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Skin Care
How to Treat Rosacea With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Facial flushing? Persistent redness, tiny bumps, or a burning sensation across your nose and cheeks? These can be signs of rosacea, a common inflammatory skin condition that affects millions of people. Acupuncture and Traditional Chinese Medicine (TCM) offer holistic rosacea treatment to address both the symptoms and the root causes of rosacea.
What is Rosacea?
Rosacea is a chronic inflammatory skin disease that most often appears in the middle of the face — the nose, cheeks, chin, and forehead. It can cause persistent redness, visible blood vessels, and small, painful pimples or red bumps on skin, like a red dot on face.
While facial rosacea is the most common form, there are some other skin conditions that can be related or sometimes mistaken for rosacea:
Pityriasis Rosea – Though the name is similar, this is actually a different condition caused by a viral infection. It leads to a scaly, pink rash that often appears on the torso and may be mistaken for rosacea, especially in its early stages.
Ocular Rosacea – In some patients, rosacea affects the eyes, causing symptoms like redness or “bloodshot eyes,” burning, stinging, dryness, or a gritty sensation. The eyelids may become inflamed, making the eyes appear bloodshot.
Perioral Dermatitis – considered by some practitioners to be a type of rosacea, this is a face rash that also appears on the face. “Dermatitis” is a general term that covers many types of inflammatory skin conditions.
Rosacea is a chronic skin condition that will flare up at times, and at other times, appear to be improving (remission). If it is left untreated, rosacea can worsen over time and affect other areas, including the eyes.
Acupuncture and TCM can be used as a complementary or alternative treatment for roseacea.
Symptoms of Rosacea
Common signs and symptoms include:
Facial Redness – Persistent redness or flushing, especially across the nose and cheeks.
Visible Blood Vessels – Tiny, broken blood vessels may appear near the surface of the skin.
Acne-like Bumps – Small, red, or pus-filled bumps that can be tender and painful.
Burning or Stinging Sensation – The skin may feel sensitive, warm, or sting when exposed to triggers like sun, wind, or skincare products.
Dry Skin – skin may appear dry, rough, scaly, or thickened (in severe cases).
Eye Symptoms – Red, irritated, or dry eyes (ocular rosacea)
Edema – puffiness or swelling in the face
What Causes Rosacea?
While the exact cause of rosacea is still not fully understood by medical science, many factors may play a role in the development of this skin condition. It is an inflammatory response that may be triggered by the immune system, certain foods, emotional stress, or environmental conditions like sun (U/V rays), heat, or wind. Genetics probably plays a role, as well.
Many people who suffer from rosacea have higher levels of mast cells. Some also have skin mites (Demodex mites). Demodicosis (face mite infestation) is not uncommon, but can show up in increased amounts in people who have rosacea and may be one of the factors that triggers the inflammatory response that contributes to rosacea flare-ups.
SIBO, or intestinal bacterial overgrowth, can sometimes contribute to rosacea.
Rosacea Treatment
A doctor or dermatologist typically diagnoses rosacea based on its characteristic signs and patient history. In some cases, a skin biopsy or other tests might be done to rule out other conditions like lupus or allergic dermatitis.
Common treatments include:
- Topical medications like metronidazole or azelaic acid. Some medications for rosacea constrict blood vessels to reduce redness, while others are antiparasitics
- Retinoids (Vitamin A)
- Oral antibiotics (doxycycline, minocycline) to reduce inflammation
- Laser therapy for visible blood vessels
- Lifestyle and trigger avoidance (avoiding sun exposure, alcohol, spicy foods)
While these treatments can help manage symptoms, rosacea often returns when treatments are stopped, and long-term antibiotic use can affect gut health and immunity.
Can Acupuncture Help Rosacea?
In Traditional Chinese Medicine, rosacea is viewed as a result of internal imbalances that manifest as external skin changes. The skin is seen as an extension of the body’s internal state.
According to TCM theory, rosacea would usually be considered the result of stagnation of Qi, blood, and heat in the body.
Diagnostic patterns that an acupuncturist might observe as being the root cause of rosacea might include:
- Wind-heat of the lung meridian
- Damp heat of spleen and stomach
- Heat stagnation in the liver channel
Heat and toxicity in the lungs and stomach can create excess internal heat, which may rise to the surface, causing redness, flushing, and pustules.
Stagnation of Qi and blood, along with chronic stress, hormonal changes, and dietary habits can impede the flow of qi and blood, leading to stagnation and visible capillaries.
In some patients, dampness combined with heat can cause swelling, acne-like bumps, and increased oiliness.
In long-standing rosacea, depletion of yin (cooling, moistening energy) can cause lingering redness and sensitivity.
How TCM Treats Rosacea
Acupuncture and Traditional Chinese Medicine take a personalized approach to rosacea, focusing on restoring balance within the body and addressing both internal and external symptoms.
Acupuncture works by:
- Reducing systemic and local inflammation
- Improving blood flow and microcirculation
- Regulating the autonomic nervous system
- Helping balance the gut-skin connection
- Calming the body and reducing stress, a common rosacea trigger
Research supports acupuncture as an effective therapy for rosacea. A review and analysis of studies found that a complementary treatment for rosacea combining conventional treatment and TCM therapy reduced the recurrence of symptoms. Acupuncture can reduce flushing, redness, and skin lesions associated with rosacea by modulating inflammatory pathways and promoting tissue healing.
One published case study demonstrated that a patient who had gone through 18 months of conventional treatment for rosacea with unsatisfactory results experience significant improvement after 3 acupuncture treatments, with no recurrence of a flare up in the subsequent six months. Laser Doppler showed increased blood microcirculation (blood flow) in the localized area of the skin rash.
Chinese herbs can be used both internally and externally to reduce redness, clear heat, and support overall skin health. The herbs in one TCM herbal remedy often used to treat rosacea—Liang Xue Wu Hua Tang—for example, works to remove toxins, cool and activate blood, and disperse wind. A traditional formula may be modified to suit the patient’s specific presentation, making TCM highly individualized.
Skincare for Rosacea
In addition to acupuncture and herbs, a TCM practitioner will recommend:
Avoiding rosacea triggers like alcohol, caffeine, and spicy foods.
- Incorporating cooling, anti-inflammatory foods (e.g., leafy greens, cucumber).
- Managing stress and promoting relaxation.
- Maintaining a consistent skincare routine using gentle, hydrating products.
By addressing the root causes of rosacea and working with the body’s natural balance, acupuncture and Traditional Chinese Medicine can help reduce the frequency and severity of rosacea outbreaks, often yielding long-lasting results.
Acupuncture Near Me for Rosacea in West Los Angeles
If you’re tired of dealing with rosacea and want a natural approach that supports both your skin and overall health, we’re here to help. At Art of Wellness Acupuncture, we specialize in treating rosacea and other skin conditions with personalized acupuncture and herbal therapy. Contact us today to book your consultation and take the first step toward calmer, clearer skin.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Perioral Dermatitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac.
Itchy red bumps around mouth, nose, or under eyes? Perioral dermatitis is a common inflammatory skin condition that shows up as a red, bumpy rash on the face. Acupuncture and TCM offers a holistic way to help get rid of perioral dermatitis.
What Is Perioral Dermatitis?
Perioral dermatitis is a type of face rash that primarily affects the area around the mouth (perioral), though it can also show up around the nose (perinasal dermatitis) and eyes (periorbital dermatitis). This condition is most commonly seen in women aged 20–45, but it can affect men and children as well. It’s considered a form of rosacea or a rosacea-like condition by many dermatologists, though it has its own distinct features.
Unlike acne, the red bumps in perioral dermatitis don’t contain pus, and unlike eczema, the rash is not typically scaly or flaky. It often appears suddenly and can be persistent, sometimes lasting for weeks or months.
Traditional Chinese Medicine (TCM), including acupuncture and herbal therapy, offers a natural approach to different types of dermatitis that focuses on healing the skin and addressing underlying imbalances that cause this condition.
Top 5 Symptoms of Perioral Dermatitis
Perioral dermatitis can sometimes be mistaken for other health issues that cause skin rashes or other skin conditions, such as: acne, herpes, rosacea, contact dermatitis, seborrheic dermatitis, discoid lupus, and papula sarcoidoisi. The most common signs of Perioral Dermatitis include:
- Red, inflamed bumps around the mouth, nose, or eyes
- Burning or itching sensation in the affected area
- Dry, tight, or peeling skin
- Clear fluid or pus in some bumps (though usually not like acne)
- Rash that spares the skin directly around the lips (creating a clear border)
Typically, perioral dermatitis will become worse with use of corticosteroid creams or heavy moisturizers.
It is important to recognize this condition, so that it can be treated appropriately.
What Causes Perioral Dermatitis?
The exact cause of perioral dermatitis is not fully understood, but several triggers and contributing factors have been identified. People who already suffer from eczema may be more prone to developing perioral dermatitis, because eczema can affect the skin barrier. Here are some of the things that might trigger an perioral dermatitis outbreak or flare up:
Topical corticosteroid use – This is the most common trigger. Long-term use of steroid creams, even over-the-counter hydrocortisone, can lead to this rash.
Hormonal changes – Many people who menstruate notice flare-ups around their menstrual cycle or during times of hormonal fluctuation.
Use of heavy facial creams or cosmetics – Occlusive skin products may block pores and irritate the skin.
Fluoridated toothpaste – Some people find their symptoms worsen with fluoride-containing toothpaste.
Environmental triggers – Sun exposure, wind, and heat can aggravate the skin.
Microbial imbalance – Overgrowth of certain bacteria or yeast on the skin may play a role.
Stress – Emotional stress can weaken the immune system and disrupt skin balance.
Dietary factors – Some people report flares related to certain foods, like spicy foods or alcohol.
Diagnosis and Treatment for Perioral Dermatitis
In a conventional medical setting, diagnosis is typically made based on a visual exam and patient history. A dermatologist may ask about what kinds of skincare products you use, medications (especially steroid use), and recent lifestyle changes.
Standard treatments include:
Discontinuation of steroid creams – Although this may cause a rebound flare, it is essential to stop steroid use.
Topical antibiotics or anti-inflammatory creams – Such as metronidazole or clindamycin.
Oral antibiotics – Like tetracycline or doxycycline, especially for more stubborn cases.
Skin care guidance – Patients are usually advised to stop all current products and switch to a minimalist routine with gentle cleansers and no makeup.
While these treatments can be effective, they don’t always address the root cause, and relapses are common—especially if underlying imbalances are not corrected.
TCM for Perioral Dermatitis
Traditional Chinese Medicine sees perioral dermatitis not just as a skin problem, but as a sign of deeper internal disharmony. In TCM, the health of the skin is closely related to the health of the Lung, Stomach, and Spleen organ systems. When there is heat, dampness, or toxicity trapped in the body, it can manifest as inflammation on the skin.
For example, a rash around the mouth is often related to Stomach Heat or Spleen Dampness, especially if digestion is weak or the diet is rich in spicy or greasy foods. If the rash appears around the nose and cheeks, Lung Heat or Wind-Heat may be contributing factors.
TCM also considers emotional stress and hormonal imbalance as key factors in skin conditions. Emotional stress can create stagnation in the Liver system, while hormonal changes may disrupt the balance of Yin and Yang in the body, leading to heat and inflammation.
Can Acupuncture Help Perioral Dermatitis?
Acupuncture and TCM therapies aim to treat the root cause of perioral dermatitis while also calming the skin and promoting healing.
Acupuncture helps regulate the immune system, reduce inflammation, and rebalance the organ systems involved. Specific acupuncture points may be used to clear heat, drain dampness, and support the Spleen and Lung.
Chinese herbal medicine can be customized to each patient’s individual pattern. Herbal formulas will be customized for each individual, depending on the presentation.
Dietary and lifestyle recommendations are often part of treatment, helping patients avoid inflammatory foods, support digestion, and reduce stress.
Facial gua sha and herbal washes can be used as topical therapies to calm redness, promote lymphatic drainage, and soothe irritated skin.
In many cases, patients find that their rash improves significantly with a few weeks of consistent acupuncture and herbal therapy—without the side effects of antibiotics or topical steroids.
While studies specifically on acupuncture for perioral dermatitis are limited, research shows that acupuncture is effective in treating other inflammatory skin conditions like eczema, acne, and rosacea. These studies demonstrate that acupuncture can reduce inflammation, balance hormones, and modulate the immune system, which are all key factors in healing perioral dermatitis.
A review found that acupuncture reduced itch, redness, and lesion count in patients with atopic dermatitis. Another study noted improvement in acne symptoms with acupuncture and herbal medicine, especially in women with hormonal imbalances.
Acupuncture Near Me for Perioral Dermatitis in West Los Angeles
If you’ve been struggling with persistent or recurring perioral dermatitis and are looking for a more holistic, drug-free way to manage your symptoms, acupuncture and Traditional Chinese Medicine offer a safe and effective alternative. By treating both the surface symptoms and the internal imbalances, we help the skin heal from the inside out.
At Art of Wellness Acupuncture, we specialize in treating chronic skin conditions like perioral dermatitis using the principles of Traditional Chinese Medicine. Every treatment is tailored to your unique constitution and lifestyle, so you can heal naturally and prevent future flare-ups. If you’re dealing with red, itchy bumps around your mouth or face, don’t wait—reach out today to schedule your consultation and get started on the path to clearer, calmer skin.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How To Treat Psoriasis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Rash, scaly skin, itchy skin? These could be signs of psoriasis, a chronic skin condition that causes skin to form in thick, scaly, discolored patches, especially on the elbows and knees. Acupuncture and TCM treatment can help relieve psoriasis and address the root causes of this autoimmune skin disease.
Autoimmune disorders stem from the body’s immune system malfunctioning. In the case of psoriasis, the body produces too many skin cells, forming thick scales, known as “plaques,” or a bumpy rash.
As with other conditions that involve skin rashes or other skin problems—like vitiligo, eczema, dermatitis, scleroderma, celiac disease, and lupus—psoriasis tends to flare up periodically, becoming worse for a few weeks or months at a time, and then improving. A psoriasis flare up happens because of widespread inflammation.
What Causes Psoriasis Flare Ups?
Getting a cut or burn on your skin can trigger a psoriasis flare up.
So can infections like a staph infection, strep infection, helicobacter pylori bacterial infection (which can also cause stomach ulcers), or chlamydia.
Viral infections like HIV and hepatitis C can trigger psoriasis. Fungal infections like candida, or yeast infections, can also trigger a psoriasis flare up.
Psoriasis affects millions of people, of all ages. Psoriasis rash can cause intense itching (pruritus), so much so that it can affect a person’s ability to concentrate in daily life and can also have a negative impact on sound sleep.
Medical research has not yet discovered exactly what causes psoriasis, but it may be partly due to genetics and partly due to environmental factors. It is not uncommon for a person to have psoriasis and also have another autoimmune condition, such as lupus, celiac disease, Crohn’s disease or inflammatory bowel disease (IBD), multiple sclerosis (MS), or autoimmune thyroid disease.
Acupuncture and TCM are excellent modalities for helping to relieve the symptoms of skin conditions like psoriasis and many autoimmune disorders. Acupuncture and herbs can help relieve itchy rashes and also help to improve the functioning of the immune system. Acupuncture treatment can also help with the emotional and psychological toll of dealing with psoriasis.
Top 5 Types of Psoriasis
Plaque psoriasis is by far the most common type of psoriasis, accounting for about 80% of cases. Other types of psoriasis are more rare and can be very serious.
- Plaque psoriasis or Psoriasis vulgaris – the most common type of psoriasis; thick scales that are red or pink with a silvery coating on them. These patches, or plaques, can itch intensely.
- Guttate psoriasis – small red or pink bumps that appear suddenly, covering the torso, arms, and/or legs. This condition sometimes clears up and does not return. In some cases, though, it can keep coming back, or later turn into plaque psoriasis. Guttate psoriasis may be triggered by infections, like strep throat.
- Pustular psoriasis – this is a rash of painful bumps that are filled with pus. Generalized pustular psoriasis is an extreme version of this condition, which can quickly cover the whole body and be accompanied by other symptoms like fever, headache, and muscle weakness. Generalized pustular psoriasis is a serious condition requiring medical care.
- Inverse psoriasis or Intertriginous psoriasis – develops in areas where skin folds upon itself, like armpits and around the genital area
- Erythrodermic psoriasis – usually develops as a more severe condition after a person has already been struggling with psoriasis. The skin becomes very red and appears to be burned. The person will feel very ill, with fever and chills and a rapid heart rate. Requires immediate medical attention.
Psoriasis is not only intensely uncomfortable, but the scaly skin can also have a significant impact on a person’s confidence in their appearance. These factors can mean that having psoriasis can have a negative effect on a person’s mental health and emotional health.
Acupuncture, when used as an adjunct therapy for psoriasis and other autoimmune conditions can help address anxiety, depression, and mood disorders, as well as helping with physical symptoms.
Medical Treatments for Psoriasis
Conventional treatment for psoriasis aims to help slow down the overproduction of skin cells and relieve pain and itching.
Topical Medications for Psoriasis
Topical products are applied directly to the skin.
- Corticosteroids: Frequently prescribed for mild to moderate psoriasis, available in various forms like oils, creams, lotions, etc.
- Vitamin D Analogues: Synthetic forms of vitamin D that slow skin cell growth, used alone or with corticosteroids.
- Retinoids: Available as gel or cream, they reduce skin cell growth and may cause skin irritation and sensitivity to light.
- Calcineurin Inhibitors: Calm the rash and reduce scaly buildup, useful in areas of thin skin.
- Salicylic Acid: Reduces scaling of scalp psoriasis and prepares the scalp to absorb medication more easily.
- Coal Tar: Reduces scaling, itching, and inflammation, available in various forms like shampoo, soap, cream, and oil.
Oral or Injected Medications for Psoriasis
Systemic medications may work on the immune system or on skin cell production to help relieve psoriasis.
- Steroids: Injection of triamcinolone into small, persistent psoriasis patches.
- Retinoids: Pills to reduce skin cell production, not recommended during pregnancy.
- Biologics: Injected drugs that alter the immune system to improve symptoms in moderate to severe psoriasis.
- Methotrexate: Weekly oral dose to decrease skin cell production and suppress inflammation.
- Cyclosporine: Oral calcineurin inhibitor for severe psoriasis.
- Treatment approach based on needs and psoriasis severity.
- Start with milder treatments and move on to stronger ones if necessary.
- Pustular or erythrodermic psoriasis may require stronger systemic medications.
Phototherapy exposes the skin to ultraviolet light under a dermatologist’s supervision. UVB can help slow down cell production. Light therapy may use lamp units with bulbs, or a laser may be used to target very specific areas of affected skin.
Can Acupuncture Help Psoriasis?
In TCM, elemental factors like heat, wind, dampness, dryness, and so on, are considered to act as pathogens, having a negative effect on bodily systems when they are either in excess or deficient.
According to TCM theory, the root causes of psoriasis may be related to pathogenic factors of excessive heat and dryness. Heat, as a pathogen, can cause redness and itchy skin. Wind can cause dryness of the blood. These conditions in combination can lead to stagnant blood and a fiery heat building up. TCM classifications for diagnosis related to psoriasis would include:
- Blood heat
- Blood stasis
- Blood dryness
- Blood deficiency
An individual, depending on their specific presentation of skin rash and other symptoms, may be diagnosed with a combination of these factors.
In Chinese medicine, the skin and the lungs are connected, with the skin being the outward presentation of what is going on in the lungs. So, acupuncture treatment for psoriasis may focus on strengthening lung Qi.
In other cases, the large intestine may be related; because of dryness, it may not be receiving enough fluid to be able to do the job of moving toxins out of the body.
In some cases, it may be that intense emotions are affecting the liver, causing blood stagnation due to stress. Liver Qi stagnation can cause overheating and for blood to “overflow” from vessels, causing red bumpy rashes.
Thus, herbal remedies and acupuncture treatment will often aim to clear heat, cool the blood, and improve circulation. Many herbs are helpful for this, as well as for helping to reduce inflammation and soothe dryness and itching.
Chinese medicine herbal preparations have been shown by modern scientific studies to inhibit immune-inflammatory reactions, regulate Th cells, and mediate the formation of skin lesions.
Review of scientific studies of TCM for psoriasis have shown that it can be effective for reducing the severity of skin lesions and help prevent recurrences of flare ups.
Acupuncture Near Me for Psoriasis in West Los Angeles
Psoriasis is a painful skin condition that requires special treatment. As an autoimmune condition, psoriasis needs to be addressed on a deeper level, as opposed to simply trying to relieve the itchy, scaly rash on the skin’s surface. TCM offers a holistic way of treating both skin diseases and autoimmune disorders that can bring deep relief. Consider seeking acupuncture as an adjunct treatment for psoriasis.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Eczema With Acupuncture and TCM
By Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
Itchy skin, dry skin? A bumpy skin rash that is raw from scratching it? Eczema, sometimes known as atopic eczema or atopic dermatitis, is a very common inflammatory skin condition. Acupuncture and TCM can help relieve itchy, scaly skin caused by eczema and skin allergy.
Eczema is a chronic inflammatory condition that flares up when triggered and becomes an allergic reaction rash. An eczema rash can look red and bumpy, or feel warm or hot to the touch. It can also show up as dry patches of skin that are rough and leathery, and can be brown or gray in color.
Scaly skin or eczema skin rashes that itch can appear anywhere on the body, but most commonly occur on the face, back of the neck, elbows, forearms, or backs of the knees.
Clusters of small, itchy fluid-filled blisters on the hands, fingers, or soles of the feet are known as dyshidrotic eczema, or dyshidrosis. This type of eczema can happen once, as an isolated incident, or become a chronic problem that keeps coming back.
What Causes Eczema?
Eczema is a widespread condition that often shows up in early childhood. About 80% of people who have atopic dermatitis show signs of skin rashes by the time they are six years old. It is estimated that about 1 in 10 people have some form of eczema.
The exact cause of eczema is not known, but it is generally believed to be a combination of factors, including: genetics, overactive immune function, and irritants in the environment.
Eczema is not contagious, but a person is more likely to experience allergic skin rash if allergies tend to run in their family. People who have hay fever, asthma, or are allergic to pet dander, pollen, or dust mites are more likely to have skin allergies like eczema, too, and possibly to pass these conditions on to their children.
Top 20 Eczema Triggers
Eczema rashes tend to flare up when triggered by exposure to some allergen or element in the environment, or even a stressful situation. Common triggers for eczema breakouts include:
- Pet hair or dander
- Pollen
- Mold
- Dust or dust mites
- Insect bites
- Wool
- Synthetic fabrics like polyester or latex
- Metals, like copper, nickel, or gold
- Cigarette smoke
- Detergents or soaps
- Cleaning products
- Dyes
- Perfumes
- Chemicals in cosmetics or skin care products
- Frequent hand-washing
- Too-hot or too-frequent showers or baths
- Sweating
- Cold, dry places
- Humidity
- Emotional stress, work stress, or pressure at school
6 Types of Eczema
Eczema can present itself in different forms, with different types of skin conditions. The most common kinds of eczema include:
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Atopic eczema or atopic dermatitis – dry, red, itchy, and/or bumpy skin
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Contact eczema – caused by touching some irritant
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Dyshidrotic eczema – marked by small, itchy blisters
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Hand eczema– dry, peeling skin on the hands due to exposure to irritants or wetness
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Neurodermatitis – thick, leathery, itchy patches of skin
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Nummular eczema or discoid eczema – round lesions on the limbs or torso
The itchiness caused by eczema rashes is called pruritus, and it can be very intense, even disturbing a person’s sleep. Scratching the affected skin can damage it further, though, and lead to infections, so it is very important to find an effective treatment for the itching.
Eczema Cream and Eczema Treatment
Topical eczema cream is the most common treatment for atopic eczema. Topical corticosteroids are immunosuppressants in a cream form that help reduce inflammation and heal the itchy rash of an eczema flare up. However, when these topical steroid creams are used for long periods of time, they can make the skin thinner and more susceptible to bruising. Blood vessels may become more prominent (spider veins). Steroids inhibit the natural immune function of the skin, so a person may be more prone to skin infections.
Oral immunosuppressants like cyclosporine or systemic steroids may also be prescribed to treat eczema, but these, too, can only be used safely on a temporary basis, to help reduce the itchiness of a flare-up. Taking these medications for an extended period of time can have serious side effects, and they do not really address the root cause of eczema.
Acupuncture and TCM can be used as an alternative or adjunct eczema treatment, which can not only help relieve itching and help heal sores, but can help prevent flare-ups from returning.
Can Acupuncture Help Eczema?
The TCM theory of the Five Elements informs the way that we diagnose and treat each individual case of eczema. The root causes of eczema, or any skin rash, lie beneath the surface of the skin.
In TCM, Heat, Wind, Dryness, and Dampness are considered pathogenic forces that can take hold in the internal organs and then affect the way that skin cells develop. Examples of TCM diagnostic patterns of eczema or atopic dermatitis include:
- Brimming heat of heart and spleen
- Heart and spleen deficiency
- Spleen deficiency and dampness retention
- Wind and dryness due to blood deficiency
Each person’s experience with eczema is different because of the particular environmental or emotional triggers involved in the outbreak. By closely observing the color, temperature, and overall nature of the skin rash or scaly, thickened skin, the acupuncturist will get clues as to which internal systems are affected. By asking detailed questions about the patient’s lifestyle, the TCM practitioner is able to make recommendations that will help prevent further flare-ups.
Acupuncture treatment for eczema has been shown to help relieve itching better than antihistamines, and can also help to reduce skin inflammation.
Chinese herbal supplements designed to help relieve itchy skin have been shown to help relieve pruritus and reduce swelling. These studies suggest that herbs may be just as effective as topical steroids, but without the negative side effects.
The integration of Western medical methods and TCM treatment for eczema can be more beneficial than pharmacological treatment alone. Short-term use of topical corticosteroid eczema cream to help reduce inflammation and itching can be paired with acupuncture and herbs to help prevent flare-ups from recurring.
Acupuncture for Eczema Near Me in West Los Angeles
We want you to feel comfortable in your skin. At Art of Wellness, our comprehensive training in Western medicine, TCM, herbal medicine, and nutrition allows us to create a highly personalized treatment protocol for each patient. Many of our patients can attest that getting acupuncture and taking herbs have helped them reveal clearer, brighter skin and find relief from the pain of rashes and blemishes. If you or someone you love is suffering with itchy skin or allergic reactions, please consider trying TCM treatment for eczema and skin allergy.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.
How to Treat Dermatitis With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. & Qineng Tan, L.Ac., Ph.D.
Itchy skin, dry skin irritation, or skin rash? Dermatitis is a broad term that covers many skin problems, including eczema, heat rash, diaper rash, and other kinds of skin allergy. Acupuncture and TCM offer a way to treat dermatitis, eczema, and itchy skin conditions.
The medical term “dermatitis” can refer to many types of skin irritation that involve inflammation. Inflamed skin can cause itching, redness, dryness, and rashes. A dermatitis itchy skin rash is caused by an inflammatory response related to the immune system.
Eczema, also known as atopic dermatitis, is a common inflammatory skin condition; over 30 million people in the U.S. have some type of eczema. Eczema can show up as early as a few weeks after birth in some babies, or during childhood, or during adulthood.
While what exactly causes atopic dermatitis to occur in some people is not completely understood, it is generally accepted that it is a combination of genetic, immunological, and environmental factors.
Dermatitis is not contagious; it is not passed from person to person. However, you are more likely to be susceptible to dermatitis or eczema if other people in your family have it, or if there is a family history of allergies and asthma.
Eczema and other forms of dermatitis tend to “flare up” when a person is exposed to some sort of trigger and has an allergic reaction. This could be due to something in the environment, or some product or plant that touched the person’s skin. It can also be due to internal causes, like an autoimmune problem, excess heat in the body, or emotional stress.
Signs of Dermatitis:
- Itchy dry skin rash skin irritations (pruritus)
- Red rash, red bumps on skin
- Rash like a burn
- Blisters
- Thick skin, hard skin, swelling
- Scaly skin, creasing skin
- Crusty sores, painful skin sores
- Bleeding rash, oozing skin rash
- Flaking skin (dandruff)
Symptoms of dermatitis can come and go. Scratching at itchy patches or blisters associated with dermatitis can cause a skin infection, so it is important to manage and control this condition.
Acupuncture and TCM herbs can help relieve itchy skin and inflammation, while also helping to balance the immune system to prevent further eczema flare ups.
Top 10 Types of Dermatitis
Many different conditions can cause dermatitis—meaning, inflammation of the skin. Different kinds of dermatitis include:
- Atopic dermatitis – also known as eczema, marked by dry, itchy, red patches of skin.
- Contact dermatitis – this is when a skin rash breaks out due to exposure to some kind of external irritant, such as a cosmetic product, piece of jewelry, or plant like poison ivy.
- Seborrheic dermatitis – flaking skin, also known as dandruff, occurs mostly on oily areas of the skin.
- Dyshidrotic dermatitis – (also called dyshidrotic eczema or pompholyx) small, itchy, fluid-filled blisters that appear on the soles of the feet or palms of the hands, or the tips of the fingers or toes. The blisters may break out due to exposure to an allergen or when hands and feet are often wet or sweaty.
- Diaper rash – a red rash that forms on a baby’s bottom or perineal area due to contact with the diaper and frequent wetness.
- Neurodermatitis – (also called lichen simplex chronicus) is a type of eczema marked by one or two very itchy, scaly patches that can become thickened and leathery – most often affects an area on the neck, ankle, arm, or groin. Neurodermatitis can itch so intensely that it affects a person’s sleep, and can be triggered by stressful events.
- Nummular dermatitis – (also known as discoid eczema) is marked by round, coin-shaped lesions that appear on the limbs or torso. These lesions can become infected with scratching, and may be related to poor circulation.
- Perioral dermatitis or Periorificial dermatitis – pink scaly patches or pustules that form around the mouth. This occurs more commonly in young women. Some doctors believe it may be related to candida, and/or influenced by hormones.
- Stasis dermatitis – (also called venous stasis dermatitis) itchy, scaly, discolored skin around the lower legs and ankles, due to poor circulation and blood pooling in the lower extremities.
- Dermatitis herpetiformis – a bumpy, blistered skin rash (looks similar to a herpes outbreak, but is not actually related to herpes simplex) that is related to celiac disease, triggered by ingesting gluten or wheat.
Psoriasis can look similar to eczema, but it is a separate condition that can coexist with various types of dermatitis. Rosacea redness can also look similar to dermatitis, but is a distinctly different condition that can occur at the same time as dermatitis.
What Causes Dermatitis?
A combination of the immune system reacting to irritants in the environment, and genetic predisposition.
Common environmental factors that can contribute to dermatitis include:
- Chemicals
- Air pollutants
- Fluoride in water or toothpaste
- Fragrances, perfumes, air freshener
- Fragrances in skin products, cosmetics, lotions, soaps
- Tobacco smoke
Other conditions that may occur simultaneously with dermatitis include: depression, anxiety, insomnia, allergies, and asthma.
Eczema Treatment
There are many different types of medical treatment for dermatitis. Some are topical—meaning, applied to the skin. Others are taken in an oral pill form, or injected into the skin.
Topical corticosteroid creams, which can help reduce skin inflammation, are the most common treatment for eczema and dermatitis. These can help reduce itching and swelling. However, prolonged use of topical steroids can cause side effects like thin skin, spider veins, and acne. Steroids can affect growth in children, and can cause eye problems like glaucoma or cataracts in older people.
Steroids that are taken orally, like Prednisone, can help control systemic inflammation for a time, while patches of scaly skin heal. However, there are many serious side effects associated with taking steroids for a long time, and it is also possible to experience a “rebound effect.” This means that the dermatitis symptoms come back even stronger when a person stops taking the steroid medications.
Calineuron inhibitors and JAK inhibitors are designed to stop certain chemical processes in the body related to immune responses. They can help block immune system reactions to calm the dermatitis skin problems.
There are many new types of treatment for eczema being developed. Phototherapy, or light therapy, using ultraviolet (UV) light, may be tried when topical treatments are not working for eczema that is widespread over the whole body. However, this kind of therapy can cause prematurely aging skin, changing skin pigmentation, and potentially increase the risk of skin cancer.
Acupuncture and TCM herbal supplements offer a way to treat eczema without any damaging side effects.
Can Acupuncture Help Dermatitis and Eczema?
One of the core concepts of TCM is the 5 Elements Theory, according to which organs of the body correspond with seasons and weather conditions. According to this theory, eczema and other kinds of dermatitis arise due to imbalances within the internal organ systems affected by external conditions, such as Wind and Heat.
The lungs, especially, are connected to the skin in the TCM system. The lungs can be affected by excess heat or stagnation in the liver. Thus, an itchy red rash on the skin is actually an expression of a deeper, more complex internal condition. Therefore, it is necessary to treat dermatitis and eczema not only with topical creams, but to use acupuncture and herbs to balance all of the organ systems.
The acupuncturist gets clues about which internal organs are out of harmony by observing the eczema symptoms: the type of rash or scaly skin, the color and temperature. Each individual case of dermatitis is unique, triggered by different irritants, and arising from a person’s overall state of health.
One study showed that acupuncture treatment worked better than antihistamines for helping to reduce the itchiness of atopic dermatitis pruritus. Acupuncture also helps to reduce inflammation and overall stress.
Studies done in China to determine the efficacy of an herbal formulation developed for eczema showed that it worked well to reduce itching and recurrence of rash.
As systematic review of over 350 studies on acupuncture for eczema showed the patients who were given acupuncture treatment instead of conventional treatment experienced better overall symptom reduction and quality of life.
Top 5 Tips to Prevent Dermatitis Itchy Skin
There are things you can do to help prevent eczema flare-ups from occurring and avoid recurrent rashes.
- Do not bathe in very hot water.
- Keep showers short and warm, and use gentle cleansers, without strong chemical perfumes.
- Do not scrub your skin during or after the shower, while drying. Pat gently.
- Use moisturizer frequently to maintain a protective layer on your skin.
- Wear long pants and sleeves when hiking and adventuring. Wear gloves when gardening.
Acupuncture Near Me for Dermatitis in Los Angeles and Santa Monica
Acupuncture can help relieve itching, aid in the healing of lesions, help stimulate healthier immune responses, and reduce stress. TCM treatment can also be sought as a safe treatment for children with eczema, or during pregnancy, as it is free of negative side effects.
TCM can also help patients with other skin conditions, including signs of aging, acne, hives (urticaria), rosacea, vitiligo, and psoriasis.
*This article is for education from the perspective of Traditional Chinese Medicine only. The education provided by this article is not approved by FDA to diagnose, prevent, treat and cure human diseases. It should not stop you from consulting with your physician for your medical conditions. Traditional Chinese Medicine is based on Qi, which is an invisible force that usually cannot be observed by modern science. Because science focuses on testing ideas about the natural world with evidence obtained through observation, these aspects of acupuncture can’t be studied by science. Therefore acupuncture and Chinese herbs are often not supported by double-blind, randomized trials, and they are considered alternative medicine therapies in the United States.