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29
Qu Jing
Dermatology
About me
With a Master's degree in Medicine, engaged in clinical work of traditional Chinese medicine dermatology for over 10 years, and received further training at Xiangya Hospital for one year. I am a young member of the Chinese Acupuncture and Moxibustion Society's Cosmetology Branch, a member of the Hunan Medical Cosmetology Professional Committee, a member of the Hunan Provincial Society of Integrated Traditional Chinese and Western Medicine's Dermatology Branch, and a member of the Hunan Provincial Chronic Disease Management Professional Committee. I have published over 10 academic papers in national and provincial professional journals.
Proficient in diseases
Specializing in acne and eczema, urticaria, allergic dermatitis, corticosteroid-dependent eczema, pruritus, contact dermatitis, herpes zoster, chloasma, vitiligo, flat warts, alopecia, and other common skin diseases. Proficient in combining modern methods such as laser surgery with acupuncture, auricular therapy, external application of traditional Chinese medicine, and traditional Chinese medicine beauty treatments for the treatment of related skin conditions.
Voices
What trace element is lacking in neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease marked by periodic severe itching and lichen-like changes in the skin due to neurological dysfunction. The exact causes of neurodermatitis are still unclear. It is not merely related to deficiencies in certain trace elements. It is generally considered to be related to an imbalance in the excitatory and inhibitory functions of the cerebral cortex, possibly linked to mental stress such as impatience, excessive contemplation, depression, fatigue, and insomnia. Some patients' conditions may be associated with gastrointestinal dysfunction, endocrine disruption, an unbalanced diet including excessive alcohol consumption, intake of spicy foods, shellfish, etc., as well as local irritants like rigid collars, wool plants, chemicals, and scratching. All these internal and external factors play a role. The treatment of neurodermatitis mainly focuses on avoiding various irritants such as scratching and friction. Psychological therapies also assist by breaking the vicious cycle of scratching and itching. The primary treatment approach involves topical medications, supplemented by traditional Chinese medicine. Systemic medications might include antihistamines for itching relief, along with supplements like calcium, vitamin C, thiamine, and various B vitamins, all of which aid in recovery.
Will pseudosharp be itchy?
Pseudovestibular papillomatosis mostly does not cause itching, but it is possible for some individuals to experience itching symptoms, which depend on each person’s specific circumstances. Typically, pseudovestibular papillomatosis appears as clusters of smooth, white or pale red bumps the size of fish eggs. They are usually found on the inner sides of the female labia minora and the vestibule of the vagina, and do not produce noticeable symptoms. The acetic acid white test is also negative. Because pseudovestibular papillomatosis is related to the irritation from female genital secretions, severe vaginal inflammation can potentially cause itching due to local irritation. In such cases, it is important to improve immunity, exercise regularly, change sanitary pads frequently, bathe often, and actively manage vaginal inflammation to alleviate symptoms. Some individuals mistakenly treat pseudovestibular papillomatosis as actual genital warts after visiting unregulated facilities, which is unnecessary.
Are heat rash and prickly heat the same?
Heat rash, also known as miliaria, is actually what is referred to in medicine as herpes simplex. It is different from prickly heat. Herpes simplex is caused by a viral infection, specifically the herpes simplex virus. It is characterized by clusters of small blisters and often occurs at the junctions of skin and mucous membranes. It is self-limiting but tends to recur, especially when the immune system is weakened. On the other hand, prickly heat occurs in the hot summer months when high temperatures and humidity make sweat evacuation difficult, leading to narrow and blocked sweat ducts, which results in prickly heat. It is usually intensely itchy. Thus, it is advisable to avoid rapid changes in skin temperature, such as moving from sweating heavily to suddenly entering an air-conditioned environment. This can cause sweat glands to close while sweat is still being produced heavily, leading to prickly heat. Treatment for herpes simplex involves antiviral therapy, whereas treatment for prickly heat primarily involves cooling, inducing sweat, and astringent measures.
How is urticaria best treated?
Urticaria, commonly known as hives, occurs when there is a localized swelling due to temporary increased vascular permeability of the skin and mucous membranes. It can be divided into acute urticaria and chronic urticaria. Acute urticaria often has a sudden onset. Chronic urticaria is characterized by recurrent skin lesions for more than six weeks, with episodes occurring at least twice a week, termed as chronic urticaria. The preferred treatment for acute urticaria is the use of second-generation H1 receptor antagonists with a strong sedative effect. The combination of vitamin C and calcium supplements can reduce vascular permeability and have a synergistic effect with antihistamines. For chronic urticaria, the treatment of choice is also second-generation H1 receptor antagonists. When one medication is ineffective, two to three drugs may be combined or alternated. It is also recommended to combine Chinese medicine to adjust the overall physical condition while gradually reducing the dosage of Western medicine to control the condition.
Is peeling skin on the feet without itchiness athlete's foot?
Peeling skin on the feet without itching is associated with hyperkeratotic athlete's foot, commonly found on the palms, toes, and heels where the skin is dry. The thickening of the stratum corneum is evident, with a rough surface, scaling, and deepened skin grooves. In winter, cracks and even bleeding might occur, and it can be painful. This type of athlete's foot generally does not have obvious itching symptoms. In addition to the hyperkeratotic type, common types of athlete's foot include the vesicular and the macerated type, both of which are notably itchy. The vesicular type typically occurs on fingertips, palms, soles, and sides of the feet. Initially, the lesions are small, deep blisters with clear fluid and thick walls that are not easily ruptured. Blisters can be scattered or clustered, and may merge into larger blisters. Removing the blister wall can expose a honeycomb-like base and a bright red eroded surface. The disease progress spreads to surrounding areas, stabilizing primarily with scaling and significant itching. The macerated type occurs frequently between toes, especially in people with sweaty hands and feet, those who are exposed to water often, or who regularly wear rubber shoes. It occurs more often in summer and is associated with noticeable itching. If a bacterial infection occurs secondary to this condition, a foul odor can also be present.
Is peeling skin on the feet without itching athlete's foot?
Peeling of the skin on the feet without itching is considered to be a type of athlete's foot characterized by excessive keratinization, commonly occurring on the soles, toes, and heels. The affected skin appears dry, with clear hyperkeratosis, thickening, rough surface, scaling, and deepened skin lines. In winter, cracks can occur, possibly leading to bleeding and pain. This type of athlete's foot generally does not exhibit marked itching symptoms. Besides the hyperkeratinotic type, common forms of athlete's foot include the blistering scaly type and the macerated erosive type, both of which typically have more pronounced itching symptoms. The blistering scaly type often appears on the fingertips, sides of the feet, and toes. Initially, this condition presents as pinhead-sized blisters deep in the skin, with clear fluid and a thick, shiny wall, which are not easily ruptured. These blisters may be scattered or cluster and can merge into larger blisters. Tearing off the blister wall reveals a honeycomb base and a fresh red erosive surface. After several days, the blisters dry up, leading to a ring-like scaling, with lesions continuously spreading outwards. During stable phases of this condition, scaling predominates, and itching becomes more apparent. The macerated erosive type, also known as the interdigital type, is frequently observed between the toes, especially between the third and fourth or fourth and fifth toes, and is commonly associated with hyperhidrosis (excessive sweating) and prolonged wearing of rubber footwear. It is more prevalent in the summer and significantly itchy. If a secondary bacterial infection occurs, there may also be an unpleasant odor.
Can people with flat warts eat eggs?
Flat warts can be eaten with eggs. Eggs are to be avoided by some patients with allergic diseases who are sensitive to eggs; some people are allergic to egg whites, while others may react to egg yolks. However, the pathogenesis of flat warts is not related to allergies. It is a viral disease caused by infection with HPV type 3 virus, commonly found on the face and forearms. The typical skin lesions are rice grain or soybean-sized, flat, elevated papules that are round or oval-shaped. The surface is smooth and hard, with a normal skin color or light brown, often appearing suddenly in large, dense numbers. After scratching, the lesions can appear bead-like, arranged along the direction of scratching, forming an autoinoculation reaction. Thus, the worsening of flat warts is due to scratching and self-spreading; the more one scratches, the more warts appear. The condition of flat warts is related to the individual's immunity. When immunity is low, it’s easier to be infected. When immunity is high, resistance is stronger, and some patients may see the warts resolve on their own, although a few may relapse. Therefore, eating eggs is unrelated to flat warts.
What causes hyperhidrosis?
Hyperhidrosis refers to abnormal excessive sweating either locally or over the entire skin surface that occurs under normal living conditions or circumstances. In Western medicine, hyperhidrosis is primarily attributed to psychological factors, hemiplegia, concussion, and other causes of autonomic nervous damage or dysfunction, as well as some endocrine disorders, such as hyperthyroidism and diabetes. Sometimes, it can also be a symptom accompanying other diseases. The occurrence of hyperhidrosis is linked to an increase in sympathetic nerve impulses that enhance the excitement of sweat glands, leading to excessive sweating. It can also be due to increased nervous tension in the sweat glands, which intensifies the sweating response. Furthermore, excessive sweating can occur with the extensive use of corticosteroids, and it can be categorized into localized sweating and generalized sweating. According to traditional Chinese medicine, there are two types of excessive sweating: spontaneous sweating and night sweating. Spontaneous sweating entails sweating during the day without much physical activity, which worsens with exercise and is associated with qi deficiency. Night sweating occurs during the night and is accompanied by symptoms such as warmth in the palms and soles and irritability, indicating yin deficiency.
Is supplementing with zinc useful for seborrheic hair loss?
Patients with seborrheic alopecia can appropriately supplement with zinc-rich preparations and foods, which have certain auxiliary effects on the hair. Seborrheic alopecia, also known as androgenic alopecia, is a type of hair loss characterized by genetic factors and dependent on androgen action. It can occur in both men and women, though it is more common in men. Treatment mainly targets the hair follicles, and there is no particularly effective cure. Treatments can include topical application of 2% or 5% minoxidil solution, oral administration of finasteride, and for women, oral spironolactone can be used. If necessary, treatment can be supplemented with traditional Chinese medicine and scalp acupuncture, including plum blossom needle therapy. For cases of seborrheic alopecia where the hair follicles have significantly atrophied, scalp transplantation and hair transplantation may also be options. Patients with seborrheic alopecia should also pay attention to their diet by consuming light, nutritious foods and avoiding spicy and irritating substances. It is beneficial to consume foods containing high-quality complex proteins and various vitamins, including vitamins, trace elements, zinc, copper, calcium, etc., all of which assist in hair growth.
Are filamentous warts the same as flat warts?
Filiform warts and flat warts are different; their commonality is that both belong to viral warts, which are benign growths caused by the human papillomavirus (HPV) infecting the skin and mucous membranes. Clinically, they are caused by different subtypes of HPV, and their appearances are distinct. Filiform warts are caused by HPV type 2, characterized by elongated, protruding growths with a keratinized tip, hence the name filiform warts. On the other hand, flat warts are often caused by HPV type 3, commonly found on the face, backs of hands, and forearms. These lesions are flat, slightly raised papules, circular or oval-shaped, with a smooth, hard surface and are naturally skin-colored or light brown. They usually appear suddenly, in large numbers, and are densely packed.