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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 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.
Treatment methods for chronic urticaria
Urticaria with a duration of more than six weeks without healing, occurring more than twice a week, is called chronic urticaria. Chronic urticaria, due to repeated occurrences and severity, affects the quality of life and therefore requires active treatment. Urticaria, commonly known as hives, and in traditional Chinese medicine called "addiction rash," is caused by the dilation and increased permeability of small blood vessels in the skin and mucous membranes, resulting in a localized edematous response characterized by erythematous wheals and itching. The onset of urticaria is rapid, and it fades quickly without leaving a trace, coming and going like a shadow. Urticaria is caused by factors that lead to vascular dilation, increased vascular permeability, smooth muscle contraction, increased gland secretion, and localized or systemic allergic symptoms in the skin, mucous membranes, respiratory tract, and digestive tract. Therefore, the treatment principles for chronic urticaria are: first, to actively seek out and eliminate the cause. Some cases of urticaria are caused by certain foods, such as beef, lamb, seafood, tropical fruits, etc. Others are drug-induced. Some may relate to airborne dust mites, pollen, etc. External factors like temperature and sunlight may also trigger outbreaks. By analyzing the timing and locations of urticaria occurrences or worsenings, one can investigate potential causes. Second, if the cause is unknown and no triggering factors have been identified, symptomatic treatment should be started, primarily using oral antihistamines and topical calamine lotion to relieve itching. Third, in cases of acute onset with symptoms like difficulty breathing, chest tightness, and shortness of breath, it is advisable to immediately seek medical attention at a hospital. Fourth, recurrent urticaria, aside from external triggers, is related to the body's own immune strength. At this point, it is recommended to seek treatment at an established traditional Chinese medicine hospital for herbal regulation, and to gradually reduce antihistamine medication, which can be an effective approach.
Will common warts grow back after being removed?
Common warts, even when picked off, are very likely to regrow, as they are benign growths caused by an infection of the skin and mucous membrane with the Human Papillomavirus, or HPV. Due to their viral nature, they tend to recur easily. Common warts, also known as verruca vulgaris or plantar warts, are typically caused by HPV type 2 and mainly occur between the ages of 5 and 20. They can appear on any part of the body due to autoinoculation and are most commonly found on the hands and feet. These areas are susceptible due to frequent injuries or prolonged exposure to water, which are common triggering factors. After a wart is removed, the surrounding areas might already be infected, potentially leading to new warts appearing over time.
How to treat itching caused by dry skin?
Itchy symptoms caused by dry skin often have no primary lesion, but scratching can lead to marks, blood scabs, and hyperpigmentation. This type of itch is common during the winter season. Another group affected is the elderly, who may experience itchiness related to skin aging, insufficient nourishment, and dry skin. Another condition is atopic dermatitis, which is more common in children and related to congenital immunity. It often presents as dry skin, erythema, scales, and itching on the flexor sides of the limbs. Whatever the cause of dry skin and resulting itchiness, the following points should be noted in daily care: First, the water temperature for bathing should not be too high, recommended to be below 37℃. Second, during bathing, it’s advisable not to use alkaline substances such as shower gel, soap, scented soap, sulfur soap, or even laundry detergent, as they can exacerbate skin dryness. Opt for mildly acidic or amino acid-based shower gels instead. Third, after bathing, it is recommended to apply body lotion, like baby cream and other special-function moisturizers such as barrier repair creams, to help alleviate itching due to dry skin.
Difference between seborrheic dermatitis and seborrheic hair loss
Seborrheic dermatitis, also known as seborrheic eczema, is a chronic inflammatory skin disease that occurs in areas with excessive sebum secretion, such as the face, chest, and back. Seborrheic dermatitis is not the same as seborrheic hair loss, although some patients with seborrheic dermatitis may also experience hair loss. Generally, seborrheic dermatitis starts on the face and then spreads downwards to other areas, accompanied by varying degrees of itching, and is commonly seen in adults and newborns. Seborrheic dermatitis is associated with factors such as psychological stress, dietary habits, deficiencies in B vitamins, alcohol consumption, and sleep deprivation. As it often starts or is primarily localized on the scalp, symptoms can worsen and spread to other areas. The disease tends to occur in areas that are oily, hairy, and sweaty. As the sebaceous glands open into the hair follicles, the initial skin lesions of seborrheic dermatitis are usually small, red papules around the hair follicles. As the condition progresses, these papules can develop into red patches. Some patients may also have oily scales or crusts, as well as varying degrees of hair loss.
How to treat hair loss?
There are many types of hair loss, such as sudden localized patchy hair loss known as alopecia areata, androgenetic alopecia which is related to genetic factors and dependent on the action of androgens, also known as seborrheic alopecia, as well as postpartum hair loss due to insufficient qi and blood after childbirth, and telogen effluvium caused by rapid weight loss or dieting. The specific treatment of hair loss should be based on the corresponding cause. The cause of alopecia areata is not completely clear, and it is related to factors such as emotions, stress, endocrine disruption, and autoimmunity. Treatment generally includes oral intake of compound glycyrrhizin tablets and topical application of minoxidil. If the skin lesions are widespread or severe, the combination of corticosteroid treatment may be considered, and treatment generally lasts several months or even longer. Androgenetic alopecia often occurs between the ages of 20 and 30 and is related to familial genetics. The treatment of this condition lacks very effective remedies. Treatment options include topical minoxidil, and oral intake of finasteride. Traditional Chinese medicine has relatively good effects in treating androgenetic alopecia, including the oral intake of Chinese herbal medicine and local acupuncture treatment. Attention should be paid to avoiding staying up late and maintaining a light diet. When the hair follicles have already closed, local hair transplantation can be carried out, transferring hair from the occipital region of the scalp to the top. If the area of androgenetic alopecia is too large without sufficient follicles for transplantation, then the use of a wig should be considered. (Note: Medications should be used under the guidance of a physician.)
Can children's acne be cured?
Acne in children can be cured. However, if treated properly, but lifestyle factors such as sleep, diet, stress, bowel movements, and environment are neglected, acne may recur. Acne, medically referred to as acne vulgaris, is a chronic inflammatory disease of the hair follicle sebaceous glands. It can affect appearance and can occur at all ages, though it is most common in adolescents. The development of acne is mainly related to several factors: androgens, increased sebum production, excessive keratinization at the opening of the hair follicle sebaceous glands, infection with Propionibacterium acnes, and subsequent inflammatory responses. Other contributing factors for some patients include genetics, immunity, endocrine disorders, emotions, stress, diet, and staying up late. In treating acne, the main principles are to reduce sebum, dissolve keratin, kill bacteria, reduce inflammation, and regulate hormone levels, which can lead to healing. However, it is important to maintain a light diet daily, avoiding spicy, fried foods, hot pots, barbecues, and beverages, as well as preventing staying up late, as long-term lack of sleep can also cause recurrent acne outbreaks.
What should I do if I have skin allergies and itching?
Skin allergies and itching require actively searching for the triggering factors, i.e., allergens. Identifying what has irritated the skin and caused the allergic reaction is crucial, then avoiding further contact to prevent recurrence or worsening of the condition. If the allergy is triggered by consuming fish, shrimp, seafood, tropical fruits, etc., it is important to avoid eating similar foods in the future. If the use of certain cosmetics or skin care products causes allergies, avoid using other products containing the same ingredients. If the allergy is caused by certain medications, typically appearing within four days to a month of usage, it is advised to switch medications and avoid taking the same one again. For more severe allergic symptoms, such as significant itching, oral antihistamines like loratadine, desloratadine, cetirizine, and ebastine can be taken. Topical anti-itch medications like calamine lotion can be used, and for more severe conditions, topical corticosteroids or tacrolimus ointment can be applied. If symptoms do not improve or worsen with the aforementioned treatments, short-term oral steroids might be considered to manage the condition. (Note: Medication should be used under the guidance of a physician.)