi Province reported in the paper "180 Cases of Scabies Treated by Chinese Herbal Medicine Boiled in Water and Washed Externally" published in "Chinese Folk Therapy" Volume 17, Issue 7, July 2009. , very effective. Method: Basic recipe: 20 grams of sulfur, 20 grams of Smilax bark, 30 grams of Sophora flavescens, 30 grams of Cnidium monnieri, 30 grams of Cortex cypress, 30 grams of white fresh bark, 30 grams of Kochia bark, 30 grams of Smilax bark, and 20 grams of Xanthium bark. grams, 30 grams of Tribulus terrestris. If secondary infection occurs, add 30 grams of honeysuckle, 20 grams of wild chrysanthemum, and 30 grams of dandelion. If the infection is severe, use penicillin. Take one dose per day, boil it twice in water and mix well, then apply it externally with warm water twice. Before treatment, take a bath with hot water and soap, and then apply medicine, starting from the neck down, first on the skin lesions, and then on the whole body. A course of treatment is 4 consecutive days. During the application period, do not take a shower or change clothes. At the end of the treatment, clothes and bedding should be changed and disinfected by high-temperature boiling. If not healed, repeat treatment. It usually takes one or two courses of treatment to heal. During treatment, pay attention to isolation and disinfection. The cure rate is 98% and the effective rate is 100%. [6] B: Yu Chunyang and others from the Central Hospital of Yuji Town, Shangcheng County, Henan Province reported in the research paper "3258 Cases of Scabies Treated by External Washing with Traditional Chinese Medicine" published in the "Journal of Traditional Chinese Medicine for External Treatment", Volume 16, Issue 5, October 2007, Decoct Sichuan peppercorns, Cnidium monnieri, Kochia bark, Sophora flavescens, and Smilax smilax in water for 3 times. After mixing, add sublimated sulfur and calamine to obtain 5000 ml of medicinal solution. After it is warm, take a sitz bath for 15 minutes each time. One dose a day, five doses for one course of treatment. If there is no recovery or recurrence, continue to use the above treatment. The therapeutic effect was 3011 cases were cured, the cure rate was 92.42%, 247 cases were markedly effective, and the effective rate was 7.58%. [7] (6) Oral drugs to treat scabies. In recent years, with the emergence of new anthelmintic drugs, doctors have also begun to explore the use of oral drugs to treat scabies. A: Chen Wei and others from Qidong Traditional Chinese Medicine Hospital published a research paper "Trial Treatment of 72 Cases of Scabies with Oral Albendazole" in the 2003 Issue 1 of "Dermatology and Sexually Transmitted Diseases" and reported that 72 cases were treated with albendazole tablets. Scabies patients were treated with 10% sulfur ointment, and 63 scabies patients were treated with a comparative study. The method was: albendazole was taken orally once a day, 400 grams each time, for five consecutive days as a course of treatment, and a follow-up visit was made one week after stopping the drug. If it does not heal, take another course of treatment. In the sulfur ointment treatment group, the patient was smeared all over the body from the neck to the feet every day, once in the morning and once in the evening, for 3 days. After stopping the treatment, the patient would be reviewed for a follow-up visit one week later. If the condition was not cured, another course of treatment would be used. Both groups boiled clothes for disinfection. Two courses of treatment showed that the recovery rate of the albendazole group was 29.17% and the effective rate was 73.61%, and the recovery rate of the sulfur ointment group was 41.27% and the effective rate was 88.89%. Therefore, albendazole has certain effects on scabies. [8] Ming Qingping and others from Jianping County Dermatology Hospital in Liaoning Province published a research paper "Observation on the efficacy of oral albendazole combined with topical sulfur ointment in the treatment of 58 cases of scabies" in the 2009 issue 2 of "China Health Care" Report: 116 scabies patients were randomly divided into two groups. Group A took 400 mg of albendazole orally once a day for 5 days as a course of treatment. At the same time, 10% sulfur ointment was applied all over the body every night, each time. Four sticks, once every night, for five days. Group B used 10% sulfur ointment alone, with the same usage as above. Both groups boiled and disinfected clothes and bedding every day. After one course of treatment, 53 cases in group A were cured, with a cure rate of 93.18%, and 37 cases in group B were cured, with a cure rate of 63.79%. Patients who were not cured continued to use the drug until they recovered. The results show that oral albendazole combined with topical sulfur ointment has a significant effect. B? Take ivermectin orally. ?Feng Baiqiu, Department of Dermatology, Hongqi Hospital, Mudanjiang Medical College, reported in the research paper "Observation on the Efficacy of Oral Ivermectin in the Treatment of Scabies in 42 Cases" published in the 7th issue of "Chinese Journal of Dermatology and Venereology" in 2005: 42 patients took Ivermectin orally. 150 μg ~ 200 μg/kg body weight, once every 3 days, twice a day, and judge the efficacy after taking the medicine for 2 or 4 weeks. Results: 28 cases (66.7%) were cured within 2 weeks and 14 cases were cured within 4 weeks. The curative effect was significant. (However, there is only one manufacturer in my country that produces ivermectin for human use, and it has now been discontinued.) C: It was reported in the 1978 Issue 02 of the International Journal of Dermatology and Venereology that foreign dermatologists used thiabendazole solution to treat scabies. Apply it to the skin and use it for 5 days. The cure rate is 80%. The remaining 8 cases are also effective. If the treatment is continued, all of them are cured.