The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Eczema can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like eczema here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here eczema is often associated with fever, carbuncles and coughing in the pattern “Toxic-Heat”. As you will see below, we have in record two patterns that can cause eczema.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of eczema we’ve identified three herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat eczema.
The two "patterns of disharmony" that can cause eczema
In Chinese Medicine eczema is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Honeysuckle Flowers (Jin Yin Hua) is the king ingredient for Yin Qiao San, a formula used for Toxic-Heat
Toxic-Heat
Pulse type(s): Rapid (Shu)
In addition to eczema, other symptoms associated with Toxic-Heat include fever, carbuncles and coughing.
Toxic-Heat is often treated with Yin Qiao San, a herbal formula made of 10 herbs (including Honeysuckle Flowers - Jin Yin Hua - as a key herb). Yin Qiao San belongs to the category of "external formulas for external disorders", which might be why it is often recommended for this pattern. Its main action as a formula is: "Disperses Wind Heat".
Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for Heat in the Blood
Heat in the Blood
Pulse type(s): Rapid (Shu)
Tongue color: Red
Heat in the Blood (or Blood-Heat) refers to a condition whereby Heat, as a so-called "Pernicious Influence", entered the Blood. This invasion tends to accelerate Blood flow (leading to a faster pulse) and to manifest itself in various types of bleeding as well as other symptoms.
In addition to eczema, other symptoms associated with Heat in the Blood include fever, abdominal pain and constipation.
From a Western Medicine standpoint Heat in the Blood is associated with health issues such as Early Menstruation, Abnormal Uterine Bleeding or Heavy Menstruation.
Heat in the Blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".
Three herbal formulas that might help with eczema
Huang Lian Jie Du Tang
Why might Huang Lian Jie Du Tang help with eczema?
Because it is a formula often recommended to treat the pattern 'Toxic-Heat' of which eczema is a symptom.
Other symptoms characteristic of Toxic-Heat include fever, carbuncles and coughing.
Long Dan Xie Gan Tang
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Why might Long Dan Xie Gan Tang help with eczema?
Because it is a formula often recommended to treat the pattern 'Heat in the Blood' of which eczema is a symptom.
Other symptoms characteristic of Heat In The Blood include fever, abdominal pain and constipation.
Qing Ying Tang
Source date: 1798 AD
Number of ingredients: 9 herbs
Key actions: Clears the Nutritive level Heat. Relieves Fire Toxin. Removes Heat. Nourishes Yin.
Why might Qing Ying Tang help with eczema?
Because it is a formula often recommended to treat the pattern 'Toxic-Heat' of which eczema is a symptom.
Other symptoms characteristic of Toxic-Heat include fever, carbuncles and coughing.
The five Chinese Medicinal herbs most likely to help treat eczema
Why might Goldthread Rhizome (Huang Lian) help with eczema?
Because it is both specifically indicated to treat eczema and also because it is an ingredient in herbal formulas known to treat eczema as a symptom (such as Huang Lian Jie Du Tang for instance).
Goldthread Rhizomes is a Cold herb that tastes Bitter. It targets the Gallbladder, the Spleen, the Stomach, the Heart, the Large intestine and the Liver.
Its main actions are: Expels Damp-Heat especially in the Lower Burner. Eliminates Fire toxicity especially when there is associated Dampness. Acts as a sedative by eliminating Heart Fire. Eliminates Stomach Fire. Expel parasites
Why might Phellodendron Bark (Huang Bo) help with eczema?
Because it is both specifically indicated to treat eczema and also because it is an ingredient in herbal formulas known to treat eczema as a symptom (such as Huang Lian Jie Du Tang for instance).
Phellodendron Bark is a Cold herb that tastes Bitter. It targets the Bladder, the Kidney and the Large intestine.
Its main actions are: Expels Damp-Heat in the Lower Burner. Clears Kidney Yin Deficient Heat. Applied externally or toxic Fire, especially associated with Dampness.
Why might Chinese Gentian (Long Dan Cao) help with eczema?
Because it is both specifically indicated to treat eczema and also because it is an ingredient in herbal formulas known to treat eczema as a symptom (such as Long Dan Xie Gan Tang for instance).
Chinese Gentian is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Large intestine, the Liver and the Lung.
Its main actions are: Expels Damp-Heat especially in the Liver and Gallbladder Meridians. Clears Liver-Fire. Clears Liver-Wind.
Why might Liquorice (Gan Cao) help with eczema?
Because Liquorice is an ingredient in several formulas indicated to treat eczema as a symptom, like Bai Hu Tang or Sang Ju Yin for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Unprepared Rehmannia (Di Huang) help with eczema?
Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat eczema as a symptom, like Xi Jiao Di Huang Tang or Qing Ying Tang for instance.
Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.
Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.
Other symptoms often associated with eczema
Fever Sores Carbuncles Jaundice Urinary tract infection Coughing Dysentery Abdominal pain Constipation Rheumatoid arthritis