Second, the prone population: diabetes and anemia are more common.
Prone position: head, face, neck, limbs and buttocks
Characteristics of skin lesions: miliary red follicular papules with small pustules at the top, which appear in batches, do not fuse with each other and indurate.
Fifth, conscious symptoms: itching. Head folliculitis can stimulate hair roots and cause severe pain.
Six, prognosis: easy to relapse, leaving no scars after healing.
[Differential diagnosis] Follicular pustulosis
[Prevention and treatment]
First, keep the skin clean and hygienic, and limit spicy food.
Second, antibiotics.
Third, physical therapy: ultraviolet rays, ultrashort waves, etc.
Regulatory immunity: subcutaneous injection of transfer factor 4ml, 1/2 days.
Folliculitis folliculitis is an inflammation in which pyogenic cocci invade around the mouth of hair follicle and are confined to the upper part of hair follicle. Can be divided into suppurative and non-suppurative, more common in immunocompromised or diabetic patients, more common in the head and neck. Folliculitis begins with red papules, then rapidly develops into papular abscess, and then dries and scabs, leaving no scar. There are many rashes, but they don't fuse, and they feel itchy or slightly painful. Folliculitis often occurs in hairy parts of adults; Children are mostly in the hair area, and after healing, they can leave a small bald spot. Patients should avoid physical stimulation, pay attention to eating less alcohol, acid, spicy and other irritating foods, and repeatedly find that the author should eat less greasy things, eat more fruits and vegetables, increase vitamins, and keep the stool unobstructed. At the same time, pay attention to personal hygiene, strengthen physical exercise and enhance disease resistance.
Traditional Chinese medicine believes that folliculitis is caused by damp heat, exogenous heat toxin and skin invagination; It may also be caused by weak body, weak acupoints and excessive external heat. Common clinical syndromes are:
1. Damp-heat type: scattered red papules on buttocks or limbs, swelling and pain, short and red urine, constipation, thin yellow fur, and thready pulse.
2. Yin deficiency type: weak syndrome, pale complexion, pale or red tongue, and deep and thin pulse.
First, optional drugs
1. local treatment: choose the following drugs after haircut:
(2) 2.5% tincture of iodine: for external use, apply it to the affected area several times a day.
(3) 1% neomycin ointment: for external use, apply to the affected area several times a day.
2. Systemic treatment:
Patients with multiple diseases can choose sulfonamides or antibiotics as appropriate, and take oral multivitamins.
Second, optional Chinese patent medicine.
1. Furuncle swelling ointment: for external use, according to the small furuncle swelling, choose small or large pieces of ointment, warm and soften it, apply it to the affected area with a little pressure, and change the medicine for 2-3 days 1 time; If furuncle festers and produces pus, dressing should be changed 1-2 times a day, and the pus should be pasted 1-2 times after it is completely discharged, so that the root disc nodules can be completely absorbed. If normal skin appears erythema, rash or thin itching after application, stop using this product in time.
2. Forsythia Baidu Pill: Take 6-9g orally each time, twice a day, and take it with warm water.
3. Qing Xue Jiedu Pill: take 6g each time, 2-3 times a day, and take it with warm water.
4. Maruyama powder: for external use, apply it with pepper oil or edible vegetable oil or apply it to the affected area.
5. Pull out 6. Xiaobaidu ointment: take orally 15g each time, twice a day, and take it with warm water.
Herbs on the prescription
Add and subtract the main prescription, Xianfang Huoxue Yin (Janice et al., Medical Zong Jin Jian).
Prescription: Flos Lonicerae 30g, Fructus Forsythiae, Rhizoma Paridis 15g, Radix Paeoniae Rubra, Radix Trichosanthis 12g, angelica tail, Bulbus Fritillariae Thunbergii, Radix Angelicae Dahuricae, Olibanum, Myrrha, Fructus Gleditsiae Abnormalis 9g, Fried Squama Manis (fried first) 12g, and Radix Glycyrrhizae 6g. Decoct with water, daily 1 dose.
2. Chinese patent medicine Dahuangchong Pill, taken orally, 3-6 grams each time, 2-3 times a day, with warm wine or warm water.
The syndrome of deficiency of both qi and blood is characterized by repeated rash, lasting for a long time and reddish rash. It may be accompanied by pallor, shortness of breath, lethargy and mental fatigue. Pale tongue, less fur, thin or weak pulse.
The treatment method can tonify qi and blood, help poison and reduce swelling.
Herbs on the prescription
Main prescription Tori Disinfection Powder (Authentic Surgery by Chen Shigong)
Prescription: Radix Astragali, Radix Codonopsis 20g, Radix Angelicae Sinensis, Flos Lonicerae, Fructus Forsythiae 15g, Rhizoma Atractylodis Macrocephalae, Poria, Radix Paeoniae Rubra 12g, Fructus Gleditsiae Abnormalis, Radix Angelicae Dahuricae 9g and Radix Glycyrrhizae 6g. Decoct in water, and then decoct the residue, daily 1 dose.
Kidney yin deficiency syndrome is characterized by repeated rash, which may be accompanied by tinnitus, backache and leg weakness, irritability, difficulty sleeping at night and dry mouth. Red tongue, less fur and thready pulse.
Nourishing kidney and yin, clearing away heat and toxic materials.
Herbs on the prescription
The main prescription of Liuwei Dihuang Pill (Qian Yi's "Direct Prescription of Pediatric Syndrome") is modified.
Prescription: Radix Rehmanniae 25g, Rhizoma Dioscoreae 30g, Cortex Moutan 9g, Rhizoma Alismatis 9g, Poria 9g, Radix Ophiopogonis 20g, Radix Astragali 20g, Flos Lonicerae 15g, Fructus Forsythiae 15g. Decoct in water, and then decoct the residue, daily 1 dose.
Chinese and western medicine treatment theory:
Modern medicine believes that the main pathogen of the disease is staphylococcus, and impurity, scratching and low body resistance can all be the causes of the disease. Folliculitis can be diagnosed according to the characteristics of skin lesions and small pus spots consistent with hair follicles such as head, face, neck, chest and back. It can be treated with antibiotics or topically applied with tincture of iodine.
This disease has long been recorded in Chinese medicine. Those born in the hairline area of the back of the neck are called hairline sores. Those born in the mandible are called "sheep beard sore", "beard sore" and "bird's nest sore"; What happens between the eyebrows is called "eyebrow sore"; Those that occur in the buttocks are called "bench sores" and so on. The etiology and pathogenesis of this disease are internal depression, damp-heat fire poison, exogenous common cold, or both summer heat poison, poor excretion, damp-heat can not be leaked out, blocking the skin. Patients can choose pure Chinese medicine preparation Fulikang to treat intractable folliculitis.
Prevention of folliculitis
1. Live a regular life, pay attention to rest, relax, reduce stress, and strive to improve sleep quality;
2. Eat less spicy, greasy or high-sugar diet;
3. Pay attention to cleanliness. Head folliculitis, don't scratch hard when washing your hair, and don't be too diligent when washing your hair, 3-4 times a week is appropriate;
4. Exercise actively to improve your body resistance.
Pathogenesis of folliculitis
Folliculitis is subacute or chronic suppurative inflammation of hair follicles caused by Staphylococcus aureus invading hair follicles. Generally, it can be induced when the skin is unclean, scratched or the body resistance drops.
Traditional Chinese medicine believes that folliculitis is mostly caused by accumulation of damp heat, exogenous pathogenic heat, fumigation of lung system, stagnation of skin, stagnation of heat for a long time, rotten meat and pus, pus escaping and mutual penetration. Or weak body, weak external defense, and toxic external heat; Or because the skin is unclean, it is attacked by wind poison again, which is caused by exogenous wind.
Modern medicine believes that the pathogen of this disease is staphylococcus, which mainly occurs in patients with low immunity or diabetes. Mostly caused by scratching, skin injury, pathogenic bacteria invading hair follicles, causing inflammation. Either it is related to occupation or some therapeutic factors. Frequent contact with tar substances, long-term use of tar substances or corticosteroids, and frequent skin irritation are all inducing factors of this disease.
Poison ointment: for external use, heat and soften, apply to the affected area, and change the medicine every other day, 1 time.