Infantile atopic dermatitis
Hello Dr.
Ding,
My son is now one month and three weeks old.
When he was almost a month old, he developed a severe rash on his face that was slightly red and swollen.
I took him to see a pediatric allergist, who diagnosed him with atopic dermatitis due to his allergic constitution.
He prescribed medication and a topical ointment, and after applying it for two days, the rash almost completely cleared up.
However, it has started to reappear, though not as severely as before.
Fearing it might become as bad as it was previously, I applied the ointment once again, and the next day it improved significantly.
However, based on the doctor's instructions, I can only apply it for three to five days (once a day), and since the medication is so effective, I am hesitant to continue using it because I know that corticosteroids are not good for the body.
Seeing him go through this cycle of flare-ups and itching is really distressing for me.
I would like to seek traditional Chinese medicine treatment.
Do you have any recommendations? I live in Taichung County and would appreciate any referrals to good practitioners in this area.
Thank you.
Xiao Xuan, 20~29 year old female. Ask Date: 2004/04/17
Dr. Ding Hanxiang reply Traditional Chinese Medicine
Hello: Based on your description, it seems that the factors affecting your condition are related to your constitution and diet.
Since you are still breastfeeding, it is recommended that you maintain a light diet and avoid grilled, fried, and spicy foods, as what you consume will be converted into breast milk and absorbed by your baby.
The development of your constitution is also influenced by genetics and your diet during pregnancy.
It is advisable to start with basic methods to adjust your constitution, although this may take a longer time and requires patience.
There are many traditional Chinese medicine practitioners in central Taiwan, but I particularly recommend the physicians at the Department of Traditional Chinese Medicine at China Medical University Hospital.
Sincerely, Dr.
Ding Han-Hsiang, Department of Traditional Chinese Medicine, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/04/17
More Info
Managing eczema in infants, especially when considering Traditional Chinese Medicine (TCM) approaches, requires a careful understanding of both the condition and the treatment options available. Eczema, particularly atopic dermatitis, is a common skin condition in infants characterized by red, itchy patches that can cause discomfort and distress. Your concerns about the use of topical steroids and the desire to explore TCM solutions are valid and shared by many parents.
First and foremost, it is essential to understand that eczema can be influenced by various factors, including genetics, environmental triggers, and dietary considerations. In TCM, eczema is often viewed through the lens of "internal disharmony," where imbalances in the body's systems can manifest as skin issues. Therefore, a holistic approach that considers the child's overall health, diet, and environment is crucial.
For infants, TCM practitioners may recommend herbal remedies that are tailored to the child's specific constitution. It is important to note that the use of herbs in infants should be approached with caution. The herbs must be safe, appropriate for the child's age, and prescribed by a qualified TCM practitioner who has experience in treating pediatric patients. Common TCM herbs that may be used for skin conditions include honeysuckle flower (Jin Yin Hua), forsythia fruit (Lian Qiao), and licorice root (Gan Cao), among others. These herbs are believed to help clear heat and toxins from the body, which can be beneficial for skin conditions.
In addition to herbal treatments, TCM may also incorporate dietary recommendations. For breastfeeding mothers, it is advisable to maintain a diet that avoids spicy, greasy, or allergenic foods, as these can affect the quality of breast milk and potentially exacerbate the infant's eczema. Foods that are considered cooling and nourishing, such as pears, sweet potatoes, and green leafy vegetables, may be encouraged.
Furthermore, TCM emphasizes the importance of maintaining a balanced lifestyle. This includes ensuring that the infant has a stable environment, avoiding known allergens, and practicing good skin care routines. Gentle cleansing with mild, fragrance-free products and regular moisturizing can help manage eczema symptoms effectively.
As for your inquiry about finding a reputable TCM practitioner in Taichung, I recommend seeking out practitioners who specialize in pediatrics and have a good track record with treating skin conditions. You may want to consult local TCM hospitals or clinics, or seek recommendations from other parents or healthcare providers.
Lastly, while exploring TCM options, it is crucial to maintain open communication with your child's pediatrician or dermatologist. They can provide guidance on the safe use of topical treatments and monitor your child's condition to ensure that it does not worsen. Combining TCM with conventional treatments can sometimes yield the best results, as long as both approaches are coordinated carefully.
In conclusion, managing your baby's eczema through TCM can be a viable option, but it should be approached thoughtfully and under the guidance of qualified professionals. By addressing both the internal and external factors contributing to eczema, you can help your child find relief and improve their overall well-being.
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