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Skin
How to Treat Vitiligo With Acupuncture and TCM
by Qineng Tan, L.Ac., Ph.D. and Xiaomei Cai, L.Ac., Ph.D.
White patches on skin, white spots on face? Graying hair? White patches of skin can be a sign of Vitiligo. Vitiligo is a chronic autoimmune disease that affects the melanin, or pigment, in the skin. Acupuncture and TCM offer a holistic, complementary vitiligo treatment that can help with repigmentation.
Vitiligo occurs when the pigmentation of your skin changes, with white patches on face or other parts of the body. This usually happens because of an autoimmune disorder that affects the cells that create pigment in the skin, hair, and eyes.
Vitiligo can show up in different ways. Possible signs of vitiligo include:
- Lighter patches of skin on face, arms, hands, and/or feet, white patches on skin
- Patches can be pink, tan, or white
- Loss of pigmentation on lips and/or inside mouth
- Loss of pigmentation on or inside the nose
- White patches of skin are itchy sometimes, usually when they are spreading
- Premature graying hair, hair turning gray
- A streak of white hair on scalp develops
- Eyelashes turn white, or eyebrows turn white
- Eye color changes, may affect eyesight
- Inner ear problems, can lead to hearing loss
- Anxiety and depression due to changes in appearance
While vitiligo is not considered harmful, these changes in outward appearance can have a serious impact on the way a person feels about themselves. Vitiligo disease treatment with acupuncture and TCM can help not only with repigmentation, but can help address the underlying causes of autoimmune disease, and mental health concerns, all at the same time.
What Causes Vitiligo?
White patches on skin happen when cells called melanocytes, which produce pigment, either stop functioning correctly or die.
Medical research has not yet determined exactly why some people get vitiligo, but it is generally considered to occur because of an autoimmune condition. When a person has an autoimmune disorder, their immune system mistakenly attacks certain cells in the body. In the case of vitiligo, the immune system attacks the melanocytes.
Some people notice that their vitiligo starts developing after getting a particularly bad sunburn. A regular burn, or exposure to caustic chemicals can trigger the development of vitiligo, as can a bad cut or scrape.
Stress can trigger vitiligo, or make it worse. Both physical stress and emotional stress may often precede either the initial onset of vitiligo, or accelerate the spread of patches of vitiligo on the skin.
Risk factors for Vitiligo
People of all ages and ethnicities can have vitiligo. In about half of cases, vitiligo begins to appear in childhood or before the age of 20.
If other people in your family have vitiligo, or other autoimmune diseases, then there is a greater chance that you will have it.
People who have other autoimmune disorders may have a higher risk of experiencing vitiligo. These autoimmune conditions include:
- Lupus
- Hyperthyroidism
- Hashimoto’s disease
- Graves disease
- Psoriasis
- Rheumatoid arthritis
- Type 1 Diabetes
- Anemia
- Addison’s disease
Having a specific type of moles on your skin called halo nevi can increase your risk for vitiligo. Those are moles that have a white ring, or “halo,” around them.
Having melanoma or non-Hodgkin lymphoma can also increase your risk for vitiligo, as can going through immunotherapy for melanoma.
Even though vitiligo is not considered dangerous, it is important to seek out a proper diagnosis and treatment, because having one autoimmune condition can sometimes lead to developing other autoimmune diseases.
Types of Vitiligo
Vitiligo will develop differently for each individual. Different kinds of vitiligo are categorized according to where they appear. Types of vitiligo include:
- Generalized vitiligo: most common type, causes macules to appear in various places on the body
- Segmental vitiligo: only affects one side of your body or one area, such as the face or hands.
- Mucosal vitiligo: affects the mucous membranes of mouth and/or genitals
- Focal vitiligo: rare type where the macules develop in a small area
- Trichrome vitiligo: shows up as a bullseye shape with a white center, a lighter area, and an area of natural skin tone.
- Universal vitiligo: rare condition that causes more than 80% of skin to not have pigment
Vitiligo Treatment
A doctor will diagnose vitiligo by taking a family history, testing for other autoimmune diseases, checking the skin with a black light, which will make the patches easier to detect, and probably taking a small skin biopsy to check for melanocytes, or lack thereof.
The main aim of conventional vitiligo disease treatment is to slow the spread of the condition, and hopefully to help the skin regain its pigment by helping to encourage the growth of melanocytes.
Immunosuppressant medications can help to slow or halt the spread of vitiligo. Calcineurin inhibitors are a specific type of immunosuppressants that may be prescribed for vitiligo, as well as for other autoimmune disease rash, such as lupus rash.
However, this type of vitiligo treatment requires continued use; when people stop taking the medications, the condition will usually come back and continue to spread.
There are various types of vitiligo therapy that may help skin regain its normal pigmentation. These include:
- Light therapy
- Topical steroid creams
Some dermatology specialists perform surgical procedures to help with repigmentation, but these are not recommended if the condition is still spreading, or if a person tends to develop scarring.
About 50% of vitiligo cases begin in childhood or adolescence. Vitiligo can be particularly difficult and even traumatic for young people. While the treatment methods are similar for children with vitiligo (corticosteroids, phototherapy, and/or immunosuppressants), it is especially important that young patients also receive emotional and mental health support during treatment.
While medical vitiligo therapies help in some cases, other people may not see much improvement. None of these treatments address the root cause of vitiligo. Acupuncture and TCM help by working on several levels, to help restore normal functioning of the immune system, help with repigmentation of the white patches of skin, and to help address issues like anxiety and depression, as well.
Can Acupuncture Help Vitiligo?
Traditional Chinese Medicine (TCM) has been used to treat vitiligo for centuries. TCM treatment for vitiligo was first mentioned in the medical text, The Yellow Emperor’s Classic of Internal Medicine, over 2500 years ago.
In TCM, vitiligo is referred to as “Bai Dian Feng,” which means something akin to “white patches wind.” In TCM, many skin and immune conditions are considered to be related to wind as a pathogenic force that moves through the body.
The development of this autoimmune condition that affects the skin’s appearance can occur due to a particular imbalance, or a combination of factors. Some of the TCM diagnostic patterns that pertain to vitiligo include:
- Liver wind with Kidney deficiency
- Spleen and Stomach deficiency
- Qi and Blood deficiency and/or stasis
- Too much internal heat
Depending on accompanying symptoms, your acupuncturist will observe which organ systems need nourishing and/or clearing, and will tailor a treatment plan for each individual case. A combination of acupuncture treatment and herbal supplements will be recommended to help address your condition.
Acupuncture needles, applied to specific points, can help to improve circulation and blood flow to areas of the skin and activate cells to help restore natural skin color. Other points will be chosen to help move Qi and strengthen the liver and kidneys, as well as reducing overall inflammation and boosting immune function.
Topical herb creams made from traditional Chinese herbal remedies can be effective for helping to stimulate melanin production. Chinese herb formulas designed to be taken internally as a tea will work to nourish the liver and kidneys, dispel wind and clear heat.
Acupuncture Near Me for Vitiligo
Acupuncture and herbs can be used either as an alternative or adjunct treatment for vitiligo. TCM treatment will also work for vitiligo in children, and can be particularly helpful as a gentle modality that does not cause unwanted side effects.
Drs. Tan and Cai at Art of Wellness Acupuncture in West L.A. have over 35 years of experience working with patients with autoimmune skin conditions of all kinds. Art of Wellness was recently named one of the best acupuncture providers in Los Angeles. If you or someone you know is suffering with vitiligo, please do not hesitate to contact us.
*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 Scleroderma With Acupuncture and TCM
By Xiaomei Cai, L.Ac., Ph.D. and Qineng Tan, L.Ac., Ph.D.
Hard, thickening, tight skin? Itchy, dry skin that is shiny? Changing skin color? These could be symptoms of scleroderma, an autoimmune disorder that causes your body to produce too much collagen. Acupuncture and TCM treatment can help relieve inflammation and pain while helping to resolve the underlying cause of scleroderma.
Scleroderma can be considered a type of dermatosis (skin lesion), and also a type of connective tissue disease (negatively impacting tissues that connect structures in the body), as it usually affects skin and cartilage, often starting in the extremities, and then extending up the limbs towards the trunk.
Collagen is a form of fibrous protein that the body produces to maintain the structure of skin cells, muscles, bones, and connective tissue. The immune system triggers collagen production when we are injured, but in the case of scleroderma, the body is overproducing and accumulating too much collagen.
Localized scleroderma affects primarily the skin tissue, but can also spread to subcutaneous tissues, like fascia and muscles.
In some cases, scleroderma can also impact internal organs, like the esophagus, lungs, heart, and kidneys. This is known as systemic scleroderma.
Top 3 Types of Scleroderma
Localized scleroderma can be differentiated into 3 types:
- Localized scleroderma – a few patches of discolored skin (circumscribed morphea); these skin lesions can vary in size, may be oval shaped, and are usually yellow in the center with a red border.
- Generalized scleroderma – also called generalized morphea, with this type there are more patches of thick, hard skin on various parts of the body, which may overlap.
- Linear scleroderma – more common in children, may show up as one band of affected skin on a limb or on the trunk, with a few patches of morphea. Linear scleroderma on arms and legs may affect the growth and development of that limb, as scleroderma may impact the muscle and bone tissues as well as the skin.
Systemic scleroderma is rare, but happens more commonly in women between the ages of 30 and 50. This type of scleroderma can manifest in different ways.
Systemic scleroderma can sometimes first show up as Raynaud’s phenomenon, or Raynaud’s syndrome, in which the blood vessels in the hands and feet close up when the weather is cold and cause color changes to the skin, as well as sensations of numbness, prickling, tingling, or pain. Stress can also trigger Raynaud’s.
Systemic scleroderma can cause scarring on the skin and internal organs, which can lead to gastrointestinal problems like acid reflux, cardiovascular and pulmonary problems, or renal disease.
Acupuncture treatment can be used as an adjunct treatment to help relieve symptoms of pain related to skin hardening, as well as helping to alleviate heartburn and GERD type symptoms in patients with esophageal symptoms of scleroderma. TCM can also help address the root causes of scleroderma and other autoimmune disorders.
What Causes Scleroderma?
As with most autoimmune disorders, medical science has not yet discovered exactly why some people develop this condition. While it is not passed from parent to child the way genetic diseases are, you are more likely to have scleroderma if someone else in your immediate family has it, too.
It is believed that factors like environmental toxins and/or viral infections can trigger scleroderma symptoms to flare up. The overproduction of collagen is due to abnormal functioning of the immune system.
Because women develop scleroderma more often than men do, it may be that there is a hormonal factor that affects the disease, as well.
Diagnosis and Medical Treatment for Scleroderma
There is no cure for scleroderma, so conventional medical treatments aim to alleviate symptoms and slow down the progression of the disease. The treatment plan may vary depending on the specific manifestations and severity of the disease.
To diagnose scleroderma, doctors rely on a combination of clinical assessments, medical history review, physical examinations, and lab tests. A doctor will first observe skin changes, such as thickening and hardening, then look for internal organ involvement and other symptoms.
Blood tests can help identify specific antibodies associated with scleroderma, such as antinuclear antibodies (ANA), anti-centromere antibodies (ACA), and anti-Scl-70 (anti-topoisomerase I) antibodies. Additionally, blood tests can assess organ function, including kidney and liver function, as well as inflammatory markers.
X-rays, ultrasound, or CT scans may be used to evaluate internal organ involvement, such as lung fibrosis, gastrointestinal complications, and cardiac abnormalities.
A skin biopsy sample may be taken to confirm the presence of fibrosis and assess the degree of inflammation.
Medications that may be recommended for treating scleroderma symptoms include:
- Immunosuppressants: Medications such as methotrexate, mycophenolate mofetil, and azathioprine may be prescribed to suppress the immune response and reduce inflammation.
- Corticosteroids: Oral or topical corticosteroids can help manage inflammation and alleviate symptoms in certain cases. However, long-term use may have potential side effects and is usually minimized.
- Vasodilators: Medications like calcium channel blockers and prostacyclin analogs may be prescribed to improve blood flow and manage Raynaud’s phenomenon.
- Proton pump inhibitors (PPIs): These medications can help manage gastroesophageal reflux disease (GERD) symptoms, which are common in scleroderma patients.
Patients are often advised to make lifestyle changes to manage their condition effectively. These may include:using skin moisturizers and avoiding excessive sun exposure, and using sunscreen with a high SPF, avoiding cold temperatures and stress to prevent triggering Raynaud’s, quitting smoking, and eating an anti-inflammatory diet.
Can Acupuncture Help Scleroderma?
TCM treatment for scleroderma focuses more on addressing the underlying causes of the condition, rather than simply trying to relieve symptoms. An acupuncturist will look closely at the whole person, listen carefully to hear all the symptoms they are experiencing, even those which may seem unrelated, feel their pulse and make other observations, and then ascertain which diagnostic pattern may apply.
According to TCM theory, scleroderma symptoms may occur due to:
- Blood stagnation
- Yang deficiency
- Kidney Qi deficiency or yang deficiency
- Liver and Gallbladder damp heat
- Liver blood deficiency
- Liver win
- Spleen yang deficiency
- Stagnation of cold, wind, and/or damp
Depending on the diagnosis, the TCM practitioner will then plan a treatment protocol to address the root cause, using acupuncture and herbs. For example, herbs can help move stagnant blood, relieving the skin conditions related to scleroderma. Herbs can even help to inhibit collagen production, to help reduce skin hardening.
Acupuncture has been shown to help reduce the number of Raynaud’s attacks.
Moxibustion treatment may also be used to help relieve symptoms related to Raynaud’s phenomenon.
The use of acupuncture for stress relief is also integral to treatment for scleroderma, as stress can trigger a worsening of symptoms.
Acupuncture can help reduce esophageal reflux in cases where esophageal strictures have developed due to scleroderma in the digestive tract and help improve kidney function when kidneys have been impacted by fibrosis.
TCM herbal formulations for scleroderma will be individualized for each patient’s needs. Herbs may be used to help warm and nourish the organs, while clearing dampness and activating stagnant blood and Qi.
Acupuncture Near Me for Scleroderma in Los Angeles
Acupuncture and TCM herbal medicine can be excellent modalities for helping with difficult to treat skin conditions, connective tissue disorders, and autoimmune disorders, including:
- Dermatitis
- Eczema
- Psoriasis
- Vitiligo
- Rheumatoid Arthritis
- Lupus
- Herpes simplex
- Hives, urticaria
- Ehlers-Danlos syndrome (EDS)
If you are experiencing painful skin problems or digestive problems, consider seeking out alternative care in addition to conventional treatments.
*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.