What oral medicine is taken for neurodermatitis?

Written by Xie Ming Feng
Dermatology
Updated on January 11, 2025
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Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. Its causes may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. Clinically, we often combine the application of topical medications with oral systemic medications. Commonly used oral medications include antihistamines, calcium supplements, vitamin C, and can also be combined with the use of glutathione vitamin B1, vitamin B12, and complex vitamin B, etc. If sleep is affected, sedative hypnotics can be added before bedtime, commonly including doxepin and diazepam. For extensive skin lesions, oral administration of Tripterygium wilfordii polyglycoside tablets can be combined.

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Written by Xie Ming Feng
Dermatology
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What is the body lacking in neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid skin changes due to nervous dysfunction. The causes of the disease may be related to neuropsychiatric factors such as irritability, overthinking, tension, depression, fatigue, and poor sleep. It is also associated with gastrointestinal dysfunction and endocrine disorders. Additionally, local skin irritations such as friction from stiff collars, exposure to chemicals, infection sites, soaking in sweat, and sun exposure are related, as well as diet, including alcohol consumption, and the avoidance of spicy or stimulating foods like chili peppers, and allergenic foods such as crabs and other seafood. These factors can all contribute to the development of neurodermatitis, which is not related to any deficiency in the body.

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Written by Xie Ming Feng
Dermatology
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What vitamins should be taken for neurodermatitis?

The clinical characteristics of neurodermatitis primarily include lichenoid changes on the skin and episodic severe itching. Therefore, clinically, we generally administer oral antihistamines and calcium supplements. However, since the etiology might be related to neuropsychiatric factors, we often also combine these with oral vitamin B1, vitamin B12, complex B vitamins, vitamin C, and glutathione, among others.

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Written by Xie Ming Feng
Dermatology
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How to completely cure neurodermatitis?

The causes of neurodermatitis may be related to various factors such as neuropsychiatric factors, inappropriate diet, local irritation, gastrointestinal disturbances, and endocrine disorders. Furthermore, scratching and chronic friction may be the main triggers and aggravating factors. During the course of the disease, an itchy-scratch-itchy vicious cycle is prone to form. Therefore, in clinical practice, when treating neurodermatitis, in addition to applying topical medications and oral formulations, we emphasize the avoidance of scratching and other irritations. Providing patients with psychological therapy is essential to break the itchy-scratch-itchy vicious cycle, thus reducing the recurrence of neurodermatitis.

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Written by Xie Ming Feng
Dermatology
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Can neurodermatitis heal by itself?

The main characteristic of neurodermatitis is that the skin shows lichenoid changes and paroxysmal intense itching. During the course of the disease, it is easy to form a vicious cycle of itching, scratching, more itching, and more scratching, which further develops the disease. Therefore, neurodermatitis generally has a chronic course, is perennially incurable, or recurs frequently, and its chances of cure are extremely low.

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Written by Xie Ming Feng
Dermatology
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Where to apply moxibustion for neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic intense itching and lichenoid skin changes due to a neuro-functional disorder. Clinically, it is divided into localized and disseminated types, presenting chronic relapses and prone to recurring, prolonging healing. Clinically, patients often seek help from traditional Chinese medicine after ineffective treatments with Western medicine and drugs. In addition to oral Chinese medicine and topical herbal ointments, acupuncture is also used in treatment. Common acupuncture points used include Quchi, Zusanli, Fengchi, Fengmen, Feishu, and Baichongwo, among others. Additional points may be selected based on the patient's specific symptoms. Various moxibustion techniques can be employed such as mild moxibustion, garlic-separated moxibustion, and ginger-separated moxibustion.