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Qu Jing
Dermatology
About me
With a Master's degree in Medicine, engaged in clinical work of traditional Chinese medicine dermatology for over 10 years, and received further training at Xiangya Hospital for one year. I am a young member of the Chinese Acupuncture and Moxibustion Society's Cosmetology Branch, a member of the Hunan Medical Cosmetology Professional Committee, a member of the Hunan Provincial Society of Integrated Traditional Chinese and Western Medicine's Dermatology Branch, and a member of the Hunan Provincial Chronic Disease Management Professional Committee. I have published over 10 academic papers in national and provincial professional journals.
Proficient in diseases
Specializing in acne and eczema, urticaria, allergic dermatitis, corticosteroid-dependent eczema, pruritus, contact dermatitis, herpes zoster, chloasma, vitiligo, flat warts, alopecia, and other common skin diseases. Proficient in combining modern methods such as laser surgery with acupuncture, auricular therapy, external application of traditional Chinese medicine, and traditional Chinese medicine beauty treatments for the treatment of related skin conditions.
Voices
How to treat hair loss?
There are many types of hair loss, such as sudden localized patchy hair loss known as alopecia areata, androgenetic alopecia which is related to genetic factors and dependent on the action of androgens, also known as seborrheic alopecia, as well as postpartum hair loss due to insufficient qi and blood after childbirth, and telogen effluvium caused by rapid weight loss or dieting. The specific treatment of hair loss should be based on the corresponding cause. The cause of alopecia areata is not completely clear, and it is related to factors such as emotions, stress, endocrine disruption, and autoimmunity. Treatment generally includes oral intake of compound glycyrrhizin tablets and topical application of minoxidil. If the skin lesions are widespread or severe, the combination of corticosteroid treatment may be considered, and treatment generally lasts several months or even longer. Androgenetic alopecia often occurs between the ages of 20 and 30 and is related to familial genetics. The treatment of this condition lacks very effective remedies. Treatment options include topical minoxidil, and oral intake of finasteride. Traditional Chinese medicine has relatively good effects in treating androgenetic alopecia, including the oral intake of Chinese herbal medicine and local acupuncture treatment. Attention should be paid to avoiding staying up late and maintaining a light diet. When the hair follicles have already closed, local hair transplantation can be carried out, transferring hair from the occipital region of the scalp to the top. If the area of androgenetic alopecia is too large without sufficient follicles for transplantation, then the use of a wig should be considered. (Note: Medications should be used under the guidance of a physician.)
Can children's acne be cured?
Acne in children can be cured. However, if treated properly, but lifestyle factors such as sleep, diet, stress, bowel movements, and environment are neglected, acne may recur. Acne, medically referred to as acne vulgaris, is a chronic inflammatory disease of the hair follicle sebaceous glands. It can affect appearance and can occur at all ages, though it is most common in adolescents. The development of acne is mainly related to several factors: androgens, increased sebum production, excessive keratinization at the opening of the hair follicle sebaceous glands, infection with Propionibacterium acnes, and subsequent inflammatory responses. Other contributing factors for some patients include genetics, immunity, endocrine disorders, emotions, stress, diet, and staying up late. In treating acne, the main principles are to reduce sebum, dissolve keratin, kill bacteria, reduce inflammation, and regulate hormone levels, which can lead to healing. However, it is important to maintain a light diet daily, avoiding spicy, fried foods, hot pots, barbecues, and beverages, as well as preventing staying up late, as long-term lack of sleep can also cause recurrent acne outbreaks.
What should I do if I have skin allergies and itching?
Skin allergies and itching require actively searching for the triggering factors, i.e., allergens. Identifying what has irritated the skin and caused the allergic reaction is crucial, then avoiding further contact to prevent recurrence or worsening of the condition. If the allergy is triggered by consuming fish, shrimp, seafood, tropical fruits, etc., it is important to avoid eating similar foods in the future. If the use of certain cosmetics or skin care products causes allergies, avoid using other products containing the same ingredients. If the allergy is caused by certain medications, typically appearing within four days to a month of usage, it is advised to switch medications and avoid taking the same one again. For more severe allergic symptoms, such as significant itching, oral antihistamines like loratadine, desloratadine, cetirizine, and ebastine can be taken. Topical anti-itch medications like calamine lotion can be used, and for more severe conditions, topical corticosteroids or tacrolimus ointment can be applied. If symptoms do not improve or worsen with the aforementioned treatments, short-term oral steroids might be considered to manage the condition. (Note: Medication should be used under the guidance of a physician.)
Are sexually transmitted diseases contagious?
Sexually transmitted diseases (STDs), also known as STBs, are infectious diseases that are primarily transmitted through sexual contact, similar sexual activities, and indirect contact. These diseases can not only cause lesions in the urinary and reproductive organs but also invade the corresponding lymph nodes through the local lymphatic system, and potentially spread hematogenously to major tissues and organs throughout the body. STDs significantly harm the physical and mental health of patients, impacting the individual's family and society immensely. Over 95% of STDs are transmitted through sexual activity, with other similar sexual behaviors, such as oral sex, anal sex, masturbation, kissing, touching, etc., also increasing the risk of infection. Indirect sexual contact, such as through contact with contaminated clothing, public items, and communal sanitary facilities, accounts for a smaller portion of transmissions. Infection can also occur through contaminated blood and blood products, such as through the transfusion of blood or blood products contaminated with STD pathogens or through shared injection needles among drug users. Additionally, vertical mother-to-child transmission can happen if the infected mother passes the infection to the fetus via the placenta, during birth through the birth canal, or through breastfeeding. Therefore, STDs are transmissible.
How to Distinguish Between Papular Urticaria and Urticaria
Papular urticaria, also known as insect bite dermatitis, is a different disease from urticaria. Urticaria, also known as wheals, is called yinzhen in traditional Chinese medicine, and it is a localized edema of the skin and mucous membranes due to temporary increased vascular permeability. For most patients with urticaria, the exact cause cannot be identified. Common causes include foods, such as animal proteins and certain food additives that induce urticaria. Urticaria can also be triggered by certain infections as allergens, as well as by certain medications such as penicillin, serum products, various vaccines, sulfonamides, etc. Additionally, common inhalants such as pollen, animal dander, dust, fungal spores, dust mites, and volatile chemicals can also trigger urticaria. Papular urticaria is characterized by a small blister in the center of a reddish area, often resulting from bites or stings of various insects like mosquitoes, mites, bees, etc., or from irritation by toxic sap on the skin. Improvement can be seen once removed from the allergenic environment.
Can applying garlic treat syringoma?
Applying garlic cannot achieve the purpose of treating syringoma. First, it is important to understand what syringoma is. Syringoma is a disease that occurs due to the development of small sweat gland ducts within the epidermis. It is generally considered a benign tumor that does not turn malignant and can be left untreated. This disease can persist for a long time after manifestation, as it is a chronic condition. Thus, even if you attempt to treat it, complete eradication is not feasible. Local applications of home remedies like garlic or ginger juice are ineffective, and the same applies for regular ointments. Currently, the best method of treatment is using carbon dioxide laser. The method of applying garlic lacks scientific basis and does not achieve therapeutic effects.
Do filamentous warts have anything to do with being sharp?
Filiform warts and condyloma acuminata both belong to viral warts, which are benign growths caused by the infection of the skin or mucous membranes by the human papillomavirus (HPV). In clinical practice, the HPV subtypes that infect filiform warts and condyloma acuminata are different. Filiform warts are a type of common wart, characterized by their elongated, protruding bodies with keratinized tips, which is why they are called filiform warts. They commonly occur on the neck, forehead, and eyelids. On the other hand, condyloma acuminata is caused by HPV subtypes 6, 11, 16, and 18, among others. Condyloma acuminata is a type of sexually transmitted disease, typically occurring in areas like the anus and external genitalia, and is mainly transmitted through sexual contact. Condyloma acuminata is currently one of the most common sexually transmitted diseases globally.
What should I do if new warts grow around the area after freezing common warts?
Common warts can often develop new growths around the area after being frozen. This situation is common in clinical settings because common warts are caused by HPV infection, a type of viral skin disease that tends to recur. Therefore, clinically, we recommend continuing treatment persistently after recurrence, whether by freezing, using lasers, or other methods, to fully resolve the issue. If treatment is delayed, the warts can increase in number. Commonly used physical treatments include freezing, electrocautery, scraping, lasers, etc., and are suitable when there are fewer lesions. Since there are currently no definitive effective anti-HPV medications, recurrence is common in clinical settings. At this time, we can use some immunomodulators, such as interferons, which have certain inhibitory effects. Simultaneously, traditional Chinese medicine methods such as clearing heat, detoxifying, dispelling wind, smoothing the liver, dispersing masses, and combined with external washing of Chinese medicine, can sometimes achieve better therapeutic effects.
Chronic urticaria is afraid of heat or cold?
Urticaria, commonly known as wheals or hives, is referred to as 'Yinzhen' in Chinese medicine. It results from temporary increased vascular permeability in the skin and mucous membranes that causes localized edema. Chronic urticaria is defined as recurrent skin lesions for more than six weeks, with outbreaks occurring at least twice a week. Symptoms of chronic urticaria are generally mild overall, with varying frequency and intensity of hives that can persist for months or even years. Most cases of chronic urticaria are associated with infections or systemic diseases. Most patients with chronic urticaria are heat-sensitive; their itching worsens with heat exposure and the wheals are bright red. However, there is a special type of chronic urticaria known as cold-induced urticaria. This type is rare and has familial ties, usually associated with autosomal dominant inheritance. Another more common type is acquired cold-induced urticaria, which manifests after exposure to cold air, water, or objects. The exposed or contacted areas develop wheals. In severe cases, symptoms can include localized numbness, chest tightness, palpitations, abdominal pain, diarrhea, and even fainting or shock. Consuming cold beverages might also cause swelling in the mouth or throat.
How to deal with seborrheic hair loss and itchy scalp?
Scalp itching associated with seborrheic hair loss can arise from two possible scenarios. One is that the itching is due to seborrheic dermatitis accompanying the hair loss. The other possibility is that the scalp, being greasy, provides a conducive environment for the proliferation of microbes, leading to a fungal infection of the scalp, which then results in itching and increased dandruff. In cases of seborrheic dermatitis, the affected area may show erythema and papules with oily scales or crusts, and there may even be exudation, crusting, and erosion, resembling eczema. The local treatment should primarily focus on degreasing, anti-inflammation, and itch relief. When fungal infection is also present, antifungal treatment becomes the priority. Ketoconazole shampoo can be used in such cases, applied three times a week for a period of 6-8 weeks.