Urgently seeking a prescription for folliculitis ！！！！！

Folliculitis is a subacute or slow and purulent inflammation of the hair follicles and perifollicles caused by the invasion of Staphylococcus aureus into the hair follicles. Generally the skin is not clean, scratching or when the muscle resistance is reduced can be induced. Folliculitis is often scattered at the onset, the shape of the size of a grain of rice, bright red or dark red follicular papules, the center of which runs through the hair, surrounded by an inflammatory red halo, and then quickly turned into pustules, but do not merge with each other. When the pustules rupture or pull out the hairs, a small amount of pus and plasma can be discharged, but the local inflammation gradually subsides without leaving scars. Folliculitis is most common on the head, while other hairy areas can also be affected. Because of the different parts of the onset of folliculitis, so the form of performance is also different, such as born in the head of the folliculitis, after the cure can appear rice grains to nail-sized alopecia spots, and the affected area is no longer hair, which is usually called baldness folliculitis; some of the folliculitis is a set of arrangement, the depth of its interconnections and fusion of the piece, known as penetrating folliculitis; such as folliculitis in the occipital region, due to the special location of the proliferation of papillae, called papillary folliculitis, the papillary folliculitis. If the folliculitis occurs in the occipital region, it is called papillary folliculitis or occipital sclerosis folliculitis. Folliculitis at the onset of the majority of batches, each damage lasted 5 to 7 days can be absorbed and cured, but new damage continues to occur, so the course of the disease often extends for weeks to months, some even longer. Symptoms may be mild or severe and recurring. The degree of itching varies, sometimes accompanied by slight pain. Lymph nodes near the affected area are enlarged on examination, and the lesions can be accompanied by fever when they are severe. The first step in treating folliculitis is to keep the skin clean and hygienic, and at the same time avoid scratching and other stimuli. Especially the head, due to more hair, sebaceous glands and sweat glands are more abundant, and excretion is also more, so it is more important to keep clean and hygienic. Patients should try to eat less stimulating food, animal fats, and maintain daily bowel movement. If the patient is diabetic should be treated in time, which can prevent inducing folliculitis. Drug treatment mainly includes three aspects: 1, systemic therapy: in the case of extensive skin lesions and obvious pus, broad-spectrum antibiotic treatment should be given. If conditions can be sent to the pus culture, and drug sensitivity test, so that the selection of more effective drugs has an important significance of guidance. 2、Immunotherapy: for patients with chronic recurrent attacks, boils can be injected with boils vaccine, subcutaneously once a week, with a starting dose of 0.5 ml, 1 ml for the second time, 1.5 ml for the third time, and 2 ml for each subsequent time. Generally there is no adverse reaction after injection, if there is fever and other discomforts, do not increase the dosage, and if necessary, reduce the dosage or stop using it. 3、Local therapy: Avoid washing with water when the lesions occur, avoid scratching, the lesion area should cut the hair short, and local sterilization, anti-itching drugs such as hair water can be applied. Accompanied by oozing patients can be used 0.1% levano solution wet compresses, 3 to 4 times a day, 20 minutes each time, after the inflammation is relieved can be used 2% chloramphenicol emulsion, 0.5% neomycin ointment and 3% iodine tincture external application. Folliculitis (folliculitis) is a purulent inflammation that occurs when staphylococcus bacteria invade the hair follicle. There are different names in Chinese medicine according to the location and shape of the disease, such as "big pearl sores", "hair sores", "sheep beard sores", "mole cricket boils", "mole cricket", "can't you arch your head", etc. The disease is usually found on the head, neck, neckline and neckline. This disease occurs in the head, neck, buttocks, perianal or other parts of the body, and there is a tendency to recur, often occurring in many places, the nature of the stubborn, prolonged and difficult to cure. Clinical manifestations: the rash first appeared in the mouth of the hair follicle, the appearance of needle tip to mung bean size with itchy red follicular papules, papules at the top of the formation of a small yellow-white pus, surrounded by inflammation halo, the center of the hair follicle through the papules appeared to be more, scattered distribution, do not blend each other, there is mild pain, itching obvious. Generally no systemic symptoms, after a few days, the pus head breaks, discharge a small amount of pus gradually healed. If repeated episodes, delayed for several weeks, well into chronic folliculitis. Well in hairy parts, scalp, perineum, axilla, perianal and limb extension. The rash is easily secondary to seborrheic dermatitis, neurodermatitis, pruritus and other diseases. Pathological changes: Chinese medicine believes that this disease is mostly caused by internal dampness and heat, externally affected by heat, fumigation lung system, skin, and the accumulation of long time heat, heat and meat decay into pus, pus and venom flow, through each other, and the development of this disease. Or vegetative weakness, guarding the outside is not solid, external heat and poison; or because the skin is not clean, the wind and poison invasion, wind outside the beat knot caused. Modern medicine believes that the pathogen of this disease is staphylococcus, mainly occurs in immunity or diabetes, mostly due to scratching, skin damage, pathogenic bacteria take the opportunity to invade the hair follicles, and cause inflammation. It may be related to occupation or certain treatment factors. Frequent contact with tar-like substances, or long-term application of tar-like substances or corticosteroid hormone drugs, as well as the skin is often subjected to friction and other stimuli, are the triggering factors for this disease. Treatment measures/Chinese medicine: 1. Internal treatment: Initially, clearing away heat and removing toxins is recommended, and the formula is Five-flavored Sterilizing Drink. If the patient has scattered light red papules and small pustules on the body surface, self-conscious itching and pain, red tongue, thick and greasy moss and other manifestations of dampness and heat, it is appropriate to clear heat and detoxification of dampness, the formula used in Jin Cai Tang; if the patient is physically weak and the course of the disease has been prolonged, there is a yellowish complexion, little food and poor appetite, pale tongue, thin white moss, thin pulse and other manifestations of deficiency of qi and yin, it is appropriate to benefit the qi and nourish the yin and remove heat and detoxification of toxins, the formula used in Blue Astragalus Soup. 2. External treatment: (1) Herbal topical application: fresh Gongying, Diding, Hibiscus leaves, Amaranthus, Jin Buwang, etc. Choose 1 or 2 kinds, pound the mud and apply it to the affected area, 1 or 2 times a day. (2) two flavors of poisonous ointment: Huanglian ointment or Ruyi Jinhuang San honey paste external, 1 to 2 times a day. Western medical treatment: 1. Internal treatment: (1) oral tetracycline, madicillin or intramuscular injection of penicillin, while giving vitamin B drugs. If recurrent episodes, intramuscular placental globulin can be injected twice in 3 weeks. (2) Immunotherapy: for patients with recurrent chronic folliculitis, the vaccine can be used to treat by injection with autochthonous bacterial vaccine or multivalent bacterial vaccine. 2. External treatment: take anti-inflammatory, sterilization, drying as the principle, use the following prescription drugs as appropriate: 10% sulfur glycerite lotion, 10% ichthyol alcohol, compound neomycin ointment, 5% white mercury ointment, chloramphenicol sulfoxide agent for external application. 3. Physiotherapy: In addition to the acute inflammatory period, ultraviolet light or ultra-short-wave irradiation can be used, 20 minutes each time, 3 times a week.