How Do I Control the Symptoms of Seborrhea?

Pathogenesis treatment

Seborrhea

Seborrhea refers to hypersecretion of the sebaceous glands, which is mainly manifested by fatty scalp, greasy and shiny, and more desquamation. Other sebaceous glands can also develop.

Seborrhea Treatment

Pathogenesis treatment

Except for seborrhea, which is a local manifestation of systemic disease, there is generally no cure. 1, systemic treatment: supplement B vitamins, such as oral B2, B6 and so on. If necessary, you can take estrogen, such as estradiol or androgen antagonist drugs, such as spironolactone. Because spironol can selectively destroy the microsomal cytochrome P450 of the testes and adrenal glands, which leads to a decline in androgenase activity, it can also block the cytosol of dihydrotestosterone competitively at the target organ level Therefore, it has anti-androgenic properties. Sex hormone treatment is easy to cause endocrine disorders, so it should be used with caution and should not be used as conventional therapy. 2. Local treatment: For oily sebum overflow, it is necessary to focus on removing sebum, to avoid accumulation of powder in the hair follicles. For seborrhea on the head, wash your hair less and wash your hair with soap, otherwise it will promote sebaceous glands to be more active. When you wash your hair less, the accumulation of sebum produces back pressure, and the sebaceous glands have less activity, gradually decrease, and may even return to normal.

Seborrhea prevention

Limiting too much fatty and carbohydrate diets, eating more fresh vegetables and foods rich in vitamin B can help reduce the disease. In addition, care should be taken to avoid harassing the affected area.

Clinical manifestations of seborrhea

Can be divided into two kinds of oily and dry clinically: 1, oily seborrhea: the sebum secretion in the affected area is very much, so that the hair is shiny, and then overflow again after wiping. Due to dust adhesion and sebum mixing, the sebaceous glands are often dilated or stuffed with fat plugs. If you squeeze with your fingers, it is easy to squeeze out white linear soft fat, which usually begins to occur during adolescence, and is the heaviest in 20 to 40 years old. Although severe and long-lasting seborrhea can occur alone, seborrheic dermatitis, seborrheic hair loss, and acne are often complicated, and symptoms gradually decrease after aging. 2, dry seborrhea, also known as simple pityriasis on the head, diffuse grayish-white slightly greasy scale-like scales appear on the head, no obvious inflammation, itching, thinning hair loss in the affected area. Some patients can be over 50 years old, and there are more men than women. They appear as pale yellow irregular round papules related to sebum overflow. They are usually symmetrically distributed on the forehead and temporal area and can be seen on the nose and cheeks. This phenomenon is called senile sebum Hyperplasia. diagnosis

Seborrhea is common in newborn babies and young people. It occurs in many sebaceous glands, such as the scalp, face, upper chest, and back. Sebum secretion increases, sebaceous glands expand, greasy scales appear on the scalp, and itching is obvious. The diagnosis can be made by combining the patient with heredity and other susceptible factors, and concurrent acne and seborrheic dermatitis. Differential diagnosis

complication

Causes of seborrhea

The disease is related to age and gender. Most cases have a genetic predisposition, which may be multifactorial. Increased androgen levels can lead to increased sebum secretion. In addition, seborrhea often occurs in neurological diseases, such as Pakinson syndrome. Especially in the advanced stage of the disease, sebum secretion levels can be 2 times higher than normal. In arteriosclerosis, patients with epilepsy also show increased sebum secretion.

Why are some people exuding sebum?

(1) Genetic factors: The congenital sebaceous glands are developed and the secretion function is strong. Has a family history, especially men.

(2) Endocrine disorders are mainly increased secretion of androgens, resulting in increased secretion of sebaceous glands.

(3) Vitamin deficiency Some patients use vitamin B drugs to treat them effectively. Therefore, vitamin B deficiency is considered to be one of the reasons for excessively strong sebum secretion.

(4) Certain diseases Neurological diseases, such as Parkinson's syndrome, especially during disease progression, sebum secretion levels can be 2 times higher than normal. In arteriosclerosis, patients with epilepsy also have increased sebum secretion.

(5) Other hypersecretion of sebum is related to digestive disorders and neuropsychological disorders. Eat more spicy and greasy foods, constipation, emotional stress, overwork and lack of sleep can increase skin oil. Therefore, in addition to genetic factors, certain internal diseases, vitamin B family deficiency, strong sebum secretion during puberty is a normal physiological change. If the sebum is secreted too much, and the head and face are "smooth", then it is ill. In addition to eating less sweet, spicy, and greasy foods, strong tea, coffee, and alcohol should also be appropriately reduced; pay attention to rest, sleep on time, and reduce mood swings; eat more fresh and juicy vegetables and fruits can also help reduce oil secretion. Such as bitter gourd, cucumber, pumpkin, green pepper, etc., can also be eaten often.

Seborrhea characteristics

What are the characteristics of seborrhea?

(1) Seborrhea in infants This disease usually occurs within a few days or weeks after the birth of the baby. Yellow or thick or gray-brown seborrheic crusts or greasy scales can be seen on the top of the child's head or the entire scalp. It can spread to the nose , Nasolabial folds and behind the ears.

(2) Sebum secretion in oily seborrhea is particularly numerous and thin, especially on the face, nasolabial folds, and scalp. The patient's skin is like being coated with oil, hair is shiny, and the skin is shiny. It feels greasy when touched. Overflow again. The sebaceous gland mouth of the affected area is enlarged, often with fat plugs stuffing the sebaceous gland mouth, and white linear sebum plugs can be produced after squeezing with fingers. Most often from adolescent onset, the most severe 20 to 40 years old. Symptoms can be reduced to old age.

(3) Dry seborrhea is more common in hair, also known as simple pityriasis on the scalp. The scalp cloth has bran-like scales, which are white or off-white, and can be covered with the whole head, or can be limited to one or more places. A large amount of desquamation can be seen when combing the hair. After washing the hair, it can temporarily improve, but the scales come back after 1-2 days. . Hair is dry, but the scales are slightly oily. Consciously itching the scalp, but there is no significant inflammation of the scalp. Over time, hair often falls off.

Does seborrheic oily skin need treatment?

Some people think that too much oil can form a "protective film", and there is no need to worry about dry skin when the seasons change. Does oily skin really have such a big advantage? In fact, proper oiling can protect the skin. Too much can be counterproductive, which can cause hair loss and acne. Traditional Chinese medicine has also recorded this disease. : "White dandruff wind produces head and face, dryness and itching can be seen over time. Muscle hot wind invades into dryness." White dandruff wind is dry seborrhea. The ancients had recognized dry seborrhea and blood dryness at that time. Yes, so how to treat oily skin?

(1) Internal law

The blood is dry and windy, and the hair is shaky, grayish in color, like snow falling, the scalp is dry, easy to fall off, the tongue is red, the tongue is thin and white, and the pulse is floating. Expelling nourishing blood and moistening, removing wind and itch. Fang Xuan Qufeng for muscle pills. Medicinal: 20g of raw land, 15g of flax, 3g of raw licorice, 9g of safflower, 9g of red radish, 9g of angelica. Decoction, 1 dose daily.

Spleen-stomach dampness and heat syndrome The head and face are greasy, greasy and sticky, fatty astragalus, red tongue, yellow greasy tongue coating, and pulse-like strings. Expelling heat and dampness, the party selected Huang Lianping stomach scattered. Medicinal: 10g of Scutellaria baicalensis, 10g of Coptis chinensis, 15g of Rhizoma Atractylodes, 15g of Magnolia officinalis, 15g of Chenpi, 10g of Liuyisan (baojian), 10g of Danpi, 20g of silver flower, 15g of Forsythia, 15g of red peony Decoction, 1 dose daily.

Liver heat, fire and fat card head and face oily, shiny, dizzy, irritable, bitter throat, red tongue, yellow greasy tongue coating, pulse like strings. Expelling liver and choleretic method. The party selected Longdan Xiegan Decoction. Medicinal: 30g of raw land, 10g of gentian, 10g of scutellaria, 6g of wooden tongs, 10g of psyllium seed (package fried), 10g of diarrhea, 10g of scutellaria baicalensis. Decoction, 1 dose daily.

Fetal poisoning and fever are mostly pediatric, with scalp oil accumulation, which is not easy to wash off. The tongue is red, the tongue is yellow and greasy, and the pulse is like a string. Expelling heat and detoxification method. Medicinal: 6g of Atractylodes root, 6g of Chenpi, 6g of Poria, 6g of diarrhea, 10g of Liuyi powder (fried fried), 15g of fried malt, 6g of windproof, 20g of silver flower, 15g of forsythia, 15g of fresh reed grass root. Decoction, 1 dose daily.

(2) External shampoo powder: 10g of borax powder and 30g of baking soda. Once every 3 to 5 days.

(3) 200g single herb, 50g honey, boil water and add ointment. Each serving is 9g, 3 times a day, boiled with water.

Western medicine can use vitamin B drugs, especially vitamin B2, B6 has a certain effect on sebum overflow. A large amount of vitamin C is also beneficial to the regulation of sebaceous glands and reduce sebum secretion.

(4) Diet therapy

50g of celery, washed and cut into sections, 60g of carrots, washed and shredded, simmered in boiled water, and seasoned with cold seasoning.

Bitter melon 100g, washed, cut into sections, simmered, 15g of pepper, shredded, seasoning and seasoning.

Seborrhea why oily skin is prone to inflammation

(1) The pH value of bacterial infection on the surface of healthy skin is about 5.2 to 5.5, which is not conducive to bacterial growth. Due to increased sebum secretion and changes in chemical composition, the effect of inhibiting bacteria is reduced, and normal flora such as Staphylococcus, Malassezia, and Streptococcus on the surface of the skin multiply, causing invasion of the skin and causing disease.

(2) Free fatty acid stimulation Due to excessive secretion of sebum, free fatty acids are decomposed by non-pathogenic bacteria on the skin, causing inflammation, but the composition of sebum has not been confirmed to be abnormal, such as the normal flora existing on the skin surface, such as round Pleurotus spores not only multiply into opportunistic pathogens to invade the skin, but also activate complement replacement pathways to release fatty acids and cause skin inflammation. In addition, Corynebacterium acnes can also break down free fatty acids from the skin and aggravate dermatitis.

(3) Other factors include indigestion, endocrine dysfunction, metabolic disorders, genetic factors, mental factors, vitamin B deficiency, drinking, eating spicy and greasy foods, and physical and chemical stimuli, especially often scratching or washing with alkaline Hair agents are related to the occurrence of this disease.