Clinical Observation On The Treatment Of Acute Eczema(damp-heat Syndrome) With Yilinghuashi Tang Internal And External Application

Objective:To observe and evaluate the clinical efficacy and safety of tutor's experience prescription Yilinghuashi tang orally and externally for acute eczema(damp-heat syndrome),and initially explore the mechanism of Yilinghuashi tang in the treatment of acute eczema(damp-heat syndrome).Methods:Adopting random,controlled method,sixty-six patients are divided into treatment group(33 cases)and control group(33 cases).Both groups are given Yilinghuashi tang,the treatment group treated with Yilinghuashi tang cold and wet compress;the control group is treated with compound phellodendron liquid wet compress.1 week of treatment as a course of treatment,a total of 2 courses of treatment.After 2 courses of treatment,patients who are judged as clinically cured will be followed up for 1 month.Observe and record the changes of clinical indexes and the score of clinical indicators in the two groups before treatment,after the end of the first course of treatment,after the end of the second course of treatment,register and deal with adverse reactions,outcomes,and recurrences during the trial.Using statistical software SPSS21.0 to perform statistical analysis on each group of date,to judge the curative effect,discuss and summarize the results.Results:(1)The treatment group eventually completed 30 observers,3 cases cure(10%),11 cases show curative effect(36.67%),12 cases with effect(40.00%),4cases without effect(13.33%),the total effective rate is 86.67%;the control group eventually completed 30 observers,2 cases cure(6.67%),5 cases show curative effect(16.66%),15 cases with effect(50.00%),8 cases without effect(26.67%),the total effective rate is 73.33%.(2)At the end of the first course of treatment,intra-group comparison,there is no statistically significant difference between the two groups in reducing pruritus score(P>0.05),and there are statistically significant differences in reducing EASI scores,TCM sub-symptom score,and total scores(P < 0.05);comparison between the two groups,there are no statistically significant differences between the two groups in reducing pruritus score,EASI scores,TCM sub-symptom score,and total scores(P > 0.05).(3)At the end of the second course,intra-group comparison,the two treatment methods have statistically significant differences in reducing pruritus score,EASI score,TCM sub-symptom score,and total score(P<0.05);comparison between the two groups,both groups have statistically significant differences in reducing pruritus score and total scores.However,there is no significant difference in reducing EASI score and TCM sub-symptom score(P>0.05).(4)There is no significant difference in the total efficacy and recurrence rate between the two groups(P>0.05).(5)No serious adverse reactions are observed during the test.Conclusion:(1)Both methods have clinical effect in treating acute eczema(damp-heat syndrome),but the treatment group is significantly better than the control group in improving the symptoms of pruritus and reducing the total score.(2)Yilinghuashi tang is safe and effective in the treatment of acute eczema.It broadens the clinical application way of Yilinghuashi tang and is worthy of clinical promotion.