Neurodermatitis is a kind of chronic skin disease with pruritic 
				inflammation. It is characterized by episodes of itching and 
				lichenification on the skin. The disease has a chronic course 
				with frequent relapses. There is no tendency to seep. It can be 
				divided into local and disseminated types. 
				
				
 
				 
                                                                       
                                                                       
	                                                                                                                                               
                                                                                                                                               
                                                                                                                                               
                                                                                                                                               
				Main 
				Points of Diagnosis 
				
				
				1. Local neurodermatitis 
				
				
				1) At first, the patient feels intermittent itching on the 
				affected part of the skin, then round clusters or polyangled 
				pink papulae covered with scanty fine scales appear.
				
				
				
				2) The skin will become thick, dry and rough at the advanced 
				stage as a result of scratching and lichenoid skin lesion will 
				be formed It looks like the skin of a cow's neck.
				
				
				
				3) Paroxysmal itching will be present.
				
				
				
				4) The course of the sickness is chronic, This disease attacks 
				and relapses frequently. It often occurs on the neck, elbow, 
				knee and sacrum or cocryx and is serious in summer and mild in 
				winter.
				
				
				
				2. Neurodermatitis disseminata
				
				
				
				1) At first, the skin becomes diffusely red and clusters of 
				papules appear on it. The lichenification appears on the 
				affected part of the skin at the advanced stage, too. 
				
				
				2) Paroxysmal itching will be present.
				
 
				                                                                                                                                                                                                                                                                                  
                                                                       
                                                                       
	
                                                                                                                                               
                                                                                                                                               
                                                                                                                                               
                                                                                                                                               
				
				
				3) The skin lesion is rather large and can spread 
				over to the whole body, especially on the trunk and extensor 
				side of limbs. 
				
				Differentiation and Treatment of Common Syndromes    
				
				
				
				1. Internal Treatment 
				
				
				1) Wind-Heat Type
				
				
				
				Main Symptoms and Signs: There is a sensation of paroxysmal 
				itching on the affected part. The skin is reddish and crowds of 
				papulae appear on it. The tongue is red and the pulse is taut 
				and rapid.
				
				
				
				therapeutic Principle: Removing heat from the blood to promote 
				blood circulation, and clearing away pathogenic heat and 
				expelling pathogenic wind.
				
				
				
				recipe: Decoction of Dittany Bark
				
				
				
				dried rehmannia root 
				
				
				red peony root
				
				
				
				red sage root
				
				
				
				honeysuckle flower
				
				
				
				dittany bark
				
				
				
				Chinese angelica root 
				
				
				scutellaria root
				
				
				
				cicada slough
				
				
				
				atractylodes rhizome 
				
				
				shizonepeta
				
				
				
				ledebouriella root
				
				
				
				All the above herbs are to be decocted in water for oral 
				administration.
				
				
				
				2) Wind-Dryness Type 
				
				
				Main Symptoms and Signs: There is a sensation of paroxysmal 
				itching. The skin is thick, rough, and dry with fine and broken 
				scurf, accompanied with irritability, insomnia with thin fur on 
				the tongue and lack of saliva and thready pulse.
				
				
				
				Therapeutic Principle: Enriching the blood and moistening the 
				dryness, and promoting blood circulation and expelling 
				pathogenic wind.
				
				
				
				Recipe: Powder of Four Main Herbs for Expelling Pathogenic Wind
				
				
				
				dried rehmannia root 
				
				
				Chinese angelica root 
				
				
				red peony root
				
				
				
				ligusticum rhizome
				
				
				
				schizonepeta
				
				
				
				ledebouriella root
				
				
				
				dittany bark
				
				
				
				notopterygium root or rhizome
				
				
				
				peppermint
				
				
				
				cicada slough
				
				
				
				bupleurum root
				
				
				
				Chinese date
				
				
				
				All the above herbs are to be decocted in water for oral 
				administration.
				
				
				
				2. External Treatment 
				
				
				1) Use Itching-Stopping Lotion to wash the affected part.
				
				
				
				2) Put Red Powder on the affected part, and then scrub the 
				affected part by hands for five minutes, three times a day. Be 
				sure to wash your hands after treating. 
 
				  
                                                                       
                                                                       
	 
 
 
		
				 
				
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