DIAPER DERMATITIS (DIAPER RASH)

Clinical Manifestations	Diaper rash comes from continued exposure to diaper soaked urine or feces. The skin becomes reddened Eventually it becomes dry and scaly Chronic or severe: Papules Blisters Erosions
Treatment Principle
Herb Formulas	Topical: Ge Gen Huang Lian Huang Qin Tang Zi Lian Gao Cook Millet (Sm. Sentaniae Italicae Qing Liang Mi) in 1 liter of water over low heat until a gruel is produced. Draw off the top layer of soup and set it aside until it is lukewarm. Using a sterile gauze pad or cotton ball, wash the affected area with the soup 3-4 times a day. Pat dry and then apply one of the following powdered formulas: Cang Bai Niu Xi Fang Hua Dai Fen
Points

Clinical Manifestations	Fever Headache Irritability Extreme thirst Dysuria with reduced urine Oliguria with reddish urine Foul smelling vaginal discharge Yellow urine Dirty complexion Severe: simultaneous vomiting and diarrhea Abdominal fullness, pain or stifling sensation All symptoms and signs occur during the summer T: Red C: White and smooth P: Rapid
Treatment Principle	Expel Summerheat Clear Heat Regulate Qi Resolve Dampness
Herb Formulas	Huo Xiang Zheng Qi Tang
Points

Clinical Manifestations	Weepy, itchy, red skin lesions Lesions may range over a large portion of the body Thirst Rashes Lesions may be worse in hot weather Severe itching T: Pink C: Yellow or White P: Superficial, forceful and rapid or Soft and rapid
Treatment Principle	Disperse Wind Eliminate Dampness Clear Heat Cool the Blood Nourish the Blood Stop itch
Herb Formulas	Xiao Feng San
Points

Clinical Manifestations	The skin becomes reddened Eventually it becomes dry and scaly Chronic or severe: Papules Blisters Erosions
Treatment Principle	Relieve toxins internally and topically Drain Dampness internally and topically
Herb Formulas	Ge Gen Qin Lian Tang Xiao Feng San Fu Fang Ku Shen Tang
Points