Eczema, a chronic skin condition characterized by itchy, inflamed, and dry skin, affects millions worldwide. Traditional Chinese Medicine (TCM) offers a holistic approach to managing eczema by addressing the underlying imbalances in the body. Let’s explore the principles, treatments, and efficacy of Chinese medicine in treating eczema, providing a detailed guide for those seeking alternative therapies.

What is Eczema?
Eczema, also known as atopic dermatitis, manifests as dry, itchy, and scaly skin. It commonly affects children but can persist into adulthood. Symptoms vary from person to person and can include redness, swelling, and oozing when scratched. The condition often affects the cheeks, wrists, inner elbows, and knees in children, while in adults, it typically appears on the neck, inner elbows, and the back of the knees.
TCM Perspective on Eczema
In TCM, eczema is viewed as an imbalance between the body’s vital energy, known as Qi, and external pathogenic factors. These factors include wind, heat, and dampness, which disrupt the body’s harmony, leading to eczema symptoms. TCM practitioners diagnose eczema by evaluating the entire person, considering skin symptoms, digestion, sleep patterns, and overall wellbeing.
Causes of Eczema in TCM
External Factors
TCM attributes eczema to various external factors that disrupt the body’s balance:
- Wind: Causes itchiness and spreading lesions.
- Dampness: Leads to oozing and weeping skin.
- Heat: Results in redness and inflammation.
- Dryness: Causes flaky and cracked skin.
Internal Factors
Internal imbalances also play a crucial role:
- Heart: Emotional stress can exacerbate eczema.
- Spleen: Poor digestion and diet affect skin health.
- Kidney: Weak kidney function can lead to chronic skin issues.
Treatment in Chinese Medicine
TCM treatments for eczema are highly individualized, focusing on the patient’s unique pattern diagnosis. This approach often combines oral and topical herbal formulas, acupuncture, and dietary and lifestyle recommendations.
Mechanisms of Chinese Herbal Medicines
Chinese herbal medicines (CHM) work through various mechanisms, including:
- Suppressing the release of pro-inflammatory cytokines and chemokines.
- Reducing erythema (redness), pruritus (itching), and transepidermal water loss.
- Improving scores on the Scoring Atopic Dermatitis Index and Children’s Dermatology Life Quality Index.


Chinese Herbs for Eczema
Chinese herbal medicine is increasingly popular for eczema treatment due to its natural and holistic approach. A common formula used is Xiao Feng San (clear wind powder), which addresses wind, dampness, and heat.
Key Herbs and Their Actions
- Jing Jie (Schizonepeta Bud or Stem): Unblocks pores and dispels wind.
- Fang Feng (Ledebouriella Root): Unblocks pores and dispels wind.
- Niu Bang Zi (Burdock Fruit): Unblocks pores and dispels wind.
- Chan Tui (Cicada Molting): Unblocks pores and dispels wind.
- Cang Zhu (Black Atractylodis Rhizome): Dries dampness.
- Ku Shen (Sophora Root): Clears damp-heat, reduces itching, resolves toxicity.
- Mu Tong (Clematis Stem): Drains damp-heat.
- Shi Gao (Gypsum): Clears qi-aspect fire, drains heat from the interior.
- Zhi Mu (Anemarrhenae Rhizome): Clears qi-aspect fire, drains heat from the interior.
- Sheng Di Huang (Rehmannia Root): Cools the blood.
Chinese medicine offers a comprehensive and natural approach to managing eczema by addressing the underlying imbalances in the body. Through a combination of herbal medicine, acupuncture, and lifestyle changes, TCM aims to restore harmony and improve overall health. While more research is needed to fully understand its mechanisms, the growing popularity of TCM reflects its potential as a valuable treatment option for those seeking alternatives to conventional therapies.
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