Traditional Chinese Medicine Approaches for Rosacea and Seborrheic Dermatitis

Q: Traditional Chinese Medicine Approaches for Rosacea and Seborrheic Dermatitis

Dear： Online user Zhuo Dai, <br>Your question： <br>Here is the response： Rosacea, also known as rhinophyma or acne rosacea, is a chronic inflammatory skin condition that primarily affects the nose and is common in middle-aged individuals. <br>It typically presents as redness of t

Patients with seborrheic dermatitis and rosacea?

Hello, Doctor: I have rosacea and seborrheic dermatitis.
I have seen a Western doctor for nearly a year without improvement.
Western medicine generally believes this is caused by my constitution, and there is currently no cure.
I am now seeking Traditional Chinese Medicine (TCM).
What are the typical treatment methods in TCM for this condition? What kind of Chinese herbs might be recommended? Could you also recommend a TCM physician who specializes in treating rosacea and seborrheic dermatitis? Thank you.

Zhuo Dai, 20~29 year old female. Ask Date: 2006/09/15

Dr. Lin Qingzhong reply Traditional Chinese Medicine

Dear: Online user Zhuo Dai,
Your question:
Here is the response: Rosacea, also known as rhinophyma or acne rosacea, is a chronic inflammatory skin condition that primarily affects the nose and is common in middle-aged individuals.
It typically presents as redness of the skin on the nasal tip, resulting from prominent vascular dilation.
Sometimes, small dilated blood vessels can be seen on the nose in a branching pattern, giving it a red and shiny appearance.
The skin may thicken, and rashes or small pustules may develop, resulting in a rough texture resembling that of wine dregs, hence the name rosacea.
Etiology: The exact cause is currently unknown.
Some believe it may be related to mite infections, personal stress and emotional disturbances, gastrointestinal dysfunction, focal infections, alcohol consumption, a preference for spicy foods, and temperature changes.
Conventional Western medicine treatment often involves anti-inflammatory medications both orally and topically.
Long-term treatment is recommended.
In my clinical experience with Traditional Chinese Medicine (TCM), treatment often depends on the patient's constitution.

1.
General treatment methods:
- Erythematous phase: Clinically, the skin in the nasal area appears red, gradually forming diffuse erythema that becomes more pronounced with heat.
This is classified in TCM as "lung and stomach heat accumulation." Commonly used herbs include mulberry root bark, lycium root, loquat leaves, scutellaria, anemarrhena, and gypsum to clear heat from the lungs and stomach.
- Papular phase: The skin color on both sides of the nose turns deep red, and sesame-like papules and pustules often appear on the nasal tip.
This is classified in TCM as "blood heat stagnation." Commonly used herbs include honeysuckle, dandelion, coptis, gardenia, peony root, red peony, and white grass root to clear heat and cool the blood.
2.
In addition to oral medications, acupuncture can also be combined in TCM treatment, which has shown good clinical efficacy.
3.
Daily maintenance principles are as follows:
- A light diet is recommended, with an emphasis on fruits and vegetables, while avoiding spicy foods and beverages.
Constipation should be addressed.

- Other triggering factors such as excessive heat, spicy foods, alcohol, and coffee should be avoided, along with environmental factors like sun exposure and emotional stress.

- When washing the face, use water at a suitable temperature and avoid extreme temperatures and contact with unclean substances on the nose.
Finally, I wish you well.
Sincerely,
Dr.
Lin Qingzhong
Director, Department of Traditional Chinese Medicine
Fengyuan Hospital

Reply Date: 2006/09/15

More Info

Rosacea and seborrheic dermatitis are two common skin conditions that can significantly impact a person's quality of life. While Western medicine often focuses on symptom management, Traditional Chinese Medicine (TCM) offers a holistic approach that aims to address the underlying imbalances in the body.

Understanding Rosacea and Seborrheic Dermatitis
Rosacea is characterized by facial redness, visible blood vessels, and sometimes acne-like bumps. It is often triggered by factors such as heat, spicy foods, alcohol, and stress. The exact cause remains unclear, but it is believed to involve a combination of genetic, environmental, and vascular factors.

Seborrheic dermatitis, on the other hand, is a chronic inflammatory skin condition that primarily affects areas rich in sebaceous glands, such as the scalp, face, and upper back. It manifests as red, flaky patches and can be exacerbated by stress, hormonal changes, and weather conditions.

TCM Approaches
In TCM, both conditions are often viewed through the lens of "heat" and "dampness" in the body. The treatment strategy typically involves:
1. Identifying Patterns: TCM practitioners will assess your overall health, lifestyle, and specific symptoms to determine the underlying pattern. Common patterns associated with rosacea and seborrheic dermatitis include:
- Heat in the Blood: This may manifest as redness and inflammation.

- Damp-Heat: This can lead to oily skin and flaking.

- Qi and Blood Deficiency: This may result in a lack of nourishment to the skin.

2. Herbal Medicine: Based on the identified pattern, a TCM practitioner may prescribe a combination of herbs. Common herbs used for treating these conditions include:
- Huang Lian (Coptis chinensis): Known for its heat-clearing properties.

- Bai Zhu (Atractylodes macrocephala): Helps strengthen the spleen and resolve dampness.

- Dang Gui (Angelica sinensis): Nourishes the blood and can help with skin health.

- Chai Hu (Bupleurum chinense): Often used to relieve stress and regulate liver function.

3. Acupuncture: This technique can help balance the body's energy, reduce inflammation, and improve circulation. Specific acupuncture points may be targeted to address skin issues and promote overall well-being.

4. Dietary Recommendations: TCM emphasizes the importance of diet in managing skin conditions. It is generally advised to avoid spicy, greasy, and overly processed foods, as these can exacerbate heat and dampness. Instead, focus on a balanced diet rich in fruits, vegetables, and whole grains.

5. Lifestyle Modifications: Stress management techniques such as tai chi, qigong, or meditation can be beneficial. Additionally, maintaining a regular sleep schedule and avoiding excessive sun exposure can help manage symptoms.

Finding a Qualified TCM Practitioner
When seeking a TCM practitioner for rosacea and seborrheic dermatitis, look for someone with experience in dermatological conditions. You may want to ask for recommendations from friends or family, or check online reviews. Ensure that the practitioner is licensed and has a good understanding of both TCM principles and dermatological health.

Conclusion
While Western medicine often focuses on treating symptoms, TCM offers a holistic approach that seeks to address the root causes of rosacea and seborrheic dermatitis. By identifying underlying imbalances and using herbal medicine, acupuncture, and lifestyle modifications, TCM can provide a comprehensive treatment strategy. If you are considering this approach, consult with a qualified TCM practitioner who can tailor a treatment plan to your specific needs. Remember, managing skin conditions often requires a multifaceted approach, and patience is key as you explore different treatment options.

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