Clinical Manifestations
  • Usually occurs in babies from the ages of 2-3 months until the age of 2-3years
  • This condition is due to constitutional insufficiency and deficiency of the Lungs and Spleen complicated by external contraction of Wind, Dampness and Heat, which are obstructed in the skin and flesh. An enduring condition will cause damage to Yin and Body Fluids resulting in Yin Deficiency and Blood-Dryness
  • Dampness is the predominant pathogenic factor causing eczema in children. In small children, the Spleen function has not matured fully yet, and the transformation and transportation functions are rather weak. If the child is not given nutritious, easy to digest food, is overfed or solid food is introduced too early, or the child eats the wrong kinds of food (too sweet, too greasy, or large quantities of processed food), the Spleen’s function of transformation and transportation can be impaired, engendering Damp-Heat. If the child is repeatedly exposed to Wind evil, External and Internal pathogenic factors can combine and Wind-Damp-Heat toxin enters the skin giving rise to Wind-Damp-Heat type eczema. Alternatively, the child may be of weak constitution, resulting in Spleen Deficiency Dampness type eczema. If the blood aspect is affected, this may cause Spleen Deficiency Wind Dryness type eczema.
  • Constitutional weakness plus the child's preference for an inappropriate diet of fish, seafood and spicy food will damage the Spleen and Stomach and result in the generation of damp-heat. Where this damp-heat moves outward to accumulate in the skin and flesh and is complicated by invasion of pathogenic wind, Dampness or Heat, or toxic substances such as dust mites or pollen, red papules and vesicles may appear suddenly. Where impairment of the Spleen's transformation function results in Damp-Heat accumulating in the Interior, this Damp-Heat may be retained over a long period, resulting in a chronic disease with repeated occurrence.
  • Congenital insufficiency leads to Liver and Kidney Deficiency. Lack of proper care after birth results in damage to the Spleen and Lungs. Damage to the Spleen leads to Deficiency of the source for generating transformation of Qi and Blood; damage to the Lungs causes weakness of Wei Qi. As a result, it is easy for External pathogenic factors to invade. At the initial stage, these factors are obstructed in the skin and interstices, causing dryness and itching; at the later stage, Yin is damaged and Blood is consumed, making the skin rough and leathery.
  • Chronic itching
  • Superficial inflammation of the skin
  • Redness
  • Weepy, crusted lesions
  • May all begin in first few months of life
  • Worsened by stress, environmental changes and wool
  • Associated with genetic factors and is also known as hereditary allergic dermatitis.
    Family history of susceptibility to asthma, hay fever, urticaria, and eczema
    -Allergy to heterologous protein
    -High serum immunoglobulin (IgE) levels
    -An increase in the number of eosinophil leukocytes in the blood
  • Infantile Stage (1 month - 2 years):
    Main sites involved:
    It may spread to the trunk and limbs
    * Fat babies who tend to sweat are more likely to suffer from an    exudative-type condition.
      -Lesions manifest as erythema and a dense distribution of   pinpoint papules, papulovesicles and vesicles with exudation.
      -Thick or thin yellow crusts form when the exudate dries up.
      -A moist, bright red erosive base will often show once crusts fall    off due to rubbing or scratching provoked by itching.
    *Thin, weak babies are more likely to suffer from a dry-type    condition.
      Lesions are characterized by pale red or dark red erythematous   patches
      A dense distribution of small papules without vesicles
      Dryness without obvious exudation
      Grayish-white bran-like scales on the surface of the lesions
      Slight infiltration, lichenification, fissuring scratch marks, or   bloody crusting will be present in a persistent condition
  • Childhood Phase (3-12 years):
    Main sites involved:
    Antecubital and popliteal fossae
    Wrists and
    Lichenification, excoriations and dry skin are frequent
    Sleep may be affected
    In some, small, firm papules are found on back and extensor aspects of the limbs; excoriation may lead to blood crusting and pigmentation
  • Adolescent and Adult Phase (12 years - early 20's):
    Main sites involved:
    Antecubital and popliteal fossae
    Anterior and lateral aspects of the neck
    Circumscribed dry lesions appear with infiltration, thickening and lichenification, and pigmentation as a sequel
    Hands may also be involved after contact with irritants
  • Atopic Dermatitis: A chronic, superficial inflammation of the skin, characterized by itching inside of the elbows and behind the knees
    May have a history of allergies
    May begin in infancy with red, weeping, crusted lesions on the cheeks and scalp then moves to the extremities
    Usually abates by age three but reappears frequently throughout one's life
    The itching is triggered by scratchy surfaces, humidity and environmental or psychological stress
    Repeated scratching leads to lichenification of the skin
    Secondary bacterial infections, dry skin and bleeding may occur with possible changes in color
Treatment Principle
Herb Formulas
Clinical Manifestations
  • Particularly in thin, weak, undernourished babies with a yellow complexion
  • Main sites involved:
    May spread to the trunk and limbs
  • Lesions:
    Large pale red or dark red erythematous patches covered by oily scales or crusts
    Often small lesions covered with lichens form thin white scales
    The skin is rough and itchy, disturbing sleep
    No clear boundaries
    Scratching will cause slight bleeding or result in the formation of bloody crusts
  • Additional Symptoms:
    Vomiting of milk shortly after feeding
    Loose stools possibly with undigested food
    These babies are pale
    Poor appetite.
    T: Pale red or Red or A red tip
    C: Scant or Thin and white
    P: Moderate or Rapid
Treatment Principle
  • Clear Heat from the Heart
  • Guide out reddish urine
  • Support the Spleen
  • Nourish Yin
  • Remove moisture
  • Reduce itching
Herb Formulas
Clinical Manifestations
  • Acute or subacute
  • Itching can be severe.
  • Dry eczema:
    Sparsely or densely distribute papules on flushed skin
    Desquamation after scratching
    Mild erosion
  • Wet eczema:
    Flushed skin
    Thick yellow crusts
Treatment Principle
  • Eliminate Wind
  • Clear Heat
  • Dispel Damp
Herb Formulas
Clinical Manifestations
  • Common in heavyset babies with a tendency to obesity
  • Rash usually appears on the face, scalp and neck, and can also spread to other areas.
  • Lesions are red with blisters and fluid
  • Lichens may also merging
  • Sometimes the layers are simplified Below are scabs
  • Itching is strong and disturbing for the baby
  • sometimes urination is a little shorter than normal
  • Dark yellow urine
  • T: Red
  • C: Thin, yellow and sometimes greasy,
  • P: Rolling
Treatment Principle
  • Strengthen the Spleen
  • Remove Damp-Heat
  • Reduce itching
Herb Formulas
Clinical Manifestations
  • Lesions occur on the head
  • Secretions appear
  • Itching
  • Desquamation
  • Inflammation and suppuration on the face, neck, armpits and genital areas
  • Pus and scabs
  • Constipation
Treatment Principle
  • Clear Heat
  • Relieve Toxicity
Herb Formulas