How to quickly form a scab when frostbite festers?

Written by Xie Ming Feng
Dermatology
Updated on September 01, 2024
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Frostbite, if the freezing duration is long, the local tissues will become more hypoxic and the cells will be severely damaged. At this point, local blisters, ruptures, erosion, and ulcers may occur. To quickly form a scab at this time, we should operate as follows: first, keep the local area as dry as possible; second, use astringent, drying, and anti-inflammatory ointments on the ruptured areas, such as boric acid ointment, boric acid zinc oxide menthol ointment, erythromycin ointment, mupirocin ointment, etc.

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Written by Xie Ming Feng
Dermatology
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What medicine is more effective for chilblains?

For the local treatment of chilblains, Western medicine generally uses some drugs to improve microcirculation. Commonly used drugs include compound heparin ointment, polysulfate mucopolysaccharide cream, vitamin E ointment, capsicum tincture, and so on. As for Chinese medicine, it is generally better to use some ointments that warm and drive out cold, activate blood circulation, and dissolve stasis. However, the most important thing for chilblains is to keep warm and prevent cold.

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Written by Xie Ming Feng
Dermatology
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Why does frostbite occur year after year?

Cold is the primary cause of chilblains, but in addition, factors such as the patient's own skin moisture, abnormalities in peripheral microvessels, autonomic nerve dysfunction, malnutrition, anemia, endocrine disorders, etc., may also participate in the development of the disease. Other factors such as lack of exercise, hyperhidrosis of the hands and feet, overly tight socks and shoes, and long-term outdoor work may also contribute to the occurrence of chilblains. Therefore, chilblains are actually a multifactorial disease, making it prone to recurrence.

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Written by Xie Ming Feng
Dermatology
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Do chilblains itch?

Chilblains are caused by the spasm and paralysis of small peripheral blood vessels due to cold, resulting in venous congestion and poor local blood circulation. Sufferers generally feel pain and itching, primarily itching, which intensifies when heated. The best approach at this time is to apply topical medications, such as chilblain cream, capsicum tincture, etc., which have an anti-itching effect.

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Written by Xie Ming Feng
Dermatology
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How to treat frostbite in summer?

Chilblains usually occur in early winter and early spring. Therefore, treating chilblains in summer is mainly to prevent recurrence in winter. The routine mainly involves physical exercise. From the perspective of traditional Chinese medicine treatment, there is a concept of treating winter diseases in summer. You can use some Chinese herbal medicines that warm and promote circulation, activate blood circulation and remove blood stasis, and unblock collaterals to relieve pain. These herbs can be decocted and used for foot soaks over a period, which helps to prevent the occurrence of chilblains in winter.

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Written by Guan Yu Hua
Orthopedic Surgery
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Is red, swollen, and itchy heel frostbite?

Let's talk about chilblains first, which can occur on various parts of the body. The most common cause is cold stimulation, such as redness and itching on the back of the heel, which may be due to occupational or other factors. The heel is often exposed and susceptible to cold, potentially leading to chilblains. This condition can be particularly troublesome but sometimes heals on its own as the weather warms up, though it is prone to recurrence. Treatment may require the use of vasodilators or traditional Chinese medicines that improve microcirculation and invigorate the blood. Regular physical exercise to boost immunity, avoiding cold exposure, and ensuring adequate warmth and dryness are important. Tight shoes and socks should be avoided, and it is not advisable to soak in hot water immediately after getting cold; instead, gradually increase the water temperature. If there is an open wound, appropriate ointments can be applied to promote healing, ensuring the area stays dry to prevent further chilblains. For example, soaking in water daily can be beneficial if there is no open wound, starting with water at 10°C, then increasing gradually to 20°C, and finally 30°C to gradually warm the area and improve blood circulation, aiding in recovery. Additionally, using ointments like chilblain cream can help improve the condition, but the area is still prone to reoccurrence if it gets cold again. Mainly, keeping the area warm and moist is crucial. For open wounds, regular disinfection with povidone-iodine and applying erythromycin ointment to prevent infection may be beneficial. (Please use medications under the guidance of a doctor to avoid inappropriate self-medication.)