|
|
Clinical effect of Fufang Zilian Ointment combined with Hydrocortisone Butyrate Cream in the treatment of subacute infantile eczema with spleen deficiency and dampness accumulation syndrome |
GONG Ke1 GUO Jianhui1 DU Kaiqing1 GUO Wen1 ZHANG Xianzhe1 ZHANG Man1 CUI Yaxin2 LIU Jiayao2#br# |
1.Department of Dermatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Hebei University of Traditional Chinese Medicine, Hebei Province, Cangzhou 061000, China;
2.Graduate School, Chengde Medical College, Hebei Province, Chengde 067000, China |
|
|
Abstract Objective To observe the clinical effect of Fufang Zilian Ointment combined with Hydrocortisone Butyrate Cream in the treatment of subacute infantile eczema with spleen deficiency and dampness accumulation syndrome. Methods A total of 100 cases of subacute infantile eczema with spleen deficiency and dampness accumulation syndrome from December 2020 to July 2021 in Department of Dermatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Hebei University of Traditional Chinese Medicine were selected. They were divided into treatment group and control group, with 50 cases in each group. The control group was treated with Hydrocortisone Butyrate Cream, and treatment group was treated with Fufang Zilian Ointment on the basis of control group. After two weeks of treatment, the clinical efficacy of two groups was observed; eczema area and severity index (EASI) score, traditional Chinese medicine syndrome score, transepidermal waterloss (TEWL) and the occurrence of adverse reactions in two groups were compared; two weeks after the end of treatment, the recurrence rate was counted. Results After two weeks of treatment, EASI score, traditional Chinese medicine syndrome score and TEWL in two groups were lower than those before treatment, and treatment group was lower than control group, and the differences were statistically significant (P < 0.05). The clinical efficacy of treatment group was better than that of control group, and the difference was statistically significant (P < 0.05). The recurrence rate of treatment group was lower than that of control group, and the difference was statistically significant (P < 0.05). No obvious discomfort and no adverse events occurred in the two groups during treatment. Conclusion Fufang Zilian Ointment combined with Hydrocortisone Butyrate Cream can significantly improve the skin lesions and symptoms of subacute infantile eczema with spleen deficiency and dampness accumulation syndrome, with good clinical efficacy and low recurrence rate, which is worthy of clinical promotion and further research.
|
|
|
|
|
Cite this article: |
GONG Ke1 GUO Jianhui1 DU Kaiqing1 GUO Wen1 ZHANG Xianzhe1 ZHANG Man1 CUI Yaxin2 LIU Jiayao2. Clinical effect of Fufang Zilian Ointment combined with Hydrocortisone Butyrate Cream in the treatment of subacute infantile eczema with spleen deficiency and dampness accumulation syndrome[J]. 中国医药导报, 2022, 19(21): 107-110.
|
|
|
|
URL: |
https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I21/107 |
[1] Noorily AR,Criscito MC,Cohen JM,et al. Psoriasis With Eczematous Features:A Retrospective Clinicopathologic Study [J]. Am J Dermatopathol,2021,43(2):112-118.
[2] 周琴,古桂雄,叶侃,等.婴儿湿疹发病相关因素分析[J].中国儿童保健杂志,2019,27(11):1240-1242.
[3] Cipriani F,Dondi A,Ricci G. Recent advances in epidemiology and prevention of atopic eczema [J]. Pediatr Allergy Immunol,2014,25(7):630-638.
[4] 郎广平,赵琴,韩盈盈.中西医结合治疗婴幼儿湿疹的Meta分析[J].中国皮肤性病学杂志,2021,35(7):798-806.
[5] 王欣.中药外用治疗婴儿湿疹临床研究文献分析[J].新中医,2014,46(4):206-207.
[6] 邱文慧,郭诗韵,冼建春.禤国维运用外治法治疗皮肤病经验介绍[J].新中医,2017,49(5):132-133.
[7] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[8] 中华医学会皮肤性病学分会免疫学组.中国湿疹诊疗指南(2011年)[J].中华皮肤科杂志,2011,44(1):5-6.
[9] 赵辨.湿疹面积及严重度指数评分法[J].中华皮肤科杂志,2004,37(1):7-8.
[10] 郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[11] 王长华,王鑫,沈佚葳,等.紫草素对湿疹小鼠的治疗作用及机制研究[J].中国药师,2021,24(3):456-461.
[12] Zhang XF,Sun GF,Chen YF,et al. Effects of Huanglian ointment on wound healing of mice with full-thickness skin defect and the related mechanism [J]. Zhonghua Shao Shang Za Zhi,2016,32(12):714-720.
[13] 高攀.金银花临床药理作用的研究进展[J].医学信息,2018,31(23):37-40.
[14] 吴甜甜,刘雪珂,刘妙华,等.苦参素的免疫药理作用途径研究进展[J].中药药理与临床,2020,36(1):234-238.
[15] Yang J,Yoo J,Cho W,et al. Anti-inflammatory effects of Sanguisorbae Radix water extract on the suppression of mast cell degranulation and STAT-1/Jak-2 activation in BMMCs and HaCaT keratinocytes [J]. BMC Complement Altern Med,2016,16(1):347.
[16] 傅大莉,雍小兰,刘德芳,等.冰片对HaCaT细胞膜流动性及膜电位的影响[J].中国中医药信息杂志,2015, 22(4):62-66.
[17] Yi Q,Yan J,Tang S,et al. Effect of borneol on the transdermal permeation of drugs with differing lipophilicity and molecular organization of stratum corneum lipids [J]. Drug Dev Ind Pharm,2016,42(7):1086-1093.
[18] 杨豪杰,王振宜,刘华.天然冰片对复方中药湿疹乳膏体外透皮吸收效果的影响[J].时珍国医国药,2017,28(11):2648-2650.
[19] Hülpüsch C,Weins AB,Traidl-Hoffmann C,et al. A new era of atopic eczema research:Advances and highlights [J]. Allergy,2021,76(11):3408-3421.
[20] Simpson EL Md McR,Irvine AD Md,Eichenfield LF Md,et al. Update on Epidemiology,Diagnosis,and Disease Course of Atopic Dermatitis [J]. Semin Cutan Med Surg,2016,35(5 Suppl):S84-S88.
[21] McPherson T. Current Understanding in Pathogenesis of Atopic Dermatitis [J]. Indian J Dermatol,2016,61(6):649-655.
[22] Bandier J,Johansen JD,Petersen LJ,et al. Skin pH,atopic dermatitis,and filaggrin mutations [J]. Dermatitis,2014,25(3):127-129.
[23] McAleer MA,Irvine AD. The multifunctional role of filaggrin in allergic skin disease [J]. J Allergy Clin Immunol,2013,131(2):280-291.
[24] Jang H,Matsuda A,Jung K,et al. Skin pH Is the Master Switch of Kallikrein 5-Mediated Skin Barrier Destruction in a Murine Atopic Dermatitis Model [J]. J Invest Dermatol,2016,136(1):127-135.
[25] Kawasaki H,Kubo A,Sasaki T,et al. Loss-of-function mutations within the filaggrin gene and atopic dermatitis [J]. Curr Probl Dermatol,2011,41:35-46. |
|
|
|