反覆性毛囊型濕疹之中醫治療一例

Recurrent Follicular Eczema Treated with Chinese Herbal Medicine: A Case Report

濕疹為一常見皮膚疾患，以搔癢為主要表現，依病程區分為急性、亞急性、慢性濕疹，可伴隨紅腫、水泡、丘疹、斑塊、鱗屑或結痂，甚至苔癬化病灶。本臨床案例報告一位22歲男性患者，自13歲起全身不定處發搔癢紅色皮膚病灶，西醫皮膚科診所診斷為毛囊型濕疹（follicular eczema），使用類固醇藥物等治療多年，改善有限，反覆發作，輾轉至本中醫院所求治，望診見散布性紅色丘疹、糜爛、與色素沉著等分布左前臂、頸部、右大腿、胸背，經四診合參中醫診斷為「血風瘡」，給予消風散、龍膽瀉肝湯等方劑加減，治療約3個月，癢疹狀況有明顯改善，症狀趨於穩定。

Eczema is a common skin condition which causes itchiness as the main manifestation. It can be divided into acute, subacute and chronic stage according to the course of the disease. It can be accompanied by the redness, blisters, papules, plaques, scales or crusts, and even lichenified lesions. We present a case of a 22-year-old male patient who has had itchy red rashes all over his body since he was 13 years old. Follicular eczema was diagnosed by a Western dermatology clinic and was treated with topical corticosteroids for many years, with limited improvement and relapsed. He turned to our traditional Chinese medicine clinic for treatment. There were scattered red papules, erythemata, plaques, erosions, and pigmentation distributed on the left forearm, neck, right thigh, chest and back. The syndrome was classified as ''血風瘡Xie-Feng-Chuang '', we gave the patient Xiao-Feng-San and Long-Dan-Xie-gan-Tang as main prescriptions. After about 3 months of treatment, the itchy condition was significantly improved and the symptoms became stable.